chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Chest pain, Cough, Electrocardiogram abnormal
Clinical narrative: I woke up from sleep with severe chest pain at approx. 0400. It was sharp and radiated up to the left side of my neck. The pain was worse with breathing whether I was sitting up or lying down. My heart rate was 150 initially, but came down to 110's after a few minutes of waking up.  My heart rate did not decrease with rest and the chest pain was not going away, so I drove to the emergency room to be checked. Before I left the house I used my albuterol inhaler once to see if it would make the chest pain and tightness any better.  I received an EKG, mylanta mixed with lidocaine, IV pepcid and IV torodol to help relive the pain. The pain eased some (was a 8/10 when I awoke to a 2/10 after treatment). My blood was drawn, a chest x-ray was taken and the provider informed me all of my lab results, chest x-ray, and physical examination was normal. My EKG showed tachycardia and my heartrate did not drop below 100 beats per minute throughout the whole ER visit.  My BP at the highest was 151/94.  I have never had a problem with a fast heartrate or high blood pressure in the past.  I was discharged with a diagnosis of pleurisy caused by a cough I have been having.  I spent the rest of the day with chest pain and left arm pain from the site of the vaccination.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Injection site pain, Metabolic function test, Neck pain, Pain
Clinical narrative: I woke up from sleep with severe chest pain at approx. 0400. It was sharp and radiated up to the left side of my neck. The pain was worse with breathing whether I was sitting up or lying down. My heart rate was 150 initially, but came down to 110's after a few minutes of waking up.  My heart rate did not decrease with rest and the chest pain was not going away, so I drove to the emergency room to be checked. Before I left the house I used my albuterol inhaler once to see if it would make the chest pain and tightness any better.  I received an EKG, mylanta mixed with lidocaine, IV pepcid and IV torodol to help relive the pain. The pain eased some (was a 8/10 when I awoke to a 2/10 after treatment). My blood was drawn, a chest x-ray was taken and the provider informed me all of my lab results, chest x-ray, and physical examination was normal. My EKG showed tachycardia and my heartrate did not drop below 100 beats per minute throughout the whole ER visit.  My BP at the highest was 151/94.  I have never had a problem with a fast heartrate or high blood pressure in the past.  I was discharged with a diagnosis of pleurisy caused by a cough I have been having.  I spent the rest of the day with chest pain and left arm pain from the site of the vaccination.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pleurisy, Tachycardia
Clinical narrative: I woke up from sleep with severe chest pain at approx. 0400. It was sharp and radiated up to the left side of my neck. The pain was worse with breathing whether I was sitting up or lying down. My heart rate was 150 initially, but came down to 110's after a few minutes of waking up.  My heart rate did not decrease with rest and the chest pain was not going away, so I drove to the emergency room to be checked. Before I left the house I used my albuterol inhaler once to see if it would make the chest pain and tightness any better.  I received an EKG, mylanta mixed with lidocaine, IV pepcid and IV torodol to help relive the pain. The pain eased some (was a 8/10 when I awoke to a 2/10 after treatment). My blood was drawn, a chest x-ray was taken and the provider informed me all of my lab results, chest x-ray, and physical examination was normal. My EKG showed tachycardia and my heartrate did not drop below 100 beats per minute throughout the whole ER visit.  My BP at the highest was 151/94.  I have never had a problem with a fast heartrate or high blood pressure in the past.  I was discharged with a diagnosis of pleurisy caused by a cough I have been having.  I spent the rest of the day with chest pain and left arm pain from the site of the vaccination.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pain in extremity, Skin mass, Skin swelling
Clinical narrative: Arm was abnormally sore to the point where it was all the way down my shoulder into my collar bone. About 24 hours after the 2nd dose, I noticed the area around my left collar bone was swollen . The area is painful to touch and contains a lump about the size of a dime.  Pain is experienced when I attempt to cross my left arm over my body. Lump and pain still remains 51 hours after vaccination.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Body aches, arm soreness
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 7 Days after vaccine started with left axilla and arm tenderness, 8th day had itching and swelling at injection site, 9th day redness, swelling at injection site, area very warm to touch, malaise, muscle aches, headache.  I will start  antibiotics to rule out cellulitis vs vaccine reaction
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Malaise, Myalgia
Clinical narrative: 7 Days after vaccine started with left axilla and arm tenderness, 8th day had itching and swelling at injection site, 9th day redness, swelling at injection site, area very warm to touch, malaise, muscle aches, headache.  I will start  antibiotics to rule out cellulitis vs vaccine reaction
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Breast mass, Injection site erythema
