chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: I received the vaccine on January 15, 2021 at 4:37 in the evening. Everything was good until about an hour after I got home, and I developed a headache and was very tired. Went to bed at my normal time which is 9o?clock, and slept all night. When I woke up the next morning which is January 15, 2021 my left arm was very sore and my headache was gone. Went to work at normal time, 7:00 am and began feeling very fatigued with muscle soreness and joint pain. Left work and came home and slept for two hours. Still experiencing aches and pains and fatigue. I do feel it necessary to report I have had a positive covid-19 result in April of 2020.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Insomnia, Pain
Clinical narrative: Body aches in R shoulder, hips, headache, insomnia
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site warmth, Musculoskeletal stiffness, Rash papular
Clinical narrative: Day 8 evening, I noticed my arm felt stiff. When I checked, I saw a large (3 in x 2 in) irregularly shaped erythema on my left arm, about 2 inches below the injection site. It was warm to touch and slightly raised. But no pain.  Rash persisted on Day 9.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 5 DAYS AFTER VACCINE NOTED SWELLING AND REDNESS WITH PAIN IN ARM AT INJECTION SITE.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Very bad chills, and all over body aches. Injection site was very swollen and red and hot to the touch.  PS. Just so you know i was poked twice, according to the person administering the shot the fluid was not fully injected, so i was poked twice.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dry mouth, Dysphagia, Throat irritation
Clinical narrative: At 0803 employee complained of his throat tightening and he was placed on an AED and EMS was called and a non-rebreather and Anaphylaxis kit were brought 0805 HR 118 RR 22 employee breathing was not labored AED "no shock advised" employee now reporting centralized tight feeling chest pain 0807 HR 122 RR 20 employee breathing was not labored. AED "no shock advised" 0809 HR 118 RR 22 AED "no shock advised" 0811 HR 102 RR 18 employee breathing was not labored. AED "no shock advised" Employee reported Chest pain "less tight" still with dry mouth ,difficulty swallowing and now burning sensation in throat 0811 HR 104 RR 18  AED "no shock advised" employee breathing was not labored 0813 EMS arrived and care of employee handed over. 02 and pharmacy monitoring applied. They assessed and took  patient to ED Received Solu-Medrol, Pepcid, and Benadryl in ED
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: At 0803 employee complained of his throat tightening and he was placed on an AED and EMS was called and a non-rebreather and Anaphylaxis kit were brought 0805 HR 118 RR 22 employee breathing was not labored AED "no shock advised" employee now reporting centralized tight feeling chest pain 0807 HR 122 RR 20 employee breathing was not labored. AED "no shock advised" 0809 HR 118 RR 22 AED "no shock advised" 0811 HR 102 RR 18 employee breathing was not labored. AED "no shock advised" Employee reported Chest pain "less tight" still with dry mouth ,difficulty swallowing and now burning sensation in throat 0811 HR 104 RR 18  AED "no shock advised" employee breathing was not labored 0813 EMS arrived and care of employee handed over. 02 and pharmacy monitoring applied. They assessed and took  patient to ED Received Solu-Medrol, Pepcid, and Benadryl in ED
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: I was feeling great until day 9 after the injection.  I could not sleep, was very warm and arm was sore.  I woke next morning to find my left arm at the injection site very swollen, hard, red, rashy, and extremely hot to the touch.  I advised with the nurses at work that morning, and I was told it was a common side affect, but I was still uneasy since I had no reaction until day 9.  I was prompted to call my doctor, which was out of the office, was advised to go to prompt care.  I was treated with a prescription of steriods and antibiotics.  Slept better that night, less hot, hard, rashy, and red next morning.  Still used ice packs during the work day.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Skin warm, Sleep disorder
