chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood pressure systolic increased, Cardiac stress test normal, Computerised tomogram abdomen, Confusional state
Clinical narrative: I am not 100% certain of this event being related to the vaccination with the Moderna COVID19 shot or not.  However, in the interest of completeness and for investigative purposes, I am reporting to you the event in relation to the vaccination as the patient reported to me.  She received the vaccination on 2/14/2021 and became very confused.  She had significant left arm swelling much worse than when she had her first vaccination.  Her husband brought her to the emergency room and she was eventually discharged, but she went on to develop significant hypertension and she reported that her blood pressures were normal prior to the vaccination.  She had an emergency room visit in which her systolic pressures were well above 240.  She revisited the emergency room and had elevated blood pressures of 240 and was diagnosed with hypertensive encephalopathy and later found to have posterior reversible encephalopathy syndrome or PRES.  We have started the patient on medications, and started laboratory work-up for secondary hypertension and her blood pressures have improved with treatment.  We discussed the case with the neurologist, who suggested that we repeat MRI scan to make sure that her punctate lesions noted on MRI on this admission on 2/25/2021, have resolved.  It was advised that if they had not resolved that we should call neurology again.  Hypertensive encephalopathy is rare and press syndrome as a result is also rare.  It is for this reason that I am reporting this event as again, I am not trying to mislead anyone or distort information, but should this be an adverse effect of the vaccine I wanted to make sure that this was reported as the patient's history prior to the vaccination and developing this complication post vaccination are temporally related at a minimum.  The patient is a known smoker but quit on the 14th of this month.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Hypertension, Hypertensive encephalopathy, Laboratory test, Magnetic resonance imaging brain abnormal
Clinical narrative: I am not 100% certain of this event being related to the vaccination with the Moderna COVID19 shot or not.  However, in the interest of completeness and for investigative purposes, I am reporting to you the event in relation to the vaccination as the patient reported to me.  She received the vaccination on 2/14/2021 and became very confused.  She had significant left arm swelling much worse than when she had her first vaccination.  Her husband brought her to the emergency room and she was eventually discharged, but she went on to develop significant hypertension and she reported that her blood pressures were normal prior to the vaccination.  She had an emergency room visit in which her systolic pressures were well above 240.  She revisited the emergency room and had elevated blood pressures of 240 and was diagnosed with hypertensive encephalopathy and later found to have posterior reversible encephalopathy syndrome or PRES.  We have started the patient on medications, and started laboratory work-up for secondary hypertension and her blood pressures have improved with treatment.  We discussed the case with the neurologist, who suggested that we repeat MRI scan to make sure that her punctate lesions noted on MRI on this admission on 2/25/2021, have resolved.  It was advised that if they had not resolved that we should call neurology again.  Hypertensive encephalopathy is rare and press syndrome as a result is also rare.  It is for this reason that I am reporting this event as again, I am not trying to mislead anyone or distort information, but should this be an adverse effect of the vaccine I wanted to make sure that this was reported as the patient's history prior to the vaccination and developing this complication post vaccination are temporally related at a minimum.  The patient is a known smoker but quit on the 14th of this month.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Posterior reversible encephalopathy syndrome, White matter lesion
Clinical narrative: I am not 100% certain of this event being related to the vaccination with the Moderna COVID19 shot or not.  However, in the interest of completeness and for investigative purposes, I am reporting to you the event in relation to the vaccination as the patient reported to me.  She received the vaccination on 2/14/2021 and became very confused.  She had significant left arm swelling much worse than when she had her first vaccination.  Her husband brought her to the emergency room and she was eventually discharged, but she went on to develop significant hypertension and she reported that her blood pressures were normal prior to the vaccination.  She had an emergency room visit in which her systolic pressures were well above 240.  She revisited the emergency room and had elevated blood pressures of 240 and was diagnosed with hypertensive encephalopathy and later found to have posterior reversible encephalopathy syndrome or PRES.  