chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium decreased, Chills, Muscle spasms, Myalgia, Pain
Clinical narrative: I had a sudden and extreme loss of calcium.  My face was tingling and I went into a sever case of tetany.  I took my forteo and calcium abs waited.  It took a good hour or so to get over the attack.  It was definitely from the shot and for some reason it messed with my calcium levels.  The next day I was very achy fever chills and pain.  But that was more normal  reaction s. The calcium was very sudden abs s about 5 hours after injection.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia, Tetany
Clinical narrative: I had a sudden and extreme loss of calcium.  My face was tingling and I went into a sever case of tetany.  I took my forteo and calcium abs waited.  It took a good hour or so to get over the attack.  It was definitely from the shot and for some reason it messed with my calcium levels.  The next day I was very achy fever chills and pain.  But that was more normal  reaction s. The calcium was very sudden abs s about 5 hours after injection.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Client c/o dizzy and tingling in left arm. Reported having similar reaction when given Flagyl. Client placed in prone position and monitored. VSS O2 99% on RA. After monitoring and evaluation by on-site EMTs, pt reported feeling better, able to ambulate with minimal assistance. Family present in clinic.  Client left with spouse and family at 1505.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient had rash that started at elbow on vaccinated arm and progressed to her wrist. Reaction began 2 hours after vaccination and as of 4/7/21 patient still had rash on her arm.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Blood sodium decreased, Electrocardiogram normal, Presyncope
Clinical narrative: Patient experienced vasovagal episode in response to 1st dose of Pfizer vaccine. After an hour of observation, water, snack and trendelenburg, symptoms were not improving.  Patient was admitted to ER. In the ED, she stated something similar occurred in the past when she was getting her Shingles vaccine. No hx of irregular heart rhythm or seizures. No prodromal symptoms or postictal state. Vitals significant for elevated BP 180s/100s, otherwise vitals stable. Labs significant only for Na 134. EKG was NSR. Most likely pt suffered from a vasovagal syncopal episode triggered by stress/anxiety. Pt's BP remained elevated as was in the ED, with an anxious affect that resulted in further increase in her BP. She was given xanax 0.25mg with recheck of her BP in 170s/90s.  She was also counseled to maintain her hydration to prevent orthostatic changes. Pt agreed with plan, was happy with care, and discharged home in stable condition.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cold sweat, Dizziness, Feeling abnormal, Nausea
Clinical narrative: In the observation area, shortly after receiving her 2nd dose of COVID-19 vaccine, she felt nauseous and went to the restroom where she vomited.  Another patron reported to staff that someone was sick.  A staff member caught patient exiting the restroom and escorted her back to the observation area.  She reported chest tightness, nausea, felt clammy, foggy/lightheaded.  Vitals were monitored for 45 minutes. 0856 BP 124/76 P 98 O2 94, 0900 BP 103/71 P 93 O2 95, 0904 BP 83/55 P 92  O2 95, 0908  BP 93/59 P 94 O2 94, 0911  BP 94/68 P 98 O2 96, 0917  BP 102/72 P 93 O2 97, 0923 BP 102/68 P 89  O2 97, 0933 BP 118/70 P 86  O2 96, 0935. Patient escorted out, reported feeling much better, her husband was transporting her.  She was instructed to seek help if symptoms returned or worsened.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: In the observation area, shortly after receiving her 2nd dose of COVID-19 vaccine, she felt nauseous and went to the restroom where she vomited.  Another patron reported to staff that someone was sick.  A staff member caught patient exiting the restroom and escorted her back to the observation area.  She reported chest tightness, nausea, felt clammy, foggy/lightheaded.  Vitals were monitored for 45 minutes. 0856 BP 124/76 P 98 O2 94, 0900 BP 103/71 P 93 O2 95, 0904 BP 83/55 P 92  O2 95, 0908  BP 93/59 P 94 O2 94, 0911  BP 94/68 P 98 O2 96, 0917  BP 102/72 P 93 O2 97, 0923 BP 102/68 P 89  O2 97, 0933 BP 118/70 P 86  O2 96, 0935. Patient escorted out, reported feeling much better, her husband was transporting her.  She was instructed to seek help if symptoms returned or worsened.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Patient developed blurred vision in the right eye shortly after receiving vaccination. Patient was evaluated by medic and a health care provider. Symptoms resolved spontaneously without treatment.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood test, Chest X-ray normal, Computerised tomogram
Clinical narrative: FEVER - 99.3°-102.9° SEVERE MUSCLE CRAMPING / PAIN IN BACK, SIDE, RIBS JOINT PAIN LETHARGIC NO APPETITE DEHYDRATION  Pt was taken by ambulance to ER - no relief after administration of Torodol. Norco somewhat helpful. Second trip to ER (different), pt was given IV antibiotics, morphine, CAT scan from upper chest to pelvis MRI next date was unremarkable for infection of lower spine. Dr. states that there is no reason for fever or pain, save the Moderna vaccine
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dehydration, Lethargy, Magnetic resonance imaging spinal normal, Muscle spasms
Clinical narrative: FEVER - 99.3°-102.9° SEVERE MUSCLE CRAMPING / PAIN IN BACK, SIDE, RIBS JOINT PAIN LETHARGIC NO APPETITE DEHYDRATION  Pt was taken by ambulance to ER - no relief after administration of Torodol. Norco somewhat helpful. Second trip to ER (different), pt was given IV antibiotics, morphine, CAT scan from upper chest to pelvis MRI next date was unremarkable for infection of lower spine. Dr. states that there is no reason for fever or pain, save the Moderna vaccine
