chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fall, Loss of consciousness
Clinical narrative: ED Note: At 1650, patient was observed following another nurse to the observation area, when he began swaying from side to side,  lost consciousness and landed on his right side.  This nurse approached the patient while other co-workers were assisting him to a chair.  The patient was regaining consciousness.  The patient's vital signs were as followed:  112/96, pulse ox 99%, pulse 46.  This nurse gave the patient water and the patient was alert and oriented X 3.  The patient c/o left knee pain but denied any other symptoms.  This nurse again checked his vital signs at 1655:  85/52, pulse ox 100%, pulse 86.  At this point, rapid response was called and report was given.  This nurse moved the patient to a wheelchair to prepare for transport to the E.R.  The patient denied any further symptoms at this time except pain in his left knee.  This nurse checked his vital signs at 1658:  102/64, pulse ox 100%, pulse 59.  Rapid response arrived and this nurse gave report to them.  Patient was transported to the E.R. via stretcher.  No further issues noted at this time.    Pt reports he has a history of getting nervous and "passing out" when getting blood drawn or getting a shot.  Pt stated that when he stood up after getting his covid vaccine he felt lightheaded and passed out.  ED staff responded to vaccine clinic  At 1658 where pt's VS were as follows: 102/64 HR: 59 Sats 100%   At present time, pt reports feeling "totally normal" and does not feel that he needs to stay to be seen in ED.  Pt comfortable with being monitored by RN for 10 min. Pt still does not want to be seen in ED, wants to leave.  Pt ambulated out of ED without difficulty.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Arm became red, swollen , hot and extremely itchy,  Lasted about 5 days.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Heart rate increased, Nausea, Pain
Clinical narrative: Feeling typical side effects:  fatigued, achy all over body, nauseous, and elevated temperature. However, my heart rate has been elevated over the past 24 hours ranging from 105-125 bpm. This started one day after (March 23rd) the 2nd vaccine was administered. My heart rate has decreased slightly, but still around 100-105 bpm as of Wednesday, March 24th at 6:30am. I am mostly concerned about the elevated heart rate since I have not seen this as a side effect.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Nausea
Clinical narrative: Next day I felt fatigued, nauseous and unwell.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis chronic, Lymphadenopathy
Clinical narrative: after 8days i think?there is a lymphatic mass ?2cm?in my left axilla?still not go away ...
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient reported  hive on lower legs
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dry mouth, Dysphagia, Sensation of foreign body, Urticaria
Clinical narrative: Dry mouth, "feels like a knot in my throat" ED Note: 43 y.o. male with a history of hypertension and eosinophilic esophagitis presenting s/p allergic reaction. Patient received his first dose of the Pfizer COVID vaccine around 17:30 today and states that he developed hives down his left arm and was having difficulty swallowing. He does have a known egg allergy and states that he has had prior anaphylaxis reactions to the flu vaccine. Patient was given PO Benadryl with complete relief of his symptoms. He has no complaints at this time and states that he feels "perfectly fine". At bedside for initial evaluation. Discussed plan for continued Benadryl throughout tomorrow and follow-up with his PCP. Patient is agreeable. Plan for discharge. The patient is comfortable with further observation of his symptoms at home.  I discussed our workup, answered all questions and made sure there were no other concerns.  I provided counseling about standard home and self-care measures and advised on standard return precautions including new, persistent, or worsening / concerning symptoms.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Feeling abnormal
Clinical narrative: Felt extreme fatigue at 3:00 in the afternoon, then by 4:00 bad headache, chills with trembling, muscle and joint pain , general weakness, and "felt terrible".  Slept fitfully, first in recliner then bed, till 8:00 next morning.  By 9:00, felt fine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Insomnia, Myalgia, Tremor
Clinical narrative: Felt extreme fatigue at 3:00 in the afternoon, then by 4:00 bad headache, chills with trembling, muscle and joint pain , general weakness, and "felt terrible".  Slept fitfully, first in recliner then bed, till 8:00 next morning.  By 9:00, felt fine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Panic reaction
Clinical narrative: 3-23-21 3:47PM PT STATES SHE 'FEELS PANICKY'. A/O, PINK, W/D, RESP REG WITH EASE. NO ACUTE DISTRESS NOTED. NO SOB/DYSPNEA, NO PAIN, NO DIFFICULTY SWALLOWING. COMFORT AND REASSURANCE GIVEN. 3:52PM STATES 'FEELS BETTER NOW'. AMBULATORY TO EXIT WITH HUSBAND; GAIT BRISK AND STEADY. NO ACUTE DISTRESS NOTED. 3-24-21 9AM TC: HUSBAND STATES PT 'FEELS BETTER.'
