chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Continuous positive airway pressure, Death, Dyspnoea, Endotracheal intubation, Foaming at mouth
Clinical narrative: Patient received first vaccine dose on 3/10/21, waited for approximately 1 hour in Pharmacy after.  Was walking to her vehicle and became short of breath.  Patient got to her vehicle and called 911 due to severe shortness of breath.  Rescue arrived on scene at approximately 11:00am, found patient in distress and administered epinephrine, methylprednisolone, and diphenhydramine.  Patient placed on CPAP in rescue en route to ER, became unresponsive, frothing pink sputum.  Intubated by paramedics en route with iGel device.  Patient arrived to ER at 11:22am, went into cardiac arrest at 11:24am.  Patient continued to be unstable, had multiple rounds of cardiac arrest and ROSC.  Patient ultimately did not survive arrests, and pronounced dead at 2:37pm.    Medications received during course in the ER - epinephrine 1mg x18 doses, sodium bicarbonate 50mEq x4 doses, calcium chloride 1g, insulin regular 10 units x1, furosemide 80mg x1, epinephrine titrated infusion, sodium bicarbonate infusion.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Haemoptysis, PCO2 increased, PO2 decreased
Clinical narrative: Patient received first vaccine dose on 3/10/21, waited for approximately 1 hour in Pharmacy after.  Was walking to her vehicle and became short of breath.  Patient got to her vehicle and called 911 due to severe shortness of breath.  Rescue arrived on scene at approximately 11:00am, found patient in distress and administered epinephrine, methylprednisolone, and diphenhydramine.  Patient placed on CPAP in rescue en route to ER, became unresponsive, frothing pink sputum.  Intubated by paramedics en route with iGel device.  Patient arrived to ER at 11:22am, went into cardiac arrest at 11:24am.  Patient continued to be unstable, had multiple rounds of cardiac arrest and ROSC.  Patient ultimately did not survive arrests, and pronounced dead at 2:37pm.    Medications received during course in the ER - epinephrine 1mg x18 doses, sodium bicarbonate 50mEq x4 doses, calcium chloride 1g, insulin regular 10 units x1, furosemide 80mg x1, epinephrine titrated infusion, sodium bicarbonate infusion.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count increased, Pneumothorax, Protein total normal, Pulmonary oedema, Respiratory distress
Clinical narrative: Patient received first vaccine dose on 3/10/21, waited for approximately 1 hour in Pharmacy after.  Was walking to her vehicle and became short of breath.  Patient got to her vehicle and called 911 due to severe shortness of breath.  Rescue arrived on scene at approximately 11:00am, found patient in distress and administered epinephrine, methylprednisolone, and diphenhydramine.  Patient placed on CPAP in rescue en route to ER, became unresponsive, frothing pink sputum.  Intubated by paramedics en route with iGel device.  Patient arrived to ER at 11:22am, went into cardiac arrest at 11:24am.  Patient continued to be unstable, had multiple rounds of cardiac arrest and ROSC.  Patient ultimately did not survive arrests, and pronounced dead at 2:37pm.    Medications received during course in the ER - epinephrine 1mg x18 doses, sodium bicarbonate 50mEq x4 doses, calcium chloride 1g, insulin regular 10 units x1, furosemide 80mg x1, epinephrine titrated infusion, sodium bicarbonate infusion.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli, White blood cell count normal
Clinical narrative: Patient received first vaccine dose on 3/10/21, waited for approximately 1 hour in Pharmacy after.  Was walking to her vehicle and became short of breath.  Patient got to her vehicle and called 911 due to severe shortness of breath.  Rescue arrived on scene at approximately 11:00am, found patient in distress and administered epinephrine, methylprednisolone, and diphenhydramine.  Patient placed on CPAP in rescue en route to ER, became unresponsive, frothing pink sputum.  Intubated by paramedics en route with iGel device.  Patient arrived to ER at 11:22am, went into cardiac arrest at 11:24am.  Patient continued to be unstable, had multiple rounds of cardiac arrest and ROSC.  Patient ultimately did not survive arrests, and pronounced dead at 2:37pm.    Medications received during course in the ER - epinephrine 1mg x18 doses, sodium bicarbonate 50mEq x4 doses, calcium chloride 1g, insulin regular 10 units x1, furosemide 80mg x1, epinephrine titrated infusion, sodium bicarbonate infusion.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute pulmonary oedema, Cardiac arrest, Condition aggravated, Death
Clinical narrative: Patient received first vaccine dose on 3/10/21, waited for approximately 1 hour in Pharmacy after.  Was walking to her vehicle and became short of breath.  Patient got to her vehicle and called 911 due to severe shortness of breath.  Rescue arrived on scene at approximately 11:00am, found patient in distress and administered epinephrine, methylprednisolone, and diphenhydramine.  Patient placed on CPAP in rescue en route to ER, became unresponsive, frothing pink sputum.  Intubated by paramedics en route with iGel device.  Patient arrived to ER at 11:22am, went into cardiac arrest at 11:24am.  Patient continued to be unstable, had multiple rounds of cardiac arrest and ROSC.  Patient ultimately did not survive arrests, and pronounced dead at 2:37pm.    Medications received during course in the ER - epinephrine 1mg x18 doses, sodium bicarbonate 50mEq x4 doses, calcium chloride 1g, insulin regular 10 units x1, furosemide 80mg x1, epinephrine titrated infusion, sodium bicarbonate infusion.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Nervousness, Respiratory distress
Clinical narrative: 1400 1ST Moderna felt dizziness and SOB. 1408 Epi Pen 0.3 ml IM left thigh SPO2 99% Patient extensive work of breathing was unable to catch breath was in respiratory distress. No audible wheeze, pulm exam was clear. Following  Epi pen administration , shaky experienced chills, HX Guillain Barre Syndrome. 1427 Resting lying Supine 1431 25 mg IM Benadryl given by EMS 1439 Transported by EMS to ER
