chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 RNA, SARS-CoV-2 test positive, Vomiting, Wheezing
Clinical narrative: Case was vaccinated x3 for Covid and was hospitalized for Covid.  * Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Presented initially 10/25 with intractable nausea and vomiting and poor appetite in the setting of recent COVID 19 diagnosis. Developed symptoms and tested positive 10/20. URI symptoms and cough improving as are fevers and chills. Did not ever feel SOB. O2 86% on RA on arrival. On exam, rales throughout with sparse wheezing. CXR with COVID PNA.  - Given hypoxic and duration of symptoms <10 days, will initiate therapy with dexamethasone (day # 5 of 10) and remdesivir (completed five days on 10/19). Note mild AST bump to 44 on admission (likely 2/2 to COVID infection). Still well below the 10x ULN limit for remdesivir but will monitor.  - Currently stable on 2L via NC and will monitor, weaning as tolerated. CRP of 2.52 - DNR/DNI but is amenable to NIPPV, HFNC, and ICU transfer for pressors if needed.  - Encouraged self-proning, IS, ambulation.  - did run IVF 12/27-12/28 as pt had had no appreciable oral intake, so will try a bit of diuresis 10/30 - goes home on 2 lpm, so far stable, and hopefully getting through the time frame when we would expect worsening respiratory failure, as she had onset of symptoms 10/19.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Fatigue, Nausea, Pain in extremity
Clinical narrative: fever, nausea, and diarrhea and arm pain night one, nausea day 2. since then day3-9 joint pain, tired, restless at night
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Restlessness
Clinical narrative: fever, nausea, and diarrhea and arm pain night one, nausea day 2. since then day3-9 joint pain, tired, restless at night
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO SX
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Chest X-ray, Chest pain, Dizziness, Electrocardiogram
Clinical narrative: Lightheaded about 15 minutes after vaccine. The next day I  was tired, light headed,  headache, fever. The day after that I had horrible headache, very dizzy and had bad chest pains.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Lightheaded about 15 minutes after vaccine. The next day I  was tired, light headed,  headache, fever. The day after that I had horrible headache, very dizzy and had bad chest pains.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Pyrexia, Vomiting
Clinical narrative: High temperature (99.6) Stomachache Vomitting
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine kept at wrong temperature.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE STORED AT IMPROPER TEMPERATURE
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Breast cyst
Clinical narrative: Bilateral breast ultrasound exam was performed. There is dense fibroglandular tissue with benign features. There are a few benign-appearing cysts in both breasts. The patient indicates the palpable area of concern at the right breast 10:00 position 3 cm  from the nipple, which corresponds to a benign-appearing 2.4 cm cyst.  An oval 1.3 x 1.2 x 0.6 cm circumscribed mass at the right breast 2:00 position 4 cm from the nipple and an oval 8 x 7 x 4 mm circumscribed mass at the left breast 3:00 position 2 cm from the nipple have benign features and may represent a fibroadenoma.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Death, Pyrexia, Respiratory distress, Tachycardia
Clinical narrative: Respiratory distress - Tachycardia, with periods of bradycardia, fever  observed at approx 3:09 pm - call to MD who gave order to send to ER for Eval and Treat
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Chronic lymphocytic leukaemia, Lymphadenopathy, Positron emission tomogram, Ultrasound scan
Clinical narrative: Severely swollen lymph nodes.  Eventually diagnosed as CLL [three month's later]
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Blurry vision on day 2 & 3
Age: 88.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: When entering the vaccine into OSIIS it was found that on 10/15/2021 the client received a Fluzone HD vaccine at clinic. UJ715AB, LD, IM. Verified by clinic. When I called and spoke with client, she stated her husband just passed away a few weeks ago and she has been in a bit of a fog since.  She states she is feeling fine, and I explained adverse reactions and stated if she experiences any of those to proceed to the Emergency Room. She verbalized understanding and asked that we keep this between us.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Hypoaesthesia, Lymphadenopathy, Pain in extremity, Paraesthesia
Clinical narrative: Pt is explaining excruciating pain in left arm, numbness and tingling all the way down to his fingers. He explains that he has pain in underarm and potential swollen lymph nodes.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Pt is explaining excruciating pain in left arm, numbness and tingling all the way down to his fingers. He explains that he has pain in underarm and potential swollen lymph nodes.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Extra dose administered, Fatigue, Headache, Myalgia
Clinical narrative: Pt. states that after receiving the 3rd Booster of Moderna 11/22/2021, started experiencing symptoms that evening of fatigue, headache, chills, fever, and muscle aches lasting 24hrs (resulting in Fever-Blisters in and around the mouth). Primary communications recommendation to Report. Still experiencing fatigue and fever-blisters.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes, Pyrexia
Clinical narrative: Pt. states that after receiving the 3rd Booster of Moderna 11/22/2021, started experiencing symptoms that evening of fatigue, headache, chills, fever, and muscle aches lasting 24hrs (resulting in Fever-Blisters in and around the mouth). Primary communications recommendation to Report. Still experiencing fatigue and fever-blisters.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine held at improper temperatures.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Biopsy skin abnormal, Chapped lips, Dermatitis, Discomfort, Hypersensitivity