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Diarrhoea, Headache, Lethargy, Nausea
Clinical narrative: Vaccine 1: Side effects started 20 hours after vaccine, listed by length and severity - Lethargic:  4 days Nausea:  4 days Diarrhea: 4 days Headache:  3 days Chills: 3 days  Side effects started 20 hours after vaccine, listed by length and severity - Lethargic:  4 days Nausea:  4 days Diarrhea: 3 days Headache:  2 days Chills: 2 days
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Insomnia, Micturition urgency, Nausea, Renal pain
Clinical narrative: pt states he did not sleep well the night after taking the vax and when he got up next morning he was very dizzy and nauseated.   He had to hold on to furniture to get to the restroom and then vomited.  He feels like he is having a vertigo episode.  He is also urinating a lot more than usual and has a pain in his kidneys.  Pt has contacted his PCP but they not have returned his call yet.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: pt states he did not sleep well the night after taking the vax and when he got up next morning he was very dizzy and nauseated.   He had to hold on to furniture to get to the restroom and then vomited.  He feels like he is having a vertigo episode.  He is also urinating a lot more than usual and has a pain in his kidneys.  Pt has contacted his PCP but they not have returned his call yet.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Nausea, Pain, Sleep disorder
Clinical narrative: Event free for 1 week then last night (1/23/21) experienced painful full body ache (no position could relieve discomfort so could not sleep) Felt queasy but not to point of throwing up Felt some acid reflux
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Lethargy
Clinical narrative: Headache, tremendous back pain from neck to hips, legarthy
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Pruritus, Rash, Rash erythematous, Rash macular
Clinical narrative: I was very sick which is normal but I woke up this morning, 3/24/2021, and have a red splotchy rash on my neck and forearm. My forearm is very itchy.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Headache, Nausea, Pain in extremity
Clinical narrative: Nausea, Metallic taste in mouth, headache, entire arm in pain for 24 hours.  I was better by the following day 3/20.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Peripheral swelling, Photosensitivity reaction, Swelling
Clinical narrative: first night- severe headache, body aches and chills. second day - severe reaction to the sun. face, neck, and legs are swollen and red from being outside for about an hour and a half. nothing unusual for me as I normally spend time outside in the sun.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: first night- severe headache, body aches and chills. second day - severe reaction to the sun. face, neck, and legs are swollen and red from being outside for about an hour and a half. nothing unusual for me as I normally spend time outside in the sun.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Lip erythema, Lip pain, Sensation of foreign body, Vital signs measurement
Clinical narrative: First dose of Moderna vaccine was administered at 1:45 pm. Patient was observed for 30 minute post vaccination due to previous anaphylactic response. At 2:40 PM patient returned to vaccination area to report a "lump" in throat and feels as though her bottom lip has been bitten. Patient received 25mg of Benedryl.  Vitals were assessed and within normal limits. Bottom lip red in color with no swelling present. At 2:55 PM vitals assessed and WNL. Patient reports she feels the same as she did upon initial assessment. Vitals assessed and WNL at 3:10 PM, 3:30 pm and 3:50 PM. 3:10 PM patient reports that the lump in throat is dissipating. By 3:30 PM assessment "lump" in throat is gone and patient is still feeling as though her bottom lip has been "bitten." Patient was discharged at 3:50 PM and advised to follow up with physicians office.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Rash, Rash pruritic, Urticaria
Clinical narrative: Uticaria rash to left arm and face which occurred  9 days after vaccine. Itching and picking discomfort to rash . On antihistamine twice a day, hydrocortisone cream to face and triamcinolone cream to arm. Hydroxyzine for itching.  At this time the rash continues .  Note my father (different home) had the same reaction with biopsy of rash to confirm  and 2 months later is still battling the rash.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity
Clinical narrative: Chills, aching for 24 hours Sore arm for 24 hours then less intense for about a week
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Patient reports having numb fingers that progressively got better (started with whole fingers, than just about 1/2 and then just the finger tips). Patient states this lasted for about a week and is no longer experiencing adverse event.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Feeling hot, Loss of consciousness, Visual impairment
Clinical narrative: I passed out about 20 min. after the shot. I felt fine up until then. When I was walking to wash my hands, i felt intense heat, vision blacked out and I passed out for about 30 seconds. II was dizzy with delayed vision for the rest of the day.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased
Clinical narrative: Cannot keep sugar from dropping about 5 hours after the shot - cannot keep blood sugar levels up in a normal range - it keeps dropping into the 40s and should be around 100.   Insulin was not administered and has not been administered since the vaccination due to low blood sugar levels.  Ate dinner around 6 pm, no insulin administered and sugar dropped into the 40s around 11 pm and again in early morning.  He drinks juice to bring the levels back up but they quickly drop.  Trying to get blood sugar up and stable.  There is a risk of death if his sugar cannot be brought back up to the correct levels and stabilized.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Insomnia, Pyrexia