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Dizziness, Dyspnoea, Exercise electrocardiogram abnormal, Palpitations
Clinical narrative: 1400 1ST Moderna felt dizziness and SOB. 1408 Epi Pen 0.3 ml IM left thigh SPO2 99% Patient extensive work of breathing was unable to catch breath was in respiratory distress. No audible wheeze, pulm exam was clear. Following  Epi pen administration , shaky experienced chills, HX Guillain Barre Syndrome. 1427 Resting lying Supine 1431 25 mg IM Benadryl given by EMS 1439 Transported by EMS to ER
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Rash
Clinical narrative: Patient stated her chin and lips felt "tingly" she had a rash developing on her chin.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on torso
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Contusion, Disturbance in attention, Erythema
Clinical narrative: Temp over 102 first night, over 100 second night, chills third night. Malaise, fatigue, difficulty concentrating Large muscle aches, pain in both sides of my  neck Left arm red, hot, bruised Feels like the flu after 4 days
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Malaise, Myalgia, Neck pain
Clinical narrative: Temp over 102 first night, over 100 second night, chills third night. Malaise, fatigue, difficulty concentrating Large muscle aches, pain in both sides of my  neck Left arm red, hot, bruised Feels like the flu after 4 days
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Temp over 102 first night, over 100 second night, chills third night. Malaise, fatigue, difficulty concentrating Large muscle aches, pain in both sides of my  neck Left arm red, hot, bruised Feels like the flu after 4 days
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, C-reactive protein increased, Catheterisation cardiac abnormal, Chest pain, Coronary arterial stent insertion
Clinical narrative: The patient is a 77-year-old male with T2DM (not on medications), gout, and HTN who received the first dose of the Pfizer COVID-19 vaccine on 2/14. On 2/17 (three days after vaccination), he sought care in the emergency department for chest pain that worsened when he was supine and shortness of breath.   EKG in the emergency room showed STEMI and troponin levels were normal. He was transferred to a different facility for cardiac catheterization. Cath showed mild circumflex disease and a stent was placed. He was diagnosed with pericarditis at that time (elevated inflammatory markers ESR/CRP). He was discharged home post cath on Plavix/ASA.   He had an echocardiogram at his PCP?s office on 2/25, results still pending (as of 3/10).  2/25 ? televist with cardiologist who concurred with pericarditis, maybe mild coronary artery disease (follow-up scheduled 3/11).  3/3 chest pain symptom improved further, no cough, improved shortness of breath.      Medications at home: statin, previously colchine for gout, likely BP medication (PCP will send records)  Allergies: None known.  Vaccine Indication: Age >75
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery stenosis, Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Pericarditis
Clinical narrative: The patient is a 77-year-old male with T2DM (not on medications), gout, and HTN who received the first dose of the Pfizer COVID-19 vaccine on 2/14. On 2/17 (three days after vaccination), he sought care in the emergency department for chest pain that worsened when he was supine and shortness of breath.   EKG in the emergency room showed STEMI and troponin levels were normal. He was transferred to a different facility for cardiac catheterization. Cath showed mild circumflex disease and a stent was placed. He was diagnosed with pericarditis at that time (elevated inflammatory markers ESR/CRP). He was discharged home post cath on Plavix/ASA.   He had an echocardiogram at his PCP?s office on 2/25, results still pending (as of 3/10).  2/25 ? televist with cardiologist who concurred with pericarditis, maybe mild coronary artery disease (follow-up scheduled 3/11).  3/3 chest pain symptom improved further, no cough, improved shortness of breath.      Medications at home: statin, previously colchine for gout, likely BP medication (PCP will send records)  Allergies: None known.  Vaccine Indication: Age >75
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, Troponin normal
Clinical narrative: The patient is a 77-year-old male with T2DM (not on medications), gout, and HTN who received the first dose of the Pfizer COVID-19 vaccine on 2/14. On 2/17 (three days after vaccination), he sought care in the emergency department for chest pain that worsened when he was supine and shortness of breath.   EKG in the emergency room showed STEMI and troponin levels were normal. He was transferred to a different facility for cardiac catheterization. Cath showed mild circumflex disease and a stent was placed. He was diagnosed with pericarditis at that time (elevated inflammatory markers ESR/CRP). He was discharged home post cath on Plavix/ASA.   He had an echocardiogram at his PCP?s office on 2/25, results still pending (as of 3/10).  2/25 ? televist with cardiologist who concurred with pericarditis, maybe mild coronary artery disease (follow-up scheduled 3/11).  3/3 chest pain symptom improved further, no cough, improved shortness of breath.      Medications at home: statin, previously colchine for gout, likely BP medication (PCP will send records)  Allergies: None known.  Vaccine Indication: Age >75
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Sore arm for a couple of days, fatigue for a couple of days, low grade fever ongoing  (under 100) and this is day 8. Fever was 99.4 yesterday and 99.2 when taken today. Still a bit more tired than normal as well.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Injection site: pain, redness of the skin and swelling. In general: headache, feeling very tired, muscle aches, fever and chills.  Duration: approx. 24 hrs
