chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test normal, Metabolic function test normal, Nausea
Clinical narrative: Patient developed substernal chest pressure 5/10 Patient was given Benadryl 50 mg IM  Immediately  Continued observation Patient then developed nausea and continued chest pressure 5/10  Given  Dexamethasone 4 mg IM at 10:30  Continued observation Patient then developed some eyelid edema and upper lip fullness Patient given Epinephrine 0.3 mg IM at 10:43 am NO trouble breathing  NO tongue swelling No throat tightness
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Joint range of motion decreased, Pain, Pain in extremity, Skin burning sensation
Clinical narrative: left arm soreness - pain radiating down arm to thumb & pain with movement (immediately after vaccination)  unable to lift arm above chest height (4 hours after vaccination)  mild burning sensation in upper left arm (4 hours after vaccination)
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia
Clinical narrative: left arm soreness - pain radiating down arm to thumb & pain with movement (immediately after vaccination)  unable to lift arm above chest height (4 hours after vaccination)  mild burning sensation in upper left arm (4 hours after vaccination)
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Lymph node pain, Pain in extremity, Pyrexia
Clinical narrative: Very sore arm 1st day. 2nd day sore arm and lymph nodes under left arm where I got injection  ,chills ,fever  ( on Wed 6th pm) fatigue
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injected limb mobility decreased, Injection site rash, Mass, Pain in extremity
Clinical narrative: CG received the Moderna vaccine on 12/23/2020 at 1700 had mild arm pain for two days then was fine. On 12/28/2020 noticed the pain was back and I now have a medium sized lump in my armpit that was causing pain. On 12/31/2020 began to have a rash around the injection site that was increasing in size and limiting arm mobility. PCH EH sent CG to WorkMed and CG was given Rx for Keflex which was completed on 01/07/2021--CG stated symptoms are greatly improve.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Patient reported swelling, redness, itching, hot to touch above her left breast.  Patient took diphenhydramine
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Diarrhoea, Fatigue, Pyrexia
Clinical narrative: Fever of 101.5 for 36 hours, joint pain, extreme fatigue, loose stools
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient complained of being lightheaded after immunization.  Patient checked out by EMS, began feeling better shortly thereafter.  Patient advised to call 911 or go to the nearest emergency room for any additional issues as needed.  Also advised to sign up for v-safe.  Patient left site stating he felt better.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Fatigue, extreme headache, mild fever
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: 12 hours post vaccination woke up and barely could lift right arm, chills, body aches, headache, fever 99.8, extreme fatigue for about 18 hours.  Took 650 mg with 800 mg Motrin twice.  Symptoms resolved after 18 hours. Fatigue lasted for over 24 hours.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature decreased, Chills, Headache, Myalgia
Clinical narrative: At approximately 8 hours post vaccine I began to have Sudden onset bilateral joint pain mostly in my elbows but knees and hips as well. Then my neck started really hurting. I got a headache. Nausea and powerful chills that made my whole body violently shake. My core temperature Dropped to below 96, high 95s. Over a period of two hours I have stabilized my body temperature, the shaking has stopped. However the headache and muscle aches persist. No respiratory symptoms have developed.  I feel as if I am recovering, over a period of about four hours.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Tremor
Clinical narrative: At approximately 8 hours post vaccine I began to have Sudden onset bilateral joint pain mostly in my elbows but knees and hips as well. Then my neck started really hurting. I got a headache. Nausea and powerful chills that made my whole body violently shake. My core temperature Dropped to below 96, high 95s. Over a period of two hours I have stabilized my body temperature, the shaking has stopped. However the headache and muscle aches persist. No respiratory symptoms have developed.  I feel as if I am recovering, over a period of about four hours.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Pain
Clinical narrative: Fever 101.7 Chills, Body Aches,  Generalized Weakness, Head Ache, Diarrhea
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 101.7 Chills, Body Aches,  Generalized Weakness, Head Ache, Diarrhea
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Fatigue, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Sore, Redness, Swelling, Heat, Raised Growth, Tired, Hard area of injection site. First noticed 01/07/21 around 6 am. Ptn went to PA and received Keflex for a diagnosed cellulitis.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site rash, Injection site swelling, Injection site warmth, Rash papular