Clinical narrative: On Saturday, November 13th, twelve and a half days after the Moderna booster, I noticed a rash. At first, I thought my whole chin was breaking out in acne (uncommon for me, even during adolescence) and applied benzoyl peroxide cream. The next morning (Sunday), I had a rash behind both ears and extending down the sides of my neck, just above my eyes in the center of my forehead, and covering my chin below my mouth.  The rash was small raised pink bumps, without pustules and slightly uncomfortable but not aggressively itchy.   On Monday I contacted my primary care physician by email, including photos of the rash. His office arranged for me to see my dermatologist the next day (Tuesday). She thought it was inconsistent with a food allergy, diagnosed it as periorificial dermatitis and took a small biopsy behind my right ear.  The biopsy reported spongiform tissue, consistent with a hypersensitivity reaction.  The rash faded fairly quickly but was followed by a small cold sore on Thursday, November 18th, which then turned into a full mouth reaction of cracked lips and discomfort that is very slowly receding but still not completely resolved. I don't know whether this is also a reaction to the vaccination or if it is a result of my immune system being challenged as I sometimes get a MUCH milder version of this condition after having some kind of systemic infection.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oral herpes, Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: On Saturday, November 13th, twelve and a half days after the Moderna booster, I noticed a rash. At first, I thought my whole chin was breaking out in acne (uncommon for me, even during adolescence) and applied benzoyl peroxide cream. The next morning (Sunday), I had a rash behind both ears and extending down the sides of my neck, just above my eyes in the center of my forehead, and covering my chin below my mouth.  The rash was small raised pink bumps, without pustules and slightly uncomfortable but not aggressively itchy.   On Monday I contacted my primary care physician by email, including photos of the rash. His office arranged for me to see my dermatologist the next day (Tuesday). She thought it was inconsistent with a food allergy, diagnosed it as periorificial dermatitis and took a small biopsy behind my right ear.  The biopsy reported spongiform tissue, consistent with a hypersensitivity reaction.  The rash faded fairly quickly but was followed by a small cold sore on Thursday, November 18th, which then turned into a full mouth reaction of cracked lips and discomfort that is very slowly receding but still not completely resolved. I don't know whether this is also a reaction to the vaccination or if it is a result of my immune system being challenged as I sometimes get a MUCH milder version of this condition after having some kind of systemic infection.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Pain, Restlessness, Sleep disorder
Clinical narrative: BODY PAINS, MOSTLY JOINT PAIN, TIRED ALL THE TIME, DOES NOT REST/SLEEP AT NIGHT,
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Arthropathy, Drug reaction with eosinophilia and systemic symptoms, Electromyogram normal
Clinical narrative: The first symptoms appeared June 19th, 2021. Joint pain and swelling in my hands appeared. I could barely move my hands. I was trying to make up exercises and ice it and massage it with oil. Every day things like showering and working became hard. Just recently since November 17th I have on-going numbness in my feet and tingling that comes and goes all over my body.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Impaired driving ability, Impaired work ability, Laboratory test normal
Clinical narrative: The first symptoms appeared June 19th, 2021. Joint pain and swelling in my hands appeared. I could barely move my hands. I was trying to make up exercises and ice it and massage it with oil. Every day things like showering and working became hard. Just recently since November 17th I have on-going numbness in my feet and tingling that comes and goes all over my body.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Magnetic resonance imaging head normal, Magnetic resonance imaging normal, Mobility decreased, Pain in extremity
Clinical narrative: The first symptoms appeared June 19th, 2021. Joint pain and swelling in my hands appeared. I could barely move my hands. I was trying to make up exercises and ice it and massage it with oil. Every day things like showering and working became hard. Just recently since November 17th I have on-going numbness in my feet and tingling that comes and goes all over my body.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral swelling, Pharyngeal hypoaesthesia, Symptom recurrence, Tendonitis
Clinical narrative: The first symptoms appeared June 19th, 2021. Joint pain and swelling in my hands appeared. I could barely move my hands. I was trying to make up exercises and ice it and massage it with oil. Every day things like showering and working became hard. Just recently since November 17th I have on-going numbness in my feet and tingling that comes and goes all over my body.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Viral infection
Clinical narrative: The first symptoms appeared June 19th, 2021. Joint pain and swelling in my hands appeared. I could barely move my hands. I was trying to make up exercises and ice it and massage it with oil. Every day things like showering and working became hard. Just recently since November 17th I have on-going numbness in my feet and tingling that comes and goes all over my body.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood potassium decreased, Blood test, Dyspnoea, Fibrin D dimer increased
