chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: As per caregiver patient claims she has pain in her shoulder and feels like it is SIRVA (Shoulder Injury Related To Vaccination) shortly after vaccination. Patient called within one hours on same day of vaccine to let pharmacist know that patient is having SIRVA because of the vaccination.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fear of injection, Syncope
Clinical narrative: patient had syncopal episode for 5 to 10 seconds after administration then came to. reports having anxiety with needles and feeling lightheaded with other shots but this was the first instance reporting passed out.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Fatigue, Lip swelling, Urticaria
Clinical narrative: Half an hour after vaccine my body started getting covered in hives, few hours later I has so many hives you couldn?t see unaffected skin, I started taking Benadryl which seems to move hives from one parts of body to another. Next day my lips swell up and I had difficulty breathing. I went to urgent care and was given prednisone plus Benadryl.  Two days later I developed chest pressure, and difficulty breathing still persisted. I went to ER and was given another steroid injection and more prednisone. My chest pressure still exist more than a week after vaccination, I get out of breath easily and get tired faster.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Patient reported that she noticed "red dots/patches"  all over her legs, back, breast/stomach area after getting the second dose of the Pfizer vaccine which have not gotten better.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Pain, SARS-CoV-2 test positive
Clinical narrative: Had the shot done 8/24/2021. The very next day on 8/25/2021, he had body aches, bad cough, vomiting and diarrhea.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Had the shot done 8/24/2021. The very next day on 8/25/2021, he had body aches, bad cough, vomiting and diarrhea.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Nausea
Clinical narrative: felt hot, dizzy, nauseous after receiving vaccine within 10 minutes of receiving vaccine
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Given 2nd dose as Pfizer instead of Moderna
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Heart rate increased, Hypoaesthesia, Oedema peripheral, Pruritus
Clinical narrative: Edema is hands and ankles X 2 days, numbness in hands X 3 days, rapid heart rate (100 on 8/25/21, 90s on 8/26/21, 80 on 8/27/21), increased blood pressure X 2 days, itching in injection site arm on 8/28/21.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: GIVEN SECOND DOSE AS PFIZER INSTEAD OF MODERNA
Age: 18.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Nausea
Clinical narrative: Following tetanus shot while still in center, donor c/o nausea, lightheadedness. s/s subsided w/in @15min.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Laboratory test, Pericarditis, Pulmonary oedema
Clinical narrative: Patient started experiencing shortness of breath 3 days post second dose of Moderna. It became progressively worse, she went to urgent care, then to the ER. In the ER it was determined she had pulmonary edema and pericarditis. Her ER visit was on 8/30/21, She told me she had been to urgent care, her PCP, and her pulmonologist. Not sure the dates those visits occurred. Upon discharge from the ER, she was given an inhaler, cefdinir, and prednisone. She had them filled at my pharmacy which is when I learned all the above.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Muscular weakness, Neuralgia
Clinical narrative: Nerve pain arms and legs&  increasing weakness in legs
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Aggression, Anxiety, Fatigue, Feeling abnormal, Injection site pain
Clinical narrative: Soreness in place of shot. Headaches. Unable to think clearly...ie fuzzy headed. I am at one week tomarrow and feel as though I'm going thru menapause all over again. I'm moody, mean, argumentive, can't think clearly, tired, stress(anxiety)...foggy doing and saying things that are not normal.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Mood altered, Stress, Thinking abnormal
Clinical narrative: Soreness in place of shot. Headaches. Unable to think clearly...ie fuzzy headed. I am at one week tomarrow and feel as though I'm going thru menapause all over again. I'm moody, mean, argumentive, can't think clearly, tired, stress(anxiety)...foggy doing and saying things that are not normal.