Clinical narrative: Sore, Redness, Swelling, Heat, Raised Growth, Tired, Hard area of injection site. First noticed 01/07/21 around 6 am. Ptn went to PA and received Keflex for a diagnosed cellulitis.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Tachycardia
Clinical narrative: 1.) Redness, pain, and swelling of arm several inches *below* the needle-puncture site (starting within hours of injection) 2.) Transient tachycardia with heart rate to the 130s.  Lasted a few minutes.  Spontaneously resolved (occurred 31 hours after injection)
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Rash, Swelling face
Clinical narrative: 10 min after shot rash, sob, facial swelling
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Flushing, Immediate post-injection reaction, Injection site swelling, Throat tightness
Clinical narrative: Immediate swelling of injection site; appeared to be flushed; stated she "didn't feel right"; complained of some tightness in her throat; she is a pharmacist as well and we discussed NOT immediately administering an EPI PEN.  She requested the liquid Benadryl option I suggested.  I administered 25mg liquid Benadryl and within 5 minutes she was feeling better.  I kept her for observation for 45 minutes and continued to monitor her all day.  She felt "dizziness/drowsiness" which was attributed to the Benadryl.  No further complaints of allergic like reaction after Benadryl was administerd.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase normal, Full blood count normal, Hypoaesthesia, Injection site pain, Injection site swelling
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA  Initally ater the vacine I experienced soreness and swelling at the site of injection.  7 hours after reciving my first dose of the vaccine I started experiencing numbness in my right arm/hand.  No weakness, just numnbess & altered sensation in the right arm.  Over the next 8 hours I felt the numbness spread to the entire right side of my body, down my leg, up my back, my abdomen, neck, and side of my face.  In the morning I went to the emergnecy department to be evaluated per the reccomendation of employee heath and my PCP.  The checked my labs and they were normal, I recived 1L NS bolus.  I then followed up with my PCP after.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, Sensory loss
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA  Initally ater the vacine I experienced soreness and swelling at the site of injection.  7 hours after reciving my first dose of the vaccine I started experiencing numbness in my right arm/hand.  No weakness, just numnbess & altered sensation in the right arm.  Over the next 8 hours I felt the numbness spread to the entire right side of my body, down my leg, up my back, my abdomen, neck, and side of my face.  In the morning I went to the emergnecy department to be evaluated per the reccomendation of employee heath and my PCP.  The checked my labs and they were normal, I recived 1L NS bolus.  I then followed up with my PCP after.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: I received the vaccination at 0844 on Jan 4, by 1400 my arm was incredibly sore but I experienced no other symptoms until about 1600 when I began to feel a chill. By that time my arm hurt so bad I did not want to move it. When I woke up for work on Jan 5 I was exhausted and feverish. I took my temperature about 0600 and it was 101, by 0900 my temp had spiked to 103.8. Using fever reducers I was able to bring my temperature down later in the afternoon on Jan 5. By the time I woke up on Jan 6 I felt completely fine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cough, Headache, Pain
Clinical narrative: Body aches Chills Fever of 101.3 F Joint pain Headache Dry cough
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Body aches Chills Fever of 101.3 F Joint pain Headache Dry cough
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site urticaria, Injection site warmth, Lymph node pain
Clinical narrative: Day 1-2: sore arm Day 3: splotchy rash at injection site Day 7: rash larger than 2" across, hives, itchiness, hot to the touch, and tender lymph nodes under the arm at/near the injection site.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash macular
Clinical narrative: Day 1-2: sore arm Day 3: splotchy rash at injection site Day 7: rash larger than 2" across, hives, itchiness, hot to the touch, and tender lymph nodes under the arm at/near the injection site.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient complained of being lightheaded after immunization. Patient checked out by EMS, she began feeling better shortly thereafter.  Patient advised to call 911 or go to the nearest emergency room for any additional issues as needed.  Also advised to sign up for v-safe.  Patient left site stating she felt better.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Pain
Clinical narrative: Moderate COVID symptoms: body aches, fatigue, headache, brain fog
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hyperhidrosis, Myalgia, Neck pain
Clinical narrative: Tachycardia, diaphoresis, headache, neck pain, muscle aches, fatigue. Everything but fatigue lasted approx 12 hours, fatigue about 4 days.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Tachycardia, diaphoresis, headache, neck pain, muscle aches, fatigue. Everything but fatigue lasted approx 12 hours, fatigue about 4 days.