Clinical narrative: I was feeling great until day 9 after the injection.  I could not sleep, was very warm and arm was sore.  I woke next morning to find my left arm at the injection site very swollen, hard, red, rashy, and extremely hot to the touch.  I advised with the nurses at work that morning, and I was told it was a common side affect, but I was still uneasy since I had no reaction until day 9.  I was prompted to call my doctor, which was out of the office, was advised to go to prompt care.  I was treated with a prescription of steriods and antibiotics.  Slept better that night, less hot, hard, rashy, and red next morning.  Still used ice packs during the work day.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Lethargy, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever, chills, nausea,  vomiting, and lethargy
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient had received monoclonal antibodies on 12/24/2020 and should not have received the vaccine today as 90 days have not passed since the treatment
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received monoclonal antibody treatment on 12/24/2020 for COVID-19 diagnosis. CDC recommends that patient's wait 90 days from  date of transfusion. This patient was not eligible to receive the vaccine on 1/15/21. The patient has not experienced any physical adverse effects from vaccine administration; however, facility personnel were notified to closely monitor patient over the next few weeks. Facility was notified that patient may need to re-start the series once 90 days have passed from monoclonal antibody treatment. Limited data is available from CDC.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Diarrhoea, Dizziness, Ear pain, Fatigue
Clinical narrative: muscle pain, lightheadedness (comes and goes), nauseau (off and on), headache, right sinus/ ear pain, insomnia, faint chest pain, numbness right arm and leg, diarrhea, wheezing (off and on), fatigue.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Insomnia, Myalgia, Nausea
Clinical narrative: muscle pain, lightheadedness (comes and goes), nauseau (off and on), headache, right sinus/ ear pain, insomnia, faint chest pain, numbness right arm and leg, diarrhea, wheezing (off and on), fatigue.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder, Syncope, Wheezing
Clinical narrative: muscle pain, lightheadedness (comes and goes), nauseau (off and on), headache, right sinus/ ear pain, insomnia, faint chest pain, numbness right arm and leg, diarrhea, wheezing (off and on), fatigue.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: EMPLOYEE REPORTED BEGAN ROUGHLY 12 HOURS FOLLOWING VACCINATION:  BODY ACHES, CHILLS, TEMP 101.5, HEADACHE.  RESOLVED WITHIN 48 HOURS.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative
Clinical narrative: Sore throat on days 1 and 2, runny nose and congestion days 2-5.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia, Pruritus, Urticaria
Clinical narrative: I recieved the first dose of Moderna vaccine on 1/5/21 and did not experience any adverse reactions in the days following. Then, on 1/13/21 (8 days post vaccine) I noticed hives covering most of my body. My face was tingling and my lips were swollen. I took an antihistamine that evening hoping it would go away. The day after 1/14/21 I woke up with the hives all over my body, especially on my face. They were very severe and itchy. I went to my dermatologist and they recommended a steroid cream and oral antihistamine to help reduce the itching. It is now 1/15/20, and the hives are still covering most of my body with severe hives on my face.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash bilat axillae, chest, abdomen
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Immediate post-injection reaction, Injection site pain, Mobility decreased, Pain
Clinical narrative: After receiving the moderna vaccine at 2:30PM yesterday, I immediately had soreness in my arm of the injection site and had difficulty raising my arm without pain as the day went on. I woke up this morning with chills, 101.4 fever and aches.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: After receiving the moderna vaccine at 2:30PM yesterday, I immediately had soreness in my arm of the injection site and had difficulty raising my arm without pain as the day went on. I woke up this morning with chills, 101.4 fever and aches.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood glucose, Injection site hypoaesthesia, Injection site paraesthesia, Myalgia
