chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Hypoaesthesia, Malaise, Myalgia, Pyrexia
Clinical narrative: Felt tired at 2:15pm, stayed awake a bit longer than napped for a couple hours. At about 10:30pm I started feeling sick, fever of 99.6, muscle and joint pain, chills, dizziness, weakness. Left arm where I got injected also felt like it was falling asleep at some point when it shouldn't have been based on how I was positioned. I finally took an ibuprofen so I could sleep around 2:30am, and felt better a couple hours later or so. Today so far I feel fine but my resting heart rate is about 30 beats higher than normal so I'm still responding to vaccine.  I think overall my symptoms aren't out of the ordinary, just way stronger than I was expecting. I felt miserable.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Immediate post-injection reaction, Injection site pain, Myalgia
Clinical narrative: Pain at injection site immediately after injection that lasted for about 30 minutes.  Slight headache that started around an hour after injection and lasted approximately 24 hours.  Next morning felt muscle aches, fatigue and runny nose.  Felt like coming down with an illness.  These symptoms lasted approx. 24 hours after injections.  Felt completely back to normal again by 48 hours.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: Pain at injection site immediately after injection that lasted for about 30 minutes.  Slight headache that started around an hour after injection and lasted approximately 24 hours.  Next morning felt muscle aches, fatigue and runny nose.  Felt like coming down with an illness.  These symptoms lasted approx. 24 hours after injections.  Felt completely back to normal again by 48 hours.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Paranasal sinus discomfort
Clinical narrative: 2/10 headache, patient feels like a sinus pressure headache. No other c/o pain or symptoms.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cataract, Chills, Fatigue, Pyrexia, Vision blurred
Clinical narrative: 2/18/2021 Developed fatigue, low grade fever and chills. 2/19/2021 Around 5:00PM noted new sudden onset of blurriness of vision on the left eye. 2/20/2021 Opthalmologist evaluation noted cataract like changes on posterior lens capsule of left eye; no treatment recommended.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Diarrhoea, Loss of consciousness, Pyrexia, Tremor
Clinical narrative: Feeling of impending doom for about 20 minutes, loss of consciousness, vomiting and diarrhea, fever/chills and shaking. It resolved after 1 hour total. Didn't get worse after loss of consciousness or I would have gone to the ER.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Feeling of impending doom for about 20 minutes, loss of consciousness, vomiting and diarrhea, fever/chills and shaking. It resolved after 1 hour total. Didn't get worse after loss of consciousness or I would have gone to the ER.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Chills, Lethargy, Pain
Clinical narrative: Had injection at 5:30 pm 3/18/21.  7:00 pm 3/19/21 had chills and was extremely lethargic. Went to bed. Slept 14 hours. Body aches. 1;45 pm 2/20/21, feeling back to normal. Perhaps these  adverse reactions due to the fact I had Covid-19 November, 2020?
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site induration
Clinical narrative: 15 hours - very tired, chills, slept for 12 hours. 36 hours - fever, headache, body aches, chills. Rested. 46 hours - symptoms diminishing a bit but injection site is hard, red and swollen. Applied heat, took Advil and antihistamine. 60 hours - headache and swollen arm remain. Took Advil and antihistamine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pain, Pyrexia
Clinical narrative: 15 hours - very tired, chills, slept for 12 hours. 36 hours - fever, headache, body aches, chills. Rested. 46 hours - symptoms diminishing a bit but injection site is hard, red and swollen. Applied heat, took Advil and antihistamine. 60 hours - headache and swollen arm remain. Took Advil and antihistamine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Hypoaesthesia
Clinical narrative: 30 minutes after taking the vaccine my left toes started burning and then went numb for 24 hours.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient got COVID after 1st vaccine
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Headache, Myalgia
Clinical narrative: Extreme exhaustion. I slept from 10pm on the 18th until noon on the 19th and again from 2pm until 7pm on the 19th and slept from 11pm on the 19th until 10am on the 20th. Also suffered a headache that has not completely subsided yet.  Muscle aches. Low Back ache.  I rested, drank plenty of water when awake. I also took Ibuprofen. The morning of the 20th I'm feeling somewhat better though I still have a bit of headache and low back ache. NOTE: headaches are very rare for me.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Pyrexia
Clinical narrative: 1st Day after injection ran a lower grade fever (100.2),  injection site itching & turning red with moderate pain .  Started taking Benedryl 10 mg and applying 1% cortisone creme ,I buprophen.   Day 2 red rash spreading down arm  5" and about 4" wide.  No fever but site still itiching  & tender.  Continued to treat the discomfort.  The red rash finally fade after 9 days (3/19/2021).  I had delayed reaction to the first injection of Moderna that did not start until 8 days post injection.  Not as sever as the second one.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Tenderness