Clinical narrative: 0N 3/14 5 DAYS AFTER INJECTION I HAD A BIT OF TROUBLE BREATHING...SEEMED A BIT MIRE EACH DAY MARCH 18 MORE NOTICEABLE AND QUICY SHORT IOF BREATH.SATURDAY 20TH IN MORNING BEFORE 2.5 HOUR  FLIGHT  DIFICULTY WALKING WITHOUT STOPPING TO CATCH BREATH ....AFTR FLIGHT SAME DIFFICUTY PERHAPS A BIT MORE . ON 22ND SAW PUKMONOLOGIST ORDERED D DIMER   HIGH POSITIVE  SCAN SHOWED MULTIPLE PULMONARY EMBOLI IN EACH LUNG.WENT TO  ER, HAD INJECTIONS OF LOVENOX. ULTRASOUND FOUND  NO   EVIDENCE OF CLOTS IN LEGS.  2 NIGHT STAY AS HAD LOW POTASSIUM LEVEL. NOW TREATED ELIQUIS  ALBUTEROL AND ANORO. BREATHING BETTER BUT STILL HAVE MORE SHORTNESS OF BREATH THAN BEFOE THE MARCH ONSET.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Pulmonary embolism, Ultrasound Doppler normal, Ultrasound scan abnormal
Clinical narrative: 0N 3/14 5 DAYS AFTER INJECTION I HAD A BIT OF TROUBLE BREATHING...SEEMED A BIT MIRE EACH DAY MARCH 18 MORE NOTICEABLE AND QUICY SHORT IOF BREATH.SATURDAY 20TH IN MORNING BEFORE 2.5 HOUR  FLIGHT  DIFICULTY WALKING WITHOUT STOPPING TO CATCH BREATH ....AFTR FLIGHT SAME DIFFICUTY PERHAPS A BIT MORE . ON 22ND SAW PUKMONOLOGIST ORDERED D DIMER   HIGH POSITIVE  SCAN SHOWED MULTIPLE PULMONARY EMBOLI IN EACH LUNG.WENT TO  ER, HAD INJECTIONS OF LOVENOX. ULTRASOUND FOUND  NO   EVIDENCE OF CLOTS IN LEGS.  2 NIGHT STAY AS HAD LOW POTASSIUM LEVEL. NOW TREATED ELIQUIS  ALBUTEROL AND ANORO. BREATHING BETTER BUT STILL HAVE MORE SHORTNESS OF BREATH THAN BEFOE THE MARCH ONSET.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Alopecia, Sensory loss
Clinical narrative: (1) Abdominal pain. Started the next day and lasted about 3 weeks, lessening over time.  My stomach hasn't been the same since. (2) Lost sensation in lower legs (below the knees, mostly the calves), along with some hair loss/thinning.  I dont recall noticing this until at least a week after the shot.  Maybe a couple weeks.  This weird sensation lasted several months.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal
Clinical narrative: That night I started with fatigue and I was probably spacey but I think It was just me trying to be stay awake.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was mistakingly given a pediatric Pfizer (orange-cap) dose instead of the approved 12+ Pfizer (Purple Cap) dosage.  No other adverse reactions or events to report.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Myalgia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: After 48 hours I had stomach issues, I started to get feverish and I went to the doctor. It was diarrhea with severe stomach cramping. I had muscle aches. They just told me to monitor the symptoms and just take enough fluids. It resolved around 18 hours.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Hypoaesthesia, Paralysis, Swollen tongue, Tremor
Clinical narrative: Patient woke up on 11/25/2021 at 5 am to use the bathroom, started feeling numbness in the legs once walking down the stairs and then felt total paralysis which led her to fall down the stairs. She stated that she was shaking and her tongue swelled. This lasted until 12pm that day so 7 hours total and then the feelings subsided and now the patient is feeling perfectly fine with resolution of all symptoms. She has not seen MD yet but will be notifying the MD at her appointment.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive, Wheezing
Clinical narrative: Patient here for evaluation of shortness of breath on 11/24/2021, progressively worsening over the past few days.  He endorses wheezing, and cough.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Decreased appetite, Erythema, Febrile convulsion, Pyrexia, Rash
Clinical narrative: A week after the vaccine, he had no appetite and developed a fever. His cheeks were rosy and upon checking his temperature it was 103.  He ran a temperature for 3 days, ranging from 100-103.4.  He had a reddish/pink rash all over his chest and stomach, moving up to his shoulders, his neck, behind and on his ears.  When I called the Dr's office to advise, they stated it is from the vaccine and is just his body reacting to it and that it was not contagious.    July 31, he had a febrile seizure. The first question we were asked was if he had any vaccines and if he had the MMR vaccine.  I was informed that if he had an adverse reaction to the MMR vaccine, the chances of him having a febrile seizure are highly likely.  There was no history of seizures with him or with our family prior to him receiving this vaccine.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Rash erythematous
Clinical narrative: A week after the vaccine, he had no appetite and developed a fever. His cheeks were rosy and upon checking his temperature it was 103.  He ran a temperature for 3 days, ranging from 100-103.4.  He had a reddish/pink rash all over his chest and stomach, moving up to his shoulders, his neck, behind and on his ears.  When I called the Dr's office to advise, they stated it is from the vaccine and is just his body reacting to it and that it was not contagious.    July 31, he had a febrile seizure. The first question we were asked was if he had any vaccines and if he had the MMR vaccine.  I was informed that if he had an adverse reaction to the MMR vaccine, the chances of him having a febrile seizure are highly likely.  There was no history of seizures with him or with our family prior to him receiving this vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE STORED AT IMPROPER TEMPERATURES
Age: 101.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dysstasia, Muscle rigidity, Tremor
Clinical narrative: Patient experienced loss of balance and inability to stand up. Body became rigid while lying on floor with tremors in extremities.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Bed rest, Chills
Clinical narrative: UNCONTROLLABLE  FULL BODY CHILLS, LASTING OVER AN HOUR, REQUIRING BED REST WITH MULTIPLE     BEDCOVERS TO SLOWLY REDUCE THE CHILLS.  FULL RECOVERY WITHIN 12 HOURS.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody positive, Asthenia, Autoimmune disorder, Balance disorder, Blood test