Clinical narrative: 30 y.o. female who was seen at SVH COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination.    She denied any history of previous adverse reactions to vaccines.   She was given the Moderna vaccination in the left deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience Right arm pain, numbness/tingling and soreness, note that injection was given in left arm.  She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.     ALLERGY REVIEW OF SYSTEMS:  Patient complains of muscle aches (Right arm)         Previous Reactions: No previous reactions to vaccines.     Objective    Vitals Vitals:   01/15/21 1239 01/15/21 1248 BP: 137/89 134/89 Pulse: 99 100 SpO2: 100% 100%     Blood Sugar 66 collected at 1236 * Patient given snack (granola bar) just before blood glucose checked.      Physical Exam Constitutional:      General: She is not in acute distress.    Appearance: Normal appearance. She is not ill-appearing.  Cardiovascular:     Rate and Rhythm: Normal rate.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.  Musculoskeletal:     Right shoulder: She exhibits pain. She exhibits normal range of motion and no tenderness.     Right elbow: She exhibits normal range of motion and no swelling. No tenderness found.     Right wrist: She exhibits normal range of motion and no tenderness.  Skin:    General: Skin is warm and dry.  Neurological:     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: Ibuprofen/analgesics. Follow up response to treatment: no change. Patient discharge: Stable to go home and follow up with PCP.   Reports that she had work up for Guillain Barre 2.5 years ago but this was ruled out. States that she has had intermittent pain of all extremities since that time and has a handicap parking placard due to this. She denies any pain in right arm prior to the vaccine but states it started just a few minutes after administration. She has full ROM without difficulty and full sensation but reports some numbness and tingling as well as soreness but not necessarily tender to touch. Ibuprofen was administered but shortly after patient requesting to leave and feels this pain is the same as what she's had over the past 2.5 years but wanted to keep us aware. She will be discharging home and states she does not live alone.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Physical examination, Vital signs measurement
Clinical narrative: 30 y.o. female who was seen at SVH COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination.    She denied any history of previous adverse reactions to vaccines.   She was given the Moderna vaccination in the left deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience Right arm pain, numbness/tingling and soreness, note that injection was given in left arm.  She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.     ALLERGY REVIEW OF SYSTEMS:  Patient complains of muscle aches (Right arm)         Previous Reactions: No previous reactions to vaccines.     Objective    Vitals Vitals:   01/15/21 1239 01/15/21 1248 BP: 137/89 134/89 Pulse: 99 100 SpO2: 100% 100%     Blood Sugar 66 collected at 1236 * Patient given snack (granola bar) just before blood glucose checked.      Physical Exam Constitutional:      General: She is not in acute distress.    Appearance: Normal appearance. She is not ill-appearing.  Cardiovascular:     Rate and Rhythm: Normal rate.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.  Musculoskeletal:     Right shoulder: She exhibits pain. She exhibits normal range of motion and no tenderness.     Right elbow: She exhibits normal range of motion and no swelling. No tenderness found.     Right wrist: She exhibits normal range of motion and no tenderness.  Skin:    General: Skin is warm and dry.  Neurological:     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: Ibuprofen/analgesics. Follow up response to treatment: no change. Patient discharge: Stable to go home and follow up with PCP.   Reports that she had work up for Guillain Barre 2.5 years ago but this was ruled out. States that she has had intermittent pain of all extremities since that time and has a handicap parking placard due to this. She denies any pain in right arm prior to the vaccine but states it started just a few minutes after administration. She has full ROM without difficulty and full sensation but reports some numbness and tingling as well as soreness but not necessarily tender to touch. Ibuprofen was administered but shortly after patient requesting to leave and feels this pain is the same as what she's had over the past 2.5 years but wanted to keep us aware. She will be discharging home and states she does not live alone.
Age: 66.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Asthenia, Pain, Pain in extremity
Clinical narrative: Significant arm pain that has persisted since immunization, weakness and pain. Patient has tried oral corticosteroids, considering cortisone injection.
Age: 66.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Asthenia, Bursitis, Cyst, Immediate post-injection reaction, Incorrect route of product administration
Clinical narrative: Significant arm pain that has persisted since immunization, weakness and pain. Patient has tried oral corticosteroids, considering cortisone injection.