Clinical narrative: 1st Day after injection ran a lower grade fever (100.2),  injection site itching & turning red with moderate pain .  Started taking Benedryl 10 mg and applying 1% cortisone creme ,I buprophen.   Day 2 red rash spreading down arm  5" and about 4" wide.  No fever but site still itiching  & tender.  Continued to treat the discomfort.  The red rash finally fade after 9 days (3/19/2021).  I had delayed reaction to the first injection of Moderna that did not start until 8 days post injection.  Not as sever as the second one.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Autopsy, Death
Clinical narrative: She received the Johnson and Johnson vaccine on Wednesday and died on Sunday 3/14/2021.  Her autopsy is pending.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes
Clinical narrative: Cold sore
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, Albumin globulin ratio, Chest X-ray normal, Computerised tomogram normal, Dysarthria
Clinical narrative: Numbness on left side of body, vision blurred, difficulty walking and slurred speech within 60 minutes of injection
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Hypoaesthesia, International normalised ratio normal, Liver function test normal, Metabolic function test normal
Clinical narrative: Numbness on left side of body, vision blurred, difficulty walking and slurred speech within 60 minutes of injection
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Monocyte count, Monocyte count increased, Prothrombin time normal, Urine analysis normal
Clinical narrative: Numbness on left side of body, vision blurred, difficulty walking and slurred speech within 60 minutes of injection
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Neck pain, Pain in extremity
Clinical narrative: Patient received vaccine and was fine until after a few minutes.  He started to say he felt lightheaded.  He placed is head between his knees, he started to sweat and I gave him some water at his request.  He sat back and started to get pale and more sweaty, he complained about pain in his arm and neck.  He then began to slightly shake and passed out.  He was awoken very quickly by his wife who was standing in front of him.  We kept talking to him and I checked his pulse and called 911.  After about 30 minutes he was feeling much better and did not need to go to the hospital.  His vitals were strong and he walked out on his own.  I contacted him 3 hours later and he was resting but feeling fine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Tremor, Vaccination complication
Clinical narrative: Patient received vaccine and was fine until after a few minutes.  He started to say he felt lightheaded.  He placed is head between his knees, he started to sweat and I gave him some water at his request.  He sat back and started to get pale and more sweaty, he complained about pain in his arm and neck.  He then began to slightly shake and passed out.  He was awoken very quickly by his wife who was standing in front of him.  We kept talking to him and I checked his pulse and called 911.  After about 30 minutes he was feeling much better and did not need to go to the hospital.  His vitals were strong and he walked out on his own.  I contacted him 3 hours later and he was resting but feeling fine.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Back pain, Chills, Dizziness
Clinical narrative: At around 11 Pm 10 hours after I took the vaccine, I experienced chills, then a fever, and extreme fatigue. The chills lasted for around 4 hours, and eventually my fever went away with it. I shook so hard my back, and my joints started to ache. I couldn't sleep because I was having hallucinations from the fever and the pain would wake me up every hour, I also had a headache. The next day my back still hurts, my head still hurts despite medication, the shaking has subsided. Yet I'm sweating, I'm still very weak, I can't stand up without getting super dizzy or experiencing extreme fatigue. If I think of food I feel as if I'm going to vomit just drinking too much water can make me ill.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hallucination, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: At around 11 Pm 10 hours after I took the vaccine, I experienced chills, then a fever, and extreme fatigue. The chills lasted for around 4 hours, and eventually my fever went away with it. I shook so hard my back, and my joints started to ache. I couldn't sleep because I was having hallucinations from the fever and the pain would wake me up every hour, I also had a headache. The next day my back still hurts, my head still hurts despite medication, the shaking has subsided. Yet I'm sweating, I'm still very weak, I can't stand up without getting super dizzy or experiencing extreme fatigue. If I think of food I feel as if I'm going to vomit just drinking too much water can make me ill.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tremor
Clinical narrative: At around 11 Pm 10 hours after I took the vaccine, I experienced chills, then a fever, and extreme fatigue. The chills lasted for around 4 hours, and eventually my fever went away with it. I shook so hard my back, and my joints started to ache. I couldn't sleep because I was having hallucinations from the fever and the pain would wake me up every hour, I also had a headache. The next day my back still hurts, my head still hurts despite medication, the shaking has subsided. Yet I'm sweating, I'm still very weak, I can't stand up without getting super dizzy or experiencing extreme fatigue. If I think of food I feel as if I'm going to vomit just drinking too much water can make me ill.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, SARS-CoV-2 test, Skin warm
