chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus, Rash, Rash macular
Clinical narrative: Began to ITCH all over, especially on his head-top and in and around ears.  Also, a rash, flat mostly but a few pimply spots on his torso.  Torso has this blotchy rash all over from neck to stomach and all over his back.  Dr. prescribed a cortisone cream to be applied 2x/day.  2nd Dr prescribed a benedryl cream to slather over his torso.   Severe itching and tingling comes and goes.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness at time of injection
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Myalgia
Clinical narrative: SUMMARY Two weeks after first vaccine: uncontrollable shaking throughout body, followed by chills, then entire body ache and fever.  The first 12 hours were the worst, but after 36 hours all symptoms were gone.   DETAIL The Feb 3, 2021 First vaccine - Phizer Feb 18, 2021      5:00 pm suddenly came down with shaking throughout my body and then chills.        6:00 pm shaking subsided       7:00 pm entire body aches from head to feet      Later in evening - fever throughout body Feb 19, 2021 feeling better, but still muscle and joint pain throughout body.  Some slight fever.  No appetite, but can smell chicken broth.  February 20, 2021 feeling better but tired      10:00 am COVID test at pharmacy.      Noon ate peanut butter and crackers      2:00 pm sat outside for 30 minutes      6:30 pm ate full Mexican dinner  February 21, 2021 feeling good with a good appetite.  NO SYMPTOMS.       9:30 am breakfast      1:00 pm sat outside for 30 minutes      1:30 pm lunch REFLECTION: During entire time, no difficulty breathing or coughing.  And the other symptoms came and went in 36 hours.  The symptoms I did have are the same as a bad reaction to the 2nd vaccine.  (my muscle aches are not a reaction to the vaccine).  Yet, my reaction was not immediate, rather it was 2 weeks and 1 day after my first vaccine.  Therefore, do I have COVID, or a bad reaction to my first vaccine? WAITING for COVID test results.  Second vaccination is scheduled for upcoming Friday, February 26.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test, Tremor
Clinical narrative: SUMMARY Two weeks after first vaccine: uncontrollable shaking throughout body, followed by chills, then entire body ache and fever.  The first 12 hours were the worst, but after 36 hours all symptoms were gone.   DETAIL The Feb 3, 2021 First vaccine - Phizer Feb 18, 2021      5:00 pm suddenly came down with shaking throughout my body and then chills.        6:00 pm shaking subsided       7:00 pm entire body aches from head to feet      Later in evening - fever throughout body Feb 19, 2021 feeling better, but still muscle and joint pain throughout body.  Some slight fever.  No appetite, but can smell chicken broth.  February 20, 2021 feeling better but tired      10:00 am COVID test at pharmacy.      Noon ate peanut butter and crackers      2:00 pm sat outside for 30 minutes      6:30 pm ate full Mexican dinner  February 21, 2021 feeling good with a good appetite.  NO SYMPTOMS.       9:30 am breakfast      1:00 pm sat outside for 30 minutes      1:30 pm lunch REFLECTION: During entire time, no difficulty breathing or coughing.  And the other symptoms came and went in 36 hours.  The symptoms I did have are the same as a bad reaction to the 2nd vaccine.  (my muscle aches are not a reaction to the vaccine).  Yet, my reaction was not immediate, rather it was 2 weeks and 1 day after my first vaccine.  Therefore, do I have COVID, or a bad reaction to my first vaccine? WAITING for COVID test results.  Second vaccination is scheduled for upcoming Friday, February 26.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea, Night sweats
Clinical narrative: fever, severe body pain, severe headache, dizziness, nausea, night sweats, fatigue lasting for 28 hours
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: fever, severe body pain, severe headache, dizziness, nausea, night sweats, fatigue lasting for 28 hours
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache
Clinical narrative: chills, headache
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Nausea, Pain
Clinical narrative: Aches nausea tired headache diarrhea vomiting
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Aches nausea tired headache diarrhea vomiting
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site swelling, Musculoskeletal pain, Myalgia
Clinical narrative: 1/12/21 first vaccine dose. Delayed reaction. Similar to a weak reaction to allergy shot. no issues 2/16/21 second vaccine dose. 7am: vaccine administered. Could feel in muscle 8-9am: could feel swelling deep in muscle.  No visible swelling at shot site. 9-12noon: could feel vaccine swelling / pain radiate down the arm to the elbow and below 3:00 - 4:30 pm start feeling neck and buttock pain 6:00 pm - neck and buttock pain becomes more pronounced. 8:00 pm - ibuprofen taken 200 mg 4 tablets 2/17/21 4:45 am pain spread throught body 5:30 am pronounced muscle, joint pain 5:45 am ibuprofen taken 200 mg 4 tablets sleep 11:00 am continued deep muscle and joint pain 11:00 am naproxen liquid gel 220 mg 3 capsules sleep 5:00 pm some reduction in pain 8:00-9:00 pm Full On Body Rash 8:00 pm ibuprofen 200 mg 3 tablets sleep 2/18/21 5:00 am still have full on body rash. pain reduced 7:00 am arrive to work. Fatigue. 4:00 pm leave work. Nausea. 5:00 pm Home. Nausea. vomiting. Take Nauzene 2/19/21 Itchiness begins. Benadryl Taken. Body Rash fading 2/20/21 symptoms begin to subside 2/21/21 itchiness resumes.  Very Annoying. Change of clothes finds pustules all over abdomen and back. broken pustules likely from scratching
