chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rectal haemorrhage, Thirst
Clinical narrative: Diarrhea, GastricBleeding, loose stools and red blood per rectum for 3 days with improved crampy pain. to see Urgent Care or PCP today Narrative:  Employee notes fatigue the first evening after her Moderna vaccine followed by 3 days of red bloody watery diarrhea. She had normal medium to light brown stools before and no GI issues, constipation or hemorrhoids in the past. The watery diarrhea and blood are less prominent over the last 2 days and she gets occasional crampy pain. She is not nauseas or dizzy but is thirsty. To see PCP or Urgent care today.  Other Relevant History:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypersomnia, Myalgia, Pain
Clinical narrative: Myalgia Narrative:  Approx 6 hrs after vax, had body aches all over. Took two doses of Tylenol 600mg. Fatigued. Slept most of 3/13/2017. No other symptoms. Felt normal 3/14/21.  Other Relevant History:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: left arm pain Narrative:
Age: 95.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site rash
Clinical narrative: injection site rash Narrative:
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: fatigue Narrative:
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: FEVER, CHILLS Narrative:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Injection site pain, Myalgia, Nasal congestion, Pyrexia
Clinical narrative: Myalgia, Fever, CoughWheeze, nasal congestion, sneezing, injection site pain Narrative:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing, Wheezing
Clinical narrative: Myalgia, Fever, CoughWheeze, nasal congestion, sneezing, injection site pain Narrative:
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: fatigue Narrative:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Myalgia
Clinical narrative: Dizziness, Myalgia, Fatigue, Narrative:
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Somnolence
Clinical narrative: drowsy Narrative:
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: SWELLING OF ARM Narrative:  Patient sent picture day after exam showing injection site area and described as red, painful lump, no warmth. Next day, still swollen and painful to the touch and starting to itch. Resolved without treatment
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Laboratory test normal, Peripheral swelling, SARS-CoV-2 test negative
Clinical narrative: SWELLING OF ARM Narrative:  Patient sent picture day after exam showing injection site area and described as red, painful lump, no warmth. Next day, still swollen and painful to the touch and starting to itch. Resolved without treatment
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: Myalgia & Fever Narrative: Per supervisor report: "Received second dose on 3/15/2021. Reports fever, body aches"
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Pyrexia
Clinical narrative: Myalgia, Fever, injection site pain Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Nausea
Clinical narrative: Dizziness, Nausea, metallic taste in mouth Narrative:
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Myalgia, Fever, Diarrhea, Injection site soreness Narrative:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Injection site rash, Nausea, Pyrexia
Clinical narrative: Fever, Rash, Diarrhea, NauseaVomiting, chills, rash @ injection site (left arm) Narrative:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Vomiting
Clinical narrative: Fever, Rash, Diarrhea, NauseaVomiting, chills, rash @ injection site (left arm) Narrative:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Myalgia, Pain, Pyrexia
Clinical narrative: Headache, Myalgia & Fever Narrative: 3/12/2021: Woke with body aches, fever over 102, and swollen lymph nodes that lasted for most of day.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Hypertension, Myalgia, Pyrexia
Clinical narrative: Myalgia, Arthralgia, Fever, HYPERtension, CHILLS, SHAKING Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Myalgia, Arthralgia, Fever, HYPERtension, CHILLS, SHAKING Narrative:
Age: 51.0
Sex: M
Vaccine: DTP
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia
Clinical narrative: Headache, Myalgia, chills Narrative:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pain in extremity
Clinical narrative: Headache, Myalgia, shivering/chills, fatique, sore right arm Narrative:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: EXTRA VACCINE DOSE Narrative:  Patient had scheduled vaccine appointment, presented and received vaccine as scheduled at this facility. It was realized after patient received vaccine, that he had already received 2 doses of COVID vaccine (unsure if Pfizer or Moderna) at the facility where he lived. This was discovered by an employee that found the patient had a packet of information stated that he had received the vaccine from his facility (though the patient did not appear to have this packet with him in the vaccination room). Situation was complicated by patient having a trach and requiring a mic to assist with speaking. It is believed that a family member/caregiver scheduled the vaccine appointment at this facility without knowledge of patient's vaccination status at his living facility. No known adverse effect reported/discovered at this time.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: shortness of breath Narrative:
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: injection site pain Narrative:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Headache, Arthralgia, FATIGUE, CHILLS, PAIN/SWELLING INJ SITE, Narrative:  Other Relevant History:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Headache, Arthralgia, FATIGUE, CHILLS, PAIN/SWELLING INJ SITE, Narrative:  Other Relevant History:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: Headache, Fever, Chills, fatigue, sore left arm Narrative:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Injection site swelling
Clinical narrative: Headache, Arthralgia, NauseaVomiting, FATIGUE, HA, PAIN/SWELLING INJ SITE, Narrative:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Headache, Arthralgia, NauseaVomiting, FATIGUE, HA, PAIN/SWELLING INJ SITE, Narrative:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Headache, Fever,  Chills Narrative:
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Nausea, Vomiting
Clinical narrative: Headache, NauseaVomiting, fatigue, soreness at injection site Narrative:
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Fever, fatigue Narrative:
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperglycaemia
Clinical narrative: HYPERglycemia Narrative:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blister
Clinical narrative: blisters on right outer thigh Narrative:
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Impaired work ability, Injection site pain, Myalgia
Clinical narrative: Headache, Myalgia, Pain at injection site Narrative: Received 2 nd Vaccine causing myalgias, headache, and pain at injection site that required her to miss work 1 day.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Impaired work ability, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Myalgia redness, swelling at injection site Narrative:  #2 covid vaccination on 3/12. Over weekend pain to injection site redness swelling radiating into l neck. Called off work on 3/15 and seeing pmd.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Myalgia redness, swelling at injection site Narrative:  #2 covid vaccination on 3/12. Over weekend pain to injection site redness swelling radiating into l neck. Called off work on 3/15 and seeing pmd.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass
Clinical narrative: Lump in right underarm area Narrative:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Injection site swelling
Clinical narrative: Headache, Arthralgia, Fever, FATIGUE, PAIN/SWELLING INJ SITE Narrative:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, Arthralgia, Fever, FATIGUE, PAIN/SWELLING INJ SITE Narrative:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Headache, Arthralgia, Fever,  FATIGUE, CHILLS, PAIN/SWELLING INJ SITE, TENDER/SWELLING LOCAL LYMPH NODES  Narrative:   Other Relevant History:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Lymph node pain, Lymphadenopathy, Pyrexia
Clinical narrative: Headache, Arthralgia, Fever,  FATIGUE, CHILLS, PAIN/SWELLING INJ SITE, TENDER/SWELLING LOCAL LYMPH NODES  Narrative:   Other Relevant History:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Burning sensation, Dyskinesia, Feeling abnormal
Clinical narrative: Agitation Narrative:  At 14:28 reported" I need help, I don't feel good." Reported feeling a burning sensation all over body, remarked it felt like she was having a CT with contrast. No flushing, No SOB or chest tightness. B/P 122/81; P 122; R 23; O2@96% on room air. Recheck P = 84. Fidgety & tapping foot. Took dose of own anxiety med. Independently ambulated to front door for discharge@ 3:15pm.  Other Relevant History:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Headache fatigue, chills Narrative:  Other Relevant History:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: UrticariaPruritus NO Narrative:  Other Relevant History:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Headache, Arthralgia,  FATIGUE, CHILLS, PAIN/SWELLING INJ SITE, Narrative:  Other Relevant History:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Headache, Arthralgia,  FATIGUE, CHILLS, PAIN/SWELLING INJ SITE, Narrative:  Other Relevant History:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Ultrasound scan abnormal
Clinical narrative: lymphadenopathy rt axilla found incidentally on US  Narrative:  Per note 2/15/2021 030M20A 1st vaccine lymphadenopathy rt axilla found incidentally on US. Repeat US 5/6/2021 No Medications   Other Relevant History:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Injection site swelling
Clinical narrative: Headache, Arthralgia, FATIGUE, PAIN/SWELLING INJ SITE Narrative:  Other Relevant History:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Fever, chills Narrative:  Other Relevant History:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Oropharyngeal pain
Clinical narrative: Myalgia, sore throat, injection site pain Narrative:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Fever injection site soreness, swelling Narrative:  Other Relevant History:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: Headache, Diarrhea, NauseaVomiting, sore left arm, fatique, chills Narrative:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Vomiting
Clinical narrative: Headache, Diarrhea, NauseaVomiting, sore left arm, fatique, chills Narrative:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: Headache, Myalgia fatigue Narrative:
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush
Clinical narrative: hot flush Narrative:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: fatigue Narrative:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: lightheaded Narrative:
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: fatigue Narrative:
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Nausea, Pain, Vomiting
Clinical narrative: NAUSEA AND VOMITING; HEADACHE; BODY ACHES Narrative:  Symptoms lasted 3-4 days
Age: 33.0
Sex: M
Vaccine: HPV9
Symptoms: Burning sensation, Chlamydia test negative, Dysuria, Fatigue, HIV antibody negative
Clinical narrative: VERY TIRED Narrative:  PT REPORTED BEING REALLY TIRED BUT ALSO HAD SYMPTOMS OF BURNING ON URINATION, LIKELY DUE TO UTI; MALAISE LIKELY UNRELATED TO VACCINE DOSE, 2ND DOSE ADMINISTERED WITHOUT ISSUES
Age: 33.0
Sex: M
Vaccine: HPV9
Symptoms: HIV antigen negative, Malaise, Neisseria test negative, SARS-CoV-2 test negative, Urinary tract infection
Clinical narrative: VERY TIRED Narrative:  PT REPORTED BEING REALLY TIRED BUT ALSO HAD SYMPTOMS OF BURNING ON URINATION, LIKELY DUE TO UTI; MALAISE LIKELY UNRELATED TO VACCINE DOSE, 2ND DOSE ADMINISTERED WITHOUT ISSUES
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 86.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at site Narrative:
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: left arm swelling, redness, warmth, and Narrative:
Age: 64.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Nausea, Vomiting
Clinical narrative: NAUSEA AND VOMITING Narrative:
Age: 76.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: URTICARIA Narrative:
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Peripheral swelling
Clinical narrative: SWELLING OF ARM Narrative:
Age: 33.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Injection site pain
Clinical narrative: injection site pain Narrative:
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 33.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Narrative:  large area of redness, swelling, tenderness, no fluctulence, no drainage
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Fatigue, Headache, Pain
Clinical narrative: Headache, Fatigue, body aches, upset stomach Narrative:
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Fever, slight shortness of breath after walking a flight of stair on day 4 post vaccine Narrative:
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: chills Narrative:
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Vision blurred
Clinical narrative: BlurredVision & Headache Narrative: Employee got her first dose of Covid vaccine 02/17/21, she related to headache/burring vision the following day,2/18/21. She state that she could see at well lit places, she reported to her ophthalmologist . She placed on ora steroid , the symptoms resolved spontaneously Employee had right eye corneal transplant on 04/2020.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Hypoaesthesia, Injection site pain, Muscle atrophy
Clinical narrative: Fever, started to have chills, kidney pain, dry heaves, fever, bodyaches, stomachache and lasted for 3 days. Today 3/1/2021 still c/o on Injection site pain, left arm weakness, feeling of mushy/atrophy, tingling, numbness Narrative:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain, Paraesthesia, Pyrexia, Renal pain
Clinical narrative: Fever, started to have chills, kidney pain, dry heaves, fever, bodyaches, stomachache and lasted for 3 days. Today 3/1/2021 still c/o on Injection site pain, left arm weakness, feeling of mushy/atrophy, tingling, numbness Narrative:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Retching
Clinical narrative: Fever, started to have chills, kidney pain, dry heaves, fever, bodyaches, stomachache and lasted for 3 days. Today 3/1/2021 still c/o on Injection site pain, left arm weakness, feeling of mushy/atrophy, tingling, numbness Narrative:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Impaired work ability, Influenza like illness, Malaise, Myalgia
Clinical narrative: Myalgia, Fever, chills Narrative:  Per nursing report: "had 2nd dose of Moderna yesterday [3/15]. C/o flu-like symptoms with fever, chills and body aching. States will not be at work today due to not feeling well."  Other Relevant History:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Myalgia, Fever, chills Narrative:  Per nursing report: "had 2nd dose of Moderna yesterday [3/15]. C/o flu-like symptoms with fever, chills and body aching. States will not be at work today due to not feeling well."  Other Relevant History:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: Headache, Myalgia, Fever, NauseaVomiting,  site soreness/swelling/redness/itching; fatigue; joint pain; chills  Narrative:  Other Relevant History:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Myalgia, Nausea
Clinical narrative: Headache, Myalgia, Fever, NauseaVomiting,  site soreness/swelling/redness/itching; fatigue; joint pain; chills  Narrative:  Other Relevant History:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Headache, Myalgia, Fever, NauseaVomiting,  site soreness/swelling/redness/itching; fatigue; joint pain; chills  Narrative:  Other Relevant History:
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, chills, fatigue Narrative:
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, chills, fatigue Narrative:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue
Clinical narrative: Fatigue, chills Narrative:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Electrocardiogram, Hyperhidrosis, Palpitations, Presyncope