Clinical narrative: Small red area next to the right arm injection site with a golf size lump in the upper pole of the right breast leading into the right armpit area which started on 01/05/2021.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: fever, chills
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dysphonia, Dyspnoea, Electrocardiogram, Impaired work ability
Clinical narrative: After 15 mins I felt like I couldn't breath. On the way home hour later hard to breath. I went to ER gave me Steroids and Pepcid. Since then I have taken Benadryl. On 12/30 at 10am I was exp reaction again went back to the ER. They provided me with breathing treatment and was sent home on Prednisone. I contacted my PCP to inform her that I have to continue taking Benadryl to help with sob and my voice changes. It seems like my lungs are affected due to taking the vaccine. I'm currently off and not able to receive comp due to the vaccine being voluntary.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cough, Fatigue, Myalgia
Clinical narrative: Fever >101, rigor, chills, 15 hours post administration Cough from 6-18 hours post administration Fatigue from 6 - 20 hours post administration Muscle aches from 15 - 36 hours post administration Joint pain from 24 - 36 hours post administration
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever >101, rigor, chills, 15 hours post administration Cough from 6-18 hours post administration Fatigue from 6 - 20 hours post administration Muscle aches from 15 - 36 hours post administration Joint pain from 24 - 36 hours post administration
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Flushing
Clinical narrative: Within a minute or two of receiving the vaccine patient felt flush and was having trouble breathing. Adult epipen 0.3mg was administered in patient's right thigh. Also 50mg of diphenhydramine was administed in patient's left deltoid. Ten minutes later the patient was again having breathing problems. Second injection of adult epipen 0.3mg was administered in patient's right thigh. Patient was also given Lorazepam 2mg. Patient was taken to the Emergency room via ambulance. At the emergency room patient was given Prednisone and an additional 1mg Lorazepam. After observation, patient was sent home.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Biopsy brain, Dizziness, Ear pain
Clinical narrative: Generalized Headache; severe at times with ear pain, bilat.  On day two dizziness, nausea and loss of taste and smell for a few hours with "brain fog".  Headache continues today the third day.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Nausea
Clinical narrative: Generalized Headache; severe at times with ear pain, bilat.  On day two dizziness, nausea and loss of taste and smell for a few hours with "brain fog".  Headache continues today the third day.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site reaction
Clinical narrative: 1 week after injection.  Injection site became itchy, red and had a raised lump at site. Area was about the size of a  golf ball.  There is still a small bump at site 2 weeks later
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: ON 1/1/21, DEVELOPED SORE THROAT LASTING 2 DAYS. LOW GRADE FEVER (99.3 ON 12/31 AND 1/1. MUSCLES ACHES 1/1/21-1/3/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Dyspnoea, Pharyngeal swelling, Throat irritation, Urticaria
Clinical narrative: she received vaccine at 8:30 am.  At approximately 11:00 am she developed sudden onset hives, scratchy throat, swelling sensation of the throat, hoarse voice, difficulty breathing.  Presented to the ED. Received IM Epi, IV Benadryl and Solumedrol.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope
Clinical narrative: 12P staff fainted from the chair and hit the concrete floor.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Asthenia, Chest pain, Diarrhoea, Dyspnoea
Clinical narrative: Shortness of breath ,chest and stomach pain, fatigue very weak,headache, aches,vomiting, diarrhea. Vomiting and diarrhea started 2 days after vaccine. All others started 12 hours after vaccine except injection site 2 hours after injection.  Still weak.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Pain, Vomiting
Clinical narrative: Shortness of breath ,chest and stomach pain, fatigue very weak,headache, aches,vomiting, diarrhea. Vomiting and diarrhea started 2 days after vaccine. All others started 12 hours after vaccine except injection site 2 hours after injection.  Still weak.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Asthenia, Chest pain, Confusional state, Dyspnoea
Clinical narrative: Shortness of breath ,chest and stomach pain, fatigue very weak,headache, aches,vomiting, diarrhea. Vomiting and diarrhea started 2 days after vaccine. All others started 12 hours after vaccine except injection site 2 hours after injection.  Still weak.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Shortness of breath ,chest and stomach pain, fatigue very weak,headache, aches,vomiting, diarrhea. Vomiting and diarrhea started 2 days after vaccine. All others started 12 hours after vaccine except injection site 2 hours after injection.  Still weak.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Feeling abnormal, Hyperhidrosis, Paraesthesia oral
Clinical narrative: At 3pm, I started to have a small allergic reaction.  Symptoms started with sweaty palms, my tongue  felt strange, my body felt weird particularly from my  knees to my toes and I was easily winded moving around.  Symptoms slowly progressed until I went to the dr and was prescribed prednisone and benedryl.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: Low grade temp, chills, body aches, nausea and diarrhea, headache