Clinical narrative: could not sleep that evening, ran a temperature of 102 for most of the next day, chills, ongoing headache; fever broke about 8 p.m. next day
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus, Urticaria
Clinical narrative: I started having itching and hives about 3 hours after receiving the vaccine. No shortness of breath or other discomfort . I did an unscheduled Telehealth visit through my insurance and the doctor prescribed me Hydroxyzine, Fexofenadine and an anti itch cream. I took 1 Hydroxyzine and went to bed. i was completely fine the next morning.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Lethargy, Rash
Clinical narrative: Had mild flu like symptoms from 6 to 12 hours after injection, then 24 hours of lethargy.  After that felt fine.  Then late afternoon on 3/22/21 got skin rash on both arms, took 1 Benadryl, seemed to help/clear a bit.  Next day in afternoon, rash appeared on both upper thighs, lower buttocks, arms; few hours later some clearing of upper thighs/buttocks, but then rash appeared on inner thighs and calves.  Took 2 Benadryl and used hydrocortisone cream on rash.  Nose looked red. Overnight rash spread to ankles and feet.  It feels like rash is moving around my body - other than stomach, upper back and neck.  This morning 03/24, feet have cleared, but still on inner thigh left leg.  Right leg is almost clear.   I have photos if needed.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness, Muscle contractions involuntary, Musculoskeletal stiffness, Pyrexia
Clinical narrative: 19 hours: left eye went dark, left leg muscle contraction, 21 hrs: major muscles seized for 15 minutes(felt like they were tearing from bone), Fever for next 12 hours
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood culture negative, Body temperature increased, C-reactive protein normal, Catheterisation cardiac normal
Clinical narrative: 41yo male with history of HLD, LBP, and tobacco use who presented to care initially at the with chest pain. He received the second dose of the Moderna vaccine on 18MAR21 at clinic and within 14 hours developed chills and myalgias. He denies any immediate onset of symptoms after receiving the vaccine. The following day he reports experiencing chest pain 24 hours after the vaccine was administered that progressively worsened over the subsequent 36 hours that finally prompted him to seek care. He describes the pain as a central non-radiating squeezing pain that worsened with movement and breathing. He waited to seek care because he reports several of the soldiers in his unit have experienced similar chest pain that eventually resolved.   He reports being at his baseline health prior to receiving the vaccine and denies any fever, cough, rhinorrhea, congestion, malaise, vomiting, diarrhea, or rash.   Upon initial presentation to care at clinic he was noted to have a Tropnon I of 0.9, WBC of 14, elevated CRP (7.3), and temp to 101.4. Patient was given ASA, Plavix, Lovenox, Tylenol, and Ceftriaxone.    Since arriving to clinic and EKG was obtained showing ST elevation in lead 1 and avF concerning for ischemia and underwent a left heart catheterization which was clear of obstruction. Serial high sensitivity Tropnonin levels have been trended to peak of 465. Respiratory viral panel to include SARS COV-2 was negative. Cardiac MRI was consistent with myopericarditis, and show mildly reduced EF for 46%. Blood cultures have not grown any organism. His chest pain has resolved since starting Aspirin and Colchicine.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Ejection fraction decreased, Electrocardiogram ST segment elevation, Electrocardiogram abnormal
Clinical narrative: 41yo male with history of HLD, LBP, and tobacco use who presented to care initially at the with chest pain. He received the second dose of the Moderna vaccine on 18MAR21 at clinic and within 14 hours developed chills and myalgias. He denies any immediate onset of symptoms after receiving the vaccine. The following day he reports experiencing chest pain 24 hours after the vaccine was administered that progressively worsened over the subsequent 36 hours that finally prompted him to seek care. He describes the pain as a central non-radiating squeezing pain that worsened with movement and breathing. He waited to seek care because he reports several of the soldiers in his unit have experienced similar chest pain that eventually resolved.   He reports being at his baseline health prior to receiving the vaccine and denies any fever, cough, rhinorrhea, congestion, malaise, vomiting, diarrhea, or rash.   Upon initial presentation to care at clinic he was noted to have a Tropnon I of 0.9, WBC of 14, elevated CRP (7.3), and temp to 101.4. Patient was given ASA, Plavix, Lovenox, Tylenol, and Ceftriaxone.    Since arriving to clinic and EKG was obtained showing ST elevation in lead 1 and avF concerning for ischemia and underwent a left heart catheterization which was clear of obstruction. Serial high sensitivity Tropnonin levels have been trended to peak of 465. Respiratory viral panel to include SARS COV-2 was negative. Cardiac MRI was consistent with myopericarditis, and show mildly reduced EF for 46%. Blood cultures have not grown any organism. His chest pain has resolved since starting Aspirin and Colchicine.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate normal, Hepatitis B surface antibody negative, Hepatitis C test negative, Magnetic resonance imaging abnormal, Magnetic resonance imaging heart