Clinical narrative: Pt received 1st dose of vaccine and waited at least 30 minutes in the observation area. As she was driving home, developed tachycardic, diaphoresis, sweating, and felt pre-syncopal. Pulled over at pharmacy where she was given benadryl and an ambulance was called to transport her to the ED. In the ED, received famotidine 20mg PO and methylprednisolone 125mg IV and fluids. She was observed for 2 hours and discharged home with a prescription for prednisone 20mg BID x 3 days.  Patient received 2nd dose of vaccine on 1/21/21 (Moderna, lot #012L20A) after premedicating with 25mg benadryl. While she was sitting in the observation area after vaccination, she developed sudden onset palpitations, sweating, and increased blood pressure. She was send to the ED and observed for 90 minutes, after which she was discharged with a referral to an allergist.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus rhythm, Tachycardia
Clinical narrative: Pt received 1st dose of vaccine and waited at least 30 minutes in the observation area. As she was driving home, developed tachycardic, diaphoresis, sweating, and felt pre-syncopal. Pulled over at pharmacy where she was given benadryl and an ambulance was called to transport her to the ED. In the ED, received famotidine 20mg PO and methylprednisolone 125mg IV and fluids. She was observed for 2 hours and discharged home with a prescription for prednisone 20mg BID x 3 days.  Patient received 2nd dose of vaccine on 1/21/21 (Moderna, lot #012L20A) after premedicating with 25mg benadryl. While she was sitting in the observation area after vaccination, she developed sudden onset palpitations, sweating, and increased blood pressure. She was send to the ED and observed for 90 minutes, after which she was discharged with a referral to an allergist.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Injection site reaction, Myalgia, Myosclerosis, Pain
Clinical narrative: Patient states she had an itchy red arm from the elbow to the shoulder that didn't improve until she was seen at urgent care and took a round of prednisone.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash erythematous, Skin warm, Tenderness
Clinical narrative: Patient states she had an itchy red arm from the elbow to the shoulder that didn't improve until she was seen at urgent care and took a round of prednisone.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Patient states she had an itchy red arm from the elbow to the shoulder that didn't improve until she was seen at urgent care and took a round of prednisone.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Burning sensation, Dizziness, Erythema, Fatigue
Clinical narrative: Red blotches on her arm; Broke out in hives / on her back; Broke out in / blisters on her back; Very itchy; Rash has continued / is a little better; This case was reported by a consumer via call center representative and described the occurrence of red blotches in a 65-year-old female patient who received Herpes zoster (Shingrix) (batch number 3HT5J, expiry date 26th January 2022) for prophylaxis.   On 8th January 2021, the patient received the 2nd dose of Shingrix (intramuscular). On 12th January 2021, 4 days after receiving Shingrix, the patient experienced red blotches, hives, blister, pruritus and rash. On an unknown date, the outcome of the red blotches and rash were not recovered/not resolved and the outcome of the hives, blister and pruritus were unknown.   It was unknown if the reporter considered the red blotches, hives, blister and pruritus to be related to Shingrix. The reporter considered the rash to be related to Shingrix.  Additional details were provided as follows: This case was reported by patient herself. The patient received the 2nd dose of Shingrix in left arm and had red blotches on her arm and broke out in hives and blisters on her back and they were very itchy.  The rash has continued, but stated it was a little better. The reporter did not consent to follow up.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Inflammation, Pain of skin, Pruritus, Rash
Clinical narrative: Red blotches on her arm; Broke out in hives / on her back; Broke out in / blisters on her back; Very itchy; Rash has continued / is a little better; This case was reported by a consumer via call center representative and described the occurrence of red blotches in a 65-year-old female patient who received Herpes zoster (Shingrix) (batch number 3HT5J, expiry date 26th January 2022) for prophylaxis.   On 8th January 2021, the patient received the 2nd dose of Shingrix (intramuscular). On 12th January 2021, 4 days after receiving Shingrix, the patient experienced red blotches, hives, blister, pruritus and rash. On an unknown date, the outcome of the red blotches and rash were not recovered/not resolved and the outcome of the hives, blister and pruritus were unknown.   It was unknown if the reporter considered the red blotches, hives, blister and pruritus to be related to Shingrix. The reporter considered the rash to be related to Shingrix.  Additional details were provided as follows: This case was reported by patient herself. The patient received the 2nd dose of Shingrix in left arm and had red blotches on her arm and broke out in hives and blisters on her back and they were very itchy.  The rash has continued, but stated it was a little better. The reporter did not consent to follow up.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Erythema, Pruritus, Rash, Rash macular