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Low grade temp, chills, body aches, nausea and diarrhea, headache
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Impaired work ability, Nausea, Pain, Pain in extremity
Clinical narrative: Patient / side effect / called out to work due to fever 99. to 100.4; chills, nausea, fever, body aches (5/10, from 8/10)  / called out from work due to 100.8 fever / feeling better at the time of call / severe arm pain (6/10, from 8/10)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient / side effect / called out to work due to fever 99. to 100.4; chills, nausea, fever, body aches (5/10, from 8/10)  / called out from work due to 100.8 fever / feeling better at the time of call / severe arm pain (6/10, from 8/10)
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Culture urine, Human chorionic gonadotropin, Loss of consciousness, Metabolic function test
Clinical narrative: Patient states that she got her coronavirus vaccine and about 10 min later she felt very weak diffusely, felt her ears ringing and passed out.  Patient was caught and lowered to a chair, thus did not hit her head.  Patient states she has passed out before but this felt different.  Patient felt her heart racing prior to passing out.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Tinnitus, Urine analysis
Clinical narrative: Patient states that she got her coronavirus vaccine and about 10 min later she felt very weak diffusely, felt her ears ringing and passed out.  Patient was caught and lowered to a chair, thus did not hit her head.  Patient states she has passed out before but this felt different.  Patient felt her heart racing prior to passing out.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Feeling hot, Lymphadenopathy, Nausea
Clinical narrative: Started with just a very sore arm. Swelling of axillary lymph nodes. Woke up and blood pressure dropped (fainting). Then felt extremely hot and feverish (no actual fever).mild constant dizziness accompanied with nausea.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Syncope
Clinical narrative: Started with just a very sore arm. Swelling of axillary lymph nodes. Woke up and blood pressure dropped (fainting). Then felt extremely hot and feverish (no actual fever).mild constant dizziness accompanied with nausea.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Pain
Clinical narrative: Weakness and body aches
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash macular
Clinical narrative: She reports waiting the allotted time of 15 minutes after receiving the Covid injection. She reports after the 15 mins. that she returned to her work area where co-workers commented that she had a red blotchy hive looking rash around her neck and upper trunk area. She denied any itching or SOB and reports that the blotches were noted for approx. 3 hours after shot. She was instructed prior to 2nd Covid shot to contact PCP with understanding voiced.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Wheezing
Clinical narrative: Wheezing, cough,
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: fatigue body aches
Age: 61.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Immediate post-injection reaction, Injection site pain, Joint range of motion decreased, Limb discomfort, Loss of personal independence in daily activities
Clinical narrative: Received flu shot in Left arm and did not feel anything so very surprised to next get TDAP in Right arm and immediately experience "fireworks" pain at injection site radiating down arm. Looked at needle as it was withdrawn and appeared longer than expected (I used to be a nurse). Pharmacy tech said I could go but was nervous to leave store so walked around and felt my right arm grow heavy and difficult to raise. Eventually drove home using left arm to steer. Took tylenol with little result. Following day called pharmacy who said DTAP is known to be uncomfortable and they "never use needles longer than 1 inch." By Wed 9/23 arm was not improving so called insurance advice nurse who said go to urgent care but declined to avoid unnecessary covid exposure. She said to wear arm sling and use Voltaren gel because I cannot tolerate NSAIDS. Following morning I had a virtual appointment with my primary care physician who said to minimize use of sling to avoid frozen shoulder, keep using Voltaren and ask physical therapist currently treating me for rehab post back surgery 6/2020 to add shoulder exercises, and let her know if still not better in 4 weeks at which time she would refer me to Physical Medicine specialist for nerve testing. I found I had to wear sling at work (part time librarian) but was able to get by at home without it. By 4 weeks the pain and limited range of motion was improving, by then I could drive and dress myself, but it took a further 2-3 weeks to resolve fully. Primary care physician at checked with immunizations clinic supervisor who asked if the pharmacy tech had been standing (and if I were sitting) for the injection. Yes to both. Immunization clinic chief said this (bad) practice can sometimes direct the needle into the nerve or joint capsule, which may have happened in my case.  If you happen to follow this up with the pharmacy please note their paperwork has the injection sites reversed. I chose to have the flu shot in my left arm and the TDAP in my right arm.