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Pain, Pruritus, Rash
Clinical narrative: 1/12/21 first vaccine dose. Delayed reaction. Similar to a weak reaction to allergy shot. no issues 2/16/21 second vaccine dose. 7am: vaccine administered. Could feel in muscle 8-9am: could feel swelling deep in muscle.  No visible swelling at shot site. 9-12noon: could feel vaccine swelling / pain radiate down the arm to the elbow and below 3:00 - 4:30 pm start feeling neck and buttock pain 6:00 pm - neck and buttock pain becomes more pronounced. 8:00 pm - ibuprofen taken 200 mg 4 tablets 2/17/21 4:45 am pain spread throught body 5:30 am pronounced muscle, joint pain 5:45 am ibuprofen taken 200 mg 4 tablets sleep 11:00 am continued deep muscle and joint pain 11:00 am naproxen liquid gel 220 mg 3 capsules sleep 5:00 pm some reduction in pain 8:00-9:00 pm Full On Body Rash 8:00 pm ibuprofen 200 mg 3 tablets sleep 2/18/21 5:00 am still have full on body rash. pain reduced 7:00 am arrive to work. Fatigue. 4:00 pm leave work. Nausea. 5:00 pm Home. Nausea. vomiting. Take Nauzene 2/19/21 Itchiness begins. Benadryl Taken. Body Rash fading 2/20/21 symptoms begin to subside 2/21/21 itchiness resumes.  Very Annoying. Change of clothes finds pustules all over abdomen and back. broken pustules likely from scratching
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 1/12/21 first vaccine dose. Delayed reaction. Similar to a weak reaction to allergy shot. no issues 2/16/21 second vaccine dose. 7am: vaccine administered. Could feel in muscle 8-9am: could feel swelling deep in muscle.  No visible swelling at shot site. 9-12noon: could feel vaccine swelling / pain radiate down the arm to the elbow and below 3:00 - 4:30 pm start feeling neck and buttock pain 6:00 pm - neck and buttock pain becomes more pronounced. 8:00 pm - ibuprofen taken 200 mg 4 tablets 2/17/21 4:45 am pain spread throught body 5:30 am pronounced muscle, joint pain 5:45 am ibuprofen taken 200 mg 4 tablets sleep 11:00 am continued deep muscle and joint pain 11:00 am naproxen liquid gel 220 mg 3 capsules sleep 5:00 pm some reduction in pain 8:00-9:00 pm Full On Body Rash 8:00 pm ibuprofen 200 mg 3 tablets sleep 2/18/21 5:00 am still have full on body rash. pain reduced 7:00 am arrive to work. Fatigue. 4:00 pm leave work. Nausea. 5:00 pm Home. Nausea. vomiting. Take Nauzene 2/19/21 Itchiness begins. Benadryl Taken. Body Rash fading 2/20/21 symptoms begin to subside 2/21/21 itchiness resumes.  Very Annoying. Change of clothes finds pustules all over abdomen and back. broken pustules likely from scratching
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Activated partial thromboplastin time prolonged, Alanine aminotransferase increased, Anaemia, Anion gap, Asthenia
Clinical narrative: 2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase increased, Blood bilirubin increased, Blood creatinine increased, Blood culture positive
Clinical narrative: 2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood fibrinogen decreased, Blood lactic acid, Blood magnesium increased, Blood urea increased, Carbon dioxide decreased
Clinical narrative: 2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Culture, Culture urine positive, Death, Escherichia test positive
Clinical narrative: 2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hypotension, International normalised ratio increased, Loss of consciousness
Clinical narrative: 2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mental status changes, Mouth ulceration, Pancytopenia, Platelet count decreased, Pleural effusion
Clinical narrative: 2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pneumonia, Prothrombin time prolonged, Rectal haemorrhage, Red blood cell count decreased, Respiratory failure
Clinical narrative: 2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Sepsis, Urinary tract infection, Urine analysis normal, White blood cell count decreased
Clinical narrative: 2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Autopsy, Death, Endotracheal intubation, Hypotension
Clinical narrative: 2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Infectious pleural effusion, Malaise, Mental status changes, Oral mucosal blistering, Packed red blood cell transfusion
Clinical narrative: 2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pancytopenia, Pneumonia, Respiratory failure, Septic screen, Septic shock
Clinical narrative: 2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Feeding disorder, Fluid intake reduced, Stomatitis
Clinical narrative: 2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chills, Dizziness, Fatigue, Feeling cold
