chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth, Musculoskeletal discomfort
Clinical narrative: redness, swelling at injection site, heat, itching on neck, arm and redness swelling on the inside of the elbow joint
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Pruritus
Clinical narrative: redness, swelling at injection site, heat, itching on neck, arm and redness swelling on the inside of the elbow joint
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Patient c/o headache.  She was an older women in a wheel chair and the temperature in the stadium was extremely cold and most of the people were shivering even if they had no other problems. The patient  complained of headache after 12-15 minutes. She was alert and oriented X3 in NAD. Vital signs: BP-118/82 HR-86 O2 Sat-98%. She did not have any visual problems, nausea, vomiting ,chest pain ,stridor,  SOB , or rash. I listened to her with the stethoscope.  Her lungs were clear . No rales or wheezing and heart rate was normal.  She was watched for almost 40-45 minutes .She had headache but it improved somewhat. I informed her to drink enough fluids, take pain killer either Tylenol or Advil whatever her MD recommends- to take when she has pain. I also informed her daughter to keep a close watch on her for 2 days  and if any problems call her MD and  take her to ER. I watched her very closely in the post vaccination area before she left.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Petechiae, Vomiting
Clinical narrative: Extreme nausea, vomiting and petechiae under eyes. Continued nausea/vomting for four (4) days. Nausea is received by ondansetron
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Influenza like illness, Migraine
Clinical narrative: 2 hours post vaccine I was at observation at the ER due to reaction I had with the 1st dose. By 11:30AM I had a slight headache that progressed to a migraine, around 8PM I started feeling flu like symptoms and chills. At the ER my temp was 99.7F the symptoms lasted for 24 hours but the soreness of the arm that lasted around 2 days.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: 2 hours post vaccine I was at observation at the ER due to reaction I had with the 1st dose. By 11:30AM I had a slight headache that progressed to a migraine, around 8PM I started feeling flu like symptoms and chills. At the ER my temp was 99.7F the symptoms lasted for 24 hours but the soreness of the arm that lasted around 2 days.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Rigors and fever starting overnight; Extreme fatigue lasting for 2 days
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness this morning that was transient and resolved by mid-morning
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Malaise, Pain in extremity, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I developed a fever, and my arm was very sore, later in the evening after the vaccine. I then progressively became more ill and feverish.  The next day I was COVID tested it was negative. My symptoms continued  for several more days, I was thinking that this was a reaction because my arm still hurt and I was having fevers with a cough.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I developed a fever, and my arm was very sore, later in the evening after the vaccine. I then progressively became more ill and feverish.  The next day I was COVID tested it was negative. My symptoms continued  for several more days, I was thinking that this was a reaction because my arm still hurt and I was having fevers with a cough.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypoaesthesia, Pain, Pruritus, Skin warm
Clinical narrative: Itching began on 1/21/2021.  1/22/2021 pain, warmth, redness and swelling in an area about the size of a baseball.  No fever.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin swelling
Clinical narrative: 9 days after vaccination arm is red, slightly swollen, itching. Red is growing larger. Was about 1 inch in diameter now it is about 3 inches in diameter
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid area at injection site is hard, red, warm, painful to touch, swollen
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product taste abnormal
Clinical narrative: Tastes of "medicine" in mouth. Subsided after approximately 15 minutes.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Feeling cold, Headache, Pyrexia
Clinical narrative: Headache, chills and weakness. Fever.12 hours after vaccination. Extreme confusion, seeing something not there, total weakness,  36 hours after vaccination. All back to normal 24 hours after vaccination.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Crying, Decreased appetite, Discomfort
Clinical narrative: Two hours post vaccination:  tongue heaviness followed by metallic taste sensation, vomited once after this.  Four hours post vaccination:  nausea, bilateral forearm pain evolving to all over body aches and muscle cramping along with a pulsating headache.  Spiked a fever of 102 F that I treated with 500 mg of Tylenol.  Later took ibuprofen for body aches.  Had frequent urination along with unexplained crying.  The lowest the fever would measure for the next 24 hours was 100 F.  I was taking Tylenol and ibuprofen as directed on a regular basis.  On Thursday 1/21/2021 at 5:55 pm, I woke up drenched in sweat.  I felt weak yet improved.  Headache and back pain were less.  Showered and moved to the couch in living room attempting to watch TV.  Could not stay awake.  Woke up three hours later again drenched in sweat.  Showered and went to bed.  Slept through the night and woke up at 8 am with body aches, muscle cramping and nausea gone.  Night gown and sheets were damp with sweat. Lingering symptoms:  Skin from lips and inside my mouth appears to be sloughing off.  There are very tiny cuts on my bottom lip.  Left with mild headache I attribute to dehydration.  No longer nauseous although I have no appetite.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Lip exfoliation, Metal poisoning, Muscle spasms