Age: 65.0
Sex: M
Vaccine: PNC13
Symptoms: Mobility decreased, Muscle disorder, Nervous system disorder
Clinical narrative: Patient received Prevnar vaccine at pharmacy on August 23, 2021 and woke up the next day not able to move neck and arm.  He claimed he had to pick up his arm with the other hand.  He said it attacked his muscles and nerves. He said he wasn't getting better so he went to an urgent care on August 29, 2021.  He was given an anti-inflammatory and muscle relaxant.  He said the doctor he saw told us to report it.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain
Clinical narrative: chest pain
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram normal, Myocarditis, Troponin increased
Clinical narrative: chest pain
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Depression, Fatigue, Panic attack
Clinical narrative: Extreme anxiety, depression, panic attacks, fatigue.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Skin warm, Swollen tongue, Throat tightness
Clinical narrative: After receiving 2nd dose, patient stated her tongue was swelling, throat closing, difficulty breathing and felt warm to touch.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pain in extremity
Clinical narrative: I began to have random pain in my left foot below my outer ankle.  Feels like nerve pain.  It is a sharp pain that goes away quickly.  It started a few times a day, then increased to 20+ times a day so I went to the walk in.  He had no answers for me, but the pain seemed to go away after that.  Week later, it returned Aug 7,8 & 9th.  Then again Aug 27th.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Had shot in the evening. went to bed. woke up and my left upper thigh was numb from the middle of the kneecap around the outside of my leg to the middle of the back all the way up to my hip. I emailed my primary who replied on monday and said to call nurse line. the nurse line then sent me to covid line which then got me to a nurse who was speaking to covid dr. She realyed information that he was telling her. He said yes this has been reported and yes this is not common but is known. They do not know why, or how long this will last other than usually a while. when asked how long was a while they did not know. They said there was nothing that they could do to help and if it moves anymore as at this point it was moving past my knee to the outside of my calf also to go be seen.  They do not feel a reason to come in as there is nothing that can be done. As of today I still have no feeling in my left upper leg in the same location with slight to minimal improvement on my back side but it has also moved to my outside calf area slightly. I am 6 days past vaccinations with 12 hours after vaccine reaction but who knows because I was sleeping. It is constant numbness and not intermittent. I am able to walk still, it is just really annoying. I do plan to go to my primary but I do not know what this will solve as they said I do not need to be seen as nothing can be done.  I asked if it can travel to my whole leg and they stated that yes it can travel they do not know in my case specifically if it will.  I clicked office visit below because I had to speak to nurse/dr. over the phone. Right now I am just trying to ignore it and live my life.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: SYNCOPE
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Electrocardiogram normal, Palpitations, Syncope
Clinical narrative: Within days to weeks after 2nd Pfizer Covid imm: reports new onset syncopal events, little to no prodrome, and reports palpitations. Had previously had occasional palpitations but describes: frequency and intensity increased after covid imm. Concerned there may be cardiac side effect
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: No adverse reaction. Patient marked on consent form stating never received any COVID vaccine, but when pharmacy bill the insurance with a rejection "additional dose not allowed." When pharmacy called insurance, insurance said patient had one Janssen vaccine in 6/30/2021. When we called patient to confirmed, patient stated he admitted he received one dose already and he didn't mark correctly on the consent form because he was worried pharmacy would not do it for him. He stated he has immunocompromised condition (didn't mark on the consent form) and worried about the delta variant. Pharmacy staff explained that second dose is not currently approved by CDC.
Age: 55.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Fatigue, Headache, Induration
Clinical narrative: Cellulitis of the posterolateral deltoid region characterized by redness, swelling, induration, and pain.  Also had a headache and fatigue following vaccination - relationship unknown.
Age: 55.0
Sex: F
Vaccine: VARCEL
Symptoms: Pain, Swelling
Clinical narrative: Cellulitis of the posterolateral deltoid region characterized by redness, swelling, induration, and pain.  Also had a headache and fatigue following vaccination - relationship unknown.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Fatigue, Fear of injection, Pallor