Age: 89.0
Sex: M
Vaccine: UNK
Symptoms: Dyspnoea, Fatigue, Pyrexia
Clinical narrative: fever 104 F, shortness of breath, fatigue
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Fatigue, Headache, Myalgia
Clinical narrative: Headache, significantly muscle/body aches, joint pain, significant fatigue. Continual, intermittent shooting abdominal pain.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Headache, significantly muscle/body aches, joint pain, significant fatigue. Continual, intermittent shooting abdominal pain.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Erythema, Feeling hot, Flushing
Clinical narrative: Received vaccine, went to observation area, sat down, 2 minutes later felt very flushed, hot, skin became red, and almost fainted.  Similar to vasovagal experience without nausea at that time.  Staff took me to nursing station, and I felt better within 10 minutes of laying down on ice pack, drinking water.  Stayed there for an hour and got  a ride home in case.  Blood pressure was very elevated afterwards for several hours.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic shock, Asthenia, Blood test, Dizziness, Headache
Clinical narrative: Nausea, hives, anaphylactic shock, throat swelling, hypotension, headache, dizziness, weakness .   The symptoms returned at 1:25pm the best day as well. I?ve now had two anaphylactic reactions
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Nausea, Pharyngeal swelling, Urticaria
Clinical narrative: Nausea, hives, anaphylactic shock, throat swelling, hypotension, headache, dizziness, weakness .   The symptoms returned at 1:25pm the best day as well. I?ve now had two anaphylactic reactions
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin warm
Clinical narrative: cellulitis suspected--hot red arm, doctor gave keflex has lasted 7 days
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure orthostatic normal, Dizziness, Hyperhidrosis, Malaise, Nausea
Clinical narrative: Within 30-45 minutes after injection, became ill with extreme dizziness, facial/neck swelling, skin pale, diaphoretic, c/o nausea with vomiting x1. Taken to ED.  Treated with Benadryl 50mg IV, Zofran 4mg SL, meclizine 25mg PO, and 1 liter of 0.9% Normal Saline IV. Symptoms improved, discharged to home at 6pm.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Swelling, Swelling face, Vomiting
Clinical narrative: Within 30-45 minutes after injection, became ill with extreme dizziness, facial/neck swelling, skin pale, diaphoretic, c/o nausea with vomiting x1. Taken to ED.  Treated with Benadryl 50mg IV, Zofran 4mg SL, meclizine 25mg PO, and 1 liter of 0.9% Normal Saline IV. Symptoms improved, discharged to home at 6pm.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypopnoea, Rash, Respiratory rate increased
Clinical narrative: Stayed fir Observation for 15 minutes then left.  25 minutes after injection, developed rash and swelling on arm, chest, face with rapid heart rate and shallow/rapid breathing.  Called number on vaccine sheet  and was sent to ER but was turned away due to over crowding (COVID) and told to go to PCP, which was two hours away.  Went to urgent care instead and was immediately treated with steroids and antihistamine.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pain
Clinical narrative: Arm soreness at injection site, body aches, headaches. All occurred approximately 12:00pm the day after the injection and lasted 8 hours.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Dizziness, Muscle spasms, Nausea, Oropharyngeal pain
Clinical narrative: dizziness, tachycardia, sore throat, globus pharyngeus, epigastric pain, cramping, nausea
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Sensation of foreign body, Tachycardia
Clinical narrative: dizziness, tachycardia, sore throat, globus pharyngeus, epigastric pain, cramping, nausea
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Dyspnoea, Headache, Hypoxia
Clinical narrative: On 12/6/2021 Resident reported via telephone to this nurse he was having NVD, fever(100.4), SOB, HA and hypoxia; this nurse to resident cottage, assessment confirms reported S/S, dispatched ambulance to transport to ED for treatment of COVID-19 S/S S/P positive COVID-19 test from nasal swap on 3 Jan 2021. Family, MD, other staff, DON notified; called in report to Hospital.  The resident was treated in the ER and returned on 12/6/21 after about 6 hours at the hospital.  Resident returned from ED for tx of Covid-19; resident in stable condition, treated with Prednisone and dexamethasone discharged back. New orders for Prednisone PO x 4 days. F/U with PCP or return if worsening symptoms. Resident reported on 1/7/2021 he is feeling good and has no s/s of COVID-19.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: On 12/6/2021 Resident reported via telephone to this nurse he was having NVD, fever(100.4), SOB, HA and hypoxia; this nurse to resident cottage, assessment confirms reported S/S, dispatched ambulance to transport to ED for treatment of COVID-19 S/S S/P positive COVID-19 test from nasal swap on 3 Jan 2021. Family, MD, other staff, DON notified; called in report to Hospital.  The resident was treated in the ER and returned on 12/6/21 after about 6 hours at the hospital.  Resident returned from ED for tx of Covid-19; resident in stable condition, treated with Prednisone and dexamethasone discharged back. New orders for Prednisone PO x 4 days. F/U with PCP or return if worsening symptoms. Resident reported on 1/7/2021 he is feeling good and has no s/s of COVID-19.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Throat tightness