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling, Myalgia, Pyrexia
Clinical narrative: Injection site: pain, redness of the skin and swelling. In general: headache, feeling very tired, muscle aches, fever and chills.  Duration: approx. 24 hrs
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Mental impairment
Clinical narrative: Very tried and very dizzy.  My mind went blank.  I could not spell my name.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient had vomiting after COVID vaccine was given.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chills, Decreased appetite, Hyperhidrosis
Clinical narrative: Around 2pm on Saturday I felt warm, flu like symptoms while at work . I left work went home started exp chills slept for 6 hrs, no appetite. I woke up Sunday still running low grade fever, sweats and really drained. Also my lymph node left side exp swelling went to PCP was told could be the protein.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Lymphadenopathy, Pyrexia, Skin warm
Clinical narrative: Around 2pm on Saturday I felt warm, flu like symptoms while at work . I left work went home started exp chills slept for 6 hrs, no appetite. I woke up Sunday still running low grade fever, sweats and really drained. Also my lymph node left side exp swelling went to PCP was told could be the protein.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Nausea, Thirst
Clinical narrative: PATIENT FELT NAUSEAUS, WAS SWEATING, FELT DIZZY AND HOT, AND ALSO THIRSTY APPROXIMATELY 5 MINUTES AFTER ADMINISTRATION OF VACCINE.  PATIENT WAS GIVEN 25MG OF DIPHENHYDRAMINE BY MOUTH APPROXIMATELY 10 MINUTES AFTER ADMINISTRATION OF VACCINE, AND COLD WATER TO SIP.  PATIENT'S SYMPTOMS IMPROVED WITHIN 5 MINUTES AND CONTINUED TO IMPROVE OVER THE COURSE OF A 30 MINUTE OBSERVATION PERIOD.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure decreased, Dizziness, Loss of consciousness
Clinical narrative: Around 5 pm patient got his first dose of the Moderna Covid-19 vaccine,  and after 5 mins,he passed out while he was sitting in the observation area,his wife  was with him, once that incident had been noticed, I ran quickly to him but when I reached him he started to wake up again, I brought the emergency kit , a bottle of water, also I asked pharmacy tech to call  store manager to come over. I asked patient what happened and he stated that suddenly he felt dizzy and that he was anxious about the vaccine from the beginning and excited to get it at the same time, then I measured the blood pressure  it was 125/61 with pulse of 45/min.I offered him and his wife to call 911 but they declined it. I asked him to go back to my consultation area so he could lie down on the floor and raise his legs up so we can bring back the blood pressure up, he did that, and he went with me over there and laid down on the floor and we raised his legs up,later I measured his blood pressure again, and it was 113/71 with pulse 51/minute, I offered again to call 911 but he refused and he said that he was feeling better. I left him about 10 more minutes,then he started to get up and sit by the chair and I re-measured the blood pressure  and it was 121/76 with pulse of 54/minute, he started to drink water. He stated he felt better than he was about 20 minutes ago, then they left once their driver came to pick them up.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site reaction, Urticaria
Clinical narrative: Quarter size raised welt immediately after injection  applied instant ice pak while still at pharmacy  after 15 minutes welt reduced in size. Spoke to patient  3 hours later to follow up and he said no pain or welt in injection area
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Herpes zoster, Pain
Clinical narrative: Patient complained of a shingles flare the day after receiving vaccine and also  described intensification of chronic pain, above and beyond normal, for the two days since her vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Received 2nd Moderna shot on Thu 3/4 and on Saturday 3/6 had raised red rash on my right arm where I got the shot with extreme itching from around the shot site to about 3 inches above elbow covering the width of my front upper arm plus extremely  sore arm. Also extremely achy on my right side, shoulder blade all the way down my back which lasted till Tues 3/9.. Some dizziness and occasional nausea feeling through Sunday 3/7 . It's March 10th, 6 days after and the red rash mark is still there though lighter in color and not raised with just light itchiness. No other side effects now.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Nausea, Pain in extremity
Clinical narrative: Received 2nd Moderna shot on Thu 3/4 and on Saturday 3/6 had raised red rash on my right arm where I got the shot with extreme itching from around the shot site to about 3 inches above elbow covering the width of my front upper arm plus extremely  sore arm. Also extremely achy on my right side, shoulder blade all the way down my back which lasted till Tues 3/9.. Some dizziness and occasional nausea feeling through Sunday 3/7 . It's March 10th, 6 days after and the red rash mark is still there though lighter in color and not raised with just light itchiness. No other side effects now.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Lymph node swelling in left armpit
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for covid 19 6 days after vaccination.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Urticaria
Clinical narrative: Patient reported to nurse that she was starting to develop hives. Upon inspection patient was seen to have red blotchy hives on her neck and chest. She reported that it felt hot but not itchy.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Injection site pain