Clinical narrative: Started feeling "fuzzy" on Wed March 17 in the afternoon and felt warm.  (did not take temp at this time)  on Thursday March 18 around 11:30 am, laid  down until 2pm  as i was feeling "fuzzy".   took temp around 2pm .  it was 100.4  took advil and nyquil at bedtime (around 9pm)  on Friday March 19 around 10:30 felt a bit fuzzy but not warm.  .  Experienced some chills around 4:30 so i took some advil.  Around 7pm temp was 99.4.  On Saturday March 20 at 5:30am  took some advil as i was feeling warm.(did not take temp).  at 9:20 am temp was 98.1.  Went to Urgent care  as i was still feeling fuzzy.  They administered a covid test and checked breathing.  no issues found.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Mobility decreased, Pain in extremity
Clinical narrative: Could not bend right small finger and joints were swollen.  Right hand joints were painful.  Left hand joints were painful as well.  Right foot joints were painful.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Eye pain, Fatigue, Feeling hot, Flushing
Clinical narrative: Within 15 min. Headache, eyes hurt (pressure) nose became stuffy, felt like I had a sudden sinus infection. I became shaky and tingly. My arm was sore and felt heavy. My face became dark red and was hot to the touch. All symptoms still continue now (27 hours later) however my face is not as dark red, just pink.  About 10 hours after the vaccine my muscles in my neck and shoulders began to ache. I was very fatigued. My entire body felt week and movement become a chore.  Worst symptoms: Through the night I began to experience acid reflux. I have only experienced this a couple of times in my life and very mild. This was severe to the point that I couldn't sleep, my throat burned from the acid. Even drinking water was very painful and it would come back up. I  located some Tums and ate 4. This was also a challenge as I couldn't hardly swallow due to the pain. After about 35 min. I began burping which help a little with the ability to keep some water down. Today I feel exhausted, my eyes still hurt, still have the headache and sinus pressure,  and continue to have the acid reflux but not as severe as the night and early morning. I haven't tried to eat yet today.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Headache, Limb discomfort, Movement disorder, Myalgia
Clinical narrative: Within 15 min. Headache, eyes hurt (pressure) nose became stuffy, felt like I had a sudden sinus infection. I became shaky and tingly. My arm was sore and felt heavy. My face became dark red and was hot to the touch. All symptoms still continue now (27 hours later) however my face is not as dark red, just pink.  About 10 hours after the vaccine my muscles in my neck and shoulders began to ache. I was very fatigued. My entire body felt week and movement become a chore.  Worst symptoms: Through the night I began to experience acid reflux. I have only experienced this a couple of times in my life and very mild. This was severe to the point that I couldn't sleep, my throat burned from the acid. Even drinking water was very painful and it would come back up. I  located some Tums and ate 4. This was also a challenge as I couldn't hardly swallow due to the pain. After about 35 min. I began burping which help a little with the ability to keep some water down. Today I feel exhausted, my eyes still hurt, still have the headache and sinus pressure,  and continue to have the acid reflux but not as severe as the night and early morning. I haven't tried to eat yet today.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Odynophagia, Pain in extremity, Paraesthesia, Paranasal sinus discomfort
Clinical narrative: Within 15 min. Headache, eyes hurt (pressure) nose became stuffy, felt like I had a sudden sinus infection. I became shaky and tingly. My arm was sore and felt heavy. My face became dark red and was hot to the touch. All symptoms still continue now (27 hours later) however my face is not as dark red, just pink.  About 10 hours after the vaccine my muscles in my neck and shoulders began to ache. I was very fatigued. My entire body felt week and movement become a chore.  Worst symptoms: Through the night I began to experience acid reflux. I have only experienced this a couple of times in my life and very mild. This was severe to the point that I couldn't sleep, my throat burned from the acid. Even drinking water was very painful and it would come back up. I  located some Tums and ate 4. This was also a challenge as I couldn't hardly swallow due to the pain. After about 35 min. I began burping which help a little with the ability to keep some water down. Today I feel exhausted, my eyes still hurt, still have the headache and sinus pressure,  and continue to have the acid reflux but not as severe as the night and early morning. I haven't tried to eat yet today.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Within 15 min. Headache, eyes hurt (pressure) nose became stuffy, felt like I had a sudden sinus infection. I became shaky and tingly. My arm was sore and felt heavy. My face became dark red and was hot to the touch. All symptoms still continue now (27 hours later) however my face is not as dark red, just pink.  