Clinical narrative: 41yo male with history of HLD, LBP, and tobacco use who presented to care initially at the with chest pain. He received the second dose of the Moderna vaccine on 18MAR21 at clinic and within 14 hours developed chills and myalgias. He denies any immediate onset of symptoms after receiving the vaccine. The following day he reports experiencing chest pain 24 hours after the vaccine was administered that progressively worsened over the subsequent 36 hours that finally prompted him to seek care. He describes the pain as a central non-radiating squeezing pain that worsened with movement and breathing. He waited to seek care because he reports several of the soldiers in his unit have experienced similar chest pain that eventually resolved.   He reports being at his baseline health prior to receiving the vaccine and denies any fever, cough, rhinorrhea, congestion, malaise, vomiting, diarrhea, or rash.   Upon initial presentation to care at clinic he was noted to have a Tropnon I of 0.9, WBC of 14, elevated CRP (7.3), and temp to 101.4. Patient was given ASA, Plavix, Lovenox, Tylenol, and Ceftriaxone.    Since arriving to clinic and EKG was obtained showing ST elevation in lead 1 and avF concerning for ischemia and underwent a left heart catheterization which was clear of obstruction. Serial high sensitivity Tropnonin levels have been trended to peak of 465. Respiratory viral panel to include SARS COV-2 was negative. Cardiac MRI was consistent with myopericarditis, and show mildly reduced EF for 46%. Blood cultures have not grown any organism. His chest pain has resolved since starting Aspirin and Colchicine.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Myocarditis, Respiratory viral panel, SARS-CoV-2 test negative, Troponin I increased
Clinical narrative: 41yo male with history of HLD, LBP, and tobacco use who presented to care initially at the with chest pain. He received the second dose of the Moderna vaccine on 18MAR21 at clinic and within 14 hours developed chills and myalgias. He denies any immediate onset of symptoms after receiving the vaccine. The following day he reports experiencing chest pain 24 hours after the vaccine was administered that progressively worsened over the subsequent 36 hours that finally prompted him to seek care. He describes the pain as a central non-radiating squeezing pain that worsened with movement and breathing. He waited to seek care because he reports several of the soldiers in his unit have experienced similar chest pain that eventually resolved.   He reports being at his baseline health prior to receiving the vaccine and denies any fever, cough, rhinorrhea, congestion, malaise, vomiting, diarrhea, or rash.   Upon initial presentation to care at clinic he was noted to have a Tropnon I of 0.9, WBC of 14, elevated CRP (7.3), and temp to 101.4. Patient was given ASA, Plavix, Lovenox, Tylenol, and Ceftriaxone.    Since arriving to clinic and EKG was obtained showing ST elevation in lead 1 and avF concerning for ischemia and underwent a left heart catheterization which was clear of obstruction. Serial high sensitivity Tropnonin levels have been trended to peak of 465. Respiratory viral panel to include SARS COV-2 was negative. Cardiac MRI was consistent with myopericarditis, and show mildly reduced EF for 46%. Blood cultures have not grown any organism. His chest pain has resolved since starting Aspirin and Colchicine.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: 41yo male with history of HLD, LBP, and tobacco use who presented to care initially at the with chest pain. He received the second dose of the Moderna vaccine on 18MAR21 at clinic and within 14 hours developed chills and myalgias. He denies any immediate onset of symptoms after receiving the vaccine. The following day he reports experiencing chest pain 24 hours after the vaccine was administered that progressively worsened over the subsequent 36 hours that finally prompted him to seek care. He describes the pain as a central non-radiating squeezing pain that worsened with movement and breathing. He waited to seek care because he reports several of the soldiers in his unit have experienced similar chest pain that eventually resolved.   He reports being at his baseline health prior to receiving the vaccine and denies any fever, cough, rhinorrhea, congestion, malaise, vomiting, diarrhea, or rash.   Upon initial presentation to care at clinic he was noted to have a Tropnon I of 0.9, WBC of 14, elevated CRP (7.3), and temp to 101.4. Patient was given ASA, Plavix, Lovenox, Tylenol, and Ceftriaxone.    Since arriving to clinic and EKG was obtained showing ST elevation in lead 1 and avF concerning for ischemia and underwent a left heart catheterization which was clear of obstruction. Serial high sensitivity Tropnonin levels have been trended to peak of 465. Respiratory viral panel to include SARS COV-2 was negative. Cardiac MRI was consistent with myopericarditis, and show mildly reduced EF for 46%. Blood cultures have not grown any organism. His chest pain has resolved since starting Aspirin and Colchicine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse.    NO ADVERSE REACTION, just reporting medication error.   Our Vaccine Task Force, after speaking with CDC and DOH, decided to offer the employee an additional COVID-19 vaccine dose.  Thanks.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody, Arthralgia, Arthritis, Blood creatinine increased, Blood glucose increased
Clinical narrative: Initially after the second vaccine he had typical myalgias/arthralgias, especially shoulder/neck. On 3/19 he got acutely worse with severe pain both shoulders/wrists/hands. He came to ER 3/24 with symmetric inflammatory arthritis involving shoulders/wrists/hands and edema of the hands-pitting edema on dorsum of right hand. He was in such pain that he couldn't take off his shirt without assistance, couldn't bend the wrists, couldn't make a fist.   Clinically, this looked like RSP3PE and resolved within 24 hours on prednisone 20 mg bid which is tapered down today.    Patient returned to the ER today 3/24 with nausea/vomiting and that is currently being worked up. If it appears that this has anything to do with the vaccine, I will file a second report with the new symptoms.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, Blood uric acid normal, C-reactive protein increased, Chest X-ray normal, Electrocardiogram normal