Clinical narrative: Itching, throat tightness. Pt was evaluated by Provider, VS monitored, benadryl 25mg PO X1 dose. Pt full recover within 30min and monitored for another 30 min, discharged to home with husband who is a PA-C.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Redness, swelling and itching
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Itching at  the injection site, then the area became red, hot, swollen and tender.  Treatment: cold press
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Vaccination site pain, Vaccination site swelling
Clinical narrative: The following two days, I had a migraine. I also had swelling and tenderness at the vaccination site for 6 days afterwards.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Pain
Clinical narrative: Influenza vaccine administered and injection site seemed lower than what had experienced in the past.  Site was sore and achy night of administration and over the next few days she developed shooting pain up the side of her left arm associated with the site and pain with raising arm overhead. Patient was seen by provider 1 week after injection. At the end of October Patient was referred to Ortho and received steroids with significant improvement in pain. She has needed no further f/u and reports symptoms have resolved at this time.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Pain, swelling, and soreness 1 day after the vaccine. Then pain, swelling, soreness, warmth, and redness 2 days after that has gotten worse. Itching started today, nine days after the vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Pain, swelling, and soreness 1 day after the vaccine. Then pain, swelling, soreness, warmth, and redness 2 days after that has gotten worse. Itching started today, nine days after the vaccine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Limb discomfort, Musculoskeletal pain, Myalgia, Neuralgia
Clinical narrative: 1. Noticing a sharp headache for about 10 seconds either in the occipital lobe region or temporal lobe region on the right side of my head every now and then. It has happened about 8 times since vaccine administration. The first time being about 25-30 minutes after vaccination. 2. I have also noticed a sharp pain in the back of my right thigh/upper buttock region that feels either like a nerve or muscle pain. It usually is most noticeable when I first stand up from a sitting position or laying position. If I don't put as much pressure on the heel of my right foot, it isn't as bad and ibuprofen has helped the pain subside, but it has been constant. This was first noticed about 4-5 hours after vaccination received.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: 1. Noticing a sharp headache for about 10 seconds either in the occipital lobe region or temporal lobe region on the right side of my head every now and then. It has happened about 8 times since vaccine administration. The first time being about 25-30 minutes after vaccination. 2. I have also noticed a sharp pain in the back of my right thigh/upper buttock region that feels either like a nerve or muscle pain. It usually is most noticeable when I first stand up from a sitting position or laying position. If I don't put as much pressure on the heel of my right foot, it isn't as bad and ibuprofen has helped the pain subside, but it has been constant. This was first noticed about 4-5 hours after vaccination received.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Breast pain, Lymph node pain, Lymphadenopathy
Clinical narrative: 01/03/21 soreness in left armpit 01/04/21 to present swelling of lymph nodes and increased soreness, pain spreading to  left breast and upper back 01/07/21 rash near left armpit
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: 01/03/21 soreness in left armpit 01/04/21 to present swelling of lymph nodes and increased soreness, pain spreading to  left breast and upper back 01/07/21 rash near left armpit
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pruritus
Clinical narrative: body itchiness on right hand and left upper body. Soreness at the injection site.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Injection site erythema, Injection site inflammation, Injection site pain, Injection site pruritus
Clinical narrative: At first, the injection site was a little swollen, red, itchy, warm to the touch, and painful. These symptoms weren't problematic at first and in fact, seemed to go away.  Then exactly 1 week after receiving the vaccine the injection site became significantly inflamed, itchy, warm to the touch, and very warm to the touch. I never ran a fever but have become concerned about infection at the site of injection.  My upper right arm at the largest portion of the muscle is at a circumference of 15 1/4 inches and my left is 16 3/4 inches at it's largest.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: At first, the injection site was a little swollen, red, itchy, warm to the touch, and painful. These symptoms weren't problematic at first and in fact, seemed to go away.  Then exactly 1 week after receiving the vaccine the injection site became significantly inflamed, itchy, warm to the touch, and very warm to the touch. I never ran a fever but have become concerned about infection at the site of injection.  My upper right arm at the largest portion of the muscle is at a circumference of 15 1/4 inches and my left is 16 3/4 inches at it's largest.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Itching at injection site that began 7days after the injection.  A red puffy area developed the next day.  It is oval shaped about 2 inches by 1.5 inches and is itchy.   I have used one application of topical Benadryl and it has not helped.