Clinical narrative: Extreme dizziness, chills, headaches, nausea, tiredness, injection sight pain.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Extreme dizziness, chills, headaches, nausea, tiredness, injection sight pain.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: The next day, the lymph node on the left side on my underarm was swollen/enlarged. I felt feverish. I went to the Dr and she ordered an ultrasound and an mammogram but I didn't get it because I heard on news that they advised to wait until the swelling had a chance to go down before getting an ultrasound and mammogram. The swelling went down after a week. It was so swollen I couldn't put my arm down. I will get my tests done for six weeks.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site nodule, Injection site pain, Pain in extremity, Peripheral swelling, Rash
Clinical narrative: Developed a red knot and pain near the injection site 9 days after receiving my first dose.  By later on in the evening a rash started to appear with severe pain throughout my left arm and my shoulder area started to swell.  The rash and swelling has continued on to the following day with the rash spreading.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Swelling in arm she received vaccine in, pain, red, itching
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hyperhidrosis, Mobility decreased, Nausea
Clinical narrative: Within 10 minutes I got very dizzy and nausea and vomiting which lasted over 12 hours. Also racing heart rate then episodes of chills and sweating. The next day I had a hard time holding my tooth brush, pain and swelling to both hands and severe pain in left foot. When I get up from sitting position to walking it feels like my bones in my left foot will shatter. The pain is very bad even in bed  when I?m not moving.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations, Peripheral swelling, Vomiting
Clinical narrative: Within 10 minutes I got very dizzy and nausea and vomiting which lasted over 12 hours. Also racing heart rate then episodes of chills and sweating. The next day I had a hard time holding my tooth brush, pain and swelling to both hands and severe pain in left foot. When I get up from sitting position to walking it feels like my bones in my left foot will shatter. The pain is very bad even in bed  when I?m not moving.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Joint stiffness, Pain
Clinical narrative: High fever, body aches, headaches, chills, uncontrollable shaking, stiff joints, tired
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: High fever, body aches, headaches, chills, uncontrollable shaking, stiff joints, tired
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Mass, Musculoskeletal chest pain, Tenderness
Clinical narrative: Minor tenderness on chest, about two inches below the left end of the left clavicle. A distinct small lump, tender to the touch, is felt just under the skin.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Painful swollen lymph nodes in right neck/shoulder
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Gait disturbance, Mobility decreased, Thirst decreased
Clinical narrative: Total weakness.  Could not get out of bed without being lifted.  After getting up was able to walk with assistance. No appetite or thirst. Could not stay awake.  Slept most of a 36 hour period.  No treatment given.  After that was tired for another 2 days but able to maintain a schedule.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Photo was emailed to director showing a 2.5" area in diameter of redness just below the puncture site which was clear on the picture.  A bandaid residue was also noted around the puncture site.  In the picture it appears the injection was given distal and slightly medial to the deltoid muscle into the biceps brachii muscle.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Influenza like illness, Injection site rash, Nausea
Clinical narrative: Moderna shot 1. Feb 8, 2021 Severe headaches and slight sore arm Moderna shot 2, Mar 8, 2021 Headaches within a few hours of the shot,  next day around noon headache, nausea, light headed, then turned into body aches and felt feverish.. Flu like symptoms until apx midnight. Very large rash about 5? wide and 10? long around and below injection site. Day 3. No more side effects. I did not notify my doctor.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Moderna shot 1. Feb 8, 2021 Severe headaches and slight sore arm Moderna shot 2, Mar 8, 2021 Headaches within a few hours of the shot,  next day around noon headache, nausea, light headed, then turned into body aches and felt feverish.. Flu like symptoms until apx midnight. Very large rash about 5? wide and 10? long around and below injection site. Day 3. No more side effects. I did not notify my doctor.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient positive for covid 19 9 days post vaccination.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Erythema, Fatigue, Headache
Clinical narrative: 24 hours after vaccination patient complains of arthralgias, fatigue, headache.  36 hours after vaccination complained of macular rash on the left breast above the areola.  Seen in clinic on March 10,  macular confluent erythema 9 x 5 cm, no induration,  no pruritis, mild swelling, c/ pain in left axillary area.  No nipple discharge. Afebrile.  No adenopathy.  BP 121/78, pulse 72, Resp. 17, T 36.1 C, Sat 91%.  z
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Swelling, Ultrasound breast
Clinical narrative: 24 hours after vaccination patient complains of arthralgias, fatigue, headache.  36 hours after vaccination complained of macular rash on the left breast above the areola.  Seen in clinic on March 10,  macular confluent erythema 9 x 5 cm, no induration,  no pruritis, mild swelling, c/ pain in left axillary area.  No nipple discharge. Afebrile.  No adenopathy.  BP 121/78, pulse 72, Resp. 17, T 36.1 C, Sat 91%.  z
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Blood test normal, Computerised tomogram head, Facial paralysis, Full blood count normal