Clinical narrative: Client received dose 1 of the COVID19 Pfizer vaccine at 15:43. After receiving the injection, the client and her mother went to the observation area to sit for 15 minutes.  At 15:57 the client?s mother alerted EMT that the client was feeling a little dizzy and lightheaded.  EMT alerted Lead RN who went to assess the client.  The client refused transfer into the anti-gravity chair and her mother agreed she was OK in the standard chair.  At 16:04, EMT took the client?s vitals (BP: 122/92, HR: 94 & SPO2: 98%).  The client and her mother did not know what the client?s normal blood pressure was.  That said, the client declined being short of breath, difficulty breathing, and chest pain.  The client also communicated to Lead RN that she ate and drank before coming to get vaccinated, and was pretty anxious because she doesn?t like needles, but overall felt OK, just a little dizzy.  The client and her mother confirmed that the client does not have any underlying health conditions and takes no medications.  The client indicated to Lead RN that she was starting to feel better.  Lead RN requested the client and her mother sit for an additional 15 minutes for observation and they agreed.  At 16:19 EMT took the client?s vitals (BP: 120/74, HR: 87 & SPO2: 100).  The client stated she ?now feels totally fine.?  She also explained that she had anxiety about receiving an injection and was just really tired.  Lead RN observed that the client?s skin was very fair and asked the client?s mother if her skin tone looked normal, not pale.  The client?s mother stated that the client did look pale before and looked much better now, ?back to normal.?  Lead RN educated the client and her mother on both the potential side effects and adverse effects of the vaccine, when to seek medical attention, and ER precautions.  Lead RN observed the client and her mother leave the observation area at 16:22.  The client was walking with a steady gait.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Fatigue, Pain, Respiratory tract congestion
Clinical narrative: moderate symptoms experienced- body aches, fatigue, cough, congestion starting 8/26/21.  Has not seeked medical care.  Still with symptoms 9/1/21
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Colitis, Condition aggravated
Clinical narrative: Approximately 2-3 days after the 1st dose, I had a colitis flare-up (I had not had any symptoms nor had any medication for the prior 2 years after changing my diet). I had leftover prescription medication, so I took it through 5/10/21 (2nd vaccination date) to counteract another possible autoimmune trigger from the 2nd vaccination. After quitting the prescription medication, I had no symptoms for 2 months.  A new colitis flare up began at the beginning of August 2021.  I went back on the prescription meds, but continue to have colitis symptoms.  My G.I doctor cannot get me an appointment until October 14, 2021, so I have not had a doctor examine me yet.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral sensory neuropathy
Clinical narrative: Small fiber sensory neuropathy, improving without treatment
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lip blister, Lip pain, Lip swelling, Oral herpes
Clinical narrative: 8/27 day after a small area inside on mouth like a cold sore noted,   One week later my whole upper lip on inside is a sore, blister . Never had a cold sore like this, inside of mouth . Swollen and painful.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain in extremity, Urticaria
Clinical narrative: Mild headache, arm soreness, nausea, and fatigue lasted about 24 hrs. Hives started Saturday afternoon and was present all day Sunday. Disappeared during day on Monday and reappeared at night. Same thing on Tuesday.  Doctor on Tuesday told me to take Zyrtec daily.
Age: 12.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Syncope
Clinical narrative: SYNCOPE
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Injection site pain, Mouth breathing, Nasal congestion
Clinical narrative: Patient states day after vaccine was given got  soreness at injection site.  Then about one week after vaccination she started feeling a tightness/heaviness in her chest. When she breathes through her nose she does not feel like she is getting enough air so then has to take a deep  breath through her mouth to feel like she is getting enough air. This has continued up to the date of this report.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Moderna vaccine given after being kept for 40 days in the refrigerator when guidance is that Moderna only be kept for 30 days in the refrigerator
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Ultrasound uterus
Clinical narrative: G2P2 prior to vaccination. Two prior uncomplicated pregnancies- both infants born at term by SVD without any complications; born 09/2019 and 01/2018. No prior history of miscarriage. Following injection, experienced a missed miscarriage at 12w5d despite normal genetic testing; then a second missed miscarriage at 10w3d.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Ear pain, Fatigue, Headache, Hot flush
Clinical narrative: Headache, earache, hot flashes, nausea, chest pain, fatigue, body aches. It's only been a day and I still have symptoms
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain
Clinical narrative: Headache, earache, hot flashes, nausea, chest pain, fatigue, body aches. It's only been a day and I still have symptoms
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna dose was given after this vial was kept for 40 days in the refrigerator.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Vaccination error