Age: 61.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Mobility decreased, Pain
Clinical narrative: Received flu shot in Left arm and did not feel anything so very surprised to next get TDAP in Right arm and immediately experience "fireworks" pain at injection site radiating down arm. Looked at needle as it was withdrawn and appeared longer than expected (I used to be a nurse). Pharmacy tech said I could go but was nervous to leave store so walked around and felt my right arm grow heavy and difficult to raise. Eventually drove home using left arm to steer. Took tylenol with little result. Following day called pharmacy who said DTAP is known to be uncomfortable and they "never use needles longer than 1 inch." By Wed 9/23 arm was not improving so called insurance advice nurse who said go to urgent care but declined to avoid unnecessary covid exposure. She said to wear arm sling and use Voltaren gel because I cannot tolerate NSAIDS. Following morning I had a virtual appointment with my primary care physician who said to minimize use of sling to avoid frozen shoulder, keep using Voltaren and ask physical therapist currently treating me for rehab post back surgery 6/2020 to add shoulder exercises, and let her know if still not better in 4 weeks at which time she would refer me to Physical Medicine specialist for nerve testing. I found I had to wear sling at work (part time librarian) but was able to get by at home without it. By 4 weeks the pain and limited range of motion was improving, by then I could drive and dress myself, but it took a further 2-3 weeks to resolve fully. Primary care physician at checked with immunizations clinic supervisor who asked if the pharmacy tech had been standing (and if I were sitting) for the injection. Yes to both. Immunization clinic chief said this (bad) practice can sometimes direct the needle into the nerve or joint capsule, which may have happened in my case.  If you happen to follow this up with the pharmacy please note their paperwork has the injection sites reversed. I chose to have the flu shot in my left arm and the TDAP in my right arm.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Fatigue, Headache, Heart rate irregular, Malaise
Clinical narrative: Called back to closed POD site because patient had become pale, clammy and irregular pulse 9:00;  BP 128/82  P- 88 bounding; able to talk and explain she felt poorly, was sipping on water.  Sat with client for 30 mins, color clearly improved, BP 156/88 P 84  (BP reported as more normal)   Blood sugar check at beginning 151  and again about 9:25 as 151.   Was now feeling very tired and wanted to go home.   Had patient call her provider for guidance and a ride to home.  Provider requested that she take the rest of the week off. Patient went home to rest.  Thursday still very tired and headache,  today better but still has a headache
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: Called back to closed POD site because patient had become pale, clammy and irregular pulse 9:00;  BP 128/82  P- 88 bounding; able to talk and explain she felt poorly, was sipping on water.  Sat with client for 30 mins, color clearly improved, BP 156/88 P 84  (BP reported as more normal)   Blood sugar check at beginning 151  and again about 9:25 as 151.   Was now feeling very tired and wanted to go home.   Had patient call her provider for guidance and a ride to home.  Provider requested that she take the rest of the week off. Patient went home to rest.  Thursday still very tired and headache,  today better but still has a headache
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Herpes zoster, Lymph node pain, Lymphadenopathy, Paraesthesia
Clinical narrative: Administered on Saturday January 2, 2021.  On Tuesday started with some ear pain and lymph node swelling.  Wednesday much worse lymph node swelling and right side of face with some swelling.  Tingling  began  and bumps with red line formed on forehead.  Thursday-same except swelling I'm lymph nodes was so painful it woke me  up. Today, Friday January 8th I went to a doctor's care.  Diagnosed with shingles.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Swelling face
Clinical narrative: Administered on Saturday January 2, 2021.  On Tuesday started with some ear pain and lymph node swelling.  Wednesday much worse lymph node swelling and right side of face with some swelling.  Tingling  began  and bumps with red line formed on forehead.  Thursday-same except swelling I'm lymph nodes was so painful it woke me  up. Today, Friday January 8th I went to a doctor's care.  Diagnosed with shingles.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Chills, headache, muscle pain, tiredness, and nausea.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site reaction
Clinical narrative: On day 8 after getting my injection I started to experience an adverse reaction in the area of the injection site on my left arm.  The injection area was indurated, warm, red, itchy and swelling.  It swelled to the size of about 1 inch wide by 2 inches long.  I had no prior issues with my injection aside from some arm soreness the day after the injection.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: On day 8 after getting my injection I started to experience an adverse reaction in the area of the injection site on my left arm.  The injection area was indurated, warm, red, itchy and swelling.  It swelled to the size of about 1 inch wide by 2 inches long.  I had no prior issues with my injection aside from some arm soreness the day after the injection.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives,
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Chills, Crying, Dehydration