Clinical narrative: Headache in back/right of head began on 3/5/2021, on 3/7/21 began experiencing facial paralysis in lips which progressed to the rest of right side of face. Went to Emergency Department that evening. CT scan was "unremarkable" and blood work was normal. Was diagnosed with Bells Palsy. Prescribed Valtrex and Prednisone. 3/10/2021 still experiencing partial facial paralysis and headache in same location.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Metabolic function test
Clinical narrative: Headache in back/right of head began on 3/5/2021, on 3/7/21 began experiencing facial paralysis in lips which progressed to the rest of right side of face. Went to Emergency Department that evening. CT scan was "unremarkable" and blood work was normal. Was diagnosed with Bells Palsy. Prescribed Valtrex and Prednisone. 3/10/2021 still experiencing partial facial paralysis and headache in same location.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Facial paralysis, Headache
Clinical narrative: Headache in back/right of head began on 3/5/2021, on 3/7/21 began experiencing facial paralysis in lips which progressed to the rest of right side of face. Went to Emergency Department that evening. CT scan was "unremarkable" and blood work was normal. Was diagnosed with Bells Palsy. Prescribed Valtrex and Prednisone. 3/10/2021 still experiencing partial facial paralysis and headache in same location.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site discomfort, Injection site pain, Musculoskeletal stiffness, Myalgia
Clinical narrative: Approx 8 hours after the shot, 12:30am, I started to have chills.  The chills prevented me from sleeping well.  Also when I laid down for the night, I was accutely aware of my heartbeat, which according to my smartwatch was beating at a rate of 71.  The next morning, I still was experiencing chills, and felt achy/stiff/sore muscles - possibly from tensing up and  shivering all night.  Pain at the injection shot also started the morning after the shot.  By bedtime the day after the shot, the symptoms had eased up.  The next morning the symptoms were gone, except for a little residual injection site discomfort.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Sleep disorder, Tension
Clinical narrative: Approx 8 hours after the shot, 12:30am, I started to have chills.  The chills prevented me from sleeping well.  Also when I laid down for the night, I was accutely aware of my heartbeat, which according to my smartwatch was beating at a rate of 71.  The next morning, I still was experiencing chills, and felt achy/stiff/sore muscles - possibly from tensing up and  shivering all night.  Pain at the injection shot also started the morning after the shot.  By bedtime the day after the shot, the symptoms had eased up.  The next morning the symptoms were gone, except for a little residual injection site discomfort.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: The patient was here for his second Moderna vaccination and the administering pharmacist mistakenly gave a Pfizer vaccination.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot, Swelling face, Swelling of eyelid
Clinical narrative: I was 32 minutes past receiving the vaccine when my face felt hot. I looked in the mirror and saw that it was. After about thirty more seconds I had trouble breathing and eventually could barely breathe. My face was puffy and my eyes started to close.  I received IV Benadryl and two other medications which I can't remember.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: One week after 1st shot arm was sore and developed a red rash around the injection area  was better within 2 days After 2nd shot developed fever up to 101.3. Bad headache, body aches, chills, arm sore  sore under the arms and fatigued.  This started about 12 hours after shot. Then about 36 hours after shot red rash appeared at site of second shot.  It is still red and sore 48 hours after shot.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site reaction, Pain, Pyrexia, Rash erythematous
Clinical narrative: One week after 1st shot arm was sore and developed a red rash around the injection area  was better within 2 days After 2nd shot developed fever up to 101.3. Bad headache, body aches, chills, arm sore  sore under the arms and fatigued.  This started about 12 hours after shot. Then about 36 hours after shot red rash appeared at site of second shot.  It is still red and sore 48 hours after shot.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: Nausea beginning 6pm yesterday, a few hours later diarrhea and vomiting. Throughout night consistent diarrhea, chills, and body aches. Woke up with fever of 100.9 (normal temp 97.6). Finally able to keep water down this morning and eat plain rice. Still have fever, headache, and chills.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Nausea beginning 6pm yesterday, a few hours later diarrhea and vomiting. Throughout night consistent diarrhea, chills, and body aches. Woke up with fever of 100.9 (normal temp 97.6). Finally able to keep water down this morning and eat plain rice. Still have fever, headache, and chills.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Loss of personal independence in daily activities, Myalgia, Pain in extremity
Clinical narrative: 11 hrs after shot I had a very bad case of diarrhea.  A day later my left arm muscle was very sore (not the injection site, the whole upper arm muscle).  Three weeks after the shot, my arm is still very sore and I can hardly use my left arm.  It's very painful to get dressed, take off a jacket, shirt, etc.  I can hardly use the left arm to hold anything due to the pain in the muscle.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient positive for covid 19 4 days after vaccination.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site vesicles
Clinical narrative: Pt developed large blister around shot (about 12 inches in diameter)
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Back pain, Nausea, Pyrexia, Vomiting
Clinical narrative: wife's report "He said he was nauseated all night.  at 5am this morning (3/10)  he was vomiting and said his stomach felt bloated like it 'needed to pop'.  He had a 100.8 temp this am, back pain.  he took tylenol at 12:30p and now his temp is at 100."