Clinical narrative: When getting both doses of the vaccine I had to be off of work for a week. Starting 6 weeks later I got put off work and am still off figuring out what is going on. It has been 6 months. It started with really bad dizziness and sickness upon vaccine. Soon after came the brain fog, muscle spasms, balance issues weakness and a list too long to type right now. All they have found so far is I have some type of auto immune issue. I'm still undergoing testing to figure out what the issue is. It correlates with the vaccine. Whether it was something underlying it brought out or something it caused.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Feeling abnormal, Illness, Impaired work ability, Muscle spasms
Clinical narrative: When getting both doses of the vaccine I had to be off of work for a week. Starting 6 weeks later I got put off work and am still off figuring out what is going on. It has been 6 months. It started with really bad dizziness and sickness upon vaccine. Soon after came the brain fog, muscle spasms, balance issues weakness and a list too long to type right now. All they have found so far is I have some type of auto immune issue. I'm still undergoing testing to figure out what the issue is. It correlates with the vaccine. Whether it was something underlying it brought out or something it caused.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neurological examination, Red blood cell count increased, White blood cell count increased
Clinical narrative: When getting both doses of the vaccine I had to be off of work for a week. Starting 6 weeks later I got put off work and am still off figuring out what is going on. It has been 6 months. It started with really bad dizziness and sickness upon vaccine. Soon after came the brain fog, muscle spasms, balance issues weakness and a list too long to type right now. All they have found so far is I have some type of auto immune issue. I'm still undergoing testing to figure out what the issue is. It correlates with the vaccine. Whether it was something underlying it brought out or something it caused.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Pediatric patient received a 0.2mL pediatric dose, 21 days after the first dose, instead of a 0.3mL dose. No adverse signs or symptoms or associated interventions to report.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Two days after vaccine patient got a rash and arms and legs.   It then went away and patient is fine.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: Pt received Pfizer Primary Series w/ Moderna Booster  20mins post vaccination pt c/o throat swelling.  No tongue or lip swelling noted or reported Vitals: 143/85, 70, 20, 99% Pt declined benadryl stating " I have allergy meds at home".  Vitals remained stable, O2 above 98% throughout observation.  pt talking and breathing normally.  Pt released to husband and daughter in stable condition w/ instructions to f/u w/ PCP and ER precautions.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 7 year old given a .3ml (dose for 12+) according to medical chart. No reaction as of yet. Was informed by health department to file a report.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient arrival to ED on 11/24/2021 with nausea, vomiting and diarrhea.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: Patient received Pfizer booster on 11/26/2021 and on 11/29/2021 suddenly developed severe vertigo and was seen today. Also, had some nausea with the vertigo. no history of vertigo in the past
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Mouth ulceration, Pyrexia
Clinical narrative: low grade fever; significant fatigue ... mouth filled up with ulcers. I had a higher fever and some fatigue with the second dose, the ulcers were new this time. The fatigue was absolutely debilitating - much worse this time and lasted 3 days. Mouth sores took several days to clear.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Erythema, Fatigue, Malaise, Pyrexia
Clinical narrative: Localized redness and swelling, fever to 101 x 2D, fatigue, malaise and left axillary pain
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Localized redness and swelling, fever to 101 x 2D, fatigue, malaise and left axillary pain
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Obstructive airways disorder
Clinical narrative: Anaphylaxis, airway compromise
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Pyrexia, Seizure, Vomiting
Clinical narrative: Slight fever, vomiting, coughing and mild seizure.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Injection site erythema, Injection site swelling, Palpitations
Clinical narrative: After the first shot, patient experienced tiredness and swelling/redness at the injection site, but no major reaction.   Approximately 24 hours after the second injection, the patient noticed a rapid pounding heart rate despite no physical activity or consumption of any caffeine that day. Patient took an Advil and a Tylenol and copious hydration. Symptoms continued for approximately 4 hours until the pounding heart beat gradually subsided. Patient also experienced similar tiredness and worse swelling/redness at the injection site. Both of these lasted approximately 1 week until complete resolution with maximum intensity approximately 48 hours after the injection.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose, Dizziness, Peripheral coldness, Tremor
Clinical narrative: Within 15 minutes got cold hands & feet, tremors throughout body,  lightheaded/dizzy, all over weakness. Stayed at location of vaccine for 2.5 hours and laid down and they monitored my BP, HR, Pulse Oximetry & then went to Urgent Care.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Incorrect dose administered, Lethargy
Clinical narrative: We believe with a highs degree of certainty that the patient received a full vial (5 doses) of undiluted Pfizer COVID vaccine that was not reconstituted.   S/S: Fever, Chills, Dizziness, Weakness, Lethargy for 2 weeks.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Pyrexia
Clinical narrative: We believe with a highs degree of certainty that the patient received a full vial (5 doses) of undiluted Pfizer COVID vaccine that was not reconstituted.   S/S: Fever, Chills, Dizziness, Weakness, Lethargy for 2 weeks.