Clinical narrative: Initially after the second vaccine he had typical myalgias/arthralgias, especially shoulder/neck. On 3/19 he got acutely worse with severe pain both shoulders/wrists/hands. He came to ER 3/24 with symmetric inflammatory arthritis involving shoulders/wrists/hands and edema of the hands-pitting edema on dorsum of right hand. He was in such pain that he couldn't take off his shirt without assistance, couldn't bend the wrists, couldn't make a fist.   Clinically, this looked like RSP3PE and resolved within 24 hours on prednisone 20 mg bid which is tapered down today.    Patient returned to the ER today 3/24 with nausea/vomiting and that is currently being worked up. If it appears that this has anything to do with the vaccine, I will file a second report with the new symptoms.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count normal, International normalised ratio normal, Loss of personal independence in daily activities, Metabolic function test
Clinical narrative: Initially after the second vaccine he had typical myalgias/arthralgias, especially shoulder/neck. On 3/19 he got acutely worse with severe pain both shoulders/wrists/hands. He came to ER 3/24 with symmetric inflammatory arthritis involving shoulders/wrists/hands and edema of the hands-pitting edema on dorsum of right hand. He was in such pain that he couldn't take off his shirt without assistance, couldn't bend the wrists, couldn't make a fist.   Clinically, this looked like RSP3PE and resolved within 24 hours on prednisone 20 mg bid which is tapered down today.    Patient returned to the ER today 3/24 with nausea/vomiting and that is currently being worked up. If it appears that this has anything to do with the vaccine, I will file a second report with the new symptoms.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Motor dysfunction, Myalgia, Nausea, Neck pain, Oedema
Clinical narrative: Initially after the second vaccine he had typical myalgias/arthralgias, especially shoulder/neck. On 3/19 he got acutely worse with severe pain both shoulders/wrists/hands. He came to ER 3/24 with symmetric inflammatory arthritis involving shoulders/wrists/hands and edema of the hands-pitting edema on dorsum of right hand. He was in such pain that he couldn't take off his shirt without assistance, couldn't bend the wrists, couldn't make a fist.   Clinically, this looked like RSP3PE and resolved within 24 hours on prednisone 20 mg bid which is tapered down today.    Patient returned to the ER today 3/24 with nausea/vomiting and that is currently being worked up. If it appears that this has anything to do with the vaccine, I will file a second report with the new symptoms.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Pain in extremity, Prothrombin time normal, Red blood cell sedimentation rate increased, Rheumatoid factor negative
Clinical narrative: Initially after the second vaccine he had typical myalgias/arthralgias, especially shoulder/neck. On 3/19 he got acutely worse with severe pain both shoulders/wrists/hands. He came to ER 3/24 with symmetric inflammatory arthritis involving shoulders/wrists/hands and edema of the hands-pitting edema on dorsum of right hand. He was in such pain that he couldn't take off his shirt without assistance, couldn't bend the wrists, couldn't make a fist.   Clinically, this looked like RSP3PE and resolved within 24 hours on prednisone 20 mg bid which is tapered down today.    Patient returned to the ER today 3/24 with nausea/vomiting and that is currently being worked up. If it appears that this has anything to do with the vaccine, I will file a second report with the new symptoms.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Seronegative arthritis, Vomiting, White blood cell count normal, X-ray limb normal
Clinical narrative: Initially after the second vaccine he had typical myalgias/arthralgias, especially shoulder/neck. On 3/19 he got acutely worse with severe pain both shoulders/wrists/hands. He came to ER 3/24 with symmetric inflammatory arthritis involving shoulders/wrists/hands and edema of the hands-pitting edema on dorsum of right hand. He was in such pain that he couldn't take off his shirt without assistance, couldn't bend the wrists, couldn't make a fist.   Clinically, this looked like RSP3PE and resolved within 24 hours on prednisone 20 mg bid which is tapered down today.    Patient returned to the ER today 3/24 with nausea/vomiting and that is currently being worked up. If it appears that this has anything to do with the vaccine, I will file a second report with the new symptoms.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Oedema peripheral, Peripheral artery thrombosis, Thrombosis, Ultrasound scan
Clinical narrative: Patient was admitted to the ED with left deep peroneal vein thrombosis on Feb. 9 2021 after patient noticed prolonged  edema in both ankles. Patient started talking 10 mg of Eliquis twice a day on Feb. 11, 2021. And on Feb. 17 2021, 2 more blood clots were found in the patient's peripheral veins within the limbs. Patient descreased dose of Eliquis to 5mg twice a day on Feb. 18 2021. Patient continues to take 5mg of Eliquis twice a day.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Vomiting
Clinical narrative: she vomited when they got home and was feeling a little sick
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular, Rash pruritic, Rash pustular