Clinical narrative: On Wednesday (9/1/21) at around 11:52 AM, patient came to pharmacy requesting Booster COVID vaccine (patient currently taking Enbrel for rheumatoid arthritis). When asked, patient requested Pfizer. I had then asked the patient if they had recieved previous COVID vaccines and which one if they had. Patient responded with Pfizer. After inputing patient information (new profile + insurance) I had the patient complete a Vaccine Record/Informed Consent sheet. I then asked the patient if they had thei vaccination record card to fill out. Patient said they left the card at home. When I asked if they would be able to go home and retrieve the card, the patient mentioned living a little further away and asked if it was ok if they brought it in next time. I told the patient that was ok and stressed the importance of brining back the vaccination card to ensure all the relevant/accurate information was on their. Patient understood. I then proceeded to administer the Pfizer vaccine. Patient was then monitored for 15min for any delayed reactions, and then given the ok to leave. Around 1:20pm the patient returned with their vaccination card.Their vaccination card listed "Janssen & Janssen" as their prior vaccination with a date of (3/13/21). When I asked the patient to clarify they explained they only received the single dose COVID vaccine (J&J). They then mentioned their PCP told they to go ahead an receive the booster dose. The miscommunication occured because the patient believed that any manufacturer could be usesd as a booster dose. I then proceeded to explain to the patient that only Pfizer and Moderna have approval for a 3rd dose in select patient and that J&J does not. I explained to the patient to return tomorrow and that I would hold on to his vaccination card and follow-up with his PCP and submit the appropriate documentation for the vaccination error and would follow-up with him tomorrow.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nervousness, Seizure like phenomena, Vision blurred
Clinical narrative: I awoke in bed and had a seizure type effect that caused severe internal shaking of my brain. I?ve never had it before. It was severe and unmistakable. It terrified me. It happened just once that I know of.  I fell back asleep and didn?t awaken til 12 hours later. I?ve had blurred vision since and bad exhaustion.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia oral, Musculoskeletal stiffness
Clinical narrative: pt called today, saying shortly after the shot he got numbness of tongue, right side. Then next day 8/31 he developed numbness of lower lop and neck stiffness. Advised pt to report the adverse event and notify his primary doctor. Also, suggested closely monitoring for any worsening of the symptoms and seek help if it happens.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Facial paralysis, Tongue paralysis
Clinical narrative: pt called today, saying shortly after the shot he got numbness of tongue, right side. Then next day 8/31 he developed numbness of lower lop and neck stiffness. Advised pt to report the adverse event and notify his primary doctor. Also, suggested closely monitoring for any worsening of the symptoms and seek help if it happens.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Pain in extremity
Clinical narrative: Pain and numbness in the right arm and hand. 3 specific fingers: thumb and next 2 fingers.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID-19. Patient was hospitalized and he is fully vaccinated. Patient began experiencing severe fatigue and a fever of 102.5 approximately 2 weeks ago. Patient was hospitalized from 8/5-8/8 after going into urgent care to get tested.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna dose was given after Moderna vial was kept in the refrigerator for 40 days.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna dose given after vial was kept in the refrigerator for 40 days.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalized
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Paraesthesia, Vomiting
Clinical narrative: since the vaccine pt has been experiencing tingling in arms, hands and body. she also reported having weakness and episodes of vomitting.  recommended pt follow up with prescriber
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Myalgia, Neck pain, Paraesthesia
Clinical narrative: since the vaccine pt has been experiencing tingling in arms, hands and body. she also reported having weakness and episodes of vomitting.  recommended pt follow up with prescriber
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Oral candidiasis, Vaccine positive rechallenge
Clinical narrative: Oral thrush severe requiring 7 days of diflucan. similar reaction after first vaccine
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood pressure increased, Dysarthria, Hypoaesthesia, Pain
Clinical narrative: Numbness in legs and numbness in hands. Blood pressure reading has increasedSlurring of speech, decrease visibility/vision , increased blood sugar readings, increased authentic pain
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Numbness in legs and numbness in hands. Blood pressure reading has increasedSlurring of speech, decrease visibility/vision , increased blood sugar readings, increased authentic pain
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Chills, Cough, Ear pain
Clinical narrative: It was like having COVID all over again. Aside from the soar arm by the back day I felt fatigue and achy in my ankles, feet, and toes. The fatigue continued the next day and by Saturday (3 days) I had chills, then even more fatigue by Sunday and a cough. By Tuesday my throat and chest burned. Wednesday the congestion was overwhelming a s finally I broke and was completely overcome and had to go to bed as my head felt like it was going to explode and my ears ached.  I had very little contact with any person prior to the second vaccine dose and no one I knew had experienced COVID recently or even symptoms. I have been holding off getting vaccinated because others I?ve talked to said they felt this way too, especially those who had COVID. So I decided to set report my experience thinking perhaps these cases just aren?t being reported.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nasal congestion, Pain in extremity, Throat irritation