Age: 66.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Inflammation, Injection site pain, Magnetic resonance imaging joint, Pain
Clinical narrative: Significant arm pain that has persisted since immunization, weakness and pain. Patient has tried oral corticosteroids, considering cortisone injection.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling, Paraesthesia oral, Tongue discomfort
Clinical narrative: Pt reports receiving Covid-19 vaccine on 1/9/2021 on left arm. She states that "immediately" after she received vaccine she felt "tongue tingling". About 10 min later she felt "lip tingling" and started to develop "large red bump" at injection site. She advised nurse observing patients and physician on site was advised. Pt reports she was administered EPI and Benadryl IM and "felt better almost immediately". Pt states "tingling" resolved within the hour and she felt "scalded tongue" for about 24 hrs. Large local reaction slowly resolved over a 3 day period. She denies any visible skin rash / hives or AE. No throat sx. No resp sx. No GI sx. Pt denies a hx of adverse reactions to any injected medication or to any vaccine in the past.   *Neg hx of Covid - 19 infection
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product temperature excursion issue
Clinical narrative: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye swelling, Fatigue, Headache, Hypoaesthesia oral
Clinical narrative: Moderna COVID?19 Vaccine EUA - had mild swelling of right eye about 30-45 min after injection - later that day had headache, fatigue and mild dizziness.  For 24-48 hours after injection had nausea, fatigue, dizziness off and on - swelling of right eye about the same. 72 hours after injection noticed moderate swelling of both eyes, right worse than left and swelling of upper lip. Also had some numbness and tingling to upper palate and back of throat.  Took 3 doses of benadryl that day and have continued to take zyrtec daily for 5 days - swelling has improved quite a bit but still noticed in right eye.  Swelling of lip and numbness and tingling of throat resolved after 2-3 doses of benadryl.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Nausea, Paraesthesia oral, Pharyngeal hypoaesthesia, Pharyngeal paraesthesia
Clinical narrative: Moderna COVID?19 Vaccine EUA - had mild swelling of right eye about 30-45 min after injection - later that day had headache, fatigue and mild dizziness.  For 24-48 hours after injection had nausea, fatigue, dizziness off and on - swelling of right eye about the same. 72 hours after injection noticed moderate swelling of both eyes, right worse than left and swelling of upper lip. Also had some numbness and tingling to upper palate and back of throat.  Took 3 doses of benadryl that day and have continued to take zyrtec daily for 5 days - swelling has improved quite a bit but still noticed in right eye.  Swelling of lip and numbness and tingling of throat resolved after 2-3 doses of benadryl.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Pain, Pyrexia, Throat irritation
Clinical narrative: Itch in throat Cough Fever 99.6 F Body aches Short of breath
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Arm pain and fever
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Lymphopenia, Platelet count decreased, Rhabdomyolysis, Thrombocytopenia
Clinical narrative: mild rhabdomyolysis presentation and lymphopenia and thrombocytopenia
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: mild rhabdomyolysis presentation and lymphopenia and thrombocytopenia
Age: 27.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Dyskinesia, Feeling abnormal, Loss of consciousness, Seizure
Clinical narrative: Patient stated he did not feel good about 3-4 minutes after the injection, sat on the floor and a few moments later he lost consciousness and began to have dyskinetic movements for a period of 3-4 minutes.  Patient then regain consciousness and stated that he felt like he was having a seizure.  He was alert to person and place and knew that he had just gotten a vaccine.   He was given some apple juice and blood pressure was taken 5-10 minutes after episode.  Patient stated he felt ok and was able to leave office on his own, his mother was waiting in the car and drove him home.
Age: 27.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Erythema, Seizure
Clinical narrative: Patient stated he did not feel good about 3-4 minutes after the injection, sat on the floor and a few moments later he lost consciousness and began to have dyskinetic movements for a period of 3-4 minutes.  Patient then regain consciousness and stated that he felt like he was having a seizure.  He was alert to person and place and knew that he had just gotten a vaccine.   He was given some apple juice and blood pressure was taken 5-10 minutes after episode.  Patient stated he felt ok and was able to leave office on his own, his mother was waiting in the car and drove him home.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient called 1-15-2021 reporting delayed reaction from her Moderna vaccine given 1-04-2021. She reported soreness, redness, warmth, swelling and a lump 2"x2" at the injection site. The message was sent to me and I have tried to call the patient with no answer. I have left a voicemail for her to return my call. Date for onset of side effects is unknow at this time.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: SORE ARM
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hyperaesthesia, Pain, Pyrexia