Clinical narrative: Rash on the right arm - forearm and elbow, red, raised, itchy with little postules
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: 9 days after injection left arm is red, swollen, warm, and itchy
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Diarrhoea, Dizziness, Malaise, Nausea
Clinical narrative: I received my first does of Moderna on March 23, 2021. I had no reaction in the first 15 minutes.   My husband and I left the site and stopped to do some shopping about 5 miles down the road from the site.  I was driving.  When I got out of the car, I immediately noticed that I was unsteady, I thought I was just being clumsy until I walked around my car to help my husband ( I am his caretaker) out of the car but I was collapsing and needed to steady myself against the car and get my way back to the car because of intense dizziness.  When I got back into the car, I asked him if he could make it to the restaurant and get me some water.  He did and I drank a bottle of water.  At this time I felt like I was going to have the runs and throw up at the same time so I drove through the parking lot and used the bathroom at the restaurant.   I was a little dizzy but it was not as intense as when I first got out of the car.  I was able to walk to the bathroom and back out without any difficulty.  I did have the runs but the feeling of throwing up passed.  We got back into the car and waited until I felt safe to drive.  After another 15 minutes I drove home.  During the drive I felt sick again and had to stop in a parking lot and throw up.  After throwing up, I felt fine and drove the rest of the way home.  I was able to make it into the condo with no problem and take a shower.  I felt steady and no longer sick.  I went to bed for a couple hours and then got up and ate some food which I kept down. During the rest of the day, I took it easy.  Today I feel fine.  No headache.  I will write if I  have any other problems.  I am wondering if anyone else has had a similar experience.?  Should I take the second dose?
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I received my first does of Moderna on March 23, 2021. I had no reaction in the first 15 minutes.   My husband and I left the site and stopped to do some shopping about 5 miles down the road from the site.  I was driving.  When I got out of the car, I immediately noticed that I was unsteady, I thought I was just being clumsy until I walked around my car to help my husband ( I am his caretaker) out of the car but I was collapsing and needed to steady myself against the car and get my way back to the car because of intense dizziness.  When I got back into the car, I asked him if he could make it to the restaurant and get me some water.  He did and I drank a bottle of water.  At this time I felt like I was going to have the runs and throw up at the same time so I drove through the parking lot and used the bathroom at the restaurant.   I was a little dizzy but it was not as intense as when I first got out of the car.  I was able to walk to the bathroom and back out without any difficulty.  I did have the runs but the feeling of throwing up passed.  We got back into the car and waited until I felt safe to drive.  After another 15 minutes I drove home.  During the drive I felt sick again and had to stop in a parking lot and throw up.  After throwing up, I felt fine and drove the rest of the way home.  I was able to make it into the condo with no problem and take a shower.  I felt steady and no longer sick.  I went to bed for a couple hours and then got up and ate some food which I kept down. During the rest of the day, I took it easy.  Today I feel fine.  No headache.  I will write if I  have any other problems.  I am wondering if anyone else has had a similar experience.?  Should I take the second dose?
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Delayed rash local reaction after 7 days of vaccine administration.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse.    NO ADVERSE REACTION, just reporting medication error.   Our Vaccine Task Force, after speaking with CDC and PA DOH, decided to offer the employee an additional COVID-19 vaccine dose.  Thanks.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Have had a fever for 3 consecutive days
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Neck pain, Oropharyngeal pain, Paraesthesia
Clinical narrative: Aside from the soreness of the left arm where I was injected, the left side of my neck and esophagus is sore and I have numbness on the left side of my face. The numbness is on the left jaw, the cheek, the eye brow and forehead.  It's itchy and tingly.  It feels somewhat like when a part of the body is coming out of being asleep and it tingles.  This is the second day of the numbness. I did not expect this reaction to this COVID-19 vaccination and I have never had such a reaction to vaccinations in the past.  I read on the internet of people getting Bell's palsy from the COVID-19 shot and wondered if this is similar.  With this reaction from the first COVID-19  shot, I'm concerned what my reaction might be if/when I have the 2nd vaccination.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Aside from the soreness of the left arm where I was injected, the left side of my neck and esophagus is sore and I have numbness on the left side of my face. The numbness is on the left jaw, the cheek, the eye brow and forehead.  It's itchy and tingly.  It feels somewhat like when a part of the body is coming out of being asleep and it tingles.  This is the second day of the numbness. I did not expect this reaction to this COVID-19 vaccination and I have never had such a reaction to vaccinations in the past.  I read on the internet of people getting Bell's palsy from the COVID-19 shot and wondered if this is similar.  With this reaction from the first COVID-19  shot, I'm concerned what my reaction might be if/when I have the 2nd vaccination.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site bruising, Pain in extremity