Clinical narrative: It was like having COVID all over again. Aside from the soar arm by the back day I felt fatigue and achy in my ankles, feet, and toes. The fatigue continued the next day and by Saturday (3 days) I had chills, then even more fatigue by Sunday and a cough. By Tuesday my throat and chest burned. Wednesday the congestion was overwhelming a s finally I broke and was completely overcome and had to go to bed as my head felt like it was going to explode and my ears ached.  I had very little contact with any person prior to the second vaccine dose and no one I knew had experienced COVID recently or even symptoms. I have been holding off getting vaccinated because others I?ve talked to said they felt this way too, especially those who had COVID. So I decided to set report my experience thinking perhaps these cases just aren?t being reported.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna dose was given after Moderna vial was kept in the refrigerator for 40 days.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Fatigue, Joint stiffness, Laboratory test
Clinical narrative: 1/7/21 Received vaccine on LUA.  Tired, mild soreness.  Woke up the next morning with severe bilateral upper extremity muscle and joint pain,  Shoulders, elbows, wrists, fingers,   stiff swollen fingers/hands.   Weakness.  I tried ibuprofen, rest, ice.   I saw my PCP in March and told her about it. She asked why I thought it was the vaccine, I told her the timing was within 24 hours of having received it.  She suggested then that I notify VAERS, I waited until completing my Rheumatology workup.   I kept hoping it would just get better on it's own.  My symptoms progressed for months, increasing to the point where I could not do a lot of the activities I enjoyed.   In May I tried massage therapy with cupping,  this relieved my pain almost completely for a day.  Since then, multiple massages w/cupping,  In June, even though it had improved, I went to see a Rheumatologist.  He did a workup, physical exam and avise test.  On August 30, 2021 His conclusion was that I did have a reaction to the vaccine, he could not find evidence of an autoimmune disorder, and said as long  as I was not getting worse, I did not need to see him.    At this time, I still have pain, swelling, and stiffness.  My LUA where I received the 2nd vaccine is still weak.  My pain continues but more tolerable.  My worst pain is in my left elbow.   My fingers are still stiff, primarily bilateral index fingers, especially in the morning when I cannot make a fist VAERS text reporting. At first I stated that I was fine, hoping it would go away, then reported on my surveys that I was having problems
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Muscular weakness, Musculoskeletal stiffness, Myalgia, Pain
Clinical narrative: 1/7/21 Received vaccine on LUA.  Tired, mild soreness.  Woke up the next morning with severe bilateral upper extremity muscle and joint pain,  Shoulders, elbows, wrists, fingers,   stiff swollen fingers/hands.   Weakness.  I tried ibuprofen, rest, ice.   I saw my PCP in March and told her about it. She asked why I thought it was the vaccine, I told her the timing was within 24 hours of having received it.  She suggested then that I notify VAERS, I waited until completing my Rheumatology workup.   I kept hoping it would just get better on it's own.  My symptoms progressed for months, increasing to the point where I could not do a lot of the activities I enjoyed.   In May I tried massage therapy with cupping,  this relieved my pain almost completely for a day.  Since then, multiple massages w/cupping,  In June, even though it had improved, I went to see a Rheumatologist.  He did a workup, physical exam and avise test.  On August 30, 2021 His conclusion was that I did have a reaction to the vaccine, he could not find evidence of an autoimmune disorder, and said as long  as I was not getting worse, I did not need to see him.    At this time, I still have pain, swelling, and stiffness.  My LUA where I received the 2nd vaccine is still weak.  My pain continues but more tolerable.  My worst pain is in my left elbow.   My fingers are still stiff, primarily bilateral index fingers, especially in the morning when I cannot make a fist VAERS text reporting. At first I stated that I was fine, hoping it would go away, then reported on my surveys that I was having problems
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: 1/7/21 Received vaccine on LUA.  Tired, mild soreness.  Woke up the next morning with severe bilateral upper extremity muscle and joint pain,  Shoulders, elbows, wrists, fingers,   stiff swollen fingers/hands.   Weakness.  I tried ibuprofen, rest, ice.   I saw my PCP in March and told her about it. She asked why I thought it was the vaccine, I told her the timing was within 24 hours of having received it.  She suggested then that I notify VAERS, I waited until completing my Rheumatology workup.   I kept hoping it would just get better on it's own.  My symptoms progressed for months, increasing to the point where I could not do a lot of the activities I enjoyed.   In May I tried massage therapy with cupping,  this relieved my pain almost completely for a day.  Since then, multiple massages w/cupping,  In June, even though it had improved, I went to see a Rheumatologist.  He did a workup, physical exam and avise test.  On August 30, 2021 His conclusion was that I did have a reaction to the vaccine, he could not find evidence of an autoimmune disorder, and said as long  as I was not getting worse, I did not need to see him.    At this time, I still have pain, swelling, and stiffness.  My LUA where I received the 2nd vaccine is still weak.  My pain continues but more tolerable.  My worst pain is in my left elbow.   My fingers are still stiff, primarily bilateral index fingers, especially in the morning when I cannot make a fist VAERS text reporting. At first I stated that I was fine, hoping it would go away, then reported on my surveys that I was having problems