Age: 0.33
Sex: M
Vaccine: PNC13
Symptoms: Injection site rash, Pyrexia, Rash
Clinical narrative: Two days following vaccine administration, the patient developed a rash around the injection site of the right thigh where the Prevnar 13 was given. The rash spread along the right lower back and around the right side of the abdomen. The rash resolved and faded after a couple of days and with no other issues except for a low grade fever on the day the rash appeared. Fever resolved and so did the rash.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives/horrible itching.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: EDD 1.30.2022
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Vein discolouration
Clinical narrative: ROUND RED MARKS ON UPPER RIGHT ARM WHICH WENT AWAY AFTER A WHILE VEINS IN LOWER PART OF RIGHT ARM ARE BROWN IN COLOR AND ARM IS MARKED BY THEM-GOES AWAY AFTER MASSAGE BUT COMES BACK AGAIN EVERYTIME (POSSIBLE BLOOD CLOTS) IT IS STILL THERE 8 MONTHS AFTER SECOND DOSE
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Inflammation, Palpitations
Clinical narrative: within 24 hours my right shoulder and right knee became inflamed,  my lower back also left me unable to bend.  The back, then the shoulder subsided over a period of two weeks.  My knee remained enflamed for four months.   I have also experienced heart palpations since the vaccination.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dysstasia, Hyperhidrosis, Nausea
Clinical narrative: I woke up with a mildly nauseous stomach. I thought I would feel better after taking a shower. When I got out of the shower at about 8:15 am, I couldn't stand up. I thought I was going to faint. I was nauseous, dry heaving, my heart racing and sweating profusely. I was able to put my pajamas back on at one point. This lasted 45-60 minutes. At the end, my pajamas were completely soaked through. Once I was able to stand and leave the bathroom, I was weak and mildly nauseous the remainder of the day.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Retching
Clinical narrative: I woke up with a mildly nauseous stomach. I thought I would feel better after taking a shower. When I got out of the shower at about 8:15 am, I couldn't stand up. I thought I was going to faint. I was nauseous, dry heaving, my heart racing and sweating profusely. I was able to put my pajamas back on at one point. This lasted 45-60 minutes. At the end, my pajamas were completely soaked through. Once I was able to stand and leave the bathroom, I was weak and mildly nauseous the remainder of the day.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Incorrect dose administered
Clinical narrative: Patient was administered dose of pediatric Pfizer vaccine as booster for adult series.    Was given correct pfizer booster after initial error
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Severe shoulder pain about a week after my injection.  At first I didn't know it was related to the vaccine, but after it passed within 72 hours I realized it must have been a reaction.  I have had difficulty with my right shoulder at various times, and had received the previous (1st) dose in my left arm.  I also received my booster in my left arm.  I had switched arms because I had a mild rash on my left arm following the first dose, but that was much more bearable than the pain in my right shoulder!  I met with the nurse practitioner in my doctor's office who did not believe that it was related to the vaccine and referred me to an orthopedist, but when the pain was gone the next day and did not return I did not follow through with that referral, feeling it was unnecessary.  She had also prescribed a course of anti-inflammatories, which I did not take for the same reason and because I had heard that anti-inflammatory medication might interfere with my immune response to the vaccine.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Menstrual cycle was very irregular. After the first vaccine my period started 2 weeks sooner than normal with excess bleeding and cramps. Then my next period started over 50 days later, which is about one to two weeks later than normal. Now I have not had a period in over 70 days and I?m suspicious the vaccine has caused irregularities. I am further concerned this will impact my fertility, given I need a period in order to ovulate.