Clinical narrative: Red blotches on her arm; Broke out in hives / on her back; Broke out in / blisters on her back; Very itchy; Rash has continued / is a little better; This case was reported by a consumer via call center representative and described the occurrence of red blotches in a 65-year-old female patient who received Herpes zoster (Shingrix) (batch number 3HT5J, expiry date 26th January 2022) for prophylaxis.   On 8th January 2021, the patient received the 2nd dose of Shingrix (intramuscular). On 12th January 2021, 4 days after receiving Shingrix, the patient experienced red blotches, hives, blister, pruritus and rash. On an unknown date, the outcome of the red blotches and rash were not recovered/not resolved and the outcome of the hives, blister and pruritus were unknown.   It was unknown if the reporter considered the red blotches, hives, blister and pruritus to be related to Shingrix. The reporter considered the rash to be related to Shingrix.  Additional details were provided as follows: This case was reported by patient herself. The patient received the 2nd dose of Shingrix in left arm and had red blotches on her arm and broke out in hives and blisters on her back and they were very itchy.  The rash has continued, but stated it was a little better. The reporter did not consent to follow up.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Urticaria
Clinical narrative: Red blotches on her arm; Broke out in hives / on her back; Broke out in / blisters on her back; Very itchy; Rash has continued / is a little better; This case was reported by a consumer via call center representative and described the occurrence of red blotches in a 65-year-old female patient who received Herpes zoster (Shingrix) (batch number 3HT5J, expiry date 26th January 2022) for prophylaxis.   On 8th January 2021, the patient received the 2nd dose of Shingrix (intramuscular). On 12th January 2021, 4 days after receiving Shingrix, the patient experienced red blotches, hives, blister, pruritus and rash. On an unknown date, the outcome of the red blotches and rash were not recovered/not resolved and the outcome of the hives, blister and pruritus were unknown.   It was unknown if the reporter considered the red blotches, hives, blister and pruritus to be related to Shingrix. The reporter considered the rash to be related to Shingrix.  Additional details were provided as follows: This case was reported by patient herself. The patient received the 2nd dose of Shingrix in left arm and had red blotches on her arm and broke out in hives and blisters on her back and they were very itchy.  The rash has continued, but stated it was a little better. The reporter did not consent to follow up.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given the first dose of the Moderna vaccine at age 17.   She was refused to be given the second dose.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Fibrin D dimer, Pain, Pyrexia, Ultrasound Doppler
Clinical narrative: Patient developed a DVT 14 hours after the injection that progressed to a pulmonary embolus
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Deep vein thrombosis, Pulmonary embolism, Ultrasound Doppler abnormal
Clinical narrative: Patient developed a DVT 14 hours after the injection that progressed to a pulmonary embolus
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site pain
Clinical narrative: Continued significant pain at the vaccine site.  Significant pain with any activation of the deltoid muscle.  Left arm is worse than the right arm - left arm was the vaccine done earlier December 30, 2020.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Continued significant pain at the vaccine site.  Significant pain with any activation of the deltoid muscle.  Left arm is worse than the right arm - left arm was the vaccine done earlier December 30, 2020.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dysphagia, Dyspnoea, Flushing, Lower respiratory tract congestion
Clinical narrative: Fatigue, lost appetite, congestion, bronchial congestion, chest tightness, throat tightness, difficulty breathing, tingling/thickness of tongue
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral, Sinus congestion, Throat tightness, Tongue disorder
Clinical narrative: Fatigue, lost appetite, congestion, bronchial congestion, chest tightness, throat tightness, difficulty breathing, tingling/thickness of tongue
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Decreased appetite, Dyspnoea, Fatigue, Lower respiratory tract congestion
Clinical narrative: Fatigue, lost appetite, congestion, bronchial congestion, chest tightness, throat tightness, difficulty breathing, tingling/thickness of tongue
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Paraesthesia oral, Throat tightness, Tongue disorder
Clinical narrative: Fatigue, lost appetite, congestion, bronchial congestion, chest tightness, throat tightness, difficulty breathing, tingling/thickness of tongue
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Nausea, Pharyngeal swelling
Clinical narrative: Lightheadedness, dizziness, shortness of breath (resolved), sweats (resolved), nausea, throat tightness
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature, Dizziness, Dyspnoea, Hyperhidrosis, Nausea
Clinical narrative: Lightheadedness, dizziness, shortness of breath (resolved), sweats (resolved), nausea, throat tightness
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation, Throat tightness
Clinical narrative: Lightheadedness, dizziness, shortness of breath (resolved), sweats (resolved), nausea, throat tightness
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray, Computerised tomogram, Dyspnoea, Echocardiogram