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Pyrexia
Clinical narrative: FEVER - 99.3°-102.9° SEVERE MUSCLE CRAMPING / PAIN IN BACK, SIDE, RIBS JOINT PAIN LETHARGIC NO APPETITE DEHYDRATION  Pt was taken by ambulance to ER - no relief after administration of Torodol. Norco somewhat helpful. Second trip to ER (different), pt was given IV antibiotics, morphine, CAT scan from upper chest to pelvis MRI next date was unremarkable for infection of lower spine. Dr. states that there is no reason for fever or pain, save the Moderna vaccine
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Neurological symptom, Pyrexia, Sensory disturbance
Clinical narrative: major: neurologic effects upon waking - feeling of brain ricocheting back and forth upon change in position  minor - chills & feverishness
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Chest X-ray normal, Chills, Dyspnoea, Electrocardiogram normal
Clinical narrative: Migraine D1, Migraine D2, D3 chills, shortness of breath, heart palpitations, tinnitus; called MD at  Clinic, RN  spoke to told me to go to the ER since I had to keep pausing conversation to breathe. SOB lasted 3-4hrs and was gradually improving as I drove to  ER.  Tinnitus not improved, Chills improved, SOB severe improved but still occasional mild SOB, Palpitations improved, Migraines improved
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Full blood count normal, Laboratory test, Migraine, Palpitations
Clinical narrative: Migraine D1, Migraine D2, D3 chills, shortness of breath, heart palpitations, tinnitus; called MD at  Clinic, RN  spoke to told me to go to the ER since I had to keep pausing conversation to breathe. SOB lasted 3-4hrs and was gradually improving as I drove to  ER.  Tinnitus not improved, Chills improved, SOB severe improved but still occasional mild SOB, Palpitations improved, Migraines improved
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Troponin normal
Clinical narrative: Migraine D1, Migraine D2, D3 chills, shortness of breath, heart palpitations, tinnitus; called MD at  Clinic, RN  spoke to told me to go to the ER since I had to keep pausing conversation to breathe. SOB lasted 3-4hrs and was gradually improving as I drove to  ER.  Tinnitus not improved, Chills improved, SOB severe improved but still occasional mild SOB, Palpitations improved, Migraines improved
Sex: U
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Illness, Pain
Clinical narrative: The night of receiving the vaccine I got very sick with chills, painful throbbing headache like my head was going to explode, strong body aches, sweating, a low grade fever,
Sex: U
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: The night of receiving the vaccine I got very sick with chills, painful throbbing headache like my head was going to explode, strong body aches, sweating, a low grade fever,
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Presyncope
Clinical narrative: Patient reported feeling dizzy and experiencing a pre-syncopal episode Patient seen by medical team , given water and stated symptoms later improved Patient refused medical transport and signed AMA form
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Depressed mood, Depression, Fatigue, Headache, Immediate post-injection reaction
Clinical narrative: 1. Soreness at injection side immediately after administration, duration around 6 hours 2. Significant headache presented in front and sides of head (near temples), beginning day 1 after injection, with duration of 4 days. 3. Fatigue presented on day 1 after injection, duration of 4 days. 4. Mental health symptoms after day 1, with duration of 5 days, presenting as feelings of sadness and depressive ideation.   The last symptom (#4) is difficult for me to correlate specifically to the vaccination, as I am a 60 year-old and in my first year in a rigorous doctoral program at a hospital. The negative physical symptoms experienced by the injection could have added an extra layer to the sadness that I reported from the daily app check-ins. I already operate (since fall 2020) in an overwhelmed state (while beginning a difficult academic program via Zoom). Could the physical fatigue and headaches from the vaccine lead to the feelings of sadness? Or were the feelings of sadness a third symptom of the vaccine? I cannot answer, and therefore cannot provide this correlation link with any reliability.  I did speak to my therapist via Zoom, and reached out via email to my general physician (who recommended OTC meds.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Mental disorder
Clinical narrative: 1. Soreness at injection side immediately after administration, duration around 6 hours 2. Significant headache presented in front and sides of head (near temples), beginning day 1 after injection, with duration of 4 days. 3. Fatigue presented on day 1 after injection, duration of 4 days. 4. Mental health symptoms after day 1, with duration of 5 days, presenting as feelings of sadness and depressive ideation.   The last symptom (#4) is difficult for me to correlate specifically to the vaccination, as I am a 60 year-old and in my first year in a rigorous doctoral program at a hospital. The negative physical symptoms experienced by the injection could have added an extra layer to the sadness that I reported from the daily app check-ins. I already operate (since fall 2020) in an overwhelmed state (while beginning a difficult academic program via Zoom). Could the physical fatigue and headaches from the vaccine lead to the feelings of sadness? Or were the feelings of sadness a third symptom of the vaccine? I cannot answer, and therefore cannot provide this correlation link with any reliability.  I did speak to my therapist via Zoom, and reached out via email to my general physician (who recommended OTC meds.