About 10 hours after the vaccine my muscles in my neck and shoulders began to ache. I was very fatigued. My entire body felt week and movement become a chore.  Worst symptoms: Through the night I began to experience acid reflux. I have only experienced this a couple of times in my life and very mild. This was severe to the point that I couldn't sleep, my throat burned from the acid. Even drinking water was very painful and it would come back up. I  located some Tums and ate 4. This was also a challenge as I couldn't hardly swallow due to the pain. After about 35 min. I began burping which help a little with the ability to keep some water down. Today I feel exhausted, my eyes still hurt, still have the headache and sinus pressure,  and continue to have the acid reflux but not as severe as the night and early morning. I haven't tried to eat yet today.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Syringe issue
Clinical narrative: ***Not an adverse event*** This was  a vaccine administration error.  Patient was administered her vaccine with a contaminated syringe.  Syringe was faulty and had been used on a patient earlier in the day, thus was contaminated.  The dose was unable to be delivered from the syringe and the patient was administered their dose with a different syringe.  Patient was referred to her PCP/Urgent care/ER for treatment due to the contaminated syringe being used on her.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypertension, Pain in extremity, Vertigo
Clinical narrative: Moderna COVID-19 Vaccine EUA   Besides the sore arm, I was having positional vertigo which lasted approximately 13 days, also intermittent headaches and it seems like my blood pressure was running higher also during this time.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Horrible body aches and chills that began approximately 12-15 hours after injection and continues for 12+ hours. Fever began approximately 12 hours after vaccine was given and lasted 24+ hours. Headaches horrible and are still intermittent after 24+ hours.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: SWOLLEN, RED, PAINFUL LEFT ARM FOLLOWING ADMINISTERATION OF VACCINE.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling and soreness at injection site.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Redness, itching, warm to touch.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Staring, Unresponsive to stimuli
Clinical narrative: Seizure (staring, unresponsive to verbal stimuli) started approx. 5 min post vaccination.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia, Rash
Clinical narrative: fever and fatigue for 2 days Rash noticed on 3rd day
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Breast feeding, Dyspnoea, Pain in extremity
Clinical narrative: Sore arm, hard time taking deep breath, felt like end of a chest cold for several days after   Patient also breastfeeding
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hot flush, Injection site rash, Pain
Clinical narrative: body aches for 24 hours, chills and hot flashes,  some jaw cramps and an arm rash in a rectangle shape at the injection site. The arm rash is still apparent on day four after the vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity
Clinical narrative: after 2nd dose, very sore arm, chills, very fatigued. tylenol has helped
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: warm red swollen arm - at injection site
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Rash, Rash pruritic
Clinical narrative: 1133  patient had been observed in clinic for 15 minutes and released.  She developed rash on face which became itchy.  Rash spread rapidly to arms  and patient began to breathe more rapidly than before.  Was concerned regarding her history of asthma.  Spo2 98% HR133  on RA.  BP 229/146.  She continued to have itchy rash and trouble breathing.  Was unable to treat with epinephrine due to BP.  ACLS unit activated and patient was transported to the ER with paramedic.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pruritus, Rash erythematous, Skin warm
Clinical narrative: Warm to touch, Red and rash like, sore, so far slightly itchy.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Feeling hot, Muscle tightness, Pain
Clinical narrative: Rash on back, pain all over body especially the legs and back, dizziness, Tight Muscles, feeling hot and cold, tingling hands,
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Rash
Clinical narrative: Rash on back, pain all over body especially the legs and back, dizziness, Tight Muscles, feeling hot and cold, tingling hands,
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cough, Fatigue, Injection site pain
Clinical narrative: Sore arm at injection site immediately after and still after 24 hours post-injection.   Overall feeling of malaise, fatigue, slight chills,  body aches, joint pain from about 8 hours post-vaccination continuing  to 24 hours post-vaccination.  Slight cough and chest congestion, feel warm but no fever (36.6 C).
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pain, Respiratory tract congestion, Skin warm
Clinical narrative: Sore arm at injection site immediately after and still after 24 hours post-injection.   Overall feeling of malaise, fatigue, slight chills,  body aches, joint pain from about 8 hours post-vaccination continuing  to 24 hours post-vaccination.  Slight cough and chest congestion, feel warm but no fever (36.6 C).