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Antibody test negative, Blood pH decreased, C-reactive protein increased, Chest X-ray normal, Clostridium test positive
Clinical narrative: 19 yo medically complex M with prior COVID infection in Dec 2020 who received first dose of the Moderna COVID vaccine on 3/4 as well as Epo shot (for chronic anemia secondary to CKD). Recently admitted for MRSA sacral abscess and had recently been discharged to complete treatment on oral Bactrim. On 3/6, developed worsening diarrhea, decreased urine output, facial and tongue swelling, and altered mental status. EMS was called and patient was brought to the  ED. Upon presentation, noted to have hypotension and was fluid resuscitated. Initial blood gas with hypercarbia, and he was intubated for airway protection. CXR was non-focal. He was started on empiric vancomycin and ceftriaxone, although these were discontinued with negative blood and urine cultures. Repeat respiratory film array was negative. Patient intubated 3/6-3/10.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Endotracheal intubation, Full blood count abnormal, Haemoglobin decreased, Hypercapnia
Clinical narrative: 19 yo medically complex M with prior COVID infection in Dec 2020 who received first dose of the Moderna COVID vaccine on 3/4 as well as Epo shot (for chronic anemia secondary to CKD). Recently admitted for MRSA sacral abscess and had recently been discharged to complete treatment on oral Bactrim. On 3/6, developed worsening diarrhea, decreased urine output, facial and tongue swelling, and altered mental status. EMS was called and patient was brought to the  ED. Upon presentation, noted to have hypotension and was fluid resuscitated. Initial blood gas with hypercarbia, and he was intubated for airway protection. CXR was non-focal. He was started on empiric vancomycin and ceftriaxone, although these were discontinued with negative blood and urine cultures. Repeat respiratory film array was negative. Patient intubated 3/6-3/10.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Mental status changes, PCO2 increased, PO2 increased, Platelet count normal
Clinical narrative: 19 yo medically complex M with prior COVID infection in Dec 2020 who received first dose of the Moderna COVID vaccine on 3/4 as well as Epo shot (for chronic anemia secondary to CKD). Recently admitted for MRSA sacral abscess and had recently been discharged to complete treatment on oral Bactrim. On 3/6, developed worsening diarrhea, decreased urine output, facial and tongue swelling, and altered mental status. EMS was called and patient was brought to the  ED. Upon presentation, noted to have hypotension and was fluid resuscitated. Initial blood gas with hypercarbia, and he was intubated for airway protection. CXR was non-focal. He was started on empiric vancomycin and ceftriaxone, although these were discontinued with negative blood and urine cultures. Repeat respiratory film array was negative. Patient intubated 3/6-3/10.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face, Urine output decreased, White blood cell count decreased
Clinical narrative: 19 yo medically complex M with prior COVID infection in Dec 2020 who received first dose of the Moderna COVID vaccine on 3/4 as well as Epo shot (for chronic anemia secondary to CKD). Recently admitted for MRSA sacral abscess and had recently been discharged to complete treatment on oral Bactrim. On 3/6, developed worsening diarrhea, decreased urine output, facial and tongue swelling, and altered mental status. EMS was called and patient was brought to the  ED. Upon presentation, noted to have hypotension and was fluid resuscitated. Initial blood gas with hypercarbia, and he was intubated for airway protection. CXR was non-focal. He was started on empiric vancomycin and ceftriaxone, although these were discontinued with negative blood and urine cultures. Repeat respiratory film array was negative. Patient intubated 3/6-3/10.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dyspnoea, Fatigue, Headache
Clinical narrative: Violent entire body chills approximately 12 hrs after vaccine.  Chills lasted an hour with 3 blankets and heating pad. Then switched to fever for next 8 hours. Fever recorded 102 the only time I checked. Nausea, body aches, plugged nose making it slightly difficult to breathe, headache, and exhaustion. Unable to sleep through the night due to fever, aches, and breathIng discomfort.  Slept off and on all following day.  Able to eat minimally at dinner next day.  Strong taste of food, ie chicken soup seemed way strong. Third day tired but appetite slightly returning and other side effects seem subsided.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nausea, Pain, Pyrexia, Sleep disorder