Clinical narrative: shoulder/arm pain during 1st week. bruise and rash occurred after injection next day. bruise and rash comes and goes-same spot as injection site. shoulder pain constant.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: 3-23-21 4:07PM BROUGHT TO MEDIC TENT PER WHEELCHAIR - 'FEEELS LIGHTHEADED'. DAD WITH PT. PALE, ORIENTED X3, NO LOC,  RESP WITH EASE, W/D. PLACED ON COT WITH FEET ELEVATED. 4:10PM  PT STATES HE 'FEELS BETTER NOW'. COLOR IMPROVED. 4:12PM HOME WITH DAD - TO EXIT PER WHEEL CHAIR. NO ACUTE OR OBVIOUS DISTRESS. A/O, PINK, W/D, RESP WITH EASE.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Erythema, Hypoaesthesia, Paraesthesia, Rash
Clinical narrative: Redness and swelling of the face, rash on chest arms, and face. Tingling and numbness in face. Subsided with taking Claritin and Benadryl over the counter
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Redness and swelling of the face, rash on chest arms, and face. Tingling and numbness in face. Subsided with taking Claritin and Benadryl over the counter
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: increased tinnitus in both ears
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Nausea, Pyrexia, Rash
Clinical narrative: pt experienced headache, nausea, and fever the day after vaccination which was to be expected but she also experienced a rash starting with the vaccinated arm moving across her chest then down the other arm.  She also experienced shortness of breath.  She stated she took benadryl every 2 hours for the rash which controlled it and monitored herself with the shortness of breath.  She also stated that since she was asthmatic if the shortness of breath would have gotten worse she would have gone to the ER (luckily this wasn't necessary).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tremor
Clinical narrative: Patient started feeling "lightheaded" and then felt as if hands were shaking. NO visible shaking noted. Feeling dissapeared within about two minutes.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose, Blood thyroid stimulating hormone, Culture urine, Dysuria, Fatigue
Clinical narrative: fatigue, skin lesions, worsening pain, difficulty with AM urination
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Laboratory test, Liver function test, Metabolic function test, Pain
Clinical narrative: fatigue, skin lesions, worsening pain, difficulty with AM urination
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Prostatic specific antigen, Skin lesion, Spinal X-ray abnormal, Urine analysis
Clinical narrative: fatigue, skin lesions, worsening pain, difficulty with AM urination
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Ear swelling, Sialoadenitis, Swelling, Swelling face
Clinical narrative: Facial swelling --- The left side of my face, ear and down the neck.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Rash erythematous, Rash pruritic
Clinical narrative: Covid arm:  8 days after vaccine, woke up with itchy, red, firm area on arm about 3? in diameter
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Asthenia, Fall, SARS-CoV-2 test negative, Troponin increased
Clinical narrative: Patient received 2nd COVID-19 vaccination on 3/13/21.  Manufacturer and lot # of vaccine not available as administered at outlying clinic/facility.  Date of 1st vaccination also unknown.  Patient presents to ED after fall.  Patient states that she has had significant weakness since receiving 2nd COVID vaccination.  Patient states prior to COVID vaccine she was in her normal state of health.  Patient troponin was elevated at 0.99.  Patient denies any chest pain or shortness of breath.  Patient diagnosed with non-STEMI.  Treated with  medical management including heparin drip and continue aspirin + Plavix + statin therapy.  Patient was discharged to rehab facility on 3/18/21.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: I exp the red rash on Sunday itchy around the injections site. I woke up Monday morning the rash area was warm to touch, felt discomfort, slightly swollen and itchy. I contacted my PCP about my symptoms was informed to take Dose 2 my immune system reacting. I wonder if the size of needle matters depending on the size of the person.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: I exp the red rash on Sunday itchy around the injections site. I woke up Monday morning the rash area was warm to touch, felt discomfort, slightly swollen and itchy. I contacted my PCP about my symptoms was informed to take Dose 2 my immune system reacting. I wonder if the size of needle matters depending on the size of the person.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Headache, Myalgia, Nausea
Clinical narrative: Headache, shaking chill, fever, Muscle and joint pain and nausea
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Tremor
Clinical narrative: Headache, shaking chill, fever, Muscle and joint pain and nausea
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Left shoulder pain; no other complaints
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU4, PNC13, RV5
Symptoms: Emotional distress, Fatigue, Seizure like phenomena
Clinical narrative: He had seizure or seizure like incident lasting 1-2 minutes. Was very upset after incident. Also, very tired after incident.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pruritus, Rash
Clinical narrative: 8 days after initial shot, I developed firm and red and swollen spot at injection site. The next day I developed a small rash on my stomach. Overall feel itchy. But did not develop until well after my vaccine was first given.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Immediate post-injection reaction