Clinical narrative: Two hours post vaccination:  tongue heaviness followed by metallic taste sensation, vomited once after this.  Four hours post vaccination:  nausea, bilateral forearm pain evolving to all over body aches and muscle cramping along with a pulsating headache.  Spiked a fever of 102 F that I treated with 500 mg of Tylenol.  Later took ibuprofen for body aches.  Had frequent urination along with unexplained crying.  The lowest the fever would measure for the next 24 hours was 100 F.  I was taking Tylenol and ibuprofen as directed on a regular basis.  On Thursday 1/21/2021 at 5:55 pm, I woke up drenched in sweat.  I felt weak yet improved.  Headache and back pain were less.  Showered and moved to the couch in living room attempting to watch TV.  Could not stay awake.  Woke up three hours later again drenched in sweat.  Showered and went to bed.  Slept through the night and woke up at 8 am with body aches, muscle cramping and nausea gone.  Night gown and sheets were damp with sweat. Lingering symptoms:  Skin from lips and inside my mouth appears to be sloughing off.  There are very tiny cuts on my bottom lip.  Left with mild headache I attribute to dehydration.  No longer nauseous although I have no appetite.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oral mucosal exfoliation, Pain, Pain in extremity, Pollakiuria
Clinical narrative: Two hours post vaccination:  tongue heaviness followed by metallic taste sensation, vomited once after this.  Four hours post vaccination:  nausea, bilateral forearm pain evolving to all over body aches and muscle cramping along with a pulsating headache.  Spiked a fever of 102 F that I treated with 500 mg of Tylenol.  Later took ibuprofen for body aches.  Had frequent urination along with unexplained crying.  The lowest the fever would measure for the next 24 hours was 100 F.  I was taking Tylenol and ibuprofen as directed on a regular basis.  On Thursday 1/21/2021 at 5:55 pm, I woke up drenched in sweat.  I felt weak yet improved.  Headache and back pain were less.  Showered and moved to the couch in living room attempting to watch TV.  Could not stay awake.  Woke up three hours later again drenched in sweat.  Showered and went to bed.  Slept through the night and woke up at 8 am with body aches, muscle cramping and nausea gone.  Night gown and sheets were damp with sweat. Lingering symptoms:  Skin from lips and inside my mouth appears to be sloughing off.  There are very tiny cuts on my bottom lip.  Left with mild headache I attribute to dehydration.  No longer nauseous although I have no appetite.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Two hours post vaccination:  tongue heaviness followed by metallic taste sensation, vomited once after this.  Four hours post vaccination:  nausea, bilateral forearm pain evolving to all over body aches and muscle cramping along with a pulsating headache.  Spiked a fever of 102 F that I treated with 500 mg of Tylenol.  Later took ibuprofen for body aches.  Had frequent urination along with unexplained crying.  The lowest the fever would measure for the next 24 hours was 100 F.  I was taking Tylenol and ibuprofen as directed on a regular basis.  On Thursday 1/21/2021 at 5:55 pm, I woke up drenched in sweat.  I felt weak yet improved.  Headache and back pain were less.  Showered and moved to the couch in living room attempting to watch TV.  Could not stay awake.  Woke up three hours later again drenched in sweat.  Showered and went to bed.  Slept through the night and woke up at 8 am with body aches, muscle cramping and nausea gone.  Night gown and sheets were damp with sweat. Lingering symptoms:  Skin from lips and inside my mouth appears to be sloughing off.  There are very tiny cuts on my bottom lip.  Left with mild headache I attribute to dehydration.  No longer nauseous although I have no appetite.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Hypoaesthesia, Paraesthesia
Clinical narrative: Within few minutes I got very slight tingling/numbness sensation in my whole left arm down to my hand and up to my face and the back of my neck and head.  That night I got the chills feeling very cold. The tingling/numbness were gone in the morning but I still felt colder than I normally do.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: patient states severe swelling at injection site
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Lethargy, Myalgia
Clinical narrative: 48 hrs high fever (103), chills, joint pains, muscle aches, nausea, lathargy/fatigue
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: 48 hrs high fever (103), chills, joint pains, muscle aches, nausea, lathargy/fatigue
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lymphadenopathy, Peripheral swelling
Clinical narrative: Swollen and sore arm (same arm injection given in) swollen lymph nodes in neck (both sides) and R armpit
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Pain
Clinical narrative: Chills & body aches that lasted 36 hours from Friday 6 pm to Sunday noon. I had a headache off and on must of Saturday.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Chest discomfort, Complement factor C3, Complement factor C4, Dizziness
Clinical narrative: Patient received her 1st COVID immunization  and shortly after developed chest tightness/pressure, palpitations, and lightheadedness. She reported a previous history of anaphylactic reaction to shell fish and IV dye.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit normal, Hepatitis C virus test, Mean cell haemoglobin concentration normal, Palpitations, Polymerase chain reaction