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal dreams, Disorientation, Disturbance in attention, Fatigue, Gait disturbance
Clinical narrative: First night: flu symptoms.  Next day: fatigue, drowsy, some flu symptoms.  That night: halucinatory dreams, woke up  and had difficulty with orientation - room spinning, difficulty walking came back to bed, bed spinning.  Got up later room spinning vertically - took several minutes to settle down.  This problem has gotten worse as the days go by.  This morning, dizziness persists longer than before, feeling of strong nausea, near vomiting, cannot walk in a straight line.  Fear of falling.   These are symptoms of vertigo I believe.  Should I go to a doctor?  Feeling that this will get worse.  Difficulty concentrating.  Quite an unsettling and scary experience.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza, Nausea, Somnolence, Vertigo
Clinical narrative: First night: flu symptoms.  Next day: fatigue, drowsy, some flu symptoms.  That night: halucinatory dreams, woke up  and had difficulty with orientation - room spinning, difficulty walking came back to bed, bed spinning.  Got up later room spinning vertically - took several minutes to settle down.  This problem has gotten worse as the days go by.  This morning, dizziness persists longer than before, feeling of strong nausea, near vomiting, cannot walk in a straight line.  Fear of falling.   These are symptoms of vertigo I believe.  Should I go to a doctor?  Feeling that this will get worse.  Difficulty concentrating.  Quite an unsettling and scary experience.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Pain in extremity
Clinical narrative: Very sore arm.  Hard to lift arm
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dyspnoea
Clinical narrative: Patient is a 78-year-old male with history of COPD, paroxysmal atrial fibrillation, ischemic cardiomyopathy, type 2 diabetes mellitus, status post mitral valve replacement with metallic valve on Coumadin, stage II: CAD status post LAR.  Presented to Hospital campus on account of severe shortness of breath in a patient with significant weakness.  Patient has had significant shortness of breath progressively worsening.  Patient was just discharged from this facility on 03/17/2021.  The patient was admitted on 03/05/201 on account of shortness of breath.  During the admission, patient had a multiloculated right-sided pleural effusion requiring video-assisted thoracoscopy and evacuation of hemothorax.  Associated with chest wall mass.  Subsequent biopsy revealed evidence of small cell carcinoma.  The patient was seen by oncology during that admission with a Mediport put in place.  With plans to follow-up with oncology outpatient for continued management and to hopefully initiate chemotherapy.  There was also concern for acute congestive heart failure and required diuresis.  Echocardiogram was showing EF of 40% at the time.  Now, patient is presented to the emergency room on account of significant weakness in the patient well developed worsening shortness of breath over the last couple of days.  Patient was still short of breath and weak he could not even get up the toilet seat.  When EMS saw the patient he was satting 80% on room air and required  6 L via nasal cannula.  Did not complain of any chest pain or cough with this finding.  Neither did he complain of any fever.  In the emergency room, patient was tachypneic and slightly tachycardic.  Lab work shows lactic acid of 2.3 glucose of 302 and creatinine of 1.90.  The patient's BNP was 1170 with GFR of 34.  Patient INR was 4.5.  Chest x-ray shows  Trace right pleural effusion. No pneumothorax.  With concern for pneumonia patient was given azithromycin and Unasyn.  Also with concern for possible CHF patient was given Bumex.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient stated his lips felt a bit "tingly" after injection. Had been for about 10 minutes but was getting better. Vital signs BP 138/80, SPO2 96% respirations 14, pulse 89bpm. No swelling of the lips or difficulty breathing noted. Pt denied any other symptoms.  Patient monitored for an additional 20 minutes. Stated that tingling had resolved. SPO2 at 98% and pulse at 86.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucination, Nausea, Vomiting
Clinical narrative: Presented to the ED  for evaluation of hallucinations. Received the Johnson & Johnson COVID vaccine on 3/8. She had been feeling fine following it, until early this morning. She awoke and went to the bathroom when she noticed a "paisley pattern" that was "all over everything", noting that it was even present when her eyes were closed. While she was in the bathroom, the pattern began to move, causing her to feel nauseated and eventually vomit. She has never had a similar episode to this.   All of her symptoms completely resolved after droperidol. Observed in the ED and was ambulating independently and returned to her baseline.  She had no recurrence of any of her symptoms. She was comfortable going home and discharged with her sister.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Postmenopausal haemorrhage
Clinical narrative: Post menopausal bleeding.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: arm is red and swelled. redness running down her arm and continuing to extend to larger area
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Eye pain, Headache, Nausea, Pain in extremity
Clinical narrative: Sore arm, nausea, tummy cramps, headache, fever, eye pain
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Sore arm, nausea, tummy cramps, headache, fever, eye pain
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea
Clinical narrative: Headache, nausea, fatigue
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue
Clinical narrative: Fatigue, chills, fever  Took ledum, thuja, rhus tox, gelsemium and chelidonium plex to treat symptoms till they resolved.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Injection site swelling, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Joint Pain-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Migraine, Pain