Clinical narrative: 02/12/2021- 9 PM -Left arm felt great pain at injection site,   Midnight- great pain again, chills, fever, no balance-dizziness, walking into walls, dresser.   02/13/2021-Exhausted, sleeping all day, cold-wrapped in blankets, headaches 02/14/2021- finally sitting up, starting to move around 02/15/2021- starting to recover to normalcy
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, Injection site pain, Pyrexia
Clinical narrative: 02/12/2021- 9 PM -Left arm felt great pain at injection site,   Midnight- great pain again, chills, fever, no balance-dizziness, walking into walls, dresser.   02/13/2021-Exhausted, sleeping all day, cold-wrapped in blankets, headaches 02/14/2021- finally sitting up, starting to move around 02/15/2021- starting to recover to normalcy
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Burning sensation, Chills, Discomfort
Clinical narrative: I started feelin strong COVID Symptoms like when I was sick, head and neck pain, chills, joint and body pain, weakness, body heaviness lasted for 2 days.   A week after, I had minimal physical exercise with my upper body and had a very strong pain on my right thigh, like muscle pain but stronger with some burning sensation just in the upper part then it turn into a rheumatism like pain with no strength, next day the left thigh same thing, by Friday the pain in my thighs was less but went up to my hips and was a kind of pain and numbness and still difficulty to walk, by Saturday I got better, pain and legs weakness almost gone.   I have exercised years, and I know what is a muscle pain when returning to work out.  I don't even use my legs and this pain way different and stronger.   I had covid on December, started with symptom's on 12/15/2020
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Hypoaesthesia, Muscular weakness, Myalgia
Clinical narrative: I started feelin strong COVID Symptoms like when I was sick, head and neck pain, chills, joint and body pain, weakness, body heaviness lasted for 2 days.   A week after, I had minimal physical exercise with my upper body and had a very strong pain on my right thigh, like muscle pain but stronger with some burning sensation just in the upper part then it turn into a rheumatism like pain with no strength, next day the left thigh same thing, by Friday the pain in my thighs was less but went up to my hips and was a kind of pain and numbness and still difficulty to walk, by Saturday I got better, pain and legs weakness almost gone.   I have exercised years, and I know what is a muscle pain when returning to work out.  I don't even use my legs and this pain way different and stronger.   I had covid on December, started with symptom's on 12/15/2020
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pain in extremity
Clinical narrative: I started feelin strong COVID Symptoms like when I was sick, head and neck pain, chills, joint and body pain, weakness, body heaviness lasted for 2 days.   A week after, I had minimal physical exercise with my upper body and had a very strong pain on my right thigh, like muscle pain but stronger with some burning sensation just in the upper part then it turn into a rheumatism like pain with no strength, next day the left thigh same thing, by Friday the pain in my thighs was less but went up to my hips and was a kind of pain and numbness and still difficulty to walk, by Saturday I got better, pain and legs weakness almost gone.   I have exercised years, and I know what is a muscle pain when returning to work out.  I don't even use my legs and this pain way different and stronger.   I had covid on December, started with symptom's on 12/15/2020
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: chills, temp 100.7, body aches, headache
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: Nausea, dizziness, headache, fever of 102, chills, fatique
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Nausea, dizziness, headache, fever of 102, chills, fatique
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory distress
Clinical narrative: Patient had respiratory distress unknown cause . Onsite EMS was called vitals BP 111/74  100% O2 room air HR 78  BG 97  Patient refused evaluation/care went home against medical advice.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Tremor
Clinical narrative: Fever of 101, uncontrolled shaking, headache,
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever & Body aches
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Moderna COVID-19 Vaccine: Pt received 2nd dose 22 days after 1st Moderna dose (1/29/21). Pt not registered at time of 2nd dose and computer system was not working.  Pt spouse also received 2nd dose but his was 26 days from 1st Moderna dose (1/25/21)
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Impaired work ability, Joint range of motion decreased, Limb mass