Age: 28.0
Sex: F
Vaccine: HPV9
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient was 28 years old and should have only had this up to age 26.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Injection site redness, itching, swelling, and pain began 6 days after injection. Redness has expanded over last 2 days. Have been treating myself with over the counter Advil, Benadryl, & Pepcid
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever, Headache, Body Aches, tiredness × 2  days finds, Tylenol and ibuprofen
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Pain, Swelling, Urticaria
Clinical narrative: Swelling pain redness hives heat
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: redness swelling ,pain, heat, hard, itching to upper arm arm that began on the 7th day after the vaccine
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: redness swelling ,pain, heat, hard, itching to upper arm arm that began on the 7th day after the vaccine
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Migraine, Paranasal sinus discomfort
Clinical narrative: About 1.5 hours after injection: migraine, bad sinus pressures, major fatigue and chills.  All symptoms lasted about 22 hours.  I still have a minor headache and fatigue
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Hyperhidrosis
Clinical narrative: Patient complained of sweaty hands, "unsettled stomach" after vaccination. Patient checked out by EMS, began feeling better shortly thereafter.  Patient advised to call emergency services or go to the nearest emergency room for any additional issues as needed.  Also advised to sign up for v-safe.  Patient left site stating he felt better.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood pressure increased, Pain
Clinical narrative: Pain from her head to her toes. Especially her hips/ears. Increased blood pressure
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Fatigue, Feeling abnormal, Paraesthesia
Clinical narrative: 1010: Informed patient feeling tired, dizzy and warm feeling to chest/neck/head: BP: 152/94; HR:80; RR:20; O2 sat:99%; remained with patient. Patient was able to hold a conversation and knew where he was at. 1015: BP:160/94;HR:72;RR:22; O2 sat:99%; patient stated he was feeling better after placed in a cot in a supine position; applied a cool, wet towel to posterior neck. Asked patient if he wanted something to eat/drink and he responded he did. Drink, cookies/snacks given to patient. Tolerated snacks/drink w/o complications 1020: BP:162/94: HR:68; RR: 24; O2 sat:99%; remained with patient, stated he was feeling better but now feeling fuzzy brained, confused and pins/needles to bilateral extremities. 1040: BP: 152/90; HR:68; RR:20; O2 sat 99%; Patient indicated he needed to go to restroom; a male staff took patient to restroom, no problems, no dizziness. This nurse did not want patient driving home so he called his wife. 1050: BP:154/88; HR:70; RR:18; O2 sat 99%; patient stated he was feeling much better and no longer had the confusion feeling or the pins/needles feeling to bilateral lower extremities. 1115: BP:148/90; HR:70; RR:16; O2 sat 99%; patient's wife showed up and he was discharged to her care. This nurse informed patient wife what had happened and she verbalized understanding. Patient ambulated out with this nurse and difficulty. Patient placed in car and he was able to place seatbelt on himself. Airway never compromised at this visit. 1920: this nurse called and left message for patient to report how he was feeling 1940: Patient called and stated he was feeling really good. Stated he had not answered because he had gone to pick up his car from the COVID-19 clinic.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: 1010: Informed patient feeling tired, dizzy and warm feeling to chest/neck/head: BP: 152/94; HR:80; RR:20; O2 sat:99%; remained with patient. Patient was able to hold a conversation and knew where he was at. 1015: BP:160/94;HR:72;RR:22; O2 sat:99%; patient stated he was feeling better after placed in a cot in a supine position; applied a cool, wet towel to posterior neck. Asked patient if he wanted something to eat/drink and he responded he did. Drink, cookies/snacks given to patient. Tolerated snacks/drink w/o complications 1020: BP:162/94: HR:68; RR: 24; O2 sat:99%; remained with patient, stated he was feeling better but now feeling fuzzy brained, confused and pins/needles to bilateral extremities. 1040: BP: 152/90; HR:68; RR:20; O2 sat 99%; Patient indicated he needed to go to restroom; a male staff took patient to restroom, no problems, no dizziness. This nurse did not want patient driving home so he called his wife. 1050: BP:154/88; HR:70; RR:18; O2 sat 99%; patient stated he was feeling much better and no longer had the confusion feeling or the pins/needles feeling to bilateral lower extremities. 1115: BP:148/90; HR:70; RR:16; O2 sat 99%; patient's wife showed up and he was discharged to her care. This nurse informed patient wife what had happened and she verbalized understanding. Patient ambulated out with this nurse and difficulty. Patient placed in car and he was able to place seatbelt on himself. Airway never compromised at this visit. 1920: this nurse called and left message for patient to report how he was feeling 1940: Patient called and stated he was feeling really good. Stated he had not answered because he had gone to pick up his car from the COVID-19 clinic.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: These symptoms began at 11:23 am and still present at the time this form is being filled out.  Vertigo Nausea (no vomiting)  Chills (no fever) Tremors Headache   Approximately 5 hours after injection: (still present at time of filling out this form) Pain in left upper arm at injection site down arm. Muscular pain.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vertigo
Clinical narrative: These symptoms began at 11:23 am and still present at the time this form is being filled out.  Vertigo Nausea (no vomiting)  Chills (no fever) Tremors Headache   Approximately 5 hours after injection: (still present at time of filling out this form) Pain in left upper arm at injection site down arm. Muscular pain.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: 9th day post vaccine., red, swollen and itchy at injection site
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Skin warm
Clinical narrative: Swelling, large raised area at vaccine site. Hot to touch, uncomfortable. Symptoms began at 8pm
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Headache Nausea Fatigue noticed at 9 am on 1-7-2021, Fever 100.4-101 F started at 6 PM.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Heart rate increased
Clinical narrative: Patient received vaccine at a drive-through event.  As she parked her car she saw another vaccine recipient walking to the ambulance for treatment and started feeling very anxious with a faster heart rate.  RN spoke to patient on site and she had no other complaints.  Patient monitored for a total of 30 minutes without further complaint.  Patient advised to call emergency services or go to the nearest emergency room for any additional issues if needed.  Also advised to sign up for v-safe.  Patient left site stating she was feeling better (also saw other vaccine recipient return to car quickly and she said that helped).