Clinical narrative: 103 fever, aches, fatigue, lack of appetite, migraine within 24 hours of vaccine injection. 48 hours was mostly fatigue, headache, and low appetite. Used extra strong Tylenol to help reduce fever.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 103 fever, aches, fatigue, lack of appetite, migraine within 24 hours of vaccine injection. 48 hours was mostly fatigue, headache, and low appetite. Used extra strong Tylenol to help reduce fever.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cystitis-like symptom, Headache, Lymphadenopathy, Nipple pain
Clinical narrative: Vaccine injection (right arm) 1015 am 3/17/21.  Felt sore arm (right) , dull headache and slight chills and enlarged lymph on right side neck below ear ~7pm.  Following day 10/18 had dull headache and sore arm but minor significance.  Friday 10/19, slight sore arm, no headache. Around 7pm felt sore right nipple. Upon examination it appears to be a small 2mm cyst-like bump -- white, round, mildly painful, a bit itchy. Inside of right breast felt itchy and became rash like red when rubbed/scratched to relieve irritation.  Saturday 10/20 Noon, right nipple still sore and a bit itchy, bump still there, rash from rubbing night before has  subsided some but still there. No recurrence of headache, pain in arm at injection site or sore lymph node on right neck.  Have not consulted with a medical professional but will do so if condition persists on Monday.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Rash erythematous
Clinical narrative: Vaccine injection (right arm) 1015 am 3/17/21.  Felt sore arm (right) , dull headache and slight chills and enlarged lymph on right side neck below ear ~7pm.  Following day 10/18 had dull headache and sore arm but minor significance.  Friday 10/19, slight sore arm, no headache. Around 7pm felt sore right nipple. Upon examination it appears to be a small 2mm cyst-like bump -- white, round, mildly painful, a bit itchy. Inside of right breast felt itchy and became rash like red when rubbed/scratched to relieve irritation.  Saturday 10/20 Noon, right nipple still sore and a bit itchy, bump still there, rash from rubbing night before has  subsided some but still there. No recurrence of headache, pain in arm at injection site or sore lymph node on right neck.  Have not consulted with a medical professional but will do so if condition persists on Monday.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lip pain, Lip pruritus, Lip swelling, Oral discomfort
Clinical narrative: Lips swelled after eating a meal with hot pepper s. I am not allergic to hot peppers normally.  Lips are painfully swollen and red/ itchy/ burning.  Reaction began an hour after eating and continued swelling until morning. Swelling is pronounced and getting worse about 20 hours after beginning. I do not have any cosmetic procedures on my lips. No fillers.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Headache starting 12 hours post vaccine and lasting ~12 hours Red and swollen injection site. Warm to touch
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Headache-Mild
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral, Peripheral swelling, Rash erythematous, Swelling face
Clinical narrative: Tingling and slight swelling in lips, face, hands and palms of hands; red rash on neck; given 50 mg benadryl, symptoms controlled by that, red rash is fading by 11am; still feel tingling feeling in face and lips at 11am
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: 101 degree F fever, fatigue, headache, nausea, muscle and joint aches required bed rest and Aleve.  Fever down to 99 deg this morning, and symptoms resolved this morning
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Rash, Urticaria
Clinical narrative: sore arm day after, which cleared. (I expected this)  However, a couple days after vaccine, I started developing hive like rash on right side.    At first I thought it might be scratches/irritation from sharp edges on a torn leather sofa, but more red welts appeared in unrelated locations: chest and back.  I have had childhood chickenpox, and have also considered stress as a possible trigger for shingles, but that seems remote to me.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Gastric disorder, Injection site rash, Injection site swelling
Clinical narrative: injection site rash and swelling developed 7 days after vaccine (treated with Benadryl and resolved in 48 hours).  mild gastric symptoms developed at the same time (disappeared after 8 hours)
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: Immediate fatigue, moderate arm soreness, then developed 100.0 fever that persists into Day 2, and unresponsive to 2X extra strength tylenol. Severe headache.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Error: Booster Given Too Early
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Skin burning sensation
Clinical narrative: I had no reaction to the 1st shot. About a week after the 2nd shot, I experienced occasional sharp tolerable burning pain at the back/bottom of my right arm's arm pit. About a week later, this experience subsided and is now gone.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling
Clinical narrative: Raised, swollen, itchy for a few days
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Mouth swelling, Pain, Peripheral swelling, Rash
Clinical narrative: Systemic: Allergic: Rash Generalized-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Body Aches Generalized-Mild, Additional Details: Patient experienced swelling of both hands, and a generalized blotch rash on arm, back, and ribs bilateraly
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Rash macular, Swelling face, Swollen tongue
Clinical narrative: Systemic: Allergic: Rash Generalized-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Body Aches Generalized-Mild, Additional Details: Patient experienced swelling of both hands, and a generalized blotch rash on arm, back, and ribs bilateraly
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hyperhidrosis