Clinical narrative: Blood clots on her legs; Blood clots on her lungs; A spontaneous report was received from a consumer concerning 89-year-old, female patient, who received Moderna's COVID-19 Vaccine (mRNA-1273) and who experienced blood clots on legs and lungs.  The patient's medical history was not provided. Concomitant product use was not provided by the reporter.   On 05 Feb 2021, approximately 7 days prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number not provided) via an unknown route in the right arm for prophylaxis of COVID-19 infection.   On 11 Feb 2021, the patient was hospitalized for blood clots on legs and lungs for 7 days and was discharged on 17 Feb 2021. Treatment include unknown injections.  Action taken with mRNA-1273 in response to the event was not provided.  The outcome of the event was not reported.; Reporter's Comments: Very limited information regarding this events has been provided at this time.  Further information has been requested
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Thrombosis, Ultrasound scan
Clinical narrative: Blood clots on her legs; Blood clots on her lungs; A spontaneous report was received from a consumer concerning 89-year-old, female patient, who received Moderna's COVID-19 Vaccine (mRNA-1273) and who experienced blood clots on legs and lungs.  The patient's medical history was not provided. Concomitant product use was not provided by the reporter.   On 05 Feb 2021, approximately 7 days prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number not provided) via an unknown route in the right arm for prophylaxis of COVID-19 infection.   On 11 Feb 2021, the patient was hospitalized for blood clots on legs and lungs for 7 days and was discharged on 17 Feb 2021. Treatment include unknown injections.  Action taken with mRNA-1273 in response to the event was not provided.  The outcome of the event was not reported.; Reporter's Comments: Very limited information regarding this events has been provided at this time.  Further information has been requested
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Pulmonary embolism
Clinical narrative: Blood clots on her legs; Blood clots on her lungs; A spontaneous report was received from a consumer concerning 89-year-old, female patient, who received Moderna's COVID-19 Vaccine (mRNA-1273) and who experienced blood clots on legs and lungs.  The patient's medical history was not provided. Concomitant product use was not provided by the reporter.   On 05 Feb 2021, approximately 7 days prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number not provided) via an unknown route in the right arm for prophylaxis of COVID-19 infection.   On 11 Feb 2021, the patient was hospitalized for blood clots on legs and lungs for 7 days and was discharged on 17 Feb 2021. Treatment include unknown injections.  Action taken with mRNA-1273 in response to the event was not provided.  The outcome of the event was not reported.; Reporter's Comments: Very limited information regarding this events has been provided at this time.  Further information has been requested
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: anaphylaxis; Blood pressure dropped to 60/40, pulse 22; Blood pressure dropped to 60/40, pulse 22; Doctor could not hear breathing; I couldn't swallow during anaphylaxis.; This is a spontaneous report from a contactable consumer (patient).   A 44-year-old female patient received the 1st dose of bnt162b2 (BNT162B2) at single dose at right arm on 27Feb2021 08:30 for COVID-19 immunisation.  Medical history included oesophageal achalasia, lupus-like syndrome, (SLE) asthma, post-traumatic stress disorder (PTSD), gastroparesis, chronic serotonin syndrome, high blood pressure, anxiety, known allergies (unspecified). Patient was not pregnant. The patient had not experienced Covid-19 prior vaccination. Concomitant medication included insulin human (AFREZZA), alprazolam (XANAX), clonidine (CLONIDINE), lisinopril (LISINOPRIL), torsemide (TORSEMIDE).  No other vaccine in four weeks. On 27Feb2021 08:30 the patient experienced anaphylaxis, blood pressure dropped to 60/40, pulse 22, doctor could not hear breathing, she could not swallow during anaphylaxis. Anaphylaxis was considered medically significant as resulted in Emergency room/department or urgent care. Course of events as follows:  About 5 minutes after shot she got lightened, tingling all over, and anaphylaxis set in. Blood pressure dropped to 60/40, pulse 22. Doctor could not hear breathing was turning purple. Two Epi-pens administered which opened her air ways, than 2 Benadryl were given to me. They tried liquid Benadryl but she could not swallow during anaphylaxis. The patient underwent lab tests and procedures which included blood pressure measurement: 60/40 on 27Feb2021, pulse rate: 22 on 27Feb2021. COVID was tested post vaccination with nasal swab resulted negative on 07Feb2021 (as reported). Treatment received: 2 Epi-pens, 2 Benadryl, Prednisone and Prilosec. The outcome of events was not recovered.  Information about lot/batch number has been requested
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Blood pressure measurement, Dysphagia, Dyspnoea, Heart rate