Clinical narrative: Started experiencing fevers, chills, body aches, and sensitivity to touch on top of head.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Hives across face and upper torso, arms.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Laboratory test normal, Lymphadenopathy, Pain, Peripheral swelling
Clinical narrative: 2nd Shot given 21 days after the first shot. Next day seemed like normal side effects. Day 2 those effects went away low grade fever, aches, but had a knot axillary lymph node, and my arm hurt worse then the swelling spread to my chest and neck. No trouble breathing.  I went to the ER because the swelling was getting worse and they did a CT scan and gave me IV fluids. The CT scan revealed swollen lymph nodes.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling
Clinical narrative: 2nd Shot given 21 days after the first shot. Next day seemed like normal side effects. Day 2 those effects went away low grade fever, aches, but had a knot axillary lymph node, and my arm hurt worse then the swelling spread to my chest and neck. No trouble breathing.  I went to the ER because the swelling was getting worse and they did a CT scan and gave me IV fluids. The CT scan revealed swollen lymph nodes.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood pressure abnormal, Chest pain, Drooling, Dry skin
Clinical narrative: 30 y.o. female who was seen at a COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination.    She denied any history of previous adverse reactions to vaccines.   She was given the Moderna vaccination in the left deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience Right arm pain, numbness/tingling and soreness, note that injection was given in left arm.  She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.     ALLERGY REVIEW OF SYSTEMS:  Patient complains of muscle aches (Right arm)         Previous Reactions: No previous reactions to vaccines.     Objective    Vitals Vitals:   01/15/21 1239 01/15/21 1248 BP: 137/89 134/89 Pulse: 99 100 SpO2: 100% 100%     Blood Sugar 66 collected at 1236 * Patient given snack (granola bar) just before blood glucose checked.      Physical Exam Constitutional:      General: She is not in acute distress.    Appearance: Normal appearance. She is not ill-appearing.  Cardiovascular:     Rate and Rhythm: Normal rate.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.  Musculoskeletal:     Right shoulder: She exhibits pain. She exhibits normal range of motion and no tenderness.     Right elbow: She exhibits normal range of motion and no swelling. No tenderness found.     Right wrist: She exhibits normal range of motion and no tenderness.  Skin:    General: Skin is warm and dry.  Neurological:     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: Ibuprofen/analgesics. Follow up response to treatment: no change. Patient discharge: Stable to go home and follow up with PCP.   Reports that she had work up for Guillain Barre 2.5 years ago but this was ruled out. States that she has had intermittent pain of all extremities since that time and has a handicap parking placard due to this. She denies any pain in right arm prior to the vaccine but states it started just a few minutes after administration. She has full ROM without difficulty and full sensation but reports some numbness and tingling as well as soreness but not necessarily tender to touch. Ibuprofen was administered but shortly after patient requesting to leave and feels this pain is the same as what she's had over the past 2.5 years but wanted to keep us aware. She will be discharging home and states she does not live alone.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypotension, Loss of consciousness, Myalgia, Pain in extremity
Clinical narrative: 30 y.o. female who was seen at a COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination.    She denied any history of previous adverse reactions to vaccines.   She was given the Moderna vaccination in the left deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience Right arm pain, numbness/tingling and soreness, note that injection was given in left arm.  She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.     ALLERGY REVIEW OF SYSTEMS:  Patient complains of muscle aches (Right arm)         Previous Reactions: No previous reactions to vaccines.     Objective    Vitals Vitals:   01/15/21 1239 01/15/21 1248 BP: 137/89 134/89 Pulse: 99 100 SpO2: 100% 100%     Blood Sugar 66 collected at 1236 * Patient given snack (granola bar) just before blood glucose checked.      Physical Exam Constitutional:      General: She is not in acute distress.    Appearance: Normal appearance. She is not ill-appearing.  Cardiovascular:     Rate and Rhythm: Normal rate.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.  Musculoskeletal:     Right shoulder: She exhibits pain. She exhibits normal range of motion and no tenderness.     Right elbow: She exhibits normal range of motion and no swelling. No tenderness found.     Right wrist: She exhibits normal range of motion and no tenderness.  Skin:    General: Skin is warm and dry.  Neurological:     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: Ibuprofen/analgesics. Follow up response to treatment: no change. Patient discharge: Stable to go home and follow up with PCP.   Reports that she had work up for Guillain Barre 2.5 years ago but this was ruled out. States that she has had intermittent pain of all extremities since that time and has a handicap parking placard due to this. She denies any pain in right arm prior to the vaccine but states it started just a few minutes after administration. She has full ROM without difficulty and full sensation but reports some numbness and tingling as well as soreness but not necessarily tender to touch. Ibuprofen was administered but shortly after patient requesting to leave and feels this pain is the same as what she's had over the past 2.5 years but wanted to keep us aware. She will be discharging home and states she does not live alone.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Respiratory distress, Skin reaction, Skin warm, Swelling