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Vaccination site induration, Vaccination site mass, Vaccination site swelling, Vaccination site warmth
Clinical narrative: "COVID arm." Hot itchy swollen hard lump at vaccination site.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna dose was given after Moderna vial was kept in the refrigerator for 40 days.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Myalgia, Pain, Pain in extremity
Clinical narrative: Right after receiving the vaccine she started having shooting pain radiating down to her fingertips. she is experiencing muscle and joint pain and hasn't been able to lift her arm. she has been taking tylenol and icing
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalized non ICU
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Moderna dose was given after Moderna vial was kept in the refrigerator for 40 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary, Asthenia, Dizziness, Dysarthria, Dyskinesia
Clinical narrative: About 10 mins into her OBS time her father who was sitting with her reported she told him she's not feeling good.  She c/o feeling dizzy and weak all over with no pharyngeal complaints initially  1215- 99%, HR, 180/120, A and O x 3, no pharyngeal erythema or swelling, uvula midline with no obvious swelling or erythema, speech is clear., PERRLA 1220- she's now c/o throat feeling different, speech started getting slurry, informed both patient and her father will initiate 911 to transfer to the hosp for further evaluation and management to prevent any further complications and both agreed. 99%, HR 85, color is clear with brisk cap refill to all fingers , moves extremities, lungs CTA,  1225- 158/90, 99%, 85 alert and oriented, sx no change. 1226- I don't think Epi is required at this time but medicated with bernadryl 25mg po due to still c/o throat not feeling good with no swelling on exam. stated weakness is better but still feels dizzy. 180/120, 99%, 80 She takes medications but unable to tell me what she takes. 1236  there is visual jerking of BUE, she was still answering questions appropriately.  she stated she feels jerky, looks pale, 168/98, 99%, 83.  1237- EMS arrived, she is alert oriented, no pharyngeal swelling or erythema with uvula midline.  1243- She was able to get up to strecher but looks very weak, EMS left and she was still in a stable condition, reassurance provided to his father. She tolerated water throughout until EMS arrived and care transfered. They left with patient in a stable condition.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pallor, Throat irritation
Clinical narrative: About 10 mins into her OBS time her father who was sitting with her reported she told him she's not feeling good.  She c/o feeling dizzy and weak all over with no pharyngeal complaints initially  1215- 99%, HR, 180/120, A and O x 3, no pharyngeal erythema or swelling, uvula midline with no obvious swelling or erythema, speech is clear., PERRLA 1220- she's now c/o throat feeling different, speech started getting slurry, informed both patient and her father will initiate 911 to transfer to the hosp for further evaluation and management to prevent any further complications and both agreed. 99%, HR 85, color is clear with brisk cap refill to all fingers , moves extremities, lungs CTA,  1225- 158/90, 99%, 85 alert and oriented, sx no change. 1226- I don't think Epi is required at this time but medicated with bernadryl 25mg po due to still c/o throat not feeling good with no swelling on exam. stated weakness is better but still feels dizzy. 180/120, 99%, 80 She takes medications but unable to tell me what she takes. 1236  there is visual jerking of BUE, she was still answering questions appropriately.  she stated she feels jerky, looks pale, 168/98, 99%, 83.  1237- EMS arrived, she is alert oriented, no pharyngeal swelling or erythema with uvula midline.  1243- She was able to get up to strecher but looks very weak, EMS left and she was still in a stable condition, reassurance provided to his father. She tolerated water throughout until EMS arrived and care transfered. They left with patient in a stable condition.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: BILATERAL AXILLARY RASH, INTERMITTENT SINCE VACCINATION, ONGOING
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna dose was given after Moderna vial was kept in the refrigerator for 40 days.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna dose was given after Moderna vial was kept in the refrigerator for 40 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna dose was given after Moderna vial was kept in the refrigerator for 40 days.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Biopsy, Computerised tomogram, Diverticulum, Endoscopy abnormal
Clinical narrative: vaccine administered in Jan and Feb 2021 Severe belly started July 5 and continued through July 11, when went to the ER. 07/11/2021: ER docs removed Naproxen from treatment plan.  Started Nexium and Zophran. Endoscope 08/02/2021 showed that no ulcer present, instead normal esophagus and stomach. mild  scaring, mucosal abnormality in duodenal bulb; single medium diverticulum adjacent to major Papilla. Third part of duodenal appears normal. Cold forceps biopsy, found to be benign.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Scar