Clinical narrative: Pt reports feeling dizzy, lightheaded, CP, chills, and diaphoretic shortly after vaccine administration. Vitals obtained, BP elevated 156/99, HR 95, oxygen saturation 99% RA. EMS contacted d/t worsening symptoms and c/o feeling faint. Patient transferred to hospital emergency room for further evaluation per EMT. Pt accompanied by Aunt.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Patient reports pruritic rash, by report consistent with "Covid Arm", that developed ~7 days after immunization. Resolved on it's own after a day or two. No other sequelae noted.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Diarrhoea, Fatigue, Headache
Clinical narrative: On Saturday, March 13, Woke up at 3 am with a severe headache, started having diarreah, vomiting that lasted until 7 PM that night.  Stayed in bed all day Sunday, March 14, ate a few crackers and drank some water. Had lower back pain and headache all day.  Had to call  out sick from work on Monday,  March 15. finally got up and ate some soup and took a shower. Rested the whole day. I have been absolutely exhausted and  weak all week long.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Vomiting
Clinical narrative: On Saturday, March 13, Woke up at 3 am with a severe headache, started having diarreah, vomiting that lasted until 7 PM that night.  Stayed in bed all day Sunday, March 14, ate a few crackers and drank some water. Had lower back pain and headache all day.  Had to call  out sick from work on Monday,  March 15. finally got up and ate some soup and took a shower. Rested the whole day. I have been absolutely exhausted and  weak all week long.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Pain in extremity, Swelling
Clinical narrative: Initial arm soreness, followed 3 days later with severe joint pain and swelling in both wrists, fingers, shoulders, knees, neck, feet, hips.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymphadenopathy, Somnolence
Clinical narrative: Headache, grogginess, fatigue, swollen arm pit. Took aspirin and caffeine to alleviate symptoms
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal hypoaesthesia
Clinical narrative: 15 mins into observation, pt's throat began to feel numb. VS were BP 141/85, O2 95, HR 78, R 20. Denied SOB or airway closing. RN assessed airway with no obstruction. RN felt it was okay to wait to see if symptoms resolved,. 10 minutes later symptoms did not improve & 25mg of Benadryl was given. Pt felt relief within 5 minutes & was instructed to stay an additional 15 mins.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Exposure during pregnancy, Fatigue, Myalgia, Pain in extremity
Clinical narrative: EDD 7/11/2021, no issues with pregnancy Patient with fever to 101.5 day after the vaccination, as well as myalgias, fatigue, dizziness, left arm soreness, etc. No concerns about patient. Appx 4 hours after vaccine, patient breastfed 2 year old child - child developed fever with no associated symptoms, first noted at 8AM (101.7F), responded to ibuprofen. No known sick contacts for child who was swabbed for Covid (NP PCR) and tested negative. Fever resolved within 12 hours and did not recur.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: EDD 7/11/2021, no issues with pregnancy Patient with fever to 101.5 day after the vaccination, as well as myalgias, fatigue, dizziness, left arm soreness, etc. No concerns about patient. Appx 4 hours after vaccine, patient breastfed 2 year old child - child developed fever with no associated symptoms, first noted at 8AM (101.7F), responded to ibuprofen. No known sick contacts for child who was swabbed for Covid (NP PCR) and tested negative. Fever resolved within 12 hours and did not recur.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Lymphadenopathy, Rash, Skin burning sensation
Clinical narrative: On 19Mar21 at 8:30 am EST noticed A burning sensation  and small rash on the left side of neck. On same day in the evening noticed left supraclavicular  LN the size of a walnut. The node is not painful or sensitive to the touch and is currently ongoing. Have no other symptoms except pain at the injection site the second day after the vaccine administration.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Computerised tomogram, Hyperventilation, Peripheral swelling
Clinical narrative: swollen arm, joint pain, breathing issues, elevated auto immune markers in blood test, sudden elevation in RA Factor.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: swollen arm, joint pain, breathing issues, elevated auto immune markers in blood test, sudden elevation in RA Factor.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Decreased appetite, Fatigue, Nausea, Pain
Clinical narrative: Full body aches, nausea, loss of appetite, cold sweats, fever of 100.8, fatigue.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Full body aches, nausea, loss of appetite, cold sweats, fever of 100.8, fatigue.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: fever, fatigue (6 days after shot)
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Medication Administration Error- After receiving her second dose (Vaccine Lot # ER8727), being observed (with no reaction) she returned home. It was at this time she self reported to the clinic that she had thought her appointment was for 3/19/2021,  it was in fact scheduled for 3/26/2021. Client received her first dose on 3/5/2021 (Vaccine Lot #EN6203). This resulted in Client receiving her second dose outside of the established guidelines for the acceptable duration between doses by 2 days (15 vs. 17-21). Client did not report any adverse reaction or problems.  A new software update may have had a part in staff missing that Client was returning early. Staff at all levels have been re-educated on the importance of checking and rechecking returning appointment times and dates
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Decreased appetite, Dizziness