Clinical narrative: 30 y.o. female who was seen at a COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination.    She denied any history of previous adverse reactions to vaccines.   She was given the Moderna vaccination in the left deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience Right arm pain, numbness/tingling and soreness, note that injection was given in left arm.  She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.     ALLERGY REVIEW OF SYSTEMS:  Patient complains of muscle aches (Right arm)         Previous Reactions: No previous reactions to vaccines.     Objective    Vitals Vitals:   01/15/21 1239 01/15/21 1248 BP: 137/89 134/89 Pulse: 99 100 SpO2: 100% 100%     Blood Sugar 66 collected at 1236 * Patient given snack (granola bar) just before blood glucose checked.      Physical Exam Constitutional:      General: She is not in acute distress.    Appearance: Normal appearance. She is not ill-appearing.  Cardiovascular:     Rate and Rhythm: Normal rate.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.  Musculoskeletal:     Right shoulder: She exhibits pain. She exhibits normal range of motion and no tenderness.     Right elbow: She exhibits normal range of motion and no swelling. No tenderness found.     Right wrist: She exhibits normal range of motion and no tenderness.  Skin:    General: Skin is warm and dry.  Neurological:     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: Ibuprofen/analgesics. Follow up response to treatment: no change. Patient discharge: Stable to go home and follow up with PCP.   Reports that she had work up for Guillain Barre 2.5 years ago but this was ruled out. States that she has had intermittent pain of all extremities since that time and has a handicap parking placard due to this. She denies any pain in right arm prior to the vaccine but states it started just a few minutes after administration. She has full ROM without difficulty and full sensation but reports some numbness and tingling as well as soreness but not necessarily tender to touch. Ibuprofen was administered but shortly after patient requesting to leave and feels this pain is the same as what she's had over the past 2.5 years but wanted to keep us aware. She will be discharging home and states she does not live alone.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Vomiting
Clinical narrative: 30 y.o. female who was seen at a COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination.    She denied any history of previous adverse reactions to vaccines.   She was given the Moderna vaccination in the left deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience Right arm pain, numbness/tingling and soreness, note that injection was given in left arm.  She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.     ALLERGY REVIEW OF SYSTEMS:  Patient complains of muscle aches (Right arm)         Previous Reactions: No previous reactions to vaccines.     Objective    Vitals Vitals:   01/15/21 1239 01/15/21 1248 BP: 137/89 134/89 Pulse: 99 100 SpO2: 100% 100%     Blood Sugar 66 collected at 1236 * Patient given snack (granola bar) just before blood glucose checked.      Physical Exam Constitutional:      General: She is not in acute distress.    Appearance: Normal appearance. She is not ill-appearing.  Cardiovascular:     Rate and Rhythm: Normal rate.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.  Musculoskeletal:     Right shoulder: She exhibits pain. She exhibits normal range of motion and no tenderness.     Right elbow: She exhibits normal range of motion and no swelling. No tenderness found.     Right wrist: She exhibits normal range of motion and no tenderness.  Skin:    General: Skin is warm and dry.  Neurological:     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: Ibuprofen/analgesics. Follow up response to treatment: no change. Patient discharge: Stable to go home and follow up with PCP.   Reports that she had work up for Guillain Barre 2.5 years ago but this was ruled out. States that she has had intermittent pain of all extremities since that time and has a handicap parking placard due to this. She denies any pain in right arm prior to the vaccine but states it started just a few minutes after administration. She has full ROM without difficulty and full sensation but reports some numbness and tingling as well as soreness but not necessarily tender to touch. Ibuprofen was administered but shortly after patient requesting to leave and feels this pain is the same as what she's had over the past 2.5 years but wanted to keep us aware. She will be discharging home and states she does not live alone.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Erythema, Injection site swelling, Nausea
Clinical narrative: 3:00 PM injection site pain swelling resolved within 48 hours 7:00 PM Skin redness sensitivity on chest, abdomen right trunk resolved within 6 hrs. 9:00 PM chills, body aches, nausea  resolved within 48 hrs 1:50 AM. Diarrhea resolved within 12 hours 2:00 AM. Vomiting multiple times resolved within 30 minutes