Age: 44.0
Sex: F
Vaccine: UNK
Symptoms: Heart rate increased, Nausea, Pyrexia
Clinical narrative: Feverish, nauseous, fast heartbeat
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: Dizzy, nausea, headache, very sore legs and hands, chills, fever., fatigue.  The headache was the last to go, it lasted for 2 days.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Dizzy, nausea, headache, very sore legs and hands, chills, fever., fatigue.  The headache was the last to go, it lasted for 2 days.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling, Pain in extremity
Clinical narrative: Intense soreness in left arm  which dissipated after first day.  Then on day 7, swelling developed around injection site along with firmness, tenderness, and itching in 2-inch diameter
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Discomfort, Dizziness, Feeling abnormal, Nausea
Clinical narrative: Moderna COVID-19 Vaccine EUA.  Starting about 10 or 11 hours after the shot, my temperature started to go up and hovered around 101.8 for at least 7 hours until it hit 102 and I took some Advil.  The body aches were intense and like nothing I have ever experienced so between that and the fever, I just had to take something.  I was woozy all day but again, starting in the first evening, any time I stood up, I thought I was going to pass out.  I got nauseous after taking the Advil and haven't taken any other fever/ache reducers since last night  because I don't want to feel nauseous anymore.  I could not eat anything yesterday after about lunch time.  Now, the next morning at 9:30am, I could only eat a little fruit smoothie and nothing else (except a ton of water all day yesterday, and all night, etc).  When I first "woke up" (I didn't sleep much last night since I was so uncomfortable), my fever was down to 99.6 but now it is back up to 100.8 (I am usually slightly sub-normal temp).  I am not a wimp, I have been sick before and gone through child birth.  The way I feel now is crappy enough that I thought you should know and even though I am extremely uncomfortable right now, I am taking the time to file this report FYI.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Sleep disorder
Clinical narrative: Moderna COVID-19 Vaccine EUA.  Starting about 10 or 11 hours after the shot, my temperature started to go up and hovered around 101.8 for at least 7 hours until it hit 102 and I took some Advil.  The body aches were intense and like nothing I have ever experienced so between that and the fever, I just had to take something.  I was woozy all day but again, starting in the first evening, any time I stood up, I thought I was going to pass out.  I got nauseous after taking the Advil and haven't taken any other fever/ache reducers since last night  because I don't want to feel nauseous anymore.  I could not eat anything yesterday after about lunch time.  Now, the next morning at 9:30am, I could only eat a little fruit smoothie and nothing else (except a ton of water all day yesterday, and all night, etc).  When I first "woke up" (I didn't sleep much last night since I was so uncomfortable), my fever was down to 99.6 but now it is back up to 100.8 (I am usually slightly sub-normal temp).  I am not a wimp, I have been sick before and gone through child birth.  The way I feel now is crappy enough that I thought you should know and even though I am extremely uncomfortable right now, I am taking the time to file this report FYI.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash
Clinical narrative: Pt reports having redness to both arms after vaccine with no previous history of same. Pt had never noticed any reddening to either arm. Pt also reported tiny re pinpoint dots to both arms. No signs of urticaria, no respiratory Difficulty or other associated s/s.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass
Clinical narrative: Lump under right arm (armpit)
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Head discomfort, Influenza like illness, Myalgia
Clinical narrative: Immediately felt nausea; my head felt enlarged.  Dizzy. Next day dizzy feels like the flu-sore muscles in legs/body/nauseous/cant sit up- need to lay down.  Feel very uncomfortable.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Immediately felt nausea; my head felt enlarged.  Dizzy. Next day dizzy feels like the flu-sore muscles in legs/body/nauseous/cant sit up- need to lay down.  Feel very uncomfortable.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: pain, redness (4 inch diameter), swelling, itchiness around injection site
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy
Clinical narrative: Injection shot swollen and red and  lymph nodes in neck swollen
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hyperhidrosis, Injection site reaction
Clinical narrative: Sweaty Feet and Palms, Headache, dizziness, small rush at injection site all started within 30 min of vaccine and have continued for over 4 hours, havent gotten better, just keep getting worse
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Swelling
Clinical narrative: pt says his neck was itching and had swelling and bumps on his neck.  His body was itching and it would swell and turned red everywhere he would scratch.  he took an antihistamine with helped.  He woke up next day and all symptoms were gone with the exception on swelling and redness in the neck which he has a spot the size of a golf ball.  Pt is still taking the antihistamine.  Pt will contact PCP if symptoms do not subside.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: Body aches, chills headaches, nausea , diarrhea, fatigue    fever of 102-103 degrees F. From 12-20 hours after vaccination to current (2 days)