Clinical narrative: On 2/20/21  when I woke up I went to use the restroom. When I wiped I noticed that I was spotting on the tissue. This happened a second time and then it was finished. I felt really tired and not myself.  Then later that night my arm began to hurt so bad that I could not lift it. I began to rub the area that was hurting and noticed that I now had a nice size lump there . I took a Tylenol 500mg and a hot shower. When I woke up the next morning my arm was still hurting but not as bad. When I went to use the bathroom I had began to start spotting again. This continued throughout the day and now I am bleeding as if I was having my period. I am super tired. It is to the point that i cant function at work.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Vaginal haemorrhage
Clinical narrative: On 2/20/21  when I woke up I went to use the restroom. When I wiped I noticed that I was spotting on the tissue. This happened a second time and then it was finished. I felt really tired and not myself.  Then later that night my arm began to hurt so bad that I could not lift it. I began to rub the area that was hurting and noticed that I now had a nice size lump there . I took a Tylenol 500mg and a hot shower. When I woke up the next morning my arm was still hurting but not as bad. When I went to use the bathroom I had began to start spotting again. This continued throughout the day and now I am bleeding as if I was having my period. I am super tired. It is to the point that i cant function at work.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chest discomfort, Chest pain, Chills, Fatigue
Clinical narrative: 27 hours after injection I began to feel a migraine, chills, incredibly tired and my temperature went up to 100.8.  My chest was tight and achy and my oxygen levels stayed at about 88.  I slept about 10 hours and woke up feeling fine.  My chest is sore and achy but better than yesterday.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: 27 hours after injection I began to feel a migraine, chills, incredibly tired and my temperature went up to 100.8.  My chest was tight and achy and my oxygen levels stayed at about 88.  I slept about 10 hours and woke up feeling fine.  My chest is sore and achy but better than yesterday.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Retching
Clinical narrative: Pt received injection, first dose.  of Pfizer vaccine at 10:27am.  Pt was taken to observation station in mall area of hospital for 15 minute observation, by another nurse..  At approx. 10:32, when observing nurse questioned pt about any headache, nausea, vomiting   or other reactions, , pt c/o headache, then dizziness, nausea and ultimately started attempting to vomit, having "dry heaves" only.  This nurse calls Code RRT to location of event..  Pt was taken to ER via stretcher.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Dyspnoea, Fatigue, Fluid retention
Clinical narrative: Patient states since he got the first dose of Pfizer vaccine on 2/3 and the second on 2/17.  He has gained almost 20 pounds since taking the first shot. Patient states he has gained right around 20 pounds since getting the first shot of the Pfizer vaccine.  States he had some shortness of breath right after receiving the first dose of vaccine, but that has cleared.  Felt achy and stiff and sore after the second injection.   Follow up with patient on 2/20/21 F/U with caller - He was advised at ER that he had excessive fluid retention; no other issues were identified.  He was advised to increase his furosemide dose from 20mg twice daily to 40mg twice daily for 5 days.  He continues to feel tired and weak, with slight shortness of breath. Confirmed with caller that his 2 vaccinations were separated by only 14 days.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Musculoskeletal stiffness, Pain, Weight increased
Clinical narrative: Patient states since he got the first dose of Pfizer vaccine on 2/3 and the second on 2/17.  He has gained almost 20 pounds since taking the first shot. Patient states he has gained right around 20 pounds since getting the first shot of the Pfizer vaccine.  States he had some shortness of breath right after receiving the first dose of vaccine, but that has cleared.  Felt achy and stiff and sore after the second injection.   Follow up with patient on 2/20/21 F/U with caller - He was advised at ER that he had excessive fluid retention; no other issues were identified.  He was advised to increase his furosemide dose from 20mg twice daily to 40mg twice daily for 5 days.  He continues to feel tired and weak, with slight shortness of breath. Confirmed with caller that his 2 vaccinations were separated by only 14 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: 1100 patient sitting in recovery. states she feels "funky". Declined w/c and stated she really needed to use the restroom. Patient ambulated without difficulty, gait steady and nurse accompanied to restroom. Patient describes a strange tingling type of sensation in left arm and face that has progressed all over head. Pt. voided and ambulated accompanied to private observation area.  1105 BP 149/93; HR 97; O2 sat 99% on room air. EMT in attendance.  1108 Patient moved to outside and mask removed due to feelings of anxiety over the "strange sensations" Encouraged to deep breath. Offered patient ambulance transport. Patient declined.  1116 Patient BP 128/81; HR 94; O2 97%. Husband with patient, patient signed declination of ambulance transport, left with husband to personal vehicle. gait steady.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Administration error - Vaccine was under diluted, and patient received dose calculated to be approximately 25% more than recommended.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: chills body aches fever last for 24 hours