Clinical narrative: Patient received her 1st COVID immunization  and shortly after developed chest tightness/pressure, palpitations, and lightheadedness. She reported a previous history of anaphylactic reaction to shell fish and IV dye.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Total complement activity test, Troponin
Clinical narrative: Patient received her 1st COVID immunization  and shortly after developed chest tightness/pressure, palpitations, and lightheadedness. She reported a previous history of anaphylactic reaction to shell fish and IV dye.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal discomfort, Pharyngeal hypoaesthesia, Throat clearing
Clinical narrative: Patient received Covid (Moderna)vaccine to Right Deltoid IM injection and was in her 30 minute wait/monitor time and reported  that she was having a "weird feeling in throat." notified RN and 2 nurses went to patients vehicle. Patient reports at that time "I am having a  numbing feeling in throat and it feels like I need to keep clearing my throat. I keep coughing and needing to clear my throat and im not sure whats happening. Patients also states she is not sure if throat is closing but knows it is not normal." RN questioned her anxiety level at this time and meds, and if she was sick at all before vaccine with cough or scratchy throat. Patient answered no to all questions and states this just started after vaccine admin. HR WNL, BP  168/98, no SOB.  RN administered 50mg/ml x1ml )IM to left deltoid w/o difficulties. Patient monitored for an additional 30 minutes. RN checked on patient again at 30 minutes and patient reports "throat was feeling much better with no numbness or tingling and she felt that she was ok." Patient was observed by RN swallowing water w/o any difficulties. Drove patient home after event. RN called patient at 12:13 p.m . 01/22/2021 to check on her, and patient states "I am doing fine at home and plan to go shopping later."
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Paraesthesia
Clinical narrative: tingling in fingers of both hands, more so with thumb and pointer finger.  started right after the injection.  lasted about 3 hours.  after that, temperature sensation altered in both hands.  anything that touched my hands felt hotter than it actually was.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Injection site pain, Pain
Clinical narrative: Moderna COVID-19 Vaccine EUA Lightheadedness, chills, body aches, injection site pain (left arm). Started immediately after vaccine administration. Body aches, chills , arm soreness lasting through day after vaccine along with headaches.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pyrexia, Sleep disorder
Clinical narrative: Unable to sleep that night, up and down all night long (Melatonin and tea did not help) Chills Fever Nausea Major Headache (took Acetaminophen and Ibuprofen but neither helped)
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Headache, Heart rate increased, Injection site erythema
Clinical narrative: Pt was driving down the road 18-24 hours after receiving vaccine when all of a sudden  he experienced dizziness, rapid heartrate,  headache, blurred vision,  hives to chest and arms, edema and redness at injection site. Pt went to  Hospital via EMS on 1-21-20 and was given 50mg Benadryl on ambulance.  Pt states that he was diagnosed with a "reaction to the vaccine and I was given prednisone, pepcid and Tylenol in ED."  Pt was called on 1-22-21 by  Public Health nurse and states that he was feeling much better today but still had the redness and swelling at injection site.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site oedema, Rash, Urticaria, Vision blurred
Clinical narrative: Pt was driving down the road 18-24 hours after receiving vaccine when all of a sudden  he experienced dizziness, rapid heartrate,  headache, blurred vision,  hives to chest and arms, edema and redness at injection site. Pt went to  Hospital via EMS on 1-21-20 and was given 50mg Benadryl on ambulance.  Pt states that he was diagnosed with a "reaction to the vaccine and I was given prednisone, pepcid and Tylenol in ED."  Pt was called on 1-22-21 by  Public Health nurse and states that he was feeling much better today but still had the redness and swelling at injection site.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Oropharyngeal discomfort, Throat tightness
Clinical narrative: About 10 minutes after receiving the vaccine, pt began complaining of a tickle in her throat and mild SOB. After 13 minutes she began complaining of her throat feeling tight.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Bowel movement irregularity, Decreased appetite, Diarrhoea, Fatigue, Feeling abnormal
Clinical narrative: Headache, more intense over the last few days, still has it, loss of appetite, brain fog. Couldn't  answer simple questions, extreme fatigue, bowel changes, diarrhea. Still experiencing all symptoms except brain fog. no fever.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache, more intense over the last few days, still has it, loss of appetite, brain fog. Couldn't  answer simple questions, extreme fatigue, bowel changes, diarrhea. Still experiencing all symptoms except brain fog. no fever.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Chest pain, Dizziness, Feeling hot, Heart rate increased
Clinical narrative: Was driving home after waiting my 15 minutes. Throat started to close up, tingling sensation throughout entire body, rush of heat, dizziness, increased heart rate. Made it back to the site (closest medical professionals near me) where my throat still felt swollen but I could breathe. Chest hurt and was still dizzy. Was given 50mg Benadryl & 20mg Pepsid. It seemed to come and go in waves but I still went to the ER. ER doc said what he saw I was experiencing was anxiety. Pharmacist who had been with me the whole time could tell that my neck and throat had been swollen but had gone down with the Benadryl. ER administered anti nausea meds and a steroid shot. Also prescribed steroids for a few days. Received the shot at 6:45, initial reaction occurred around 7:10, went to the ER around 8:45