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Body aches, chills headaches, nausea , diarrhea, fatigue    fever of 102-103 degrees F. From 12-20 hours after vaccination to current (2 days)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Incorrect dose administered, Syringe issue
Clinical narrative: WVU Nursing Student administering vaccine to R delt. Syringe leaked around needle during injection and less than half of vaccine was administered. Full dose administered to L delt per CDC recommendation. Pt monitored for 15 minutes after vaccination.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Breath sounds abnormal, Dyspnoea, Wheezing
Clinical narrative: Arrived in observation at 1:16pm. complained of shortness of breath, wheezing at 1:35pm. Pulse regular at 92. Resp. rate 22 SPao297, BP 150/86. Diminished breath sounds, clear. Negative for stridor. After removing mask, patient stated wheezing subsided. 1:40pm - patient refused medical treatment and EMS. Denied shortness of breath at this time. 1:41. patient used her Pro Air rescue inhaler with relief. No stridor. No angioedema. No redness to throat or swelling. No nausea or vomiting. Patient did state that she had wheezing approximately 15 minutes after 1st Moderna dose. She did not report. Also when asked pre-vaccination (to dose 2) if she had any allergic responses to dose 1 she stated no.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue
Clinical narrative: Dizziness lasted 6 hours,  fatigue lasted 18 hours, Joint pain lasted 14 hours, chills lasted from 9pm until 9am.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient c/o dizziness after receiving first dose of Pfizer vaccine. Vitals taken X 2 and were normal. patient stated she felt better after lying down for a few minutes and refused transport. Patient walked out of clinic on her own.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fluctuance, Nausea, Throat tightness, Tremor
Clinical narrative: After receiving dose of COVID vaccine, patient reported difficulty breathing and became shaky.  Patient was transferred to wheelchair, given water and ice and was transferred by an RN to the ED.  Per ED MD, patient developed throat tightness, nausea, fluctuance a shin after COVID vaccine. Concern this could represent of a allergic reaction. Less likely vasovagal reaction as throat tightening would be very atypical. There were no signs of any angioedema, she has no rash, no wheezing, no chest pain. At this time she does not have signs of anaphylaxis. Patient's symptoms have completely resolved by the time of evaluation. Per MD, this could have been allergic reaction to the vaccine and therefore would not recommend that she received a 2nd dose. She is recommend to follow up with her primary care physician for re-evaluation and to discuss other options for vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash pruritic
Clinical narrative: "COVID" Arm/"Moderna" Arm.  Large round, bumpy, itchy rash formed right below injection site.  Benadryl tablets taken daily till rash went away.  Took roughly 5 days to disappear.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Gout, Joint swelling, Pain in extremity
Clinical narrative: Bad gout flare-up, worst symptoms and longest lasting flare-up to date.  Three days of intense pain in left knee, ankle, and foot 4/1-3.  Whole leg was swollen and currently (4/8) ankle and foot are still swollen and achy.  Low-mid grade fever from 4/1 to 4/6. Still experiencing fatigue.  Consulted primary care physician, 4/8, and may do a video visit next week if symptoms persist.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: Bad gout flare-up, worst symptoms and longest lasting flare-up to date.  Three days of intense pain in left knee, ankle, and foot 4/1-3.  Whole leg was swollen and currently (4/8) ankle and foot are still swollen and achy.  Low-mid grade fever from 4/1 to 4/6. Still experiencing fatigue.  Consulted primary care physician, 4/8, and may do a video visit next week if symptoms persist.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Red spot about 5" diameter at injection site. No pain nor itchiness. Discoloration only.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Autoimmune demyelinating disease, Bladder catheterisation, Burning sensation, Chest X-ray normal
Clinical narrative: Pt received J&J covid vaccine on 3/15/21 in.presented to the ED on 3/29 for few days of progressive weakness and urinary difficulty. Recently took a trip and returned Thursday evening. That night, she noticed mild sensitivity to her left forearm. On Friday she developed an achy feeling under both arms and across her breasts. Her eyes felt painful as well. Overnight Friday into Saturday her feet began feeling cold and numb and she developed a generalized sensitivity over her entire body that she describes almost as a burning sensation. Also had trouble urinating -. presented with pain, paresthesias and weakness below mid-chest level and urinary retention. MRI brain, C and T spi ~C and T spine c/w demyelination. Neuro consulted and impression = acute demyelinating disease, unclear etiology but may be acute disseminated encephalomyelitis (ADEM) 2/2 COVID vaccine vs. 1st presentation of multiple sclerosis. Sx gradually improved s/p solumedrol IV bid x 5d in hospital -- > transitioned to PO prednisone taper per neuro (60 mg x2 days then go down by 10 mg every 2 days until off) for discharge.  Pt to f/u with neuro post discharge. For neurogenic bladder PT had temporary foley, removed 4/2 and will require CIC QID (teaching done prior to discharge) at home. Outpt f/u Urology.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Demyelination, Dysuria, Eye pain, Facet joint syndrome