We have started the patient on medications, and started laboratory work-up for secondary hypertension and her blood pressures have improved with treatment.  We discussed the case with the neurologist, who suggested that we repeat MRI scan to make sure that her punctate lesions noted on MRI on this admission on 2/25/2021, have resolved.  It was advised that if they had not resolved that we should call neurology again.  Hypertensive encephalopathy is rare and press syndrome as a result is also rare.  It is for this reason that I am reporting this event as again, I am not trying to mislead anyone or distort information, but should this be an adverse effect of the vaccine I wanted to make sure that this was reported as the patient's history prior to the vaccination and developing this complication post vaccination are temporally related at a minimum.  The patient is a known smoker but quit on the 14th of this month.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness
Clinical narrative: Mom woke up this morning and has lost all vision following #1 of 2 Covid-19 vaccination on 02/25/2021
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling, Pain in extremity
Clinical narrative: Day 8 itching, redness and swelling about an inch below injection site - a quarter-sized spot and a nickel-sized spot. Lasted 2 days. Fatigue days 2 (mild), 8 & 9. Fatigue on days 8 & 9 was mild - moderate.  Day 9, arm started to ache as if I had just gotten my shot. Lasted 1 day.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: At about 1:34pm, pt c/o feeling dizzy and lightheaded. Water given. VS taken x 2, stable. Monitored pt until symptoms resolved. Pt. released to self at 1:54pm
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: Itchy arm at injection site six days after injection.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Painful, swollen, warm arm, growing in size over 48 hours at the injection site (still present) fever (maxed at 101.5F), chills, aches, headache that stopped after 24hrs.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Painful, swollen, warm arm, growing in size over 48 hours at the injection site (still present) fever (maxed at 101.5F), chills, aches, headache that stopped after 24hrs.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Burning sensation, Erythema, Fatigue, Feeling hot
Clinical narrative: Bee sting like pain hour after. Extreme muscle stiffness, extreme fatigue 15 hours later . 48 hours later, edema, axillary pain, arm pain, hard red burning, hot
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Musculoskeletal stiffness, Oedema, Pain, Pain in extremity
Clinical narrative: Bee sting like pain hour after. Extreme muscle stiffness, extreme fatigue 15 hours later . 48 hours later, edema, axillary pain, arm pain, hard red burning, hot
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site erythema, Injection site inflammation, Injection site pruritus
Clinical narrative: Chills, gone after 12 hours;  Tiredness, gone after 21 hours, Racing mind, gone after 21 hours; Sore deltoid, gone after 3 days; Redness/Itching/slight inflammation at injection site gradually reducing and gone after 6 days
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Tachyphrenia
Clinical narrative: Chills, gone after 12 hours;  Tiredness, gone after 21 hours, Racing mind, gone after 21 hours; Sore deltoid, gone after 3 days; Redness/Itching/slight inflammation at injection site gradually reducing and gone after 6 days
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Severe swelling, redness, hot to touch, redness has spread 6in long 3 1/2 in wide
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration
Clinical narrative: Hardness around the vaccine site on left arm
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash pruritic
Clinical narrative: Circle red and itchy rash on arm in location of injection
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Rash erythematous
Clinical narrative: Red oval rash and itchiness at injection site.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: KNUCKLES SWELLED UP WITHIN 48 HOURS, WHEN DRIVING IT WAS UNCOMFORTABLE TO HANDLE THE STEERING WHEEL.  USED OTC PHARMACY BRAND MENTHOL BASED ROLL ON TO DEADEN THE PAIN.  NOT EVER HAVING ARTHRITIS, I BELIEVE THIS DISCOMFORT WOULD BE SIMILAR AS MY KNUCKLES WERE THROBBING.   PLEASE NOTE, THAT THIS SWELLING IS NOW SUBSIDING, DID NOT AFFECT ANY OTHER JOINTS.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Malaise
Clinical narrative: 2 days after the shot I felt malaise and fatigue for a day or so. 16 days after the shot, many of my joints flared up with pain including my wrist/thumb, knee, hip (bursitis), shoulder, lower back for one day.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Chest discomfort, Chest pain, Chills, Costochondritis