Clinical narrative: vaccine administered in Jan and Feb 2021 Severe belly started July 5 and continued through July 11, when went to the ER. 07/11/2021: ER docs removed Naproxen from treatment plan.  Started Nexium and Zophran. Endoscope 08/02/2021 showed that no ulcer present, instead normal esophagus and stomach. mild  scaring, mucosal abnormality in duodenal bulb; single medium diverticulum adjacent to major Papilla. Third part of duodenal appears normal. Cold forceps biopsy, found to be benign.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral thrombosis, Computerised tomogram head abnormal
Clinical narrative: Blood clot found is left side of brain.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Client received dose 1 of the COVID19 Pfizer vaccine at 14:51. After receiving the injection, the client and her father went to the observation area to wait for 15 minutes.  At 14:55, the client alerted Lead RN, who was also relieving the site EMT, that she was feeling a little headed.  Lead RN asked the client if she could be transferred to the zero-gravity chair and the client stated she was fine where she was.  Lead RN asked the client if she had eaten or drank anything prior to getting vaccinated to which the client responded she had a small snack earlier.  Lead RN asked the client if she wanted some water and Goldfish and the client nodded yes.  The client started eating the crackers and drinking the water.  Lead also placed a pulse oximeter on the client?s finger (HR: 68 & SPO2: 98).  At 15:00, Lead RN observed that the client was diaphoretic, and the client stated she felt like ?passing out.?  Lead RN and the client?s father moved the client to the floor and put her legs up on a chair.  An ice pack was also used by Lead RN to cool the client?s forehead, neck, and face.  Lead RN determined the client was alert and oriented to person, place, time, and situation.  The client also denied having any shortness of breath, difficulty breathing, or chest pain.  The client stated she was feeling better and needed to stay lying down.  At 15:02, the EMT returned to the observation area and took the client?s vitals (HR: 68, BP: 118/68 & SPO2: 98%).  Client stated that her blood pressure is usually a little high.  Client and her father confirmed that the client does not have any underlying conditions, takes no medications, and has no allergies.  The client agreed to lay back in the zero-gravity chair.  Lead RN asked the client and her father to sit for an additional 15 minutes to be observed and they agreed.  At 15:19, EMT took the client vitals (BP: 100/60, HR: 73 & SPO2: 99%).  The client stated she was no longer dizzy at all.  Lead RN also observed that she was no longer diaphoretic and the color in face had returned.  Client also stated she was not experiencing any dizziness and ?felt fine.?  The client was adjusted to sit upright in the zero-gravity chair.  She and her father agreed to sit for another 10-15 minutes, and Lead RN gave the client a juice box to drink.  At 15:47, EMT took the client?s vitals (BP: 110/70, HR: 79 & SPO2: 99).  Client confirmed she was ?totally fine.?  Lead RN educated the client and her father on both the potential side effects and adverse effects of the vaccine, when to seek medical attention, and ER precautions.  Lead RN observed the client and her father leave the observation area at 15:49. The client was walking with a steady gait.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Feeling abnormal, Feeling hot, Hypersensitivity
Clinical narrative: She complained of itchiness in 15 min.  and was given diphenhydramine 50mg and some water.  Then she had chills and sometime warm sensation.  She also complained of general weakness.  She said she felt weird but could not describe it.  She was monitored for another 15 min.  No swelling or hives were observed at the time and she was able to communicate at all time.  She and the pharmacist decided it was best to call 911.  EMS came to evaluate her and take her to the ER.  She was not given EpiPen or anything else by pharmacist or EMS.  When pharmacist spoke to her later in the day, she said she was treated for allergic reaction did have swelling and hives in the ER.  She is to follow-up with her doctor.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: She complained of itchiness in 15 min.  and was given diphenhydramine 50mg and some water.  Then she had chills and sometime warm sensation.  She also complained of general weakness.  She said she felt weird but could not describe it.  She was monitored for another 15 min.  No swelling or hives were observed at the time and she was able to communicate at all time.  She and the pharmacist decided it was best to call 911.  EMS came to evaluate her and take her to the ER.  She was not given EpiPen or anything else by pharmacist or EMS.  When pharmacist spoke to her later in the day, she said she was treated for allergic reaction did have swelling and hives in the ER.  She is to follow-up with her doctor.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arrhythmia, Cardiac disorder, Cardiac failure congestive, Fatigue, Heart rate increased
Clinical narrative: I had cramps and pinched nerves all around heart area. Inflammated heart with symptoms of congestive heart failure.  Felt tired after workouts, heart was beating too fast at maximum heart rate. Heart started beating out of rhythm during a long hike. Rest and non-red meat diet with advil was taken for heart inflammation.  Advil reduced inflammation and took 3 weeks of advil 5 days a week at 200mg. No doctors help was given.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Muscle spasms, Nerve compression
Clinical narrative: I had cramps and pinched nerves all around heart area. Inflammated heart with symptoms of congestive heart failure.  Felt tired after workouts, heart was beating too fast at maximum heart rate. Heart started beating out of rhythm during a long hike. Rest and non-red meat diet with advil was taken for heart inflammation.  Advil reduced inflammation and took 3 weeks of advil 5 days a week at 200mg. No doctors help was given.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal wall haematoma, Acute respiratory failure, Anticoagulant therapy, COVID-19, Computerised tomogram abdomen abnormal