Clinical narrative: Pt received J&J covid vaccine on 3/15/21 in.presented to the ED on 3/29 for few days of progressive weakness and urinary difficulty. Recently took a trip and returned Thursday evening. That night, she noticed mild sensitivity to her left forearm. On Friday she developed an achy feeling under both arms and across her breasts. Her eyes felt painful as well. Overnight Friday into Saturday her feet began feeling cold and numb and she developed a generalized sensitivity over her entire body that she describes almost as a burning sensation. Also had trouble urinating -. presented with pain, paresthesias and weakness below mid-chest level and urinary retention. MRI brain, C and T spi ~C and T spine c/w demyelination. Neuro consulted and impression = acute demyelinating disease, unclear etiology but may be acute disseminated encephalomyelitis (ADEM) 2/2 COVID vaccine vs. 1st presentation of multiple sclerosis. Sx gradually improved s/p solumedrol IV bid x 5d in hospital -- > transitioned to PO prednisone taper per neuro (60 mg x2 days then go down by 10 mg every 2 days until off) for discharge.  Pt to f/u with neuro post discharge. For neurogenic bladder PT had temporary foley, removed 4/2 and will require CIC QID (teaching done prior to discharge) at home. Outpt f/u Urology.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Intervertebral disc degeneration, Intervertebral disc protrusion, Intervertebral disc space narrowing, Magnetic resonance imaging head abnormal
Clinical narrative: Pt received J&J covid vaccine on 3/15/21 in.presented to the ED on 3/29 for few days of progressive weakness and urinary difficulty. Recently took a trip and returned Thursday evening. That night, she noticed mild sensitivity to her left forearm. On Friday she developed an achy feeling under both arms and across her breasts. Her eyes felt painful as well. Overnight Friday into Saturday her feet began feeling cold and numb and she developed a generalized sensitivity over her entire body that she describes almost as a burning sensation. Also had trouble urinating -. presented with pain, paresthesias and weakness below mid-chest level and urinary retention. MRI brain, C and T spi ~C and T spine c/w demyelination. Neuro consulted and impression = acute demyelinating disease, unclear etiology but may be acute disseminated encephalomyelitis (ADEM) 2/2 COVID vaccine vs. 1st presentation of multiple sclerosis. Sx gradually improved s/p solumedrol IV bid x 5d in hospital -- > transitioned to PO prednisone taper per neuro (60 mg x2 days then go down by 10 mg every 2 days until off) for discharge.  Pt to f/u with neuro post discharge. For neurogenic bladder PT had temporary foley, removed 4/2 and will require CIC QID (teaching done prior to discharge) at home. Outpt f/u Urology.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal abnormal, Multiple sclerosis, Neurogenic bladder, Pain, Paraesthesia
Clinical narrative: Pt received J&J covid vaccine on 3/15/21 in.presented to the ED on 3/29 for few days of progressive weakness and urinary difficulty. Recently took a trip and returned Thursday evening. That night, she noticed mild sensitivity to her left forearm. On Friday she developed an achy feeling under both arms and across her breasts. Her eyes felt painful as well. Overnight Friday into Saturday her feet began feeling cold and numb and she developed a generalized sensitivity over her entire body that she describes almost as a burning sensation. Also had trouble urinating -. presented with pain, paresthesias and weakness below mid-chest level and urinary retention. MRI brain, C and T spi ~C and T spine c/w demyelination. Neuro consulted and impression = acute demyelinating disease, unclear etiology but may be acute disseminated encephalomyelitis (ADEM) 2/2 COVID vaccine vs. 1st presentation of multiple sclerosis. Sx gradually improved s/p solumedrol IV bid x 5d in hospital -- > transitioned to PO prednisone taper per neuro (60 mg x2 days then go down by 10 mg every 2 days until off) for discharge.  Pt to f/u with neuro post discharge. For neurogenic bladder PT had temporary foley, removed 4/2 and will require CIC QID (teaching done prior to discharge) at home. Outpt f/u Urology.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness, Scan with contrast abnormal, Sensitive skin, Urinary retention, Vertebral foraminal stenosis
Clinical narrative: Pt received J&J covid vaccine on 3/15/21 in.presented to the ED on 3/29 for few days of progressive weakness and urinary difficulty. Recently took a trip and returned Thursday evening. That night, she noticed mild sensitivity to her left forearm. On Friday she developed an achy feeling under both arms and across her breasts. Her eyes felt painful as well. Overnight Friday into Saturday her feet began feeling cold and numb and she developed a generalized sensitivity over her entire body that she describes almost as a burning sensation. Also had trouble urinating -. presented with pain, paresthesias and weakness below mid-chest level and urinary retention. MRI brain, C and T spi ~C and T spine c/w demyelination. Neuro consulted and impression = acute demyelinating disease, unclear etiology but may be acute disseminated encephalomyelitis (ADEM) 2/2 COVID vaccine vs. 1st presentation of multiple sclerosis. Sx gradually improved s/p solumedrol IV bid x 5d in hospital -- > transitioned to PO prednisone taper per neuro (60 mg x2 days then go down by 10 mg every 2 days until off) for discharge.  Pt to f/u with neuro post discharge. For neurogenic bladder PT had temporary foley, removed 4/2 and will require CIC QID (teaching done prior to discharge) at home. Outpt f/u Urology.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Vertebral osteophyte, White matter lesion