Clinical narrative: 1/6/21: 8pm (1hour after shot): sore arm, relieved with heated blanket, slept through night with no issue   1/7/21: 7am (12 hours after shot): woke up with headache and dehydration, arm where injection occurred was sore and stiff, hit to move  11am: sudden and sever fatigue, beginning of swollen lymph node (left, side of injection), felt better after laying down for around 20 minutes and drinking water& 2excedrin tablets, sore arm continuing, felt feverish though no fever, nausea  6:30pm: sudden and intense fatigue, struggling to think straight, sore arm, exhaustion, headache (, nausea, unable to lift items with left arm without considerable pain  7:30pm: arrive home and lie down  By 8pm: intense chills, headache, left lymph-node swollen so it was visible to the naked eye, hurt to swallow, racing pulse despite lying down, inability to complete ADLs/ get up to take medication, frustration to the point of crying, joint pain;  8:30pm took temperature registered at 97.4 (normal), was able to take 2 excedrin pills, shortly after body temperature was regulated, racing pulse continued 11pm: asleep   1/8/21 8am: groggy to wake, arm still aching but able to move, swollen lymph node to touch but no longer glaringly obvious, throat ache (not as much as night before), abdominal pain,  hot shower and excedrin and water, slow to start but able to complete ADLs and resume work   12pm: first meal of day (soup and soaked bread), hurts to swallow at times, excedrin   3:30pm (present time) thoughts are clear, throat still hurts w/o drinking/eating, arm hurts but able to lift and carry normal amount without making noises of pain
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Frustration tolerance decreased, Grip strength decreased, Headache, Heart rate increased
Clinical narrative: 1/6/21: 8pm (1hour after shot): sore arm, relieved with heated blanket, slept through night with no issue   1/7/21: 7am (12 hours after shot): woke up with headache and dehydration, arm where injection occurred was sore and stiff, hit to move  11am: sudden and sever fatigue, beginning of swollen lymph node (left, side of injection), felt better after laying down for around 20 minutes and drinking water& 2excedrin tablets, sore arm continuing, felt feverish though no fever, nausea  6:30pm: sudden and intense fatigue, struggling to think straight, sore arm, exhaustion, headache (, nausea, unable to lift items with left arm without considerable pain  7:30pm: arrive home and lie down  By 8pm: intense chills, headache, left lymph-node swollen so it was visible to the naked eye, hurt to swallow, racing pulse despite lying down, inability to complete ADLs/ get up to take medication, frustration to the point of crying, joint pain;  8:30pm took temperature registered at 97.4 (normal), was able to take 2 excedrin pills, shortly after body temperature was regulated, racing pulse continued 11pm: asleep   1/8/21 8am: groggy to wake, arm still aching but able to move, swollen lymph node to touch but no longer glaringly obvious, throat ache (not as much as night before), abdominal pain,  hot shower and excedrin and water, slow to start but able to complete ADLs and resume work   12pm: first meal of day (soup and soaked bread), hurts to swallow at times, excedrin   3:30pm (present time) thoughts are clear, throat still hurts w/o drinking/eating, arm hurts but able to lift and carry normal amount without making noises of pain
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Lymphadenopathy, Mental impairment, Musculoskeletal stiffness, Nausea
Clinical narrative: 1/6/21: 8pm (1hour after shot): sore arm, relieved with heated blanket, slept through night with no issue   1/7/21: 7am (12 hours after shot): woke up with headache and dehydration, arm where injection occurred was sore and stiff, hit to move  11am: sudden and sever fatigue, beginning of swollen lymph node (left, side of injection), felt better after laying down for around 20 minutes and drinking water& 2excedrin tablets, sore arm continuing, felt feverish though no fever, nausea  6:30pm: sudden and intense fatigue, struggling to think straight, sore arm, exhaustion, headache (, nausea, unable to lift items with left arm without considerable pain  7:30pm: arrive home and lie down  By 8pm: intense chills, headache, left lymph-node swollen so it was visible to the naked eye, hurt to swallow, racing pulse despite lying down, inability to complete ADLs/ get up to take medication, frustration to the point of crying, joint pain;  8:30pm took temperature registered at 97.4 (normal), was able to take 2 excedrin pills, shortly after body temperature was regulated, racing pulse continued 11pm: asleep   1/8/21 8am: groggy to wake, arm still aching but able to move, swollen lymph node to touch but no longer glaringly obvious, throat ache (not as much as night before), abdominal pain,  hot shower and excedrin and water, slow to start but able to complete ADLs and resume work   12pm: first meal of day (soup and soaked bread), hurts to swallow at times, excedrin   3:30pm (present time) thoughts are clear, throat still hurts w/o drinking/eating, arm hurts but able to lift and carry normal amount without making noises of pain
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Odynophagia, Oropharyngeal pain, Pain in extremity, Pyrexia, Somnolence
Clinical narrative: 1/6/21: 8pm (1hour after shot): sore arm, relieved with heated blanket, slept through night with no issue   1/7/21: 7am (12 hours after shot): woke up with headache and dehydration, arm where injection occurred was sore and stiff, hit to move  11am: sudden and sever fatigue, beginning of swollen lymph node (left, side of injection), felt better after laying down for around 20 minutes and drinking water& 2excedrin tablets, sore arm continuing, felt feverish though no fever, nausea  6:30pm: sudden and intense fatigue, struggling to think straight, sore arm, exhaustion, headache (, nausea, unable to lift items with left arm without considerable pain  7:30pm: arrive home and lie down  By 8pm: intense chills, headache, left lymph-node swollen so it was visible to the naked eye, hurt to swallow, racing pulse despite lying down, inability to complete ADLs/ get up to take medication, frustration to the point of crying, joint pain;  8:30pm took temperature registered at 97.4 (normal), was able to take 2 excedrin pills, shortly after body temperature was regulated, racing pulse continued 11pm: asleep   1/8/21 8am: groggy to wake, arm still aching but able to move, swollen lymph node to touch but no longer glaringly obvious, throat ache (not as much as night before), abdominal pain,  hot shower and excedrin and water, slow to start but able to complete ADLs and resume work   12pm: first meal of day (soup and soaked bread), hurts to swallow at times, excedrin   3:30pm (present time) thoughts are clear, throat still hurts w/o drinking/eating, arm hurts but able to lift and carry normal amount without making noises of pain