Clinical narrative: Violent entire body chills approximately 12 hrs after vaccine.  Chills lasted an hour with 3 blankets and heating pad. Then switched to fever for next 8 hours. Fever recorded 102 the only time I checked. Nausea, body aches, plugged nose making it slightly difficult to breathe, headache, and exhaustion. Unable to sleep through the night due to fever, aches, and breathIng discomfort.  Slept off and on all following day.  Able to eat minimally at dinner next day.  Strong taste of food, ie chicken soup seemed way strong. Third day tired but appetite slightly returning and other side effects seem subsided.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: Violent entire body chills approximately 12 hrs after vaccine.  Chills lasted an hour with 3 blankets and heating pad. Then switched to fever for next 8 hours. Fever recorded 102 the only time I checked. Nausea, body aches, plugged nose making it slightly difficult to breathe, headache, and exhaustion. Unable to sleep through the night due to fever, aches, and breathIng discomfort.  Slept off and on all following day.  Able to eat minimally at dinner next day.  Strong taste of food, ie chicken soup seemed way strong. Third day tired but appetite slightly returning and other side effects seem subsided.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angioedema, Back pain, Blood test normal, Chills, Dyspnoea
Clinical narrative: On 3/4/2021 developed fatigue, headache and back ache around 10am.  By 2pm had developed chills and severe body aches.  By 8pm, had also developed severe chills, sweating, body aches and fever of 100. by 3/5/2021 at 10am, all symptoms had resolved.  on 3/6/21, I woke up with a pulse rate of 148 and hives on my arms.  Went to Urgent care, where EKG showed no issues.   on 3/6/21 at 12pm, I developed an adema on my chin which was hot, red, swollen and painful.  At 5pm, my bottom lip began to swell and I returned to Urgent Care.  Diagnosed with an Angioedema and provided steroids.  My throat, face, eyes, lips and mouth swelled and it was difficult to talk and breath. The swelling continued off and on thru 3/9/21.  On 3/9/21 I began to develop a sinus infection and phlemb began to cause me to cough.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Face oedema, Fatigue, Headache, Influenza A virus test negative
Clinical narrative: On 3/4/2021 developed fatigue, headache and back ache around 10am.  By 2pm had developed chills and severe body aches.  By 8pm, had also developed severe chills, sweating, body aches and fever of 100. by 3/5/2021 at 10am, all symptoms had resolved.  on 3/6/21, I woke up with a pulse rate of 148 and hives on my arms.  Went to Urgent care, where EKG showed no issues.   on 3/6/21 at 12pm, I developed an adema on my chin which was hot, red, swollen and painful.  At 5pm, my bottom lip began to swell and I returned to Urgent Care.  Diagnosed with an Angioedema and provided steroids.  My throat, face, eyes, lips and mouth swelled and it was difficult to talk and breath. The swelling continued off and on thru 3/9/21.  On 3/9/21 I began to develop a sinus infection and phlemb began to cause me to cough.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza B virus test, Lip swelling, Mouth swelling, Pain, Pharyngeal swelling
Clinical narrative: On 3/4/2021 developed fatigue, headache and back ache around 10am.  By 2pm had developed chills and severe body aches.  By 8pm, had also developed severe chills, sweating, body aches and fever of 100. by 3/5/2021 at 10am, all symptoms had resolved.  on 3/6/21, I woke up with a pulse rate of 148 and hives on my arms.  Went to Urgent care, where EKG showed no issues.   on 3/6/21 at 12pm, I developed an adema on my chin which was hot, red, swollen and painful.  At 5pm, my bottom lip began to swell and I returned to Urgent Care.  Diagnosed with an Angioedema and provided steroids.  My throat, face, eyes, lips and mouth swelled and it was difficult to talk and breath. The swelling continued off and on thru 3/9/21.  On 3/9/21 I began to develop a sinus infection and phlemb began to cause me to cough.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test negative, Sinusitis, Skin warm
Clinical narrative: On 3/4/2021 developed fatigue, headache and back ache around 10am.  By 2pm had developed chills and severe body aches.  By 8pm, had also developed severe chills, sweating, body aches and fever of 100. by 3/5/2021 at 10am, all symptoms had resolved.  on 3/6/21, I woke up with a pulse rate of 148 and hives on my arms.  Went to Urgent care, where EKG showed no issues.   on 3/6/21 at 12pm, I developed an adema on my chin which was hot, red, swollen and painful.  At 5pm, my bottom lip began to swell and I returned to Urgent Care.  Diagnosed with an Angioedema and provided steroids.  My throat, face, eyes, lips and mouth swelled and it was difficult to talk and breath. The swelling continued off and on thru 3/9/21.  On 3/9/21 I began to develop a sinus infection and phlemb began to cause me to cough.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Speech disorder, Swelling face, Urticaria
Clinical narrative: On 3/4/2021 developed fatigue, headache and back ache around 10am.  By 2pm had developed chills and severe body aches.  By 8pm, had also developed severe chills, sweating, body aches and fever of 100. by 3/5/2021 at 10am, all symptoms had resolved.  on 3/6/21, I woke up with a pulse rate of 148 and hives on my arms.  Went to Urgent care, where EKG showed no issues.   on 3/6/21 at 12pm, I developed an adema on my chin which was hot, red, swollen and painful.  At 5pm, my bottom lip began to swell and I returned to Urgent Care.  Diagnosed with an Angioedema and provided steroids.  My throat, face, eyes, lips and mouth swelled and it was difficult to talk and breath. The swelling continued off and on thru 3/9/21.  On 3/9/21 I began to develop a sinus infection and phlemb began to cause me to cough.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: aches, tired, fever, chills, sweats in the night, diahrrea, no apetite, skin hurt, low energy.  All increased over the next 3 days, and by 6 pm on March 6, I started feeling human again.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Pain, Pain of skin, Pyrexia