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Confusional state, Electrolyte imbalance, Feeling abnormal, Head discomfort
Clinical narrative: Patient stated he felt "funny in the head" on 02/19/2021 at 4:00 pm. His wife stated that the patient had seemed confused.  Gave patient 2L of fluids and discontinued trazodone. Patient returned to baseline and was discharged after 24 hours.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Patient stated he felt "funny in the head" on 02/19/2021 at 4:00 pm. His wife stated that the patient had seemed confused.  Gave patient 2L of fluids and discontinued trazodone. Patient returned to baseline and was discharged after 24 hours.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Racing heart 40 minutes after vaccination Large redness and itching where the vaccine was done on left arm  2.5 days after vaccination
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: Chills, body aches for 10 hours
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Pt reports that she got severe vertigo starting 1d after vaccination which last for 1w then spontaneously resolved. Pt reported this when she presented for 2nd dose and she requested that I write a VAERs report.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature decreased, Disturbance in attention, Headache, Insomnia, Pain
Clinical narrative: Full body aches Insomnia Headache Difficulty concentrating Temp low
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Administration error - Vaccine was under diluted, and patient received dose calculated to be approximately 25% more than recommended.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis, Illness
Clinical narrative: Staff member reported being sick and in bed for 3 days.  Staff member also noted 'sporadic nose bleeds'.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Limb mass, Pruritus, Skin warm
Clinical narrative: With the second dose I experienced itching and what it feels like a swollen mass on my left arm. I could push it and it would move around my arm. Like a little ball. It was hot to the touch. I also developed cellulitis on my left arm but not at the injection site, lower (medium anterior lateral part of my left arm).  I decided to go to the ER to get it checked and they told me it was cellulitis. They prescribed me Augmentin and it did the trick, 48 hrs after starting the Augmentin it was much better and now it is all gone. The little moveable lump in my arm is much smaller but I can still feel it if I press it.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: Headache, Body ache, Nausea, & Fever
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Accessory muscle, Aphasia, Appetite disorder, Bladder cancer, Blood gases normal
Clinical narrative: 2/20/21-61 year old male with decreased level of consciousness and hypoxia. I received a call from nursing staff indicating that patient was having low oxygen saturations this AM and required oxygen. He needed only 1.5-2L by NC but was mouth breathing so mask was used and 4L due to mask. This brought his saturations back up. He has been quite drowsy since receiving his second COVID vaccine on 2/17/21 and has not been eating and drinking much. Today he is not responding to nursing staff in a coherent fashion. I met with him in his room along, RN. He did not wake to my voice or touch. On examination he is sleeping and using accessory muscles to breath, especially his abdomen. NC/AT, face symmetric. Lungs are clear to auscultation bilaterally anteriorly with no wheeze heard. No pretibial edema. 61 year old male with decreased level of consciousness. I will send patient to the ER due to his decreased level of consciousness and difficulty with breathing causing accessory muscle use despite normal respiratory rate of 17 but with hypoxia. I do believe his fever of 103 this AM was due to the COVID vaccine. I am concerned that he could be having a COPD exacerbation on top COVID vaccine symptoms and his bladder cancer is dragging him down along with dehydration from poor intake the past few days. I did call and speak with the ER provider and the EMS crew. They reported seeing a lot of this with the second COVID vaccine.  2/21/21-I received a call from nursing staff indicating that patient had worsening hypoxia with need for 8L of oxygen by mask. He was very restless and not making a lot of sense. He had receive Tylenol PR for a fever of 103 that was now only down to 101 and not budging. He was in the ER yesterday and diagnosed with possible Right middle lobe pneumonia on CT. He is already taking Levaquin. Due to his Oxygen need I did call to see about possible direct admission as he had a full work up the day before. The hospitalist was concerned that he might need BiPAP and so I did call and speak with the ER provider and she agreed that due to his new oxygen requirements he should be sent to the ER there and likely would need ICU. She was advised of the work up from yesterday so as not to repeat what wasn't needed. He was sent by ambulance due to his inability to sit up well. I received a call later that night from the intensivist in the ICU indicating that patient was reacting to the COVID vaccine most likely. He felt that there really was not much in the way of a pneumonia diagnosis as that has really not shown up on their imaging and all labs are normal including white count, CMP and blood gases. He is still requiring oxygen and is able to answer in sentences but is very drowsy and may be a bit confused. He has a minimal UTI and they will keep him given his low level of consciousness and hypoxia.