Clinical narrative: Hospitalized; COVID-19 positive (fully vaccinated); acute respiratory failure / hypoxia; HISTORY OF PRESENT ILLNESS: The patient is a 62-year-old female.  Patient has a history of Wernickes encephalopathy.  Per EMS her baseline is alert but confused.  Over the past few hours patient has become more lethargic and confused.  She had a recent diagnosis of COVID.  It is not clear what her symptoms were regarding that.  I can see from the chart that the patient had a recent admission for ureteral lithiasis with urinary tract infection and sepsis.  Patient denies any pain.  Denies headache, chest pain, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, dysuria, hematuria.  She has no complaints.  She is pleasantly confused.  Patient is on Eliquis. Admission Date: 8/23/2021; Discharge Date: 08/25/2021; Admitting Diagnoses: Acute respiratory failure due to COVID-19 (HCC); PRESENTING PROBLEM: Acute respiratory failure due to COVID-19 (HCC) [U07.1, J96.00] HOSPITAL COURSE: Patient is a 62-year-old woman.  Patient has a history of Wernickes encephalopathy.  Per EMS her baseline is alert but confused.  On the day she presented to ER she was more lethargic and confused.  She had a recent diagnosis of COVID.  She reports she has a cough and shortness of breath.  The patient had a recent admission for ureteral lithiasis with urinary tract infection and sepsis.  Patient denies any pain.  Denies headache, chest pain, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, dysuria, hematuria.  She has no complaints.  She is pleasantly confused.  Patient is on Eliquis. While in ER she had intermittent desaturations into the 70s that resolved with 2 liters of oxygen. Her lab work was unremarkable, hemoglobin stable, she was slightly alkalotic on blood gas with a decreased O2. CT abdomen inpatient is negative for calculi or obstructive uropathy. She has a small left rectus sheath hematoma and pericardial effusion. CT head negative. The hospitalist service in Big Rapids was contacted and agreed to admit the patient with acute respiratory failure with hypoxia due to Covid-19.  The patient was transferred and admitted in Big Rapids for further treatment and monitoring. Started on decadron and remdesivir. Started on tube feeds. Able to wean down oxygen. By 8/24 she was on RA and appeared comfortbale and stable from respiratory standpoint. She did have a drop in Hg, and given she is anti-coagulated and rectus sheath hematoma was seen on CT, her Hg was trended for another day. It remained stable and she was safe for discharge back to facility on 8/25. No new medications required at this time, in absence of respiratory symptoms no steroids prescribed.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head normal, Condition aggravated, Confusional state, Haemoglobin normal, Lethargy
Clinical narrative: Hospitalized; COVID-19 positive (fully vaccinated); acute respiratory failure / hypoxia; HISTORY OF PRESENT ILLNESS: The patient is a 62-year-old female.  Patient has a history of Wernickes encephalopathy.  Per EMS her baseline is alert but confused.  Over the past few hours patient has become more lethargic and confused.  She had a recent diagnosis of COVID.  It is not clear what her symptoms were regarding that.  I can see from the chart that the patient had a recent admission for ureteral lithiasis with urinary tract infection and sepsis.  Patient denies any pain.  Denies headache, chest pain, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, dysuria, hematuria.  She has no complaints.  She is pleasantly confused.  Patient is on Eliquis. Admission Date: 8/23/2021; Discharge Date: 08/25/2021; Admitting Diagnoses: Acute respiratory failure due to COVID-19 (HCC); PRESENTING PROBLEM: Acute respiratory failure due to COVID-19 (HCC) [U07.1, J96.00] HOSPITAL COURSE: Patient is a 62-year-old woman.  Patient has a history of Wernickes encephalopathy.  Per EMS her baseline is alert but confused.  On the day she presented to ER she was more lethargic and confused.  She had a recent diagnosis of COVID.  She reports she has a cough and shortness of breath.  The patient had a recent admission for ureteral lithiasis with urinary tract infection and sepsis.  Patient denies any pain.  Denies headache, chest pain, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, dysuria, hematuria.  She has no complaints.  She is pleasantly confused.  Patient is on Eliquis. While in ER she had intermittent desaturations into the 70s that resolved with 2 liters of oxygen. Her lab work was unremarkable, hemoglobin stable, she was slightly alkalotic on blood gas with a decreased O2. CT abdomen inpatient is negative for calculi or obstructive uropathy. She has a small left rectus sheath hematoma and pericardial effusion. CT head negative. The hospitalist service in Big Rapids was contacted and agreed to admit the patient with acute respiratory failure with hypoxia due to Covid-19.  The patient was transferred and admitted in Big Rapids for further treatment and monitoring. Started on decadron and remdesivir. Started on tube feeds. Able to wean down oxygen. By 8/24 she was on RA and appeared comfortbale and stable from respiratory standpoint. She did have a drop in Hg, and given she is anti-coagulated and rectus sheath hematoma was seen on CT, her Hg was trended for another day. It remained stable and she was safe for discharge back to facility on 8/25. No new medications required at this time, in absence of respiratory symptoms no steroids prescribed.