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Pharyngeal swelling, Swelling, Throat tightness
Clinical narrative: Was driving home after waiting my 15 minutes. Throat started to close up, tingling sensation throughout entire body, rush of heat, dizziness, increased heart rate. Made it back to the site (closest medical professionals near me) where my throat still felt swollen but I could breathe. Chest hurt and was still dizzy. Was given 50mg Benadryl & 20mg Pepsid. It seemed to come and go in waves but I still went to the ER. ER doc said what he saw I was experiencing was anxiety. Pharmacist who had been with me the whole time could tell that my neck and throat had been swollen but had gone down with the Benadryl. ER administered anti nausea meds and a steroid shot. Also prescribed steroids for a few days. Received the shot at 6:45, initial reaction occurred around 7:10, went to the ER around 8:45
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Throat tightness
Clinical narrative: Was driving home after waiting my 15 minutes. Throat started to close up, tingling sensation throughout entire body, rush of heat, dizziness, increased heart rate. Made it back to the site (closest medical professionals near me) where my throat still felt swollen but I could breathe. Chest hurt and was still dizzy. Was given 50mg Benadryl & 20mg Pepsid. It seemed to come and go in waves but I still went to the ER. ER doc said what he saw I was experiencing was anxiety. Pharmacist who had been with me the whole time could tell that my neck and throat had been swollen but had gone down with the Benadryl. ER administered anti nausea meds and a steroid shot. Also prescribed steroids for a few days. Received the shot at 6:45, initial reaction occurred around 7:10, went to the ER around 8:45
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash pruritic
Clinical narrative: Itchy rash 2 diameter  right below injection site on left upper arm.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Flushing, Immediate post-injection reaction
Clinical narrative: Patient experienced feeling dizzy, woozy, chest tightness, she was flushed and had trouble breathing immediately after the shot.  She sat for 30 minutes waiting for it to subside.  She was still flushed when she left the pharmacy
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Computerised tomogram head, Electrocardiogram normal, Hypertension
Clinical narrative: Patient began complaining of weakness and chest pressure after receiving COVID-19 vaccine. A code blue was called, and the patient was taken to the emergency department for further workup. In the ED, the patient was evaluated for hypertension and chest pressure and subsequently discharged after a negative workup (normal EKG, normal troponin). On 1/17, the patient returned to the ED with complaints of numbness in the left arm from fingertips to elbow, with sensation slowly returning over the next 10 minutes.  A head CT scan was performed, showing bilateral acute on chronic subdural hemorrhage (possibly related to fall patient reported having on 12/5/20 down 10 steps of stairs). The patient was eventually discharged on 1/19.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Subdural haemorrhage, Troponin normal
Clinical narrative: Patient began complaining of weakness and chest pressure after receiving COVID-19 vaccine. A code blue was called, and the patient was taken to the emergency department for further workup. In the ED, the patient was evaluated for hypertension and chest pressure and subsequently discharged after a negative workup (normal EKG, normal troponin). On 1/17, the patient returned to the ED with complaints of numbness in the left arm from fingertips to elbow, with sensation slowly returning over the next 10 minutes.  A head CT scan was performed, showing bilateral acute on chronic subdural hemorrhage (possibly related to fall patient reported having on 12/5/20 down 10 steps of stairs). The patient was eventually discharged on 1/19.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Headache, Malaise, Nausea, Retching
Clinical narrative: 307pm - feels sick, double vision, nausea. 308pm - took 1 Benadryl 25mg. 319pm - dry heaves.  320pm - headache. 325pm - took another Benadryl 25mg. 330pm - dry heaves gone. 338pm - double vision improving. 339 pm - headache worsening. 345pm - double vision gone, nausea improving, still has headache. 415pm - still headache, but improved.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Impaired work ability, Mobility decreased, Pain, Paraesthesia oral
Clinical narrative: Tingles in lip and numbness and the next day body aches, couldn?t get up from bed and had to call into work.  As of today mild body aches.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Eyelid disorder, Hypoaesthesia oral, Lip disorder, Pharyngeal swelling, Swelling face
Clinical narrative: Minor Face and Throat swelling. Irregular eye lid movement. Lips num and felt twisted.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site pain
Clinical narrative: Developed Numbness and Pain in left arm post injection.  No treatment, patient refused.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: one week after shot, injection site on left arm started to turn red, raised, hot to the touch, and painful.  feels like i got punched hard (but delayed by one week after injection)
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Injection site warmth, Lymphadenopathy
Clinical narrative: Pain to injection site immediately following injection. Hot/ red injection site 7 days after injection. Swollen painful lymph node under arm pit of left arm (same side as injection)