Clinical narrative: aches, tired, fever, chills, sweats in the night, diahrrea, no apetite, skin hurt, low energy.  All increased over the next 3 days, and by 6 pm on March 6, I started feeling human again.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Red bumpy rash around my neck.  Treatment to Benedryl and applied Benedryl cream.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness started the afternoon the day after the vaccine.  Has persisted 9 days now and continues.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia oral, Swollen tongue
Clinical narrative: Patient stated he has a protein allergy however his physician informed him to get the COVID19 vaccination. After the vaccination he felt lightheaded, tingling on his tongue and swelling. Gave patient 50mL of liquid Benadryl and observed patient for 30 minutes. EMS followed up with the patient.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: 3/6/21  2:30 am- stiffness in neck, headache, soreness around injection site- Subsided after 1 hours with ibuprofen(400mg ibuprofen) 9:30 am-pain (muscle cramps) down both legs and in arms. Headache- subsided after an 2 hours. I took 400mg of ibuprofen.  12:00pm- dizzy, started to get tunnel vision. I quickly sat down and vision began to come back. I had to sit for around 20 minutes before I know longer felt dizzy. Pain began to come back in both legs. Aching and fatigue. This lasted for around 2-3 hours. I stretched my legs and arms a lot during that time frame.  I began to feel better around 4:30pm.  Still mild aching in legs and arms.   8:00 pm-pain in legs and arms, headache, dizziness (400mg Ibuprofen) I went to bed and when I would up the next morning all my muscle aches and pains were gone. My right arm was still sore for 3 days post vaccine. I noted a half dollar size redness around the injection site. by day 3 the redness was the size of a grape fruit. Day 4 post vaccine the soreness in the arm was gone and redness had began to fade.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Musculoskeletal stiffness, Pain, Pain in extremity, Tunnel vision
Clinical narrative: 3/6/21  2:30 am- stiffness in neck, headache, soreness around injection site- Subsided after 1 hours with ibuprofen(400mg ibuprofen) 9:30 am-pain (muscle cramps) down both legs and in arms. Headache- subsided after an 2 hours. I took 400mg of ibuprofen.  12:00pm- dizzy, started to get tunnel vision. I quickly sat down and vision began to come back. I had to sit for around 20 minutes before I know longer felt dizzy. Pain began to come back in both legs. Aching and fatigue. This lasted for around 2-3 hours. I stretched my legs and arms a lot during that time frame.  I began to feel better around 4:30pm.  Still mild aching in legs and arms.   8:00 pm-pain in legs and arms, headache, dizziness (400mg Ibuprofen) I went to bed and when I would up the next morning all my muscle aches and pains were gone. My right arm was still sore for 3 days post vaccine. I noted a half dollar size redness around the injection site. by day 3 the redness was the size of a grape fruit. Day 4 post vaccine the soreness in the arm was gone and redness had began to fade.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Developed itchy rash on abdomen and chest
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Injection site pain, Mobility decreased
Clinical narrative: Extraordinary pain in left arm/injection site but also in shoulder rotator cuff, same pain in right shoulder and right elbow rendering both arms immobile. Any slight touch or movement created a deep burning and ripping sensation. Lasted a full 72hrs
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pain
Clinical narrative: Patient described a shingles flare the day after her injection and also described intensification of chronic pain, above and beyond normal pain, for the two days after her vaccination.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Diarrhoea haemorrhagic, Full blood count, Metabolic function test
Clinical narrative: Bloody Diarrhea for 1-2 days
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient positive for covid 3 days after vaccination
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Headache, Neck pain
Clinical narrative: Patient received 5 doses of the Johnson and Johnson vaccine.  Patient was observed post shot for extra 30 minutes.  No symptoms at time of discharge. Patient was checked on via phone call during the evening on 3/9/2021.  Wife stated that he had no adverse symptoms and that he had a good appetite.  Patient and wife were reminded that if patient feels bad to call 911.  Patient was checked again on 3/10/2021.   Pt reports minor headache, shoulder and neck pain.  Physician was made aware and Tylenol was prescribed for discomfort.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Peripheral swelling
Clinical narrative: The next day after the vaccine. the injection site was swollen about the size of a golf ball. It was hot to the touch and kept getting bigger day by day. By the 4th, it had spread over my whole upper arm.  I went in on the 5th to see a doctor.