Clinical narrative: anaphylaxis; Blood pressure dropped to 60/40, pulse 22; Blood pressure dropped to 60/40, pulse 22; Doctor could not hear breathing; I couldn't swallow during anaphylaxis.; This is a spontaneous report from a contactable consumer (patient).   A 44-year-old female patient received the 1st dose of bnt162b2 (BNT162B2) at single dose at right arm on 27Feb2021 08:30 for COVID-19 immunisation.  Medical history included oesophageal achalasia, lupus-like syndrome, (SLE) asthma, post-traumatic stress disorder (PTSD), gastroparesis, chronic serotonin syndrome, high blood pressure, anxiety, known allergies (unspecified). Patient was not pregnant. The patient had not experienced Covid-19 prior vaccination. Concomitant medication included insulin human (AFREZZA), alprazolam (XANAX), clonidine (CLONIDINE), lisinopril (LISINOPRIL), torsemide (TORSEMIDE).  No other vaccine in four weeks. On 27Feb2021 08:30 the patient experienced anaphylaxis, blood pressure dropped to 60/40, pulse 22, doctor could not hear breathing, she could not swallow during anaphylaxis. Anaphylaxis was considered medically significant as resulted in Emergency room/department or urgent care. Course of events as follows:  About 5 minutes after shot she got lightened, tingling all over, and anaphylaxis set in. Blood pressure dropped to 60/40, pulse 22. Doctor could not hear breathing was turning purple. Two Epi-pens administered which opened her air ways, than 2 Benadryl were given to me. They tried liquid Benadryl but she could not swallow during anaphylaxis. The patient underwent lab tests and procedures which included blood pressure measurement: 60/40 on 27Feb2021, pulse rate: 22 on 27Feb2021. COVID was tested post vaccination with nasal swab resulted negative on 07Feb2021 (as reported). Treatment received: 2 Epi-pens, 2 Benadryl, Prednisone and Prilosec. The outcome of events was not recovered.  Information about lot/batch number has been requested
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate decreased, Hypotension, SARS-CoV-2 test negative
Clinical narrative: anaphylaxis; Blood pressure dropped to 60/40, pulse 22; Blood pressure dropped to 60/40, pulse 22; Doctor could not hear breathing; I couldn't swallow during anaphylaxis.; This is a spontaneous report from a contactable consumer (patient).   A 44-year-old female patient received the 1st dose of bnt162b2 (BNT162B2) at single dose at right arm on 27Feb2021 08:30 for COVID-19 immunisation.  Medical history included oesophageal achalasia, lupus-like syndrome, (SLE) asthma, post-traumatic stress disorder (PTSD), gastroparesis, chronic serotonin syndrome, high blood pressure, anxiety, known allergies (unspecified). Patient was not pregnant. The patient had not experienced Covid-19 prior vaccination. Concomitant medication included insulin human (AFREZZA), alprazolam (XANAX), clonidine (CLONIDINE), lisinopril (LISINOPRIL), torsemide (TORSEMIDE).  No other vaccine in four weeks. On 27Feb2021 08:30 the patient experienced anaphylaxis, blood pressure dropped to 60/40, pulse 22, doctor could not hear breathing, she could not swallow during anaphylaxis. Anaphylaxis was considered medically significant as resulted in Emergency room/department or urgent care. Course of events as follows:  About 5 minutes after shot she got lightened, tingling all over, and anaphylaxis set in. Blood pressure dropped to 60/40, pulse 22. Doctor could not hear breathing was turning purple. Two Epi-pens administered which opened her air ways, than 2 Benadryl were given to me. They tried liquid Benadryl but she could not swallow during anaphylaxis. The patient underwent lab tests and procedures which included blood pressure measurement: 60/40 on 27Feb2021, pulse rate: 22 on 27Feb2021. COVID was tested post vaccination with nasal swab resulted negative on 07Feb2021 (as reported). Treatment received: 2 Epi-pens, 2 Benadryl, Prednisone and Prilosec. The outcome of events was not recovered.  Information about lot/batch number has been requested
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Haemodialysis, Tachypnoea, Use of accessory respiratory muscles
Clinical narrative: 03/16/2021: Presented to the emergency department with chest pain and palpitations. The patient was admitted for chest pain observation and inpatient dialysis. The patient was discharged the next day with plans for an outpatient stress test.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Palpitations
Clinical narrative: 03/16/2021: Presented to the emergency department with chest pain and palpitations. The patient was admitted for chest pain observation and inpatient dialysis. The patient was discharged the next day with plans for an outpatient stress test.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood urine present, Dyspepsia, Headache
Clinical narrative: Headache. Blood clot. Passed the blot clot in urine four days after getting the second dose of the Moderna COVID vaccine.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haemorrhage urinary tract, Headache
Clinical narrative: Headache. Blood clot. Passed the blot clot in urine four days after getting the second dose of the Moderna COVID vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Confusional state, Decreased appetite, Fall, Feeding disorder