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: On day 8 post injection, site became sore and reddened with mild edema present . Site is warm to the touch. Area is being monitored and has not increased in size.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: My arm was sore for the first 3 days which was not unusual.  The pain completely resolved. Now 8 days later I woke up with a sore arm that is warm to touch and some swelling. I also have a rash and redness on the arm where I recieved the vaccine
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Flushing, Rash, Throat tightness
Clinical narrative: 10 minutes after vaccine was given, patient had onset of throat tightness, difficulty breathing, flushing, and rash.  Patient was immediately treated with 0.3 mg of epinephrine and within approximately 60 seconds began having improvement in her symptoms.  EMS was called and patient was taken to the ER via EMS for ongoing observation.  Patient was feeling improved but not back to baseline prior to leaving the clinic.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Immediate post-injection reaction, Nausea
Clinical narrative: Patient complained of being nauseous, dizzy, weak and fatigued immediately after immunization. Patient checked out by EMS, began feeling better shortly thereafter. Patient advised to call 911 or go to the nearest emergency room for any additional issues as needed. Also advised to sign up for v-safe. Patient left site stating she already feeling better.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Electrocardiogram normal, Palpitations
Clinical narrative: AT 7:45 AM ON SATURDAY, 01/02/2021, I STARTED HAVING DIZZINESS, LIGHT-HEADEDNESS, AND PALPITATIONS. THE MORNING OF 01/05/2021, I DEVELOPED CHILLS WITHOUT FEVER. WENT TO MY FAMILY PRACTICE, LIFETIME MEDICINE, AND WAS SEEN BY NIDA ARIF, PA FOR ABOVE PERSISTING SYMPTOMS. AN EKG WAS DONE IN THE OFFICE RESULTING IN NORMAL SINUS RHYTHM. AS OF 01/06/2021, CHILLS, DIZZINESS AND LIGHT-HEADEDNESS RESOLVED. PALPITATIONS CONTINUE TO PERSIST AS OF 01/07/2021 WHEN THIS REPORT WAS FILLED OUT AND SUBMITTED.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid increased, Bradycardia, Cardiac arrest, Computerised tomogram head normal, Death
Clinical narrative: No adverse effects noted after vaccination.  Patient with cardiac history was found unresponsive at 16:45 on 1/6/21. Abnormal breathing patterns, eyes partially closed  SPO2 was 41%, pulseless with no cardiac sounds upon auscultation.  CPR and pulse was regained and patient was breathing.  Patient sent to Hospital ER  were she remained in an unstable condition had multiple cardiac arrest and severe bradycardia and in the end the hospital was unable to bring her back.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Heart sounds abnormal, Pulse absent, Respiration abnormal, Resuscitation, SARS-CoV-2 test negative
Clinical narrative: No adverse effects noted after vaccination.  Patient with cardiac history was found unresponsive at 16:45 on 1/6/21. Abnormal breathing patterns, eyes partially closed  SPO2 was 41%, pulseless with no cardiac sounds upon auscultation.  CPR and pulse was regained and patient was breathing.  Patient sent to Hospital ER  were she remained in an unstable condition had multiple cardiac arrest and severe bradycardia and in the end the hospital was unable to bring her back.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, White blood cell count increased
Clinical narrative: No adverse effects noted after vaccination.  Patient with cardiac history was found unresponsive at 16:45 on 1/6/21. Abnormal breathing patterns, eyes partially closed  SPO2 was 41%, pulseless with no cardiac sounds upon auscultation.  CPR and pulse was regained and patient was breathing.  Patient sent to Hospital ER  were she remained in an unstable condition had multiple cardiac arrest and severe bradycardia and in the end the hospital was unable to bring her back.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Rash, Rash macular, Skin burning sensation
Clinical narrative: Severe skin burning and irritation. Severely red/raw blotchy rash all over extremities. It started the day after the vaccine by the second day it has spread all down my legs and arms, and very painful.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Skin erosion, Skin irritation
Clinical narrative: Severe skin burning and irritation. Severely red/raw blotchy rash all over extremities. It started the day after the vaccine by the second day it has spread all down my legs and arms, and very painful.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dry throat, Nausea, Throat irritation
Clinical narrative: Patient received first dose of Moderna Vaccination at 15:32. Approximately 30 minutes later patient began feeling itchiness in her throat and anxious. Pt was placed on a Non-rebreather at 15 L. Pt's vitals were BP: 134/81, HR: 113, O2: 100% on 15 L NR, RR: 26. PA at bedside with verbal order for Epinephrine 0.3 mg. EpiPen give to left upper thigh at 16:32. Pt's heart rate increased to 110's-140's. Pt's itchy throat remained the same. Pt began having symptoms of a dry throat as well. Pt administered Benadryl per PA at 16:40. Pt began experiencing nausea at approximately 16:50. Zofran 4 mg ODT administered sublingual at 16:50. EMS was activated and arrived approximately 16:55. Report given and pt transferred to ECRMC for further workup and assessment. Vitals remained stable throughout.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Oedema, Pain, Pyrexia