Clinical narrative: Pt received J&J covid vaccine on 3/15/21 in.presented to the ED on 3/29 for few days of progressive weakness and urinary difficulty. Recently took a trip and returned Thursday evening. That night, she noticed mild sensitivity to her left forearm. On Friday she developed an achy feeling under both arms and across her breasts. Her eyes felt painful as well. Overnight Friday into Saturday her feet began feeling cold and numb and she developed a generalized sensitivity over her entire body that she describes almost as a burning sensation. Also had trouble urinating -. presented with pain, paresthesias and weakness below mid-chest level and urinary retention. MRI brain, C and T spi ~C and T spine c/w demyelination. Neuro consulted and impression = acute demyelinating disease, unclear etiology but may be acute disseminated encephalomyelitis (ADEM) 2/2 COVID vaccine vs. 1st presentation of multiple sclerosis. Sx gradually improved s/p solumedrol IV bid x 5d in hospital -- > transitioned to PO prednisone taper per neuro (60 mg x2 days then go down by 10 mg every 2 days until off) for discharge.  Pt to f/u with neuro post discharge. For neurogenic bladder PT had temporary foley, removed 4/2 and will require CIC QID (teaching done prior to discharge) at home. Outpt f/u Urology.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Breast pain, Dizziness, Hypoaesthesia, Neck pain
Clinical narrative: Left cheek, eye socket and nose felt numbness and tingling and slight swelling of left side of face.  It started around 10:30 am and most of the numbness and tingling eased up by 3:30 pm, except for numbness in eye socket and tingling in nose. Pain in left arm and woozy feeling most of the day, pain in left collar bone and down left shoulder blade and left breast. The pain has been consistent  but not extreme.   I have used Tylenol so the pain is bearable.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Swelling face
Clinical narrative: Left cheek, eye socket and nose felt numbness and tingling and slight swelling of left side of face.  It started around 10:30 am and most of the numbness and tingling eased up by 3:30 pm, except for numbness in eye socket and tingling in nose. Pain in left arm and woozy feeling most of the day, pain in left collar bone and down left shoulder blade and left breast. The pain has been consistent  but not extreme.   I have used Tylenol so the pain is bearable.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: pt had a headache after vaccination
Age: 29.0
Sex: U
Vaccine: COVID19
Symptoms: Chills, Headache, Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: stiff arm, headache, fever, chills, full body aches
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain
Clinical narrative: Pfizer-BioNTech.    Covid vaccine EUA.   Side effects: pain at injection site, headache, joint pain, fatigue.  No treatment......symptoms gone within 24 hours.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: ITCHY RED RASH ON LEFT SIDE OF FACE.  STARTED ABOVE MY EYE THEN TO CHEEK AND NOW A BIT ON MY CHIN.  NOT PAINFUL JUST ITCHY AND ALMOST GONE BUT FOR A LITTLE ON CHIN NOW.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dyspnoea, Immediate post-injection reaction, Pain in extremity
Clinical narrative: Pt had vaccination in right arm at 1:30 pm on 04/07/2021, started having pain in arm immediately but otherwise felt fine. At 8-9PM pt started feeling short of breath and having chest pain/ palpitations that would not relieve with rest or medications. Pt also stating she had a fever and chills
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Pt had vaccination in right arm at 1:30 pm on 04/07/2021, started having pain in arm immediately but otherwise felt fine. At 8-9PM pt started feeling short of breath and having chest pain/ palpitations that would not relieve with rest or medications. Pt also stating she had a fever and chills
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No reaction has happened. We gave the pt the Janssen vaccine because he said he had not had either Moderna or Pfizer and filled out paperwork saying the same. While we were logging immtrac stuff later in the day we say that he had received the first dose of Moderna on 3/19/21. We called the patient and he could not remember since he has severe memory issues. We called the clinic were it was given and confirmed. We instructed them to not give him a second shot and to flag it in their system. We then called the patient back and let them know. As of 1:00pm on 4/8/21 the patient has had now side effects.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Hypoaesthesia oral, Lip swelling, Swollen tongue
Clinical narrative: Wheezing, coughing, trouble breathing, swelling of the lips and tongue, numbness of the lips and tongue
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Wheezing, coughing, trouble breathing, swelling of the lips and tongue, numbness of the lips and tongue
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Incorrect dose administered, Syringe issue
Clinical narrative: Staff was administering vaccine to L-delt. Syringe leaked around the needle and less than half dose was administered. Full dose administered to R-delt per CDC recommendation. Pt monitored for 15 minutes after vaccination.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness
Clinical narrative: Adverse reaction to vaccine: Pt received his first dose of the COVID-19 vaccine on 3/18/21. He stayed in the pharmacy for 15 minutes before walking out to his car, where he began to experience visual loss. He describes how "everything turned white and I couldn't see anything". He laid his seat back and symptoms resolved within 5 minutes. Pt checked his blood pressure when he got home and says it was 120/70. That was kind of low for him. Sounds like a vaso-vagal episode. Of note, he had not eaten yet that day.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Pt given 1st Moderna vaccine L arm at 9:20am.  Developed subjective sensation of numbness/tingling sensation of tip of tongue and lower lip, but no visible swelling. No issues breathing/swallowing or other sx.  As precaution, was given 50 mg PO benadryl at 9;43am.  Her sx fully resolved by 10;14am.  Pt was monitored until 10:28am.  Nml lung/mouth exam.   As precaution, epipen script sent to pharmacy by MD with instructions of how to use/when and to call 911/sma immediately..   Reviewed precautions and recs given this: Pt would prefer to have same second Moderna vaccine in 4 wks.  However, given this reviewed some of CDC statements/options:  1) to get non mRNA vaccine (J&J adenovirus vector) after at least 28 days 2) Possible referral to allergist prior 3) Potential of administering 2nd Moderna mRNA vaccine w/premedication of benadryl and prolonged monitoring.    Pt prefers the latter approach, but will get input from PCP when returns from vacation.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Loss of consciousness, Nausea, Pain
Clinical narrative: Woke with body aches,102.6 fever,horrible headache. Lasted the whole day after injection. Around 5:30 pm I started feeling whoozy and passed out. Neighbor couldn't bring me around. 911 was called. I started vomiting and very nauseous by 6:00 pm. All vitals were ok by medics. I went in my house,went to sleep and woke the next day fine. Wasn't sure about the passing out and vomiting, nor the fever for the day being normal.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Woke with body aches,102.6 fever,horrible headache. Lasted the whole day after injection. Around 5:30 pm I started feeling whoozy and passed out. Neighbor couldn't bring me around. 911 was called. I started vomiting and very nauseous by 6:00 pm. All vitals were ok by medics. I went in my house,went to sleep and woke the next day fine. Wasn't sure about the passing out and vomiting, nor the fever for the day being normal.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anion gap decreased, Blood glucose decreased, Blood urea decreased, C-reactive protein increased, Decreased appetite
Clinical narrative: I have bowel irritation, diarrhea after eating, elevated CRP, elevated lymphocytes, no appetite. Sores in the nose approximately 1 week after first injection and 1 week after second injection.  I cannot tolerate any foods other than white rice, soups, crackers, bread since starting vaccinations series.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Epigastric discomfort, Food intolerance, Lymphocyte count increased, Nasal discomfort
Clinical narrative: I have bowel irritation, diarrhea after eating, elevated CRP, elevated lymphocytes, no appetite. Sores in the nose approximately 1 week after first injection and 1 week after second injection.  I cannot tolerate any foods other than white rice, soups, crackers, bread since starting vaccinations series.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neutrophil count decreased, Vaccine positive rechallenge
Clinical narrative: I have bowel irritation, diarrhea after eating, elevated CRP, elevated lymphocytes, no appetite. Sores in the nose approximately 1 week after first injection and 1 week after second injection.  I cannot tolerate any foods other than white rice, soups, crackers, bread since starting vaccinations series.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased, Hyperhidrosis, Tremor
Clinical narrative: Blood glucose dropped to 46 within an hour of taking 10 units of Levemir. Shakiness, sweating.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Headache
Clinical narrative: Same as the first shot, however, the adverse effects started shortly after the 2nd shot (within 2 hours after 2nd shot, vs 12 hours after the 1st shot). The symptoms are as follows: Severe headache, severe fatigue and muscle ache, shortness of breath and mild dizziness.  Muscle pain is more noticeable at joints (knees, shoulder cuffs, ankles).  I probably couldn't walk more than 2 blocks before having to sit down and catch my breath. I probably can't stand for more than 5 minutes,  and most definitely not in a shape to be able to work (office /engineering). It is hard to pin point, but I would probably say my mind is foggy and not as sharp. However I can quantify this.  The above symptoms lasted 5 days after the first shot, however,  it took up to 14 days before I recovered from general fatigue.   As for second dose, I am filling this form 5 hours post injection.  Considering the severity and early onset of symptoms (compared to 1st dose) I can predict uneasy days to follow.  Note, I am 178cm, and 76Kgs and do not have health issues. My pain tolerance is much higher than an average person.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Myalgia, Vaccine positive rechallenge
Clinical narrative: Same as the first shot, however, the adverse effects started shortly after the 2nd shot (within 2 hours after 2nd shot, vs 12 hours after the 1st shot). The symptoms are as follows: Severe headache, severe fatigue and muscle ache, shortness of breath and mild dizziness.  Muscle pain is more noticeable at joints (knees, shoulder cuffs, ankles).  I probably couldn't walk more than 2 blocks before having to sit down and catch my breath. I probably can't stand for more than 5 minutes,  and most definitely not in a shape to be able to work (office /engineering). It is hard to pin point, but I would probably say my mind is foggy and not as sharp. However I can quantify this.  The above symptoms lasted 5 days after the first shot, however,  it took up to 14 days before I recovered from general fatigue.   As for second dose, I am filling this form 5 hours post injection.  Considering the severity and early onset of symptoms (compared to 1st dose) I can predict uneasy days to follow.  Note, I am 178cm, and 76Kgs and do not have health issues. My pain tolerance is much higher than an average person.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram normal, Lymphadenopathy