Clinical narrative: the first day (1/16/21) following the first dose of the  vaccine, i began experiencing nausea. the third day (1/18/21) i vomited that morning once but then not again throughout that day.  after that for about two weeks, i was just generally nauseous and also had no appetite. food tasted off to me. this went away after two weeks, but then i got my second dose on 2/12/21. on 2/13/21, i spent about 12 vomiting very consistently, about every 10-15 minutes. i also had chills alternating with profuse sweating and hot flashes, but did not ever have a fever. other symptoms included headache, extreme fatigue, dizziness, body aches, shortness of breath, and chest pains. the next day, i was fine aside from some slight lingering nausea but no vomiting. since then, i have experienced nausea intermittently every day, and have vomited on more than a dozen of those days. i have no appetite, and have now lost ten pounds since getting the second dose. i realized that my main food aversion is to meat, i will vomit every single time i eat meat now. i?m not sure if this is my reaction to the texture and taste like i think it is, or if it?s actually more like an allergic response by my stomach. i also still struggle with shortness of breath and feeling like my chest is tight, as well as dizziness and a nagging cough.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Decreased appetite, Dizziness, Dyspnoea, Fatigue
Clinical narrative: the first day (1/16/21) following the first dose of the  vaccine, i began experiencing nausea. the third day (1/18/21) i vomited that morning once but then not again throughout that day.  after that for about two weeks, i was just generally nauseous and also had no appetite. food tasted off to me. this went away after two weeks, but then i got my second dose on 2/12/21. on 2/13/21, i spent about 12 vomiting very consistently, about every 10-15 minutes. i also had chills alternating with profuse sweating and hot flashes, but did not ever have a fever. other symptoms included headache, extreme fatigue, dizziness, body aches, shortness of breath, and chest pains. the next day, i was fine aside from some slight lingering nausea but no vomiting. since then, i have experienced nausea intermittently every day, and have vomited on more than a dozen of those days. i have no appetite, and have now lost ten pounds since getting the second dose. i realized that my main food aversion is to meat, i will vomit every single time i eat meat now. i?m not sure if this is my reaction to the texture and taste like i think it is, or if it?s actually more like an allergic response by my stomach. i also still struggle with shortness of breath and feeling like my chest is tight, as well as dizziness and a nagging cough.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hot flush, Hyperhidrosis, Influenza A virus test negative, Influenza B virus test
Clinical narrative: the first day (1/16/21) following the first dose of the  vaccine, i began experiencing nausea. the third day (1/18/21) i vomited that morning once but then not again throughout that day.  after that for about two weeks, i was just generally nauseous and also had no appetite. food tasted off to me. this went away after two weeks, but then i got my second dose on 2/12/21. on 2/13/21, i spent about 12 vomiting very consistently, about every 10-15 minutes. i also had chills alternating with profuse sweating and hot flashes, but did not ever have a fever. other symptoms included headache, extreme fatigue, dizziness, body aches, shortness of breath, and chest pains. the next day, i was fine aside from some slight lingering nausea but no vomiting. since then, i have experienced nausea intermittently every day, and have vomited on more than a dozen of those days. i have no appetite, and have now lost ten pounds since getting the second dose. i realized that my main food aversion is to meat, i will vomit every single time i eat meat now. i?m not sure if this is my reaction to the texture and taste like i think it is, or if it?s actually more like an allergic response by my stomach. i also still struggle with shortness of breath and feeling like my chest is tight, as well as dizziness and a nagging cough.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle strain, Nausea, Pain, Vomiting, Weight decreased
Clinical narrative: the first day (1/16/21) following the first dose of the  vaccine, i began experiencing nausea. the third day (1/18/21) i vomited that morning once but then not again throughout that day.  after that for about two weeks, i was just generally nauseous and also had no appetite. food tasted off to me. this went away after two weeks, but then i got my second dose on 2/12/21. on 2/13/21, i spent about 12 vomiting very consistently, about every 10-15 minutes. i also had chills alternating with profuse sweating and hot flashes, but did not ever have a fever. other symptoms included headache, extreme fatigue, dizziness, body aches, shortness of breath, and chest pains. the next day, i was fine aside from some slight lingering nausea but no vomiting. since then, i have experienced nausea intermittently every day, and have vomited on more than a dozen of those days. i have no appetite, and have now lost ten pounds since getting the second dose. i realized that my main food aversion is to meat, i will vomit every single time i eat meat now. i?m not sure if this is my reaction to the texture and taste like i think it is, or if it?s actually more like an allergic response by my stomach. i also still struggle with shortness of breath and feeling like my chest is tight, as well as dizziness and a nagging cough.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Dealing with Swollen lymph nodes