Clinical narrative: Moderna COVID-19 Vaccine EUA Got vaccine at 8am. 2:30pm: severe chills and sore arm. 4pm: nauseous, no appetite, achey knees. 5pm: heavy head and very dizzy, temp 101.7. 6pm: temp 103.5, took ibuprofen. 7:30pm: temp 101.5, sweating, feeling better. 12 am: chills, achey, nauseous, temp 102.8. Took ibuprofen. 9am: temp 101, chills, dizzy, no appetite. 10:30am: took ibuprofen, dizzy, aches, chills. 1:30pm: temp 98.7, symptoms subsided. 4pm: fatigued 7:30pm: dizzy, no appetite, tired, very heavy head 10:30pm: sweats 9am: completely better.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Hyperhidrosis, Nausea, Pain, Pain in extremity
Clinical narrative: Moderna COVID-19 Vaccine EUA Got vaccine at 8am. 2:30pm: severe chills and sore arm. 4pm: nauseous, no appetite, achey knees. 5pm: heavy head and very dizzy, temp 101.7. 6pm: temp 103.5, took ibuprofen. 7:30pm: temp 101.5, sweating, feeling better. 12 am: chills, achey, nauseous, temp 102.8. Took ibuprofen. 9am: temp 101, chills, dizzy, no appetite. 10:30am: took ibuprofen, dizzy, aches, chills. 1:30pm: temp 98.7, symptoms subsided. 4pm: fatigued 7:30pm: dizzy, no appetite, tired, very heavy head 10:30pm: sweats 9am: completely better.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Pain
Clinical narrative: Headache and fatigue 5 hours post injection  Chills/Body aches/fatigue 6 hours post injection Body aches/fatigue 24 hours post injection Joint pain/fatigue 36 hours post injection
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Breast swelling, Full blood count, Haematocrit decreased, Haemoglobin decreased, Lymphadenopathy
Clinical narrative: Reactive lymphadenopathy axillary region of left arm  swelling goes down into left breast no pain,  no erythema
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count decreased
Clinical narrative: Reactive lymphadenopathy axillary region of left arm  swelling goes down into left breast no pain,  no erythema
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Feeling abnormal, Immediate post-injection reaction, Nausea, Somnolence
Clinical narrative: Immediately after injection patient was light headed, drowsy, nauseous. Patient was given water and glucose tabs (potential low blood sugar) and rested with head down. Even after rest patient still complained head was "fuzzy" and seemed dazed. EMTs were called and patient was taken to local hospital for follow up care.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Computerised tomogram head, Differential white blood cell count, Dizziness, Dysstasia
Clinical narrative: Immediately after injection patient was light headed, drowsy, nauseous. Patient was given water and glucose tabs (potential low blood sugar) and rested with head down. Even after rest patient still complained head was "fuzzy" and seemed dazed. EMTs were called and patient was taken to local hospital for follow up care.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Fatigue, Full blood count, Headache, Heart rate increased
Clinical narrative: Immediately after injection patient was light headed, drowsy, nauseous. Patient was given water and glucose tabs (potential low blood sugar) and rested with head down. Even after rest patient still complained head was "fuzzy" and seemed dazed. EMTs were called and patient was taken to local hospital for follow up care.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Metabolic function test, Nausea, Retching, Scan with contrast
Clinical narrative: Immediately after injection patient was light headed, drowsy, nauseous. Patient was given water and glucose tabs (potential low blood sugar) and rested with head down. Even after rest patient still complained head was "fuzzy" and seemed dazed. EMTs were called and patient was taken to local hospital for follow up care.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Feeling abnormal, Immediate post-injection reaction, Nausea, Somnolence
Clinical narrative: Within minute of the injection, patient had severe headache. She had dizziness and became very fatigued. She could not stand up and it was hard to understand her. Within 10 minutes of the injection, patient became very nauseated. They brought her a trash bucket and she hd dry heaved twice. Pharmacist called the EMT around 6pm. The two EMTs took her blood pressure and pulse. Both were extremely high. Blood pressure was 172/96. They recommended that patient should be transported to local ER at the hospital. They put her in the ambulance andtransported her to hospital. She remained at the hospital for 5 hours. Once blood pressure and pulse came down, she was allowed to leave.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Computerised tomogram head, Differential white blood cell count, Dizziness, Dysstasia
Clinical narrative: Within minute of the injection, patient had severe headache. She had dizziness and became very fatigued. She could not stand up and it was hard to understand her. Within 10 minutes of the injection, patient became very nauseated. They brought her a trash bucket and she hd dry heaved twice. Pharmacist called the EMT around 6pm. The two EMTs took her blood pressure and pulse. Both were extremely high. Blood pressure was 172/96. They recommended that patient should be transported to local ER at the hospital. They put her in the ambulance andtransported her to hospital. She remained at the hospital for 5 hours. Once blood pressure and pulse came down, she was allowed to leave.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Fatigue, Full blood count, Headache, Heart rate increased
Clinical narrative: Within minute of the injection, patient had severe headache. She had dizziness and became very fatigued. She could not stand up and it was hard to understand her. Within 10 minutes of the injection, patient became very nauseated. They brought her a trash bucket and she hd dry heaved twice. Pharmacist called the EMT around 6pm. The two EMTs took her blood pressure and pulse. Both were extremely high. Blood pressure was 172/96. They recommended that patient should be transported to local ER at the hospital. They put her in the ambulance andtransported her to hospital. She remained at the hospital for 5 hours. Once blood pressure and pulse came down, she was allowed to leave.