Clinical narrative: Patient complained she felt her heart flutter immediately following vaccination. Patient's vital signs were taken and was assessed by MD at the clinic. Vital signs were within normal limits. Patient felt improved and went home.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Fever 100.2  Chills, aches, headache.  Lasted 24 hours, then totally gone.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Aches all over body, exhaustion, headache, chills
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Mass
Clinical narrative: pt presented to pharmacy 3/23/21 with a half dollar sized hard mass. Pt complained about itching at the site the day after vaccination, site still was red to pink 15 days after injection, injection site was extremely sore but has improved and pt has more arm mobility...pt refused to go to dr, ..pt was concerned that everyone else he knows has improved and his arm is still sore
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Extremely Loud Ringing Buzzing Whooshing in both ears  Accompanied by headache-
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Headache, sore arm, body aches, chills, fever
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mammogram normal, No adverse event, Ultrasound scan abnormal
Clinical narrative: Received 1st dose of Moderna COVID on 01/11/21 in left arm.  Five days post vaccination (01/16/21), developed pain/tenderness above left clavicle- left supraclavicular lymph node was swollen (approx size of a walnut); got larger over next few days and very tender/painful.  Saw primary care physician who ordered mammogram and ultrasound of area (details below).  Lymph node(s) remained enlarged for 3-4 weeks (was still palpable (about pea sized) at time of second COVID vaccination).  Enlargement attributed to vaccination.   Second dose of Moderna COVID vaccination was administered in right arm- no lymph node swelling occurred post second dose.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: After 2 day I had a hard red raised bump on the site of the vaccine. It went away after 2 days. Today 03/24/21 I woke to a severely itchy and red arm on the shot site. Now I have tiny red bumps around the red swollen area. There is no pain with it only itchiness
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Lymphadenopathy
Clinical narrative: Swelling of lymph node under the injection arm.  Swelled to size of golf ball and lasted one week.  Fatigue lasted 2 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Nausea, Pain in extremity, Weight decreased
Clinical narrative: Severe, explosive diarrhea for four days; weight loss of over one pound a day and ultimately 5 pounds lost; severe nausea for four days. Fatigue and arm pain for one day.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: I have had mild to severe  headheaches  every single day since recieving the vaccine .  In the beginning an OTC  would help the headache but now they are constant and persistent.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: muscle soreness across the entire body
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Dizziness, Dysphagia, Electrocardiogram
Clinical narrative: 15 minutes after shot, numbness in lips, itchy mouth and throat, within about 5 more minutes throat tightness, sensation of difficulty swallowing. Then abdominal pain, nausea, then feeling of something really wrong, I didn?t feel well, then got weaker and weaker, couldn?t lift arms, and felt extremely fatigued, trouble staying awake.  Taken by ambulance to medical center.  On route,  ambulance stopped and another team came in. I was given epinephrine, zofran, Benadryl, and maybe a steroid? Not sure.  When I arrived at hospital, t think I was given dexamethasone and famotidine.  I was barely awake but could speak. Could not hold anything. After several hours, they woke me up, I felt myself again, and I was discharged.  Following days I felt exhausted and dizzy, and had a headache. Took prednisone for five days.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Grip strength decreased, Headache, Hypoaesthesia oral
Clinical narrative: 15 minutes after shot, numbness in lips, itchy mouth and throat, within about 5 more minutes throat tightness, sensation of difficulty swallowing. Then abdominal pain, nausea, then feeling of something really wrong, I didn?t feel well, then got weaker and weaker, couldn?t lift arms, and felt extremely fatigued, trouble staying awake.  Taken by ambulance to medical center.  On route,  ambulance stopped and another team came in. I was given epinephrine, zofran, Benadryl, and maybe a steroid? Not sure.  When I arrived at hospital, t think I was given dexamethasone and famotidine.  I was barely awake but could speak. Could not hold anything. After several hours, they woke me up, I felt myself again, and I was discharged.  Following days I felt exhausted and dizzy, and had a headache. Took prednisone for five days.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Nausea, Oral pruritus, Somnolence
Clinical narrative: 15 minutes after shot, numbness in lips, itchy mouth and throat, within about 5 more minutes throat tightness, sensation of difficulty swallowing. Then abdominal pain, nausea, then feeling of something really wrong, I didn?t feel well, then got weaker and weaker, couldn?t lift arms, and felt extremely fatigued, trouble staying awake.  Taken by ambulance to medical center.  On route,  ambulance stopped and another team came in. I was given epinephrine, zofran, Benadryl, and maybe a steroid? Not sure.  When I arrived at hospital, t think I was given dexamethasone and famotidine.  I was barely awake but could speak. Could not hold anything. After several hours, they woke me up, I felt myself again, and I was discharged.  Following days I felt exhausted and dizzy, and had a headache. Took prednisone for five days.