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: While in observation area, patient reported to EMT a rash and itchiness in abdominal area. EMT notified lead nurse on site. EMT assessed patient and reported blood pressure 142/90 mmHg, regular pulse 60 bpm, and respirations 16 breaths per minute. Patient denied difficulty breathing, difficulty swallowing, and chest pain. Patient revealed history of allergies to unspecified medications. Patient offered diphendyramine. Patient refused diphenhydramine. Patient advised to wait 15 minutes for further observation. Lead nurse assessed patient. Patient reported decreased itchiness and denied difficulty breathing, difficulty swallowing, and chest pain. Patient advised to seek emergency care if symptoms progress. Patient left observation area with steady gait.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: itchy rash at injection site
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Facial swelling in cheeks, lips, chin, beneath eyes started on L side of face, first noted upon waking in am after vaccine the previous day. Hx of dermal filler one year ago.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Body temperature increased, Cough, Injection site pain, Neck pain
Clinical narrative: I received my Moderna vaccine Friday, Feb 26th, 2021. Initially I only had pain in the injection site, but this evening at about 6:00pm, Feb 27, I started getting a more frequent cough, runny nose, achy back, legs and neck. And at 10:00pm my temp was 101.6.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rhinorrhoea
Clinical narrative: I received my Moderna vaccine Friday, Feb 26th, 2021. Initially I only had pain in the injection site, but this evening at about 6:00pm, Feb 27, I started getting a more frequent cough, runny nose, achy back, legs and neck. And at 10:00pm my temp was 101.6.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: large red circle appeared around the injection site. Its warm and a tiny bit itchy. It looks exactly like 'Covid arm' so I'm not worried but I wanted to report it incase the data would be of any use
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Gaze palsy, Headache
Clinical narrative: Fever (100 degrees), chills, worsening of headache, shooting pains in joints and back of neck, muscle soreness. I took Tylenol, max strength, and Aleve to help with symptoms. Fever and chills lasted most of the night (~7hours), pain, headache and soreness of muscles lasted 14 hours. Joints remained stiff and painful to use  the rest of the following day.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Joint stiffness, Myalgia, Pain, Pyrexia
Clinical narrative: Fever (100 degrees), chills, worsening of headache, shooting pains in joints and back of neck, muscle soreness. I took Tylenol, max strength, and Aleve to help with symptoms. Fever and chills lasted most of the night (~7hours), pain, headache and soreness of muscles lasted 14 hours. Joints remained stiff and painful to use  the rest of the following day.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Red, swelling, hardening, warmth, itchy at site of injection. Fatigue and joint pain.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Red, swelling, hardening, warmth, itchy at site of injection. Fatigue and joint pain.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Pain, Rash pruritic
Clinical narrative: Nausea, dizziness, headache, body aches - began 2 hours after vaccine, ended 36 hours later.  Blistery rash on hands, wrists, feet, arms, thighs, abdomen, face, and neck began 2 days after vaccine and continued for 10 days. Rash was very itchy and Benadryl did not help.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pustular
Clinical narrative: Nausea, dizziness, headache, body aches - began 2 hours after vaccine, ended 36 hours later.  Blistery rash on hands, wrists, feet, arms, thighs, abdomen, face, and neck began 2 days after vaccine and continued for 10 days. Rash was very itchy and Benadryl did not help.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Injection site warmth, Myalgia, Pallor, Peripheral swelling
Clinical narrative: high heart rate, muscle aches and pains, left arm still hurts, still swollen in areas.  My arm flet like it had a fever at injection sight.  I was pale in face.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Headache, Injection site pain, Migraine, Pain