Clinical narrative: 9 days following IM injection pt noticed swelling of his supraclavicular lymph node on the same side as the injection.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Diarrhoea, Fatigue, Gastrointestinal pain
Clinical narrative: Intestinal cramping followed by explosive diarrhea at 3pm and again at 7pm.  Very tired.  Went to bed early around 8:30pm.  Woke up with headache and chills at 3:15am.  Took temperature - no fever (98.0).  Went back to sleep until 6am.  Woke up with a headache and chills again and took temperature again - no fever (98.6).  Could only stomach ginger tea.  Attended a computer work meeting at 7am, and couldn't stay awake after that.  Was back in bed before 8am.  Slept until 10:45am (24 hours after injection) and woke up feeling OK and hungry.  It's now 1:45 pm April 8, and I feel mostly fine but still unusually tired.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Somnolence
Clinical narrative: Intestinal cramping followed by explosive diarrhea at 3pm and again at 7pm.  Very tired.  Went to bed early around 8:30pm.  Woke up with headache and chills at 3:15am.  Took temperature - no fever (98.0).  Went back to sleep until 6am.  Woke up with a headache and chills again and took temperature again - no fever (98.6).  Could only stomach ginger tea.  Attended a computer work meeting at 7am, and couldn't stay awake after that.  Was back in bed before 8am.  Slept until 10:45am (24 hours after injection) and woke up feeling OK and hungry.  It's now 1:45 pm April 8, and I feel mostly fine but still unusually tired.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Headache, Neck pain, Pain in extremity
Clinical narrative: Really sore arm, neck, shoulders & back, headache  and fever for 2 days so far. Taking tylenol & advil.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Really sore arm, neck, shoulders & back, headache  and fever for 2 days so far. Taking tylenol & advil.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: within 24 hours of injection, intense body aches, mild fever 2nd day, swelling at injection site. redness, itchy and hot to the touch 3rd day, swelling went down, subtle pinkness, hot to the touch and tender to touch
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: within 24 hours of injection, intense body aches, mild fever 2nd day, swelling at injection site. redness, itchy and hot to the touch 3rd day, swelling went down, subtle pinkness, hot to the touch and tender to touch
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Night sweats, Pyrexia
Clinical narrative: Flue-like symptoms with fevers and night sweats
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Fatigue, Pain, Pruritus, Pyrexia
Clinical narrative: I appear to have a mild allergic reaction. I began itching under my skin (all over) within 1-1 1/2 hours. Then I began having pain/burning sensation in my veins, mostly in my arms. Treated at home with 50 mg of Benadryl. Helped significantly! Continued to take 50mg (along with Tylenol) every 4-6 hours over the next 24 hours. Dropped down to 25mg every 4-6 hours on 4/7/21, and have been able to maintain on that. I also developed a rash on my chest on 4/7/21. It has now faded. I have other symptoms, such as body aches, low grade fever, and fatigue, which I understand are typical reactions.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Vascular pain
Clinical narrative: I appear to have a mild allergic reaction. I began itching under my skin (all over) within 1-1 1/2 hours. Then I began having pain/burning sensation in my veins, mostly in my arms. Treated at home with 50 mg of Benadryl. Helped significantly! Continued to take 50mg (along with Tylenol) every 4-6 hours over the next 24 hours. Dropped down to 25mg every 4-6 hours on 4/7/21, and have been able to maintain on that. I also developed a rash on my chest on 4/7/21. It has now faded. I have other symptoms, such as body aches, low grade fever, and fatigue, which I understand are typical reactions.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Loss of personal independence in daily activities, Systemic lupus erythematosus
Clinical narrative: Two days after my initial dose, I experienced a bad Lupus flare with horrible widespread pain that was difficult to manage, weakness and extreme fatigue; I could not function ie: bathe, cook, etc. It took me roughly 5 days to recover. It is reported that the side-effects with the 2nd dose of the COVID vax are even more severe. And honestly, I felt so horrible the 1st time around that I am scared to experience it again and at a more severe level, especially since my husband will be working outside of the home at a new job and cannot be available to care for me.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Fluctuance, Headache, Initial insomnia
Clinical narrative: J&J COVID-19 Vaccine EUA  Soreness and aches (around whole body), fatigue, headache, chills - Currently taking ibuprofen to address symptoms. Woke me up in the middle of the night (3:00 AM) and had considerable difficulty going back to sleep. Headache persists through the day, but aches and chills seem to fluctuate/come in waves. Currently at 24 hours from receiving injection at time of writing this report.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: J&J COVID-19 Vaccine EUA  Soreness and aches (around whole body), fatigue, headache, chills - Currently taking ibuprofen to address symptoms. Woke me up in the middle of the night (3:00 AM) and had considerable difficulty going back to sleep. Headache persists through the day, but aches and chills seem to fluctuate/come in waves. Currently at 24 hours from receiving injection at time of writing this report.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizzy. Abated in 10 minutes.   Went home.