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscular weakness, Myalgia
Clinical narrative: about 3 weeks ago started to experience muscle pain and weakness, left arm
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: I had a fever of average 101.5 throughout the night and into the following morning. I also had one episode of vomiting at 11:40 pm on the same day I received the vaccine.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous, Rash pruritic
Clinical narrative: Red itchy rash at the injection site.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Oropharyngeal discomfort, Palpitations, Paraesthesia oral
Clinical narrative: Rapid palpations, Peripheral numbness, Nasal and lip numbness,  Throat " Fullness", noted posturing. Timeline of Events 1425 Vaccine Administered, Left Deltoid 1429 Symptoms Onset 1430 20mL Benadryl Administered; BP (132/84), HR 88, check lung sounds: WNL 1433 BP second check (BP 134/84) 1438 Pt noted lips, and toes felt tingly 1439 second HR check (HR 80) 1445 third BP check (132/82); pt claims past hx of stroke (x2) and SVT 1446 EMS was called 1449 Pt reports feeling of tightness in tongue and lips; pt reports similar symptoms to red wine and Novocain 1455 EMS arrived 1458 Pt was loaded into gurney and ambulance 1500 Pt depart in ambulance to the hospital
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Posturing
Clinical narrative: Rapid palpations, Peripheral numbness, Nasal and lip numbness,  Throat " Fullness", noted posturing. Timeline of Events 1425 Vaccine Administered, Left Deltoid 1429 Symptoms Onset 1430 20mL Benadryl Administered; BP (132/84), HR 88, check lung sounds: WNL 1433 BP second check (BP 134/84) 1438 Pt noted lips, and toes felt tingly 1439 second HR check (HR 80) 1445 third BP check (132/82); pt claims past hx of stroke (x2) and SVT 1446 EMS was called 1449 Pt reports feeling of tightness in tongue and lips; pt reports similar symptoms to red wine and Novocain 1455 EMS arrived 1458 Pt was loaded into gurney and ambulance 1500 Pt depart in ambulance to the hospital
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Erythema, Oesophageal achalasia, Pruritus, Skin warm
Clinical narrative: Moderna COVID-19 Vaccine EUA Ache, Red, Hot to touch, Itching, Bumpy Skin
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Injection site on left arm of resident turned red, warm, and firm. Reaction began two days after injection.  Chief nurse directed resident to contact their Primary Care Provider.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: No adverse effects initially (only soreness for first 3 days). Exactly one week after injection, soreness, redness, swelling, heat, around injection site. Spread to cover almost all of upper arm down to elbow, and wrapped almost fully around arm.  Very alarming. No other symptoms. Took ibuprofen and tried to ice it.  3 days later it is getting better. Took Allegra today. Not as swollen but still there.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: swelling, redness, itching and  warmth to touch which has slowly increased in size. As of 1/8 is about 3 inches X 3 inches.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness painful injection area. Entire upper arm hot and swollen.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Rash
Clinical narrative: Rash on face the night of injection that resolved the following day. Severe right hip and knee pain 11 days after the injection that is still occurring till this day. Hip would pop and was painful to walk and lay down.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Dyspnoea, Erythema, Heart rate increased, Hot flush
Clinical narrative: increased heart rate, SOB, Tingling, Hot flushed, Red chest, mouth dry
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: increased heart rate, SOB, Tingling, Hot flushed, Red chest, mouth dry
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: RESIDENT COMPLAINED OF CHEST PRESSURE AND DIFFICULTY BREATHING ABOUT 1 HOUR AFTER VACCINE ADMINISTRATION.  SENT TO HOSPITAL FOR EVALUATION.  RETURNED HOME 2 HOURS LATER.   SPOKE WITH RESIDENT AT 830am ON 1/7/21 AND SHE REPORTED SHE FELT FINE AND FELT SHE MAY HAVE HAD A PANIC ATTACK. SPOKE WITH RESIENT AT 830AM ON 1/8/21 AND SHE REPORTED SHE FEELS FINE.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Rash
Clinical narrative: PATIENT STATES SHE HAD REDNESS TO HER SITE OF VACCINE ON HER LEFT ARM ON 12/26/20. THE REDNESS SHORTLY AFTER WENT AWAY AFTER TAKING BENADRYL AND RETURNED ON 1/1/21. PATIENT TOOK BENADRYL ON 1/1/21 AND ON 1/2/21, REDNESS INCREASED AND PATIENT WENT TO ER. WHERE THEY GAVE HER PREDNISONE. WENT AWAY AND CAME BACK ON 1/5/21. WAS PERSCRIBED STEROID CREAM AND KEPHLEX ABX. ON 1/7/21 PATIENT NOW HAS RASH  ON HER LOWER ABD. SHE WAS BEING SEE BY HER NURSE PRACTIONER ON 1/7/21. WHEN I SPOKE WITH HER ON 1/8/21, HER RASH SEEMS TO BE LESSENING.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Impaired work ability, Myalgia, Pyrexia
Clinical narrative: fever, muscle aches, joint pain staying home
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Pain, Tinnitus
Clinical narrative: Achy body, headache, ear ringing, chills and a temperature.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Woke up with fever day after receiving second vaccine, Tmax 102.2 with associated headache, fatigue .