Clinical narrative: Severe cluster like migraine just like when I had Covid-19 in November! Fever 101.2 aching all over. Pain at injection site(to be expected) lasted all Friday evening and night and all Saturday.  Fever finally broke around 6 pm. I took a triple dose of meds to break headache in the end, excedrin, topiramate and benadryl! Got to feeling better Saturday evening,  a little dehydrated but better.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe cluster like migraine just like when I had Covid-19 in November! Fever 101.2 aching all over. Pain at injection site(to be expected) lasted all Friday evening and night and all Saturday.  Fever finally broke around 6 pm. I took a triple dose of meds to break headache in the end, excedrin, topiramate and benadryl! Got to feeling better Saturday evening,  a little dehydrated but better.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Red rash on my neck, back, chest, stomach, arms and legs
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Grip strength decreased, Hypoaesthesia, Insomnia, Laboratory test normal
Clinical narrative: After putting the 2nd dose, I felt a strong current on both hands, they have swollen up and I can hardly do normal things with it. I can not open anything screw because the pain in the hands is intense. I wake up with my hands mega numb and feeling like an ant for several periods during the night I can barely get a good night's rest.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: After putting the 2nd dose, I felt a strong current on both hands, they have swollen up and I can hardly do normal things with it. I can not open anything screw because the pain in the hands is intense. I wake up with my hands mega numb and feeling like an ant for several periods during the night I can barely get a good night's rest.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Eye discharge, Eye infection, Eye pain, Eye pruritus, Hypersensitivity
Clinical narrative: I immediately felt skin and eye itchy after I received the vaccines. Stayed in the waiting room for 30 mins, felt better. Next day skin  itch got worse. Specially around my eyes.Eye itchy, rubbing, pain, vision blurry,  puffiness, discharged, I bought some allergy drops but it didn?t get better. , on the 7 days after the vaccine, it was a Saturday, it got so much worse  that I could barely open up my eyes. So I went to  a clinic. The nurse practitioner gave me eyes drop for infection, it did not get better. She prescribed another eye drop, still not working. Now my eyes feel horrible,.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Periorbital swelling, Pruritus, Vision blurred
Clinical narrative: I immediately felt skin and eye itchy after I received the vaccines. Stayed in the waiting room for 30 mins, felt better. Next day skin  itch got worse. Specially around my eyes.Eye itchy, rubbing, pain, vision blurry,  puffiness, discharged, I bought some allergy drops but it didn?t get better. , on the 7 days after the vaccine, it was a Saturday, it got so much worse  that I could barely open up my eyes. So I went to  a clinic. The nurse practitioner gave me eyes drop for infection, it did not get better. She prescribed another eye drop, still not working. Now my eyes feel horrible,.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Injection site rash, Pain
Clinical narrative: Achy, fatigue, dizziness which subsided.  Rash appeared at injection site 4 days after injection.  Sprayed benadryl.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: extreme rash, itching covering 7 x 3" area on upper left arm since 2/21.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Tinnitus
Clinical narrative: Severe tinnitus (24 hours). Severe muscular weakness (24 hours).
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles on face and eyes 3 weeks after second dose
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cyst, Exposure during pregnancy, Human chorionic gonadotropin, Thyroid function test, Ultrasound antenatal screen
Clinical narrative: First Covid vaccine date Jan 4th, Second Jan 22nd Unexpectedly conceived ~ Jan 14th for due date October 9th, 2021 Cysts seen on US - concern for partial molar pregnancy
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Lymphadenopathy
Clinical narrative: Swelling in armpit. There is a large painful lump in my armpit. I noticed the pain the morning after the shot. I checked in the afternoon and saw the lump.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site swelling, Pyrexia
Clinical narrative: Had low grade fever of 99 degrees.  Extreme fatigue.  Shot site is bright red, swollen.  Area around site is swollen, red, and hard to the touch.  Swelling, redness, and hard to the touch continues.  Hurts to touch or bump entire area.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site pain
Clinical narrative: pain at injection site and muscle 0ne day after vaccination until present knee pain in both knees started about 1 week after vaccination until present tiredness several days after vaccination until present
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on upper arm
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Pt expired 11 days after receiving vaccine. No indication his passing was related to the vaccine.  Narrative: No updated notes regarding cause of death. Patient's wife called to notify the facility of his passing on 1/26/2021