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Middle ear effusion
Clinical narrative: PT ALSO STATES EVER SINCE 1ST COVID VACCINE 2/19/21, PT'S EARS FILL UP WITH FLUID AND TAKES MUCINEX FOR RELIEF.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Lung disorder, Malaise, Paraesthesia, Pyrexia
Clinical narrative: About 2 hours after the shot my lungs started  rattling then I had trouble breathing.  I used my rescue  inhaler  several times do I could breath as I could not get my breath. Then a fever and head started to tingle.  I feel as if I have covid again or the flu and in the night I felt so sick that I was going to die.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cutaneous vasculitis
Clinical narrative: Severe flare of leukocytoclastic vasculitis, exacerbation of underlying condition previously well controlled
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pallor
Clinical narrative: Became nauseous and pale approx 5 mins after vaccination. No food prior to vaccination. Gave pretzels and water. Color returned to normal and nausea resolved after 10 mins. left at 1332 with mother.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Back pain, Chills, Headache
Clinical narrative: Approximately 2 pm, 30 minutes post vaccine, legs began to itch. felt like heart rate had increased, itching on palmar and plantar surfaces bilaterally. felt like she became "anxious".  continued to finish shift and left to pick up child and went home and then went to ER. was seen quickly. developed hives on stomach, arms. took 2 benadryl prior to ER. was given pepcid and solumedrol IV. discharged within an hour with prescription medrol dose pack, po benadryl; other symptoms: chills, major head ache, body aches, light sensitive, jaw pain, shoulder, back and neck aching. day 2 and 3 following injection- leg weakness and intermittant itching palm, scalp, and soles. last symptoms were intermittant itching thursday the 25th. No residual complaints as of 11/29/2021.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Muscular weakness, Neck pain, Pain, Pain in jaw
Clinical narrative: Approximately 2 pm, 30 minutes post vaccine, legs began to itch. felt like heart rate had increased, itching on palmar and plantar surfaces bilaterally. felt like she became "anxious".  continued to finish shift and left to pick up child and went home and then went to ER. was seen quickly. developed hives on stomach, arms. took 2 benadryl prior to ER. was given pepcid and solumedrol IV. discharged within an hour with prescription medrol dose pack, po benadryl; other symptoms: chills, major head ache, body aches, light sensitive, jaw pain, shoulder, back and neck aching. day 2 and 3 following injection- leg weakness and intermittant itching palm, scalp, and soles. last symptoms were intermittant itching thursday the 25th. No residual complaints as of 11/29/2021.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Pruritus, Urticaria
Clinical narrative: Approximately 2 pm, 30 minutes post vaccine, legs began to itch. felt like heart rate had increased, itching on palmar and plantar surfaces bilaterally. felt like she became "anxious".  continued to finish shift and left to pick up child and went home and then went to ER. was seen quickly. developed hives on stomach, arms. took 2 benadryl prior to ER. was given pepcid and solumedrol IV. discharged within an hour with prescription medrol dose pack, po benadryl; other symptoms: chills, major head ache, body aches, light sensitive, jaw pain, shoulder, back and neck aching. day 2 and 3 following injection- leg weakness and intermittant itching palm, scalp, and soles. last symptoms were intermittant itching thursday the 25th. No residual complaints as of 11/29/2021.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient 16 years old at the time of vaccination received Pfizer Booster shot.
Age: 10.0
Sex: M
Vaccine: FLU4
Symptoms: Lymphadenopathy, SARS-CoV-2 test negative, Streptococcus test negative, Swelling
Clinical narrative: 10 yr old previously healthy, presents for neck swelling x 1 day. No fevers, cough, congestion or other symptoms. Patient had received influenza vaccine on 11/12/21 and COVID Pfizer vaccine on 11/6/21. Neck swelling was suspected to be salivary gland - specifically submandibular gland swelling.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose given 4 days after first dose in series.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Illness, Neck pain, Rash, Tonsillitis
Clinical narrative: I don?t believe I suffered an adverse event. Rash began before vaccination, worsened during and after vaccination, strep throat (no test) 4 days following vaccination.  V-safe online reporting system does not allow for nuance in answers. I answered that I was sick, which was true, but could not indicate it was unrelated to the vaccine.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Four year old was given a pediatric dose of Pfizer vaccine (0.2ml). Pt did not have any reaction and reported was completely healthy and fine on a follow-up call several days later.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Confusional state, Fall, Femur fracture
Clinical narrative: Stroke - right arm and leg weakness, confusion and diagnosed with left pontine lacunar infarct by CT scan 3/28/21. Needed 30 days of hospital and rehab care Had residual post stroke weakness and had a fall 5/2021 with femur fracture needing surgery
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lacunar infarction, Muscular weakness, Surgery
Clinical narrative: Stroke - right arm and leg weakness, confusion and diagnosed with left pontine lacunar infarct by CT scan 3/28/21. Needed 30 days of hospital and rehab care Had residual post stroke weakness and had a fall 5/2021 with femur fracture needing surgery
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Postmenopausal haemorrhage, Surgery, Ultrasound scan