Clinical narrative: Moderna COVID?19 Vaccine EUA  fever, pain, edema and swollen lymph node
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Injection site pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Low grade fever, site soreness, fatigue, headache
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Day 1: Itching began about 30-40 minutes after injection. Welts began appearing 2 hours later on arms, legs, and back. Took Benadryl 36.5 mg every 4 hours.  Day 2: Woke up with hives all over body, including face , started Prednisone 10 mg x3 tablets and continued benadryl 25mg every 3-4 hours.
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Cerebellar ataxia, Electroencephalogram, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: Acute cerebellar ataxia
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Body temperature increased, Erythema, Myalgia, Pain in extremity
Clinical narrative: axillary and arm pain on date of immunization and also myalgias and low grade temperature of 100.1 on 1/5/21 develop facial and neck swelling and redness
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Swelling face
Clinical narrative: axillary and arm pain on date of immunization and also myalgias and low grade temperature of 100.1 on 1/5/21 develop facial and neck swelling and redness
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pain, Pruritus
Clinical narrative: Moderna COVID-19 Vaccine EUA Oval, red, raised skin around injection site @ 8 days post vaccination. Slight soreness and itching. 9 days post vaccination; red area has increased in size, approx 5 x 2 inches. Swelling and redness very slightly reduced. Itching and soreness the same.  Staff health examined but had no conclusive treatment. Four other employees called to report similar reactions from the same vaccine clinic.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Loss of personal independence in daily activities, Myalgia, Product administered at inappropriate site
Clinical narrative: Muscle/joint soreness to the extent that the patient is unable to dress herself/complete basic activities of daily living without assistance. ***Patient is an RN. Injection site appears to have been given outside of the deltoid muscle (too high)
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia
Clinical narrative: Severe chills that started about 11 hours after the injection. Moderate muscle aches.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Oral discomfort, Paraesthesia oral, Swelling
Clinical narrative: Patient received COVID vaccine at 0939, during observation period reported tingling of tongue and lips approx. at  1010.  Benadryl 25mg by mouth administered. Patient continued to be monitored for additional 1hr.  Benadryl improved symptoms, patient denied SOB and remained calm throughout.  Swelling and tingling improved. Patient went back to work in hospital where received vaccine.  Patient confident in monitoring return of symptoms while on site working.  Patient reports list of allergies and has dealt with symptoms of allergic reactions before.  This RN checked on patient after vaccine clinic and residual tingling remained but otherwise patient "felt good".    Called patient at 1707 to follow up.  Patient reports minor residual burning on lip otherwise other symptoms resolved.  Continues to denies difficulty breathing, " I feel fine"
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on Chest and Arms
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Body temperature increased, Chills, Dizziness
Clinical narrative: Temperature 103.1, chills, muscle and joint pain, fatigue, weakness dizziness, headache, nausea rest and fluids, acetaminophen started at 0400 am on 1/6 symptoms started to resolve by 2000 (8pm) on 1/6
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Temperature 103.1, chills, muscle and joint pain, fatigue, weakness dizziness, headache, nausea rest and fluids, acetaminophen started at 0400 am on 1/6 symptoms started to resolve by 2000 (8pm) on 1/6
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever, headache, fatigue, body aches
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chills, Heart rate increased, Hypoaesthesia oral
Clinical narrative: Mouth numbness, elevated bp and pulse, severe chills
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: I broke out in full body rash resembling hives 6 days after receiving vaccine. Rash was very itchy and spread to nearly whole body. I was seen by PMD  on 1/5/2021 and prescribed prednisone burst  (50mg qday X 5days) as well as topical steroid cream and also Zyrtec.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site urticaria
Clinical narrative: The patient presented on the 9th day post-vaccine administration with a significant 7 cm x 5 cm firm urticarial lesion at the site of her vaccination with pruritus and surrounding erythema.  Prior to this point, she was asymptomatic other than a small amount of soreness at the vaccination site with no reaction, lesions or pruritus.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: 3? x 3? red, swollen, warm itchy patch at injection site. No treatment.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Pain in extremity, Skin warm