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Pt passed away 15 days after vaccine, no indication death was related to vaccine.  Narrative:  Patient was a 64 yr old female with stage 4 serious ovarian cancer with extensive lung metastases no longer on treatment with severe CAD, HFpEF who was transitioned to comfort care on 1/23/21.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Faeces discoloured, Fall, Hypoxia, Mental status changes
Clinical narrative: Hypoxia, Decreased responsiveness,  Narrative: 86yo male with PMHx HTN, Afib not on AC after head trauma, CVA, and colon cancer who was brought to the ED by his family on 2/17. Per documentation the pt was in his usual state of health until 2/16. Received Moderna covid vaccine #2 on 2/16/21 at 0900, and was monitored for 15 minutes following immunization no noted issues. Later that night, had myalgias and took Tylenol. Per the family he slipped on the ice and fell on his butt. Overnight, had several dark stools and vomitus. was brought to the ED by his family because he was being less responsive. Pt arrived to the emergency department in extremis. No pulse identified. CPR immediately initiated for several rounds lasting about 25-30 minutes. ROSC unable to be achieved. Patient expired on 2/17 at 1941. Of note, per previous documentation had waxing and waning mental status at baseline. No symptoms noted with 1st dose of Moderna vaccine, which was administered on 1/16/21.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pulse absent, Resuscitation, Terminal state, Unresponsive to stimuli
Clinical narrative: Hypoxia, Decreased responsiveness,  Narrative: 86yo male with PMHx HTN, Afib not on AC after head trauma, CVA, and colon cancer who was brought to the ED by his family on 2/17. Per documentation the pt was in his usual state of health until 2/16. Received Moderna covid vaccine #2 on 2/16/21 at 0900, and was monitored for 15 minutes following immunization no noted issues. Later that night, had myalgias and took Tylenol. Per the family he slipped on the ice and fell on his butt. Overnight, had several dark stools and vomitus. was brought to the ED by his family because he was being less responsive. Pt arrived to the emergency department in extremis. No pulse identified. CPR immediately initiated for several rounds lasting about 25-30 minutes. ROSC unable to be achieved. Patient expired on 2/17 at 1941. Of note, per previous documentation had waxing and waning mental status at baseline. No symptoms noted with 1st dose of Moderna vaccine, which was administered on 1/16/21.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Hypoxia, Decreased responsiveness,  Narrative: 86yo male with PMHx HTN, Afib not on AC after head trauma, CVA, and colon cancer who was brought to the ED by his family on 2/17. Per documentation the pt was in his usual state of health until 2/16. Received Moderna covid vaccine #2 on 2/16/21 at 0900, and was monitored for 15 minutes following immunization no noted issues. Later that night, had myalgias and took Tylenol. Per the family he slipped on the ice and fell on his butt. Overnight, had several dark stools and vomitus. was brought to the ED by his family because he was being less responsive. Pt arrived to the emergency department in extremis. No pulse identified. CPR immediately initiated for several rounds lasting about 25-30 minutes. ROSC unable to be achieved. Patient expired on 2/17 at 1941. Of note, per previous documentation had waxing and waning mental status at baseline. No symptoms noted with 1st dose of Moderna vaccine, which was administered on 1/16/21.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Dehydration, Depression, General physical health deterioration
Clinical narrative: Patient became profoundly weak, lethargic, depressed and anorexic. He lives in a retirement community in an apartment alone He became unable to care for himself and was transferred to Skilled Nursing Facility which was onsight. He had a positive PCR test at time of admission on 2/9/2021. He had no respiratory symptoms or hypoxemia. He had 12 lb weight loss. He remained in skilled nursing until 2/25/2021. He looked moribund initially. He was severely depressed, dehydrated and was refusing to eat. He gradually came back to his normal, vibrant self after 13 days.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Polymerase chain reaction positive, Weight decreased
Clinical narrative: Patient became profoundly weak, lethargic, depressed and anorexic. He lives in a retirement community in an apartment alone He became unable to care for himself and was transferred to Skilled Nursing Facility which was onsight. He had a positive PCR test at time of admission on 2/9/2021. He had no respiratory symptoms or hypoxemia. He had 12 lb weight loss. He remained in skilled nursing until 2/25/2021. He looked moribund initially. He was severely depressed, dehydrated and was refusing to eat. He gradually came back to his normal, vibrant self after 13 days.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Arthralgia, Back pain, Diarrhoea, Gastrointestinal examination