Clinical narrative: Wife called clinic on 3/3/21.  Said he had a serious reaction requiring EMS to be called twice.   Was seen by PCP on 3/3/21.  Chief complaint of recent falls, no appetite, and cognitive issues since 2/26/21.   HPI Per PCP Note:  79 yo male with Celiac, mild type 2 DM and prostate cancer on Leuprolide and Xtandi here for f/u Diabetes and to get advice following adverse reation to first COVID vaccine received 2/25/21.  He has chronic RUE tremor.  He was diagnosed with a TIA from an endocardial lesion many years ago.  No cardiovascular disease history.  He experienced increased generalized weakness and poor balance following the vaccine.  He felt restless for 4-5 hours.  He fell to the floor twice and next morning and afternoon and EMS evaluated both times.  Glucoses 140-150.  No hypotension or tachycardia.  No arrhythmia.  No focal hemiplegia or slurred speech.  Did have sluggish cognition but not obtunded and could communicate wishes to remain at home.  Spouse feels he was 80% better on Saturday and is 95% better today (Tuesday).  No low glucoses.  Hydration and rest the first 48 hours seemed to help but he doesn't feel completely normal yet (still has fatigue and no appetite).  He can walk but is not confident of his strength.  He was anxious about getting the vaccine.  No prior hx of COVID but spouse did have it in August.  Spouse had localized reaction only.  Patient weaning off Gabapentin taken for tremor and neuropathy.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Flushing, Gait inability, Hyperhidrosis, Mobility decreased, Pain in extremity
Clinical narrative: Wife called clinic on 3/3/21.  Said he had a serious reaction requiring EMS to be called twice.   Was seen by PCP on 3/3/21.  Chief complaint of recent falls, no appetite, and cognitive issues since 2/26/21.   HPI Per PCP Note:  79 yo male with Celiac, mild type 2 DM and prostate cancer on Leuprolide and Xtandi here for f/u Diabetes and to get advice following adverse reation to first COVID vaccine received 2/25/21.  He has chronic RUE tremor.  He was diagnosed with a TIA from an endocardial lesion many years ago.  No cardiovascular disease history.  He experienced increased generalized weakness and poor balance following the vaccine.  He felt restless for 4-5 hours.  He fell to the floor twice and next morning and afternoon and EMS evaluated both times.  Glucoses 140-150.  No hypotension or tachycardia.  No arrhythmia.  No focal hemiplegia or slurred speech.  Did have sluggish cognition but not obtunded and could communicate wishes to remain at home.  Spouse feels he was 80% better on Saturday and is 95% better today (Tuesday).  No low glucoses.  Hydration and rest the first 48 hours seemed to help but he doesn't feel completely normal yet (still has fatigue and no appetite).  He can walk but is not confident of his strength.  He was anxious about getting the vaccine.  No prior hx of COVID but spouse did have it in August.  Spouse had localized reaction only.  Patient weaning off Gabapentin taken for tremor and neuropathy.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Walking aid user
Clinical narrative: Wife called clinic on 3/3/21.  Said he had a serious reaction requiring EMS to be called twice.   Was seen by PCP on 3/3/21.  Chief complaint of recent falls, no appetite, and cognitive issues since 2/26/21.   HPI Per PCP Note:  79 yo male with Celiac, mild type 2 DM and prostate cancer on Leuprolide and Xtandi here for f/u Diabetes and to get advice following adverse reation to first COVID vaccine received 2/25/21.  He has chronic RUE tremor.  He was diagnosed with a TIA from an endocardial lesion many years ago.  No cardiovascular disease history.  He experienced increased generalized weakness and poor balance following the vaccine.  He felt restless for 4-5 hours.  He fell to the floor twice and next morning and afternoon and EMS evaluated both times.  Glucoses 140-150.  No hypotension or tachycardia.  No arrhythmia.  No focal hemiplegia or slurred speech.  Did have sluggish cognition but not obtunded and could communicate wishes to remain at home.  Spouse feels he was 80% better on Saturday and is 95% better today (Tuesday).  No low glucoses.  Hydration and rest the first 48 hours seemed to help but he doesn't feel completely normal yet (still has fatigue and no appetite).  He can walk but is not confident of his strength.  He was anxious about getting the vaccine.  No prior hx of COVID but spouse did have it in August.  Spouse had localized reaction only.  Patient weaning off Gabapentin taken for tremor and neuropathy.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Balance disorder, Blood glucose increased, Cognitive disorder, Decreased appetite
Clinical narrative: Wife called clinic on 3/3/21.  Said he had a serious reaction requiring EMS to be called twice.   Was seen by PCP on 3/3/21.  Chief complaint of recent falls, no appetite, and cognitive issues since 2/26/21.   HPI Per PCP Note:  79 yo male with Celiac, mild type 2 DM and prostate cancer on Leuprolide and Xtandi here for f/u Diabetes and to get advice following adverse reation to first COVID vaccine received 2/25/21.  He has chronic RUE tremor.  He was diagnosed with a TIA from an endocardial lesion many years ago.  No cardiovascular disease history.  He experienced increased generalized weakness and poor balance following the vaccine.  He felt restless for 4-5 hours.  He fell to the floor twice and next morning and afternoon and EMS evaluated both times.  Glucoses 140-150.  No hypotension or tachycardia.  No arrhythmia.  No focal hemiplegia or slurred speech.  Did have sluggish cognition but not obtunded and could communicate wishes to remain at home.  Spouse feels he was 80% better on Saturday and is 95% better today (Tuesday).  No low glucoses.  Hydration and rest the first 48 hours seemed to help but he doesn't feel completely normal yet (still has fatigue and no appetite).  He can walk but is not confident of his strength.  He was anxious about getting the vaccine.  No prior hx of COVID but spouse did have it in August.  Spouse had localized reaction only.  Patient weaning off Gabapentin taken for tremor and neuropathy.