Clinical narrative: Did really have any reaction until 1/07/21.  Woke up with my arm throbbing, then noticed my arm was super warm to touch, very red, as the day went on the symptoms progressed.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Initially I had normal side effects of pain, swelling, redness at the injection site for three days from 12/31/2020-1/2/2021. The symptoms resolved. Then I experienced itching at the injection site late 1/6/2021 after reporting V-safe. On 1/7/2021 I woke up with itching, redness, swelling. As the day  progressed the injection site was red, indurated (6 cm x 4 cm), painful, itchy. I contacted my doctor's office and received antibiotics for cellulitis.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Initially I had normal side effects of pain, swelling, redness at the injection site for three days from 12/31/2020-1/2/2021. The symptoms resolved. Then I experienced itching at the injection site late 1/6/2021 after reporting V-safe. On 1/7/2021 I woke up with itching, redness, swelling. As the day  progressed the injection site was red, indurated (6 cm x 4 cm), painful, itchy. I contacted my doctor's office and received antibiotics for cellulitis.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Swelling
Clinical narrative: Patient complained of bilateral hand swelling and swelling in the left neck area.  No itching or pain.  No rash.  No fever.  No swelling of tongue or  lips.   No dyspnea or wheezing.   Symptoms dissipated over 24 hours.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swollen neck lymph node of left side.  Lymph node still swollen at day 20 and continuing.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: On day 8 my arm was itchy then turned red , swollen ,hard and warm to the touch...I drew A circle and by the end of the day it grew quite a bit..i was seen in my Occupation Health Office and was prescribed Clymdamicin for possible cellulitis..I will monitor and follow-up with my PCP
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Migraine, Rash, Vomiting
Clinical narrative: 1st night severe rash over torso, arms, and face. 2 days later vomiting and diarrhea. The whole week after vaccine horrible migraines.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Rash, Rash pruritic
Clinical narrative: Itchy rash developed in the early afternoon on injection day.  Rash persists and got worse four days later.  Rash began on upper arm of injection site and spread throughout the body including both upper arms and forearms, shins, calves, side of torso
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Burning sensation, Neuralgia, Pain, Pain in extremity
Clinical narrative: Severe pain down arm with movement. Started several hours after the dose was administered and has continued ever since. Pain seems nerve related with a burning and tingling. The pain is aggravated by movement. Pain originates in the shoulder joint area and radiates down arm.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: Severe pain down arm with movement. Started several hours after the dose was administered and has continued ever since. Pain seems nerve related with a burning and tingling. The pain is aggravated by movement. Pain originates in the shoulder joint area and radiates down arm.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Shortness of breath and wheezing
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Swelling of eyelid
Clinical narrative: Eyelid swelling on one side, which was the side of vaccination, 8 hours after the dose, quite visible but only mildly bothersome
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Computerised tomogram thorax normal, Dizziness, Dyspnoea, Feeling abnormal
Clinical narrative: Pfizer vaccine 12/19.  Reports intermittent dizziness, brain fog, severe headaches, nausea, shortness of breath, left axillary lymphadenopathy, elevated blood pressure which onset on 12/31.  COVID-flu negative, normal labs, CT thorax and brain MRI negative.  Has been to ED and is returning today due to continued symptoms. Reported symptoms to VSafe
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Influenza virus test negative, Laboratory test normal, Lymphadenopathy, Magnetic resonance imaging brain normal
Clinical narrative: Pfizer vaccine 12/19.  Reports intermittent dizziness, brain fog, severe headaches, nausea, shortness of breath, left axillary lymphadenopathy, elevated blood pressure which onset on 12/31.  COVID-flu negative, normal labs, CT thorax and brain MRI negative.  Has been to ED and is returning today due to continued symptoms. Reported symptoms to VSafe
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, SARS-CoV-2 test negative
Clinical narrative: Pfizer vaccine 12/19.  Reports intermittent dizziness, brain fog, severe headaches, nausea, shortness of breath, left axillary lymphadenopathy, elevated blood pressure which onset on 12/31.  COVID-flu negative, normal labs, CT thorax and brain MRI negative.  Has been to ED and is returning today due to continued symptoms. Reported symptoms to VSafe