Clinical narrative: Diarrhea, Nausea Vomiting, Angina, MYALGIAS Employee stated she experienced the following with COVID 19 Moderna, dose 2 nausea, vomitting, chest pains, myalgias, back pain, shoulder pain-was evaluated in private ED and admitted for evaluation for chest pain, also had GI eval
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Vomiting
Clinical narrative: Diarrhea, Nausea Vomiting, Angina, MYALGIAS Employee stated she experienced the following with COVID 19 Moderna, dose 2 nausea, vomitting, chest pains, myalgias, back pain, shoulder pain-was evaluated in private ED and admitted for evaluation for chest pain, also had GI eval
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Loss of personal independence in daily activities, Pleural effusion, Pyrexia
Clinical narrative: chest pain & weakness Narrative:  Pt received his covid vaccine dose #1 on 1/29/2021. On 1/30/2021 he experienced a fever, chest pains and weakness. Pt reported this at his appointment to receive his 2nd dose of covid vaccine on 2/26/2021. Nurse administering vaccine informed pharmacist pt reported he was still feeling weak from the first vaccine dose, so weak he could not perform ADLs without assistance. Pharmacist recommended pt be sent to the ER evaluation, possibly pt has an illness unrelated to the vaccine and another dose may cause worsening of symptoms. Upon further investigation pt was seen at outside hospital ER on day after his dose #1 covid vaccine for chest pain, pleural effusion and weakness and low grade fever. Pt was evaluated and transferred to ER dept. ER gave him morphine iv, magnesium iv, & furosemide 40mg iv. Pt was admitted on 01/31/2021. Pt evaluated by cardiology, internal medicine & given a course of antibiotics. Pt was diagnosed with Chronic Right side pleural effusion, POA. Pt was discharged on 2/3/2021 with the following medication discharge instructions: "SUMMARY OF MEDICATION CHANGES NEW meds: -Start cefdinir 300mg by mouth twice a day for infection - take first dose evening of 2/3/2021 and last dose evening of 2/4/2021 - Start ferrous sulfate (iron) 325mg by mouth every other day - Start pantoprazole 40mg by mouth daily 30 to 60 minutes before breakfast CHANGED meds: -Metoprolol succinate 50mg by mouth daily changed to metoprolol tartrate 12.5mg (=1/2 25mg tablet) by mouth twice a day STOPPED meds: -Stop taking lisinopril until follow-up with your primary care provider -Stop taking omeprazole Of note pt's medical history includes the following comorbidities: *Gastroesophageal reflux disease *Coronary arteriosclerosis *Carotid atherosclerosis *Carcinoma of colon * Colostomy present *Hyperbilirubinemia On 2/26/2021 vaccine dose #2 was held. Pt was encouraged by nurse to follow up with PCP or to report to ER for further evaluation. Pt was given phone # to reschedule dose#2 if appropriate.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Seizure
Clinical narrative: Seizure on 02/19/2021 Narrative: Patient had a Seizure last Friday 02/19/2021. This is new-onset seizure activity started on Keppra. PMH of a Hemorrhagic stroke October 2020. Patient received the Moderna vaccine on 2/13 developed dizziness, headache and nausea all day on Monday then 4 days later had a seizure and ended up hospitalized so per hospital report may have been a combination of a weakened immune system and old stroke that included the seizure.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Asthenia, Atrial fibrillation, Catheterisation cardiac abnormal, Chest discomfort
Clinical narrative: weakness Narrative:  77 y/o male patient with h/o Parkinson's disease, CAD (s/p stents), supraventricular tachycardia, received first dose of COVID19 (Moderna) vaccine on 02/11/21. On 02/12/21, legs were weak and shaky, had a fall. On 02/13/21, continued to feel weak. On 02/14/21, fell and felt chest pressure. Ambulance called and was taken to outside facility and found to be in afib RVR, treated with diltiazem. Had cardiac cath on 02/15/21 which showed NSTEMI due to extensive CAD, not a surgical candidate therefore medical management optimized. Started on amiodarone for afib. Discharged on 02/17/21. Has no prior ADRs to vaccines or anaphylactic reactions to medications. No prior COVID19 infection.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Coronary artery disease, Fall, Muscular weakness, Nervousness
Clinical narrative: weakness Narrative:  77 y/o male patient with h/o Parkinson's disease, CAD (s/p stents), supraventricular tachycardia, received first dose of COVID19 (Moderna) vaccine on 02/11/21. On 02/12/21, legs were weak and shaky, had a fall. On 02/13/21, continued to feel weak. On 02/14/21, fell and felt chest pressure. Ambulance called and was taken to outside facility and found to be in afib RVR, treated with diltiazem. Had cardiac cath on 02/15/21 which showed NSTEMI due to extensive CAD, not a surgical candidate therefore medical management optimized. Started on amiodarone for afib. Discharged on 02/17/21. Has no prior ADRs to vaccines or anaphylactic reactions to medications. No prior COVID19 infection.