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Sensitive skin, Vomiting
Clinical narrative: 3:00 PM injection site pain swelling resolved within 48 hours 7:00 PM Skin redness sensitivity on chest, abdomen right trunk resolved within 6 hrs. 9:00 PM chills, body aches, nausea  resolved within 48 hrs 1:50 AM. Diarrhea resolved within 12 hours 2:00 AM. Vomiting multiple times resolved within 30 minutes
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymph node pain, Lymphadenopathy, Malaise, Pain
Clinical narrative: Fatigue, malaise, and mild body aches from about 12 hours to 36 hours post vaccine. Then, starting about 4 days post vaccination, noted 2 enlarged (1-2cm) right axillary lymph nodes  and 1 tender 2-3cm enlarged supraclavixular lymph node.   These lymph nodes are on the same side and area that the vaccine was received.   It is 7 days post vaccine and the nodes persist but are less tender.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: 2043-patient received 2nd dose; 2055- c/o dizziness, lightheadedness, nauseated. Patient has not eaten since 0800  in the morning.  2100 Patient-given granola bar and water and reports feeling much better.  Patient declined ED or Urgent care at this time.  Patient to call if symptoms return.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Vaso vagal response.  No LOC. No additional medical treatment required.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Lymph node pain, Lymphadenopathy, Rash erythematous, Rash macular
Clinical narrative: Swollen, painful lymph node in the left axilla and an erythematous, macular rash with distinct borders on the left deltoid, where the injection was given.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Client complained of dizziness.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Tremor
Clinical narrative: Seizure like reaction after COVID-19 vaccine, experienced weakness and shortness of breath.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Feeling cold, Pain, Pain in extremity, Pyrexia
Clinical narrative: I had chilliness and body ache same day of the vaccine, second day I had sourness in my arm then after 4 days I had fever with pressure on my chest, the fever last for one day and pressure last for more than one week.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site paraesthesia, Injection site pruritus
Clinical narrative: 15 minutes after vaccination, patient's hand on injection site started itching and tingling around the knuckles. Patient not in acute physical or respiratory distress. Pulse oximetry taken and within normal limits. Patient stayed in the observation area for a longer duration.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Impaired work ability, Injection site pain
Clinical narrative: 1/9/2021- went from minor fatigue to inability to stand . Vomiting body aches ( back and shoulder), pain at injection site, possible fever and night sweats.  1/10/2021- still fatigued 1/11/2021- tired not as fatigued- called out MOnday 1/11/2021 1/12/2021- felt well again
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Vomiting
Clinical narrative: 1/9/2021- went from minor fatigue to inability to stand . Vomiting body aches ( back and shoulder), pain at injection site, possible fever and night sweats.  1/10/2021- still fatigued 1/11/2021- tired not as fatigued- called out MOnday 1/11/2021 1/12/2021- felt well again
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Vaccination complication
Clinical narrative: severe reaction to the pneumonia vaccine; This spontaneous report was received from a 66 year old female patient, via other company. No information was given regarding the patient's concurrent conditions, concomitant medications or medical history.  On an unknown date, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) for prophylaxis (dose, route of administration, lot number and expiration date were not reported). On an unknown date, the patient experienced a severe reaction to pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23)  (vaccination complication).       The outcome of the event vaccination complication and the causal relationship between the event and vaccination with pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23)  was not reported.; Sender's Comments:  AE-2020-24035
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient had no immediate effects from the vaccine, but died approximately 8 hours after receiving first dose of vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Feeling cold, Headache, Hot flush