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax normal, Condition aggravated, Confusional state, Decreased appetite, Dehydration
Clinical narrative: 2/20/21-61 year old male with decreased level of consciousness and hypoxia. I received a call from nursing staff indicating that patient was having low oxygen saturations this AM and required oxygen. He needed only 1.5-2L by NC but was mouth breathing so mask was used and 4L due to mask. This brought his saturations back up. He has been quite drowsy since receiving his second COVID vaccine on 2/17/21 and has not been eating and drinking much. Today he is not responding to nursing staff in a coherent fashion. I met with him in his room along, RN. He did not wake to my voice or touch. On examination he is sleeping and using accessory muscles to breath, especially his abdomen. NC/AT, face symmetric. Lungs are clear to auscultation bilaterally anteriorly with no wheeze heard. No pretibial edema. 61 year old male with decreased level of consciousness. I will send patient to the ER due to his decreased level of consciousness and difficulty with breathing causing accessory muscle use despite normal respiratory rate of 17 but with hypoxia. I do believe his fever of 103 this AM was due to the COVID vaccine. I am concerned that he could be having a COPD exacerbation on top COVID vaccine symptoms and his bladder cancer is dragging him down along with dehydration from poor intake the past few days. I did call and speak with the ER provider and the EMS crew. They reported seeing a lot of this with the second COVID vaccine.  2/21/21-I received a call from nursing staff indicating that patient had worsening hypoxia with need for 8L of oxygen by mask. He was very restless and not making a lot of sense. He had receive Tylenol PR for a fever of 103 that was now only down to 101 and not budging. He was in the ER yesterday and diagnosed with possible Right middle lobe pneumonia on CT. He is already taking Levaquin. Due to his Oxygen need I did call to see about possible direct admission as he had a full work up the day before. The hospitalist was concerned that he might need BiPAP and so I did call and speak with the ER provider and she agreed that due to his new oxygen requirements he should be sent to the ER there and likely would need ICU. She was advised of the work up from yesterday so as not to repeat what wasn't needed. He was sent by ambulance due to his inability to sit up well. I received a call later that night from the intensivist in the ICU indicating that patient was reacting to the COVID vaccine most likely. He felt that there really was not much in the way of a pneumonia diagnosis as that has really not shown up on their imaging and all labs are normal including white count, CMP and blood gases. He is still requiring oxygen and is able to answer in sentences but is very drowsy and may be a bit confused. He has a minimal UTI and they will keep him given his low level of consciousness and hypoxia.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Depressed level of consciousness, Dyspnoea, Fluid intake reduced, Gait inability, Hypoxia
Clinical narrative: 2/20/21-61 year old male with decreased level of consciousness and hypoxia. I received a call from nursing staff indicating that patient was having low oxygen saturations this AM and required oxygen. He needed only 1.5-2L by NC but was mouth breathing so mask was used and 4L due to mask. This brought his saturations back up. He has been quite drowsy since receiving his second COVID vaccine on 2/17/21 and has not been eating and drinking much. Today he is not responding to nursing staff in a coherent fashion. I met with him in his room along, RN. He did not wake to my voice or touch. On examination he is sleeping and using accessory muscles to breath, especially his abdomen. NC/AT, face symmetric. Lungs are clear to auscultation bilaterally anteriorly with no wheeze heard. No pretibial edema. 61 year old male with decreased level of consciousness. I will send patient to the ER due to his decreased level of consciousness and difficulty with breathing causing accessory muscle use despite normal respiratory rate of 17 but with hypoxia. I do believe his fever of 103 this AM was due to the COVID vaccine. I am concerned that he could be having a COPD exacerbation on top COVID vaccine symptoms and his bladder cancer is dragging him down along with dehydration from poor intake the past few days. I did call and speak with the ER provider and the EMS crew. They reported seeing a lot of this with the second COVID vaccine.  