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Injection site rash
Clinical narrative: headache, temp 102, rash @ inj site
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Injection site pain, Nausea
Clinical narrative: Temp 101, chills, body aches fatigue, nausea x 3 days  arm soreness @ inj site
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Temp 101, chills, body aches fatigue, nausea x 3 days  arm soreness @ inj site
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: headache, fatigue, elavated  temp 99.1, dizziness, nausea  vomitting, headache & fever
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: headache, fatigue, elavated  temp 99.1, dizziness, nausea  vomitting, headache & fever
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Lymphadenopathy, Pain
Clinical narrative: Body aches, chills, swollen lymph node, fatigue
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: fever, chills, diarrhea &  vomitting
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Nausea, Pain
Clinical narrative: Temp 100; chills, body aches &  nausea x 24hrs
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Headache, Nausea, Vomiting
Clinical narrative: temp 100, vomitting, nausea,  fatigue, & headache
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Headache
Clinical narrative: Temp 102, fatigue & headache
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Pain
Clinical narrative: 102° temp, body aches & headaches
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: fever, body aches, nausea & headache
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: fever & body aches
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue
Clinical narrative: temp 101. chills & fatigue
Age: 64.0
Sex: U
Vaccine: COVID19
Symptoms: Chills, Malaise, Pyrexia
Clinical narrative: fever 100.1 chills, malaise
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth
Clinical narrative: Moderate dry mouth  began 1 wk after vaccine & persists to 02/24/2021
Age: 34.0
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Nausea
Clinical narrative: nausea & fatigue x 3 days
Sex: U
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain
Clinical narrative: headaches, body aches  nausea
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever & Body aches
Age: 57.0
Sex: U
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever 100 X 2 days
Sex: U
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Fever, nausea & vomitting
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Pain
Clinical narrative: Temp 101, body aches; & fatigue
Sex: U
Vaccine: COVID19
Symptoms: Body temperature increased, Pain, Upper-airway cough syndrome
Clinical narrative: Temp 102; nasal drainage & body aches
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pain, Rash macular
Clinical narrative: Noticed large red spot (approx. 2" X 3" at Injection site on right arm today, 02-27-2021. Some soreness  still at the injection site. Have never had any reactions like this before when have taken Immunizations  shots.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Bell's palsy, Facial paresis, SARS-CoV-2 test negative
Clinical narrative: 02/27/21 urgent care visit for Bells Palsy . moderate to severe . Onset of L facial weakness 02/26/2021. Negative Covid test 02/23/2021 because of loss of sense of taste on L side of tongue.  No known covid exposure. Treatment with Prednisone 60m/d x7d & Valacyclonl  1000m, TID x 7d
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate irregular, Nausea
Clinical narrative: IRREGULAR HEART RATE; NAUSEA Narrative:  Irregular heart rate and nausea
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Swelling, Swollen tongue
Clinical narrative: Narrative: Patient with history of anaphylaxis with iodine contrast despite prednisone prophylaxis (at outside facility), CAD, afib, HTN, Wolff-Parkinson White syndrome, gout, history of malignant hyperthermia post-op, and prostate CA s/p prostatectomy; patient also with history of pruritus with peaches and urticaria with erythromycin. Patient reported swelling within 30 minute observation window after vaccine administration. After administration of diphenhydramine in vaccine clinic, patient went ED; symptoms were resolved upon arrival. Patient was monitored for 2.5 hours total and then pt released home with prednisone, diphenhydramine, famotidine (x5 days of therapy), and epi-pen. Patient called 2/20/21 with swollen lips and tongue since 7:30a on 2/20/21; pt took diphenhydramine at 8a. Pt was instructed to come to the emergency department; on exam pt had no evidence of angioedema. Given cetirizine (instead of diphenhydramine) at discharge. Contact with patient 2