Clinical narrative: Bleeding after a week of the vaccination, cramping, and menstrual  period which lasted 5 days.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine dilation and curettage
Clinical narrative: Bleeding after a week of the vaccination, cramping, and menstrual  period which lasted 5 days.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Unresponsive to stimuli
Clinical narrative: Approximately 10 minutes after vaccine, Patient passed out, difficult to arouse.  Vital signs were taken.  Patient eventually aroused, EMS called.  Patient awake and alert at time of transport.  Patient transported to local hospital.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Chronic respiratory failure, General physical health deterioration, Malaise
Clinical narrative: Case was hospitalized 7 months after completing Covid vaccination series. * COVID-19 Assessment & Plan No interval development of resp or GI sxs. Covid test positive on 10/25; unclear duration of symptoms but had a negative test about 6 weeks ago. Pt is vaccinated. No changes seen on xray. Symptoms of malaise for several weeks. Likely that generalized malaise is being caused by her covid and complicated by poor baseline health with end stage COPD and history of breast cancer. No remdesivir indicated.  - Continue dexamethasone 6mg daily, D#4/10. - PT/OT to continue thru Home Health after discharge.  - Safety measures.  - PCP fu has been arranged.    Chronic respiratory failure with hypoxia   Assessment & Plan Stable on her usual O2 rate of 2L/min. No evidence of acute resp failure from Covid.  - Continue O2 per home regimen.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 RNA, SARS-CoV-2 test positive, X-ray normal
Clinical narrative: Case was hospitalized 7 months after completing Covid vaccination series. * COVID-19 Assessment & Plan No interval development of resp or GI sxs. Covid test positive on 10/25; unclear duration of symptoms but had a negative test about 6 weeks ago. Pt is vaccinated. No changes seen on xray. Symptoms of malaise for several weeks. Likely that generalized malaise is being caused by her covid and complicated by poor baseline health with end stage COPD and history of breast cancer. No remdesivir indicated.  - Continue dexamethasone 6mg daily, D#4/10. - PT/OT to continue thru Home Health after discharge.  - Safety measures.  - PCP fu has been arranged.    Chronic respiratory failure with hypoxia   Assessment & Plan Stable on her usual O2 rate of 2L/min. No evidence of acute resp failure from Covid.  - Continue O2 per home regimen.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate decreased, Heart rate irregular
Clinical narrative: Heart rate is normally low 50s.  Dropped to low 40s for a week.  Also had some irregular heartbeats.  After a few weeks heart rate was back to normal.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 12 y/o M was given a pediatric dose of Pfizer (0.2 ML)
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2nd dose of the Moderna 2 dose series on June 16, 2021.  Patient came in today for a booster dose,  which is 16 days too early.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Decreased appetite, Erythema, Fatigue
Clinical narrative: Large softball sized knot on the injected arm, very swollen knot, very hot knot, red colored knot, very sore and hard knot.  Aches.  Chills.  Malaise.  Fatigue.  Headache.  Fever.  Loss of appetite.  All symptoms existed for about 2 weeks.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Induration, Malaise, Nodule, Pain
Clinical narrative: Large softball sized knot on the injected arm, very swollen knot, very hot knot, red colored knot, very sore and hard knot.  Aches.  Chills.  Malaise.  Fatigue.  Headache.  Fever.  Loss of appetite.  All symptoms existed for about 2 weeks.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Skin warm, Swelling
Clinical narrative: Large softball sized knot on the injected arm, very swollen knot, very hot knot, red colored knot, very sore and hard knot.  Aches.  Chills.  Malaise.  Fatigue.  Headache.  Fever.  Loss of appetite.  All symptoms existed for about 2 weeks.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Adverse event reported to us by family member.  Patient reportedly hospitalized for blood clot. Call received on 11/29/21. Unknown if this date is same as hospitalization date.
Age: 47.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Blood test normal, Gait disturbance, Neck pain, Pain
Clinical narrative: Extreme pain in joints, shoulders, hips, and neck, mainly. No swelling. Could barely walk. Blood work was done (normal) Doctor prescribed prednisone and advised continuing OTC pain regimen.  Ongoing issue with pain.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Right atrial enlargement
Clinical narrative: Enlarged right atrium. Pulse rate from 120 to 125 Lasted  three weeks
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Axillary pain, Back pain, Blood test normal, Breast pain
Clinical narrative: vaccine #1 (4/7/21)- HA, joint pain, swollen supraclavicular node 2 weeks after shot vaccine #2 (5/5/21)- achyness, fever 103, joint pain  Sept 2021- seen by our office, pain all the time, referred to rheum and dx with fibromyalgia x2 and treated with mobic which has helped  vaccine #3 (11/20/21)- immediate symptoms, weakness in knees, aching in breasts and low back, numbness in L hand, swelling/pain in L armpit and L supraclavicular area and macular rash on trunk, fever 101.7, took tylenol and mobic which helped a little
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Lymphadenopathy, Muscular weakness, Pain
Clinical narrative: vaccine #1 (4/7/21)- HA, joint pain, swollen supraclavicular node 2 weeks after shot vaccine #2 (5/5/21)- achyness, fever 103, joint pain  Sept 2021- seen by our office, pain all the time, referred to rheum and dx with fibromyalgia x2 and treated with mobic which has helped  vaccine #3 (11/20/21)- immediate symptoms, weakness in knees, aching in breasts and low back, numbness in L hand, swelling/pain in L armpit and L supraclavicular area and macular rash on trunk, fever 101.7, took tylenol and mobic which helped a little