2/21/21-I received a call from nursing staff indicating that patient had worsening hypoxia with need for 8L of oxygen by mask. He was very restless and not making a lot of sense. He had receive Tylenol PR for a fever of 103 that was now only down to 101 and not budging. He was in the ER yesterday and diagnosed with possible Right middle lobe pneumonia on CT. He is already taking Levaquin. Due to his Oxygen need I did call to see about possible direct admission as he had a full work up the day before. The hospitalist was concerned that he might need BiPAP and so I did call and speak with the ER provider and she agreed that due to his new oxygen requirements he should be sent to the ER there and likely would need ICU. She was advised of the work up from yesterday so as not to repeat what wasn't needed. He was sent by ambulance due to his inability to sit up well. I received a call later that night from the intensivist in the ICU indicating that patient was reacting to the COVID vaccine most likely. He felt that there really was not much in the way of a pneumonia diagnosis as that has really not shown up on their imaging and all labs are normal including white count, CMP and blood gases. He is still requiring oxygen and is able to answer in sentences but is very drowsy and may be a bit confused. He has a minimal UTI and they will keep him given his low level of consciousness and hypoxia.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incoherent, Intensive care, Laboratory test normal, Metabolic function test, Mobility decreased
Clinical narrative: 2/20/21-61 year old male with decreased level of consciousness and hypoxia. I received a call from nursing staff indicating that patient was having low oxygen saturations this AM and required oxygen. He needed only 1.5-2L by NC but was mouth breathing so mask was used and 4L due to mask. This brought his saturations back up. He has been quite drowsy since receiving his second COVID vaccine on 2/17/21 and has not been eating and drinking much. Today he is not responding to nursing staff in a coherent fashion. I met with him in his room along, RN. He did not wake to my voice or touch. On examination he is sleeping and using accessory muscles to breath, especially his abdomen. NC/AT, face symmetric. Lungs are clear to auscultation bilaterally anteriorly with no wheeze heard. No pretibial edema. 61 year old male with decreased level of consciousness. I will send patient to the ER due to his decreased level of consciousness and difficulty with breathing causing accessory muscle use despite normal respiratory rate of 17 but with hypoxia. I do believe his fever of 103 this AM was due to the COVID vaccine. I am concerned that he could be having a COPD exacerbation on top COVID vaccine symptoms and his bladder cancer is dragging him down along with dehydration from poor intake the past few days. I did call and speak with the ER provider and the EMS crew. They reported seeing a lot of this with the second COVID vaccine.  2/21/21-I received a call from nursing staff indicating that patient had worsening hypoxia with need for 8L of oxygen by mask. He was very restless and not making a lot of sense. He had receive Tylenol PR for a fever of 103 that was now only down to 101 and not budging. He was in the ER yesterday and diagnosed with possible Right middle lobe pneumonia on CT. He is already taking Levaquin. Due to his Oxygen need I did call to see about possible direct admission as he had a full work up the day before. The hospitalist was concerned that he might need BiPAP and so I did call and speak with the ER provider and she agreed that due to his new oxygen requirements he should be sent to the ER there and likely would need ICU. She was advised of the work up from yesterday so as not to repeat what wasn't needed. He was sent by ambulance due to his inability to sit up well. I received a call later that night from the intensivist in the ICU indicating that patient was reacting to the COVID vaccine most likely. He felt that there really was not much in the way of a pneumonia diagnosis as that has really not shown up on their imaging and all labs are normal including white count, CMP and blood gases. He is still requiring oxygen and is able to answer in sentences but is very drowsy and may be a bit confused. He has a minimal UTI and they will keep him given his low level of consciousness and hypoxia.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mouth breathing, Oxygen saturation decreased, Pyrexia, Restlessness, Somnolence