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling jittery, Tremor
Clinical narrative: From 8am till about 10am I felt shaky after the injection. I dint feel like chills, had no temperature. I could not stop shaking, felt like a deep muscle shake.  I felt shaky and jittery from 8am till 11am. I had a cup of tea where I was able to fall asleep.  I had a telemedicine call and I spoke to a NP and she recommended to go to an ER but I did not go. I just felt very anxious.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Injection site swelling, Nausea, Pyrexia
Clinical narrative: Nausea, very fatigued and slight fever, some swelling at injection site and soreness at injection site
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: Significant flare of PsO in surface area and thickness.  I have never been on biologic and only use nonsteroidal topical creams (3% salicylic acid).  The flare stared approximately Day 7 after 1st dose, and has continued to worsen exponentially.  2nd dose received today.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: PT had aa mild reaction with hives and itchy skin on her upper chest and face. No airway or breathing involvement. Pt given 25mg Benadryl, symptoms  began to resolve after 30-40 min.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: myalgias, fever, headache, left arm pain, chills
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Fever and headache
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea
Clinical narrative: After Moderna vaccine I had chills started night of vaccine on 1/6/2021 and noon on 1/7/2021 extreme fatigue, nausea, chills and heart rate of 35 and oxygen in 90. On 1/8/2021 I am much better.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Facial paralysis, Fatigue, Headache, Magnetic resonance imaging
Clinical narrative: Headache, Fatigue- on day 2 Bels Palsy- Day 4
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Facial paralysis, Fatigue, Headache, Magnetic resonance imaging
Clinical narrative: Headache, Fatigue- on day 2 Bels Palsy- Day 4
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bell's palsy
Clinical narrative: Headache, Fatigue- on day 2 Bels Palsy- Day 4
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Facial paralysis, Fatigue, Headache, Magnetic resonance imaging
Clinical narrative: 1/4/21: Headache, Dizziness &  Fatigue 1/7/21: Left Sided Facial Droop
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Facial paralysis, Fatigue, Headache, Magnetic resonance imaging
Clinical narrative: 1/4/21: Headache, Dizziness &  Fatigue 1/7/21: Left Sided Facial Droop
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bell's palsy
Clinical narrative: 1/4/21: Headache, Dizziness &  Fatigue 1/7/21: Left Sided Facial Droop
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dry mouth, Paraesthesia, Pruritus, Rash
Clinical narrative: Developed rash, itching on arm and on chest, tingly feet and dry cough, dry mouth
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Headache, Pain in extremity, Sleep disorder
Clinical narrative: Start with the normal sore arm continues on day five, normal headache two days. On the second day, very stomach pain so bad could not sleep now for three days.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: C/o nausea. no other symptoms
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Joint range of motion decreased, Magnetic resonance imaging, X-ray
Clinical narrative: Patient states pain and loss of range of motion in arm/shoulder
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: 1st dose Moderna injection given on Dec. 29 2020.  Left arm at injection site became itchy (and left side of body random itchiness.) Spot itchy for 1.5 days and bump appeared (looked like ant bite, but did not hurt.) Resolved after 2 days with no medial intervention or drugs. Today is 01/08/2021 and bump appears to have resolved, no itchiness or redness. No headache no body ache. Possible joint achiness for the 1.5 days. All resolved
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Paraesthesia oral
Clinical narrative: Following administration of the first dose of the COVID19 vaccine (Pfizer) patient reported right sided lip tingling (no swelling or drooping), and a "weird" feeling in chest (no additional details provided).  Patient appeared anxious, but declined feeling anxiety. Patient declined medical treatment/follow-up and her symptoms resolved.  Note: Patient received second dose of COVID19 vaccine (same lot# EH9899) on 1/8/2021 with close monitoring and no adverse reactions occurred.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Peripheral swelling, Pyrexia
Clinical narrative: ON 1/4/21, DEVELOPED FEVER, ARM SWELLING, CHILLS, AND BODY ACHES AROUND 8PM AND LASTED ABOUT 24 HOURS.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt was given her first dose of the Moderna Covid-19 vaccine on 1/4/2021 at the health center. She then called us at the county health dept several times requesting the vaccine because she is a healthcare professional. She came to the health dept on 1/7/2021 and received another dose of the  Moderna Covid-19 vaccine, without disclosing to us that she had received a dose 3 days earlier. . Making it a total of 2 doses only 3 days apart. Pt was contacted after it was realize and she stated that she did this because she did not think she actually received her first dose because she did not feel it. She has not reported any adverse effects .