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Rash macular
Clinical narrative: vaccine #1 (4/7/21)- HA, joint pain, swollen supraclavicular node 2 weeks after shot vaccine #2 (5/5/21)- achyness, fever 103, joint pain  Sept 2021- seen by our office, pain all the time, referred to rheum and dx with fibromyalgia x2 and treated with mobic which has helped  vaccine #3 (11/20/21)- immediate symptoms, weakness in knees, aching in breasts and low back, numbness in L hand, swelling/pain in L armpit and L supraclavicular area and macular rash on trunk, fever 101.7, took tylenol and mobic which helped a little
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Urticaria
Clinical narrative: Chronic hives on face primarily around cheekbones/eyes. Has been occurring daily since 9/6/2021. No previous history of hives. Antihistamines will temporarily suppress them.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: very swollen neck
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Multisystem inflammatory syndrome
Clinical narrative: PVIS (post vaccine inflammatory syndrome) 4 weeks
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Impaired work ability, Lymph node pain, Lymphadenopathy, Pain in extremity
Clinical narrative: Vaccine kept in freezer in 3 weeks vs 2 weeks as recommended. Spoke to patient today to come in to have dose repeated per guidelines. Patient stated after she received the dose, the following day she had SOB. She had to go home from work and get her inhaler. Patient was very close to going to the ER. Also the following day, her right arm and axillary were swollen and had pain. Took Ibuprofen. Today she is 70% better.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Product storage error
Clinical narrative: Vaccine kept in freezer in 3 weeks vs 2 weeks as recommended. Spoke to patient today to come in to have dose repeated per guidelines. Patient stated after she received the dose, the following day she had SOB. She had to go home from work and get her inhaler. Patient was very close to going to the ER. Also the following day, her right arm and axillary were swollen and had pain. Took Ibuprofen. Today she is 70% better.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypertension, Vision blurred
Clinical narrative: After the vaccine, the patient started to feel dizzy, lightheaded and had blurred vision. After assessing her, her blood pressure was taken and found to be 204/111.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient received a full vial (5-6 doses) in one injection.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Fatigue, Interchange of vaccine products, Loss of consciousness, Myalgia
Clinical narrative: 4 hours following the vaccine (booster of Moderna, patient had previously received 2 Pfizer vaccines) patient reports he passed out and woke up 12 hours later feeling paralyzed and unable to get up. He attempted to get up; has severe rug burn, called his son and slowly recovered.  6 days later (today) he states he is back to normal just feels muscle soreness and tiredness. At the time of the adverse event he states he did not seek medical attention
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Paralysis, Skin abrasion
Clinical narrative: 4 hours following the vaccine (booster of Moderna, patient had previously received 2 Pfizer vaccines) patient reports he passed out and woke up 12 hours later feeling paralyzed and unable to get up. He attempted to get up; has severe rug burn, called his son and slowly recovered.  6 days later (today) he states he is back to normal just feels muscle soreness and tiredness. At the time of the adverse event he states he did not seek medical attention
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Breast cyst, Breast mass, Breast pain, Ear congestion
Clinical narrative: ASSESSMENT and PLAN Visit Diagnoses and Orders: 1. Herpes (Primary)   2. Adverse effect of COVID-19 vaccine   3. Breast pain in female   Other orders -     valACYclovir (VALTREX) 500 mg tablet; TAKE 4 TABLETS BY MOUTH AT FIRST SIGN OF ATTACK (BURNING,TINGLING ON EDGE OF LIP) AND TAKE 4 BY MOUTH 12 HOURS LATER.  Dispense: 14 tablet; Refill: 1     Discussion: File VAERS report REfill of valtrex, Use vasline inside right nares   Questions answered and patient demonstrated understanding and instructions.     Medication Management: Patient's Medications New Prescriptions   No medications on file Modified Medications   Modified Medication Previous Medication   VALACYCLOVIR (VALTREX) 500 MG TABLET valACYclovir (VALTREX) 500 mg tablet      TAKE 4 TABLETS BY MOUTH AT FIRST SIGN OF ATTACK (BURNING,TINGLING ON EDGE OF LIP) AND TAKE 4 BY MOUTH 12 HOURS LATER.    TAKE 4 TABLETS BY MOUTH AT FIRST SIGN OF ATTACK (BURNING,TINGLING ON EDGE OF LIP) AND TAKE 4 BY MOUTH 12 HOURS LATER Discontinued Medications   FLUTICASONE (FLONASE) 50 MCG/NASAL SPRAY    2 sprays by Nasal route Daily.   Follow-up: No follow-ups on file.   SUBJECTIVE   HPI: Allergic reaction to pfizer COVID vaccine. Having mouth blisters, sore throat, bleeding blister in nose, heart palpitations, left ear swelling and itching, ear congestion and ringing.   Right lateral Breast lump, sore & change in feel.  right breast cyst, centrally at 9oclock, hard, painful > associates with start of HRT  Has follow up with clinic  Recent mammogram 3/9/2021.   COVID vaccine side effects Blister inside right nares Blisters at back of mouth (not typical allergy rxn) > painful, swollen Left ear plugs and then develops tinnitus Heart palpitations - constant - pounding, rapid > no sob or chest pain with episodes. Since vaccine all typical "allergy" symptoms are "off the charts" Dentist prescribed Valtrex 2,000mg BID x1 > for possible herpes flare, possibly helpful. No relief with benadryl