Clinical narrative: 2/20/21-61 year old male with decreased level of consciousness and hypoxia. I received a call from nursing staff indicating that patient was having low oxygen saturations this AM and required oxygen. He needed only 1.5-2L by NC but was mouth breathing so mask was used and 4L due to mask. This brought his saturations back up. He has been quite drowsy since receiving his second COVID vaccine on 2/17/21 and has not been eating and drinking much. Today he is not responding to nursing staff in a coherent fashion. I met with him in his room along, RN. He did not wake to my voice or touch. On examination he is sleeping and using accessory muscles to breath, especially his abdomen. NC/AT, face symmetric. Lungs are clear to auscultation bilaterally anteriorly with no wheeze heard. No pretibial edema. 61 year old male with decreased level of consciousness. I will send patient to the ER due to his decreased level of consciousness and difficulty with breathing causing accessory muscle use despite normal respiratory rate of 17 but with hypoxia. I do believe his fever of 103 this AM was due to the COVID vaccine. I am concerned that he could be having a COPD exacerbation on top COVID vaccine symptoms and his bladder cancer is dragging him down along with dehydration from poor intake the past few days. I did call and speak with the ER provider and the EMS crew. They reported seeing a lot of this with the second COVID vaccine.  2/21/21-I received a call from nursing staff indicating that patient had worsening hypoxia with need for 8L of oxygen by mask. He was very restless and not making a lot of sense. He had receive Tylenol PR for a fever of 103 that was now only down to 101 and not budging. He was in the ER yesterday and diagnosed with possible Right middle lobe pneumonia on CT. He is already taking Levaquin. Due to his Oxygen need I did call to see about possible direct admission as he had a full work up the day before. The hospitalist was concerned that he might need BiPAP and so I did call and speak with the ER provider and she agreed that due to his new oxygen requirements he should be sent to the ER there and likely would need ICU. She was advised of the work up from yesterday so as not to repeat what wasn't needed. He was sent by ambulance due to his inability to sit up well. I received a call later that night from the intensivist in the ICU indicating that patient was reacting to the COVID vaccine most likely. He felt that there really was not much in the way of a pneumonia diagnosis as that has really not shown up on their imaging and all labs are normal including white count, CMP and blood gases. He is still requiring oxygen and is able to answer in sentences but is very drowsy and may be a bit confused. He has a minimal UTI and they will keep him given his low level of consciousness and hypoxia.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli, Urinary tract infection, White blood cell count normal
Clinical narrative: 2/20/21-61 year old male with decreased level of consciousness and hypoxia. I received a call from nursing staff indicating that patient was having low oxygen saturations this AM and required oxygen. He needed only 1.5-2L by NC but was mouth breathing so mask was used and 4L due to mask. This brought his saturations back up. He has been quite drowsy since receiving his second COVID vaccine on 2/17/21 and has not been eating and drinking much. Today he is not responding to nursing staff in a coherent fashion. I met with him in his room along, RN. He did not wake to my voice or touch. On examination he is sleeping and using accessory muscles to breath, especially his abdomen. NC/AT, face symmetric. Lungs are clear to auscultation bilaterally anteriorly with no wheeze heard. No pretibial edema. 61 year old male with decreased level of consciousness. I will send patient to the ER due to his decreased level of consciousness and difficulty with breathing causing accessory muscle use despite normal respiratory rate of 17 but with hypoxia. I do believe his fever of 103 this AM was due to the COVID vaccine. I am concerned that he could be having a COPD exacerbation on top COVID vaccine symptoms and his bladder cancer is dragging him down along with dehydration from poor intake the past few days. I did call and speak with the ER provider and the EMS crew. They reported seeing a lot of this with the second COVID vaccine.  2/21/21-I received a call from nursing staff indicating that patient had worsening hypoxia with need for 8L of oxygen by mask. He was very restless and not making a lot of sense. He had receive Tylenol PR for a fever of 103 that was now only down to 101 and not budging. He was in the ER yesterday and diagnosed with possible Right middle lobe pneumonia on CT. He is already taking Levaquin. Due to his Oxygen need I did call to see about possible direct admission as he had a full work up the day before. The hospitalist was concerned that he might need BiPAP and so I did call and speak with the ER provider and she agreed that due to his new oxygen requirements he should be sent to the ER there and likely would need ICU. She was advised of the work up from yesterday so as not to repeat what wasn't needed. He was sent by ambulance due to his inability to sit up well. I received a call later that night from the intensivist in the ICU indicating that patient was reacting to the COVID vaccine most likely. He felt that there really was not much in the way of a pneumonia diagnosis as that has really not shown up on their imaging and all labs are normal including white count, CMP and blood gases. He is still requiring oxygen and is able to answer in sentences but is very drowsy and may be a bit confused. He has a minimal UTI and they will keep him given his low level of consciousness and hypoxia.