Clinical narrative: Muscle Aches and Joint Pains; Headache; Nausea; Pain, swelling, redness and heat at injection site; Feverish symptoms without fever: hot and cold flashes and profuse sweating. Elaboration: the pain in my body was global and severe. At a time I could not move because my spine and neck felt like they were in fire. I also felt like vomiting, but could not. These symptoms continued through the night and into the next day with periods of feeling extremely hot and sweating and having chills like ice and sweating.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Injection site erythema, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Muscle Aches and Joint Pains; Headache; Nausea; Pain, swelling, redness and heat at injection site; Feverish symptoms without fever: hot and cold flashes and profuse sweating. Elaboration: the pain in my body was global and severe. At a time I could not move because my spine and neck felt like they were in fire. I also felt like vomiting, but could not. These symptoms continued through the night and into the next day with periods of feeling extremely hot and sweating and having chills like ice and sweating.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Muscle Aches and Joint Pains; Headache; Nausea; Pain, swelling, redness and heat at injection site; Feverish symptoms without fever: hot and cold flashes and profuse sweating. Elaboration: the pain in my body was global and severe. At a time I could not move because my spine and neck felt like they were in fire. I also felt like vomiting, but could not. These symptoms continued through the night and into the next day with periods of feeling extremely hot and sweating and having chills like ice and sweating.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Death, General physical health deterioration
Clinical narrative: Resident began having a general decline in condition on 1/8/21 and continued to decline until her passing on 1/10/21.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Hypoaesthesia, Injection site erythema, Injection site pain
Clinical narrative: Shot on Thursday (1/7/21h at 1PM) Immediate:  Experienced some light headiness right after shot. 2-3 hours later - Some chest tightness, even up to throat. Resolved evening that day.     Usual soreness in arm, expected resolved after about 48 hours. Around 2 pm 1/14, felt chest tightness return up to throat, looked at arm, hot red and swollen, like a bug bite, itchy.  Did not take antihistamine.   1/15/21 redness and itchiness still at injection site.  Mild itching. Lingering mild chest tightness.  Upon big inhalation, feels like someone squeezing ? numb pain ? in chest and up to throat with a big breath.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Painful respiration, Throat tightness
Clinical narrative: Shot on Thursday (1/7/21h at 1PM) Immediate:  Experienced some light headiness right after shot. 2-3 hours later - Some chest tightness, even up to throat. Resolved evening that day.     Usual soreness in arm, expected resolved after about 48 hours. Around 2 pm 1/14, felt chest tightness return up to throat, looked at arm, hot red and swollen, like a bug bite, itchy.  Did not take antihistamine.   1/15/21 redness and itchiness still at injection site.  Mild itching. Lingering mild chest tightness.  Upon big inhalation, feels like someone squeezing ? numb pain ? in chest and up to throat with a big breath.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: this is a report of a vaccine-administration error with no known adverse event to date;  vaccinated individual is a health care worker (physician assistant) who works at two different systems and mistakenly believed he needed to receive vaccine series at each system, thus he received 2 separate series of COVID-19 mrna  vaccine, a total of 4 injections: COVID-19 (Pfizer) 1     12/21/2020   Pfizer lot # EK5730   COVID-19 (Pfizer) 2 12/22/2020 Pharmacy Pfizer  lot # EL0140   COVID-19 (Pfizer) 3 01/08/2021 Pfizer lot # EL0142   COVID-19 (Pfizer) 4 01/12/2021 Pfizer lot # EK9231
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Breath odour
Clinical narrative: ODOR. I am constantly smelling smoke. As if I am holding a cigarette ashtray against my nose when taking deep breath; This is a spontaneous report from a contactable nurse (patient). A 50-year-old male patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: EH9899; expiration date: not known), via an unspecified route of administration on left arm on 16Dec2020 13:30 at single dose for covid-19 immunization, administered in hospital. The patient's medical history and concomitant medications were not reported. The patient previously took aspirin and experienced allergies. The patient was not diagnosed with COVID-19 prior to vaccination and had not been tested for COVID-19 since the vaccination. On 23Dec2020 13:00, the patient experienced "ODOR". He was constantly smelling smoke. As if he was holding a cigarette ashtray against his nose when taking deep breath. This started a week after the first injection. The reported event is non-serious. No treatment was received for the event. The outcome of the event was not recovered.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature, Chills, Headache, Pain, Pyrexia
Clinical narrative: body aches; chills; fever 100.4; headache; runny nose; This is a spontaneous report from a contactable nurse (patient). A 25-year-old female patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: EL0140; expiration date: not known), intramuscular on left arm on 07Jan2021 10:00 at single dose for COVID-19 immunization, administered in hospital. Medical history included COVID-19 (reported as "COVID prior vaccination: Yes"). The patient is not pregnant at the time of vaccination. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to vaccine and no other medications received within 2 weeks of vaccination. The patient experienced body aches, chills, fever 100.4, headache, and runny nose on 07Jan2021 20:00. The reported events were non-serious. There were no treatment received for the reported events. The patient underwent lab tests and procedures which included nasal swab on 01Oct2020: negative; blood test and antibody test on 06Oct2020: unknown results and positive respectively. The outcome of the events was recovering.