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Anion gap, Aphasia, Basophil count, Blood alkaline phosphatase normal
Clinical narrative: Patient is a 55-year-old female who had presented to the vaccination clinic this afternoon to receive her COVID-19 vaccine.  She does have a history of migraine headaches and other comorbidities as described below.  Has had reactions to a number of medications, mostly narcotics as noted in her allergy list some of which could in theory be compatible with urticaria.  Does not have true anaphylaxis in her history. Today at about 15 minutes after administration of her COVID-19 vaccine she began to rather precipitously developed an itchy crawling feeling in her skin, nausea with retching and some shortness of breath.  She did not have the sensation of her throat closing off.  Did not have coryza.  Within about 10 minutes she did develop difficulty with speech that she says is typical for her migraine headache.  She received, in the vaccination Clinic, epinephrine 0.3 mg subQ, 125 mg of Solu-Medrol and 50 mg of Benadryl all IV.  An IV was started and a 500 mL bolus of saline was initiated.  With this she was then transferred to the emergency room for further evaluation.   In the emergency room she did develop chest heaviness but no palpitations.  She was not dyspneic.  Her nausea and vomiting by then had seem to resolve.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood bilirubin normal, Blood chloride normal, Blood creatinine normal, Blood potassium decreased, Blood sodium normal
Clinical narrative: Patient is a 55-year-old female who had presented to the vaccination clinic this afternoon to receive her COVID-19 vaccine.  She does have a history of migraine headaches and other comorbidities as described below.  Has had reactions to a number of medications, mostly narcotics as noted in her allergy list some of which could in theory be compatible with urticaria.  Does not have true anaphylaxis in her history. Today at about 15 minutes after administration of her COVID-19 vaccine she began to rather precipitously developed an itchy crawling feeling in her skin, nausea with retching and some shortness of breath.  She did not have the sensation of her throat closing off.  Did not have coryza.  Within about 10 minutes she did develop difficulty with speech that she says is typical for her migraine headache.  She received, in the vaccination Clinic, epinephrine 0.3 mg subQ, 125 mg of Solu-Medrol and 50 mg of Benadryl all IV.  An IV was started and a 500 mL bolus of saline was initiated.  With this she was then transferred to the emergency room for further evaluation.   In the emergency room she did develop chest heaviness but no palpitations.  She was not dyspneic.  Her nausea and vomiting by then had seem to resolve.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carbon dioxide decreased, Chest discomfort, Dyspnoea, Eosinophil count normal, Formication
Clinical narrative: Patient is a 55-year-old female who had presented to the vaccination clinic this afternoon to receive her COVID-19 vaccine.  She does have a history of migraine headaches and other comorbidities as described below.  Has had reactions to a number of medications, mostly narcotics as noted in her allergy list some of which could in theory be compatible with urticaria.  Does not have true anaphylaxis in her history. Today at about 15 minutes after administration of her COVID-19 vaccine she began to rather precipitously developed an itchy crawling feeling in her skin, nausea with retching and some shortness of breath.  She did not have the sensation of her throat closing off.  Did not have coryza.  Within about 10 minutes she did develop difficulty with speech that she says is typical for her migraine headache.  She received, in the vaccination Clinic, epinephrine 0.3 mg subQ, 125 mg of Solu-Medrol and 50 mg of Benadryl all IV.  An IV was started and a 500 mL bolus of saline was initiated.  With this she was then transferred to the emergency room for further evaluation.   In the emergency room she did develop chest heaviness but no palpitations.  She was not dyspneic.  Her nausea and vomiting by then had seem to resolve.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Lymphocyte count increased, Mean cell haemoglobin concentration normal
Clinical narrative: Patient is a 55-year-old female who had presented to the vaccination clinic this afternoon to receive her COVID-19 vaccine.  She does have a history of migraine headaches and other comorbidities as described below.  Has had reactions to a number of medications, mostly narcotics as noted in her allergy list some of which could in theory be compatible with urticaria.  Does not have true anaphylaxis in her history. Today at about 15 minutes after administration of her COVID-19 vaccine she began to rather precipitously developed an itchy crawling feeling in her skin, nausea with retching and some shortness of breath.  She did not have the sensation of her throat closing off.  Did not have coryza.  Within about 10 minutes she did develop difficulty with speech that she says is typical for her migraine headache.  She received, in the vaccination Clinic, epinephrine 0.3 mg subQ, 125 mg of Solu-Medrol and 50 mg of Benadryl all IV.  An IV was started and a 500 mL bolus of saline was initiated.  With this she was then transferred to the emergency room for further evaluation.   In the emergency room she did develop chest heaviness but no palpitations.  She was not dyspneic.  Her nausea and vomiting by then had seem to resolve.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count normal, Nausea, Neutrophil count normal