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Migraine, Nausea, Vomiting
Clinical narrative: Nausea, Vomiting, Migraine with temp of 99.8. Symptoms resolved on 01/07/2021
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Client complains of itching, burning, redness, swelling, warm to the touch at injection site. State he has used ibuprofen, benedryl, and ice pack to relieve symptoms. No improvement since started yesterday, but reports he is at work today and is not able to treat symptoms regularly. He will continue current treatment of symptoms and report any improvement/worsening over the next few days. He has been advised to seek emergency care if he should have worsening symptoms and/or has any difficulty breathing. He also reports he gets annual flu vaccines and was in the military and has not had reactions to vaccines like this in the past.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Tightness in throat 30 minute after administration of the vaccine
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Fever for 20 hours, acetaminophen Myalgias for 48 hours, acetaminophen headache for 24 hours, acetaminophen chills for 24 hours, acetaminophen tenderness at injection site for 48 hours, acetaminophen
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pain, Skin warm, Swelling
Clinical narrative: redness, swelling, warmth, pain, firmness 7 days after vaccination
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Approximately 1 week post-injection (1-7-21), began feeling soreness return to injection site. Upon waking the next morning (1-8-21), site red, swollen, warm to touch, and tender. First drew border around redness at approximately 0845; by 1300, redness increased in diameter and has spread the width of my arm. Tenderness and swelling have increased as well to approximately a 5-6" diameter. Have taken benadryl PO 25 mg. No other treatment/action at this point.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pain, Pyrexia
Clinical narrative: Body Aches, dizziness, and fever for over 24 hours
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient vaccinated in left arm on 12/31/20 on 1/8/21 noted spot of redness, swelling and pain.  Not sure if this is a cellultis
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Bilateral arm numbness starting approximately 36 hours post administration of the vaccine. Symptoms are only in the middle of the night. No numbness when upright and moving around.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dysphagia, Feeding disorder, Lethargy, Mobility decreased
Clinical narrative: Patient received vaccine on 1/4/2021.  He was in Hospice for CHF and renal failure, but was able to get up in his wheelchair and eat and take medications and talk.  On 1/5/2021 am, he was noted to be very lethargic an could only mumble, could not swallow.  No localizing neurologic findings.  He was too lethargic to get up in chair.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Speech disorder
Clinical narrative: Patient received vaccine on 1/4/2021.  He was in Hospice for CHF and renal failure, but was able to get up in his wheelchair and eat and take medications and talk.  On 1/5/2021 am, he was noted to be very lethargic an could only mumble, could not swallow.  No localizing neurologic findings.  He was too lethargic to get up in chair.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Pyrexia
Clinical narrative: 5 minutes after receiving shot I felt a strong headache come on. Tylenol did not alleviate the pain. Later in the day I began to feel flu like symptoms with fever reaching 100.3. Same symptoms Day 2. Now, day 3 I still feel flu like symptoms.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fungal infection, Vulvovaginal discomfort, Vulvovaginal pruritus
Clinical narrative: ON 12/30/20, DEVELOPED ITCHING, IRRITATION OF VAGINAL AREA. WENT TO SEE HER DR. AND SAID SHE HAD A YEAST INFECTION.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Dizziness, Fatigue, Nausea
Clinical narrative: Patient developed sudden onset of severe vertigo with nausea and vomiting.  She became very week.  Blood pressure was above usual level (149/88) and she had nystagmus with no other focal neurologic signs. She continues to be "dizzy" but no true vertigo now.  She is weak and fatigued.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Nystagmus, Vertigo, Vomiting
Clinical narrative: Patient developed sudden onset of severe vertigo with nausea and vomiting.  She became very week.  Blood pressure was above usual level (149/88) and she had nystagmus with no other focal neurologic signs. She continues to be "dizzy" but no true vertigo now.  She is weak and fatigued.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA. Sweating, lightheaded
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise, Screaming, Tremor
Clinical narrative: 9:30 AM - Recipient sent to observation area post administration- tolerated well. In observation area 5 min. later recipient began stating she feels dizzy, screaming she does not feel well, began shaking upper torso and extremities, eyes shut - placed on ground floor with elevated legs, applied 10L/min oxygen via mask,  v/s taken (HR/PR/ Pupil reaction), EPIPEN 0.3mg administered @ 9:38 am, with good response as recipient seemed to calm down, no screaming, no shaking. At 9:52am EMS arrived and took over.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Rash, Urticaria
Clinical narrative: Hx of anaphylaxis to bee stings. Rash and hives over upper chest began immediately following vaccine. Taken to ED and given IV Benadryl, Famotidine and Solu-medrol. Discharged home from ED. Recommended to not receive second dose of covid vaccine.