Clinical narrative: Patient is a 55-year-old female who had presented to the vaccination clinic this afternoon to receive her COVID-19 vaccine.  She does have a history of migraine headaches and other comorbidities as described below.  Has had reactions to a number of medications, mostly narcotics as noted in her allergy list some of which could in theory be compatible with urticaria.  Does not have true anaphylaxis in her history. Today at about 15 minutes after administration of her COVID-19 vaccine she began to rather precipitously developed an itchy crawling feeling in her skin, nausea with retching and some shortness of breath.  She did not have the sensation of her throat closing off.  Did not have coryza.  Within about 10 minutes she did develop difficulty with speech that she says is typical for her migraine headache.  She received, in the vaccination Clinic, epinephrine 0.3 mg subQ, 125 mg of Solu-Medrol and 50 mg of Benadryl all IV.  An IV was started and a 500 mL bolus of saline was initiated.  With this she was then transferred to the emergency room for further evaluation.   In the emergency room she did develop chest heaviness but no palpitations.  She was not dyspneic.  Her nausea and vomiting by then had seem to resolve.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count normal, Pruritus, Red blood cell count normal, Red cell distribution width normal, Troponin T increased
Clinical narrative: Patient is a 55-year-old female who had presented to the vaccination clinic this afternoon to receive her COVID-19 vaccine.  She does have a history of migraine headaches and other comorbidities as described below.  Has had reactions to a number of medications, mostly narcotics as noted in her allergy list some of which could in theory be compatible with urticaria.  Does not have true anaphylaxis in her history. Today at about 15 minutes after administration of her COVID-19 vaccine she began to rather precipitously developed an itchy crawling feeling in her skin, nausea with retching and some shortness of breath.  She did not have the sensation of her throat closing off.  Did not have coryza.  Within about 10 minutes she did develop difficulty with speech that she says is typical for her migraine headache.  She received, in the vaccination Clinic, epinephrine 0.3 mg subQ, 125 mg of Solu-Medrol and 50 mg of Benadryl all IV.  An IV was started and a 500 mL bolus of saline was initiated.  With this she was then transferred to the emergency room for further evaluation.   In the emergency room she did develop chest heaviness but no palpitations.  She was not dyspneic.  Her nausea and vomiting by then had seem to resolve.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Patient is a 55-year-old female who had presented to the vaccination clinic this afternoon to receive her COVID-19 vaccine.  She does have a history of migraine headaches and other comorbidities as described below.  Has had reactions to a number of medications, mostly narcotics as noted in her allergy list some of which could in theory be compatible with urticaria.  Does not have true anaphylaxis in her history. Today at about 15 minutes after administration of her COVID-19 vaccine she began to rather precipitously developed an itchy crawling feeling in her skin, nausea with retching and some shortness of breath.  She did not have the sensation of her throat closing off.  Did not have coryza.  Within about 10 minutes she did develop difficulty with speech that she says is typical for her migraine headache.  She received, in the vaccination Clinic, epinephrine 0.3 mg subQ, 125 mg of Solu-Medrol and 50 mg of Benadryl all IV.  An IV was started and a 500 mL bolus of saline was initiated.  With this she was then transferred to the emergency room for further evaluation.   In the emergency room she did develop chest heaviness but no palpitations.  She was not dyspneic.  Her nausea and vomiting by then had seem to resolve.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Cardiac function test, Coordination abnormal, Dyspnoea, Electrocardiogram
Clinical narrative: Patient is a 55-year-old female who had presented to the vaccination clinic this afternoon to receive her COVID-19 vaccine.  She does have a history of migraine headaches and other comorbidities as described below.  Has had reactions to a number of medications, mostly narcotics as noted in her allergy list some of which could in theory be compatible with urticaria.  Does not have true anaphylaxis in her history. Today at about 15 minutes after administration of her COVID-19 vaccine she began to rather precipitously developed an itchy crawling feeling in her skin, nausea with retching and some shortness of breath.  She did not have the sensation of her throat closing off.  Did not have coryza.  Within about 10 minutes she did develop difficulty with speech that she says is typical for her migraine headache.  She received, in the vaccination Clinic, epinephrine 0.3 mg subQ, 125 mg of Solu-Medrol and 50 mg of Benadryl all IV.  An IV was started and a 500 mL bolus of saline was initiated.  With this she was then transferred to the emergency room for further evaluation.   In the emergency room she did develop chest heaviness but no palpitations.  She was not dyspneic.  Her nausea and vomiting by then had seem to resolve.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Liver function test, Migraine, Muscle spasms, Palpitations
Clinical narrative: Patient is a 55-year-old female who had presented to the vaccination clinic this afternoon to receive her COVID-19 vaccine.  She does have a history of migraine headaches and other comorbidities as described below.  Has had reactions to a number of medications, mostly narcotics as noted in her allergy list some of which could in theory be compatible with urticaria.  Does not have true anaphylaxis in her history. Today at about 15 minutes after administration of her COVID-19 vaccine she began to rather precipitously developed an itchy crawling feeling in her skin, nausea with retching and some shortness of breath.  She did not have the sensation of her throat closing off.  Did not have coryza.  Within about 10 minutes she did develop difficulty with speech that she says is typical for her migraine headache.  She received, in the vaccination Clinic, epinephrine 0.3 mg subQ, 125 mg of Solu-Medrol and 50 mg of Benadryl all IV.  An IV was started and a 500 mL bolus of saline was initiated.  With this she was then transferred to the emergency room for further evaluation.   In the emergency room she did develop chest heaviness but no palpitations.  She was not dyspneic.  Her nausea and vomiting by then had seem to resolve.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral coldness, Pruritus, Renal function test, Skin burning sensation, Urticaria
Clinical narrative: Patient is a 55-year-old female who had presented to the vaccination clinic this afternoon to receive her COVID-19 vaccine.  She does have a history of migraine headaches and other comorbidities as described below.  Has had reactions to a number of medications, mostly narcotics as noted in her allergy list some of which could in theory be compatible with urticaria.  Does not have true anaphylaxis in her history. Today at about 15 minutes after administration of her COVID-19 vaccine she began to rather precipitously developed an itchy crawling feeling in her skin, nausea with retching and some shortness of breath.  She did not have the sensation of her throat closing off.  Did not have coryza.  Within about 10 minutes she did develop difficulty with speech that she says is typical for her migraine headache.  She received, in the vaccination Clinic, epinephrine 0.3 mg subQ, 125 mg of Solu-Medrol and 50 mg of Benadryl all IV.  An IV was started and a 500 mL bolus of saline was initiated.  With this she was then transferred to the emergency room for further evaluation.   In the emergency room she did develop chest heaviness but no palpitations.  She was not dyspneic.  Her nausea and vomiting by then had seem to resolve.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vision blurred
Clinical narrative: Patient is a 55-year-old female who had presented to the vaccination clinic this afternoon to receive her COVID-19 vaccine.  She does have a history of migraine headaches and other comorbidities as described below.  Has had reactions to a number of medications, mostly narcotics as noted in her allergy list some of which could in theory be compatible with urticaria.  Does not have true anaphylaxis in her history. Today at about 15 minutes after administration of her COVID-19 vaccine she began to rather precipitously developed an itchy crawling feeling in her skin, nausea with retching and some shortness of breath.  She did not have the sensation of her throat closing off.  Did not have coryza.  Within about 10 minutes she did develop difficulty with speech that she says is typical for her migraine headache.  She received, in the vaccination Clinic, epinephrine 0.3 mg subQ, 125 mg of Solu-Medrol and 50 mg of Benadryl all IV.  An IV was started and a 500 mL bolus of saline was initiated.  With this she was then transferred to the emergency room for further evaluation.   In the emergency room she did develop chest heaviness but no palpitations.  She was not dyspneic.  Her nausea and vomiting by then had seem to resolve.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Administration site bruise, Contusion
Clinical narrative: One day after receiving the vaccine, I developed a deep purple/blue bruise that extends from an inch above the injection site (shoulder of left arm) and extends to my elbow.  It is 4 inches wide.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Injection site erythema, Lethargy
Clinical narrative: Onset yesterday (1/21/21) after stretching left shoulder.  Felt like itching and mild burning in left deltoid.  Rapidly increased to mild pain/discomfort/aching.  Went for walk.  Upon return, muscle tested and stretched arm to see if I had injured arm.  Afterwards, there was onset of pain, swelling, redness, increased itching.  Redness generalized over left deltoid with pronounced scarlet redness at site of injection, about 3mm diameter.  Today (1/22/21, Day 2 of flare-up, about 22 hours after onset of symptoms):  increased aching over entire left shoulder/trap/scapula with pronounced redness over slightly greater area on deltoid, itching at deltoid, hardness and swelling of deltoid.  Almost a burning sensation over the deltoid, but not quite.  Tissue feels irritated and hot.  Limited loss of range of motion.  Pain increases with use of left arm, pushing arm through ROM movements. Moderate headache at waking, relieved with 25mg Sumatriptan.  Still mild headache.  Mild lethargy and fatigue.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Pain, Peripheral swelling, Pruritus
Clinical narrative: Onset yesterday (1/21/21) after stretching left shoulder.  Felt like itching and mild burning in left deltoid.  Rapidly increased to mild pain/discomfort/aching.  Went for walk.  Upon return, muscle tested and stretched arm to see if I had injured arm.  Afterwards, there was onset of pain, swelling, redness, increased itching.  Redness generalized over left deltoid with pronounced scarlet redness at site of injection, about 3mm diameter.  Today (1/22/21, Day 2 of flare-up, about 22 hours after onset of symptoms):  increased aching over entire left shoulder/trap/scapula with pronounced redness over slightly greater area on deltoid, itching at deltoid, hardness and swelling of deltoid.  Almost a burning sensation over the deltoid, but not quite.  Tissue feels irritated and hot.  Limited loss of range of motion.  Pain increases with use of left arm, pushing arm through ROM movements. Moderate headache at waking, relieved with 25mg Sumatriptan.  Still mild headache.  Mild lethargy and fatigue.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular, Rash pruritic, Skin warm, Urticaria
Clinical narrative: Started on 1/18/21 as two separate whelps, red, raised, warm and itchy.  Now is one large red rash, large whelp on arm.  Been taking Benadryl.   Went to walk-in, who told her to take antihistamines, Benadryl or cream to local area.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Rash macular, Rash papular
Clinical narrative: Puffy, itchy arm, that increases with redness and blotchiness, raised skin and hot.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Puffy, itchy arm, that increases with redness and blotchiness, raised skin and hot.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Bradykinesia, Confusional state, Diplopia, Myalgia, Slow speech
Clinical narrative: pts daughter states she has severe confusion with slow speech with difficulty speaking and slow movement  Also has  extreme muscle pain and double vision.  Pt had urge to urinate but could not.  Pts daughter states she is still having some symptoms but is improving and will see her doctor next week for a regular scheduled appt.  Pt started the medicine Cymbalta in November 2020 for her Fibromyalgia but had developed confusion from it so the doctor took her off of it on January 11th 2021 and was doing well until the day of the vaccination.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary retention
Clinical narrative: pts daughter states she has severe confusion with slow speech with difficulty speaking and slow movement  Also has  extreme muscle pain and double vision.  Pt had urge to urinate but could not.  Pts daughter states she is still having some symptoms but is improving and will see her doctor next week for a regular scheduled appt.  Pt started the medicine Cymbalta in November 2020 for her Fibromyalgia but had developed confusion from it so the doctor took her off of it on January 11th 2021 and was doing well until the day of the vaccination.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest pain
Clinical narrative: Developed chest pain that subsided within a few minutes. No other specific signs of a stroke or heart attack. Blood pressure was elevated (~140/85).
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient is another women who has h/o allergies to food and medications. She came prepared with her own Benadryl and Epipen. I watched her for almost 45 minutes and only thing she C/O was some itching in her head at 25-30 minutes after the shot. So I advised to take her own 25 mg po of Benadryl. When she left she was not itching. She had no other problems like hives, SOB, swollen eyes, chest pain, stridor, nausea, vomiting. She was alert and oriented X3 throughout her visit in post vaccination area. I was talking to her throughout her stay on and off.  Her O2 sat was also good.  I informed her on skin care, told her to drink enough fluids, take Benadryl po Q6-8 hours for the next 1-2 days. If any problems go to ER. She informed me that she was very anxious and she gets itching every time when she becomes hyperactive with lots of people.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hypoaesthesia, Joint swelling, Paraesthesia, Peripheral swelling
Clinical narrative: Anxiety, swelling of left hand wrist, numbness tingling from finger tip to left bicep of injection arm.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Muscle spasms
Clinical narrative: Day 1.  Pain and soreness , red at injection sight, upper left arm,and a few hours later, pain in both sides of neck, subsided after a few minutes. Day 2. Pain and soreness red, at injection sight Day 3. Pain and soreness , red at injection sight, and experienced small muscle spasm from right corner of nose to right side of mouth, lasted only a few minutes, had never experienced anything similar in the past. Day 4-8 Slight soreness at injection sight Day 9. Injection area became itchy, as I scratched I noticed my arm felt warm and thicker than other arm.  Almost dome shaped and the size of my  hand as I touched it.  Skin felt leathery somehow,  and appeared red in a circular shape around injection site. Day 10 (today) Less sore but still slightly tougher feeling, leathery, slightly pink in the area of injection, dome shape seems to have lessened.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Skin texture abnormal
Clinical narrative: Day 1.  Pain and soreness , red at injection sight, upper left arm,and a few hours later, pain in both sides of neck, subsided after a few minutes. Day 2. Pain and soreness red, at injection sight Day 3. Pain and soreness , red at injection sight, and experienced small muscle spasm from right corner of nose to right side of mouth, lasted only a few minutes, had never experienced anything similar in the past. Day 4-8 Slight soreness at injection sight Day 9. Injection area became itchy, as I scratched I noticed my arm felt warm and thicker than other arm.  Almost dome shaped and the size of my  hand as I touched it.  Skin felt leathery somehow,  and appeared red in a circular shape around injection site. Day 10 (today) Less sore but still slightly tougher feeling, leathery, slightly pink in the area of injection, dome shape seems to have lessened.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Full blood count normal, Metabolic function test, Nausea
Clinical narrative: Nausea, vomiting, abdominal pain, diarrhea after covid vaccine
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Nausea, vomiting, abdominal pain, diarrhea after covid vaccine
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pain, Pyrexia
Clinical narrative: Day 1 - Dizziness aches and pains; increased sense of pain in all normal chronic ache locations Day 2 - severe aches, fever of 101.0
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort
Clinical narrative: Left Arm discomfort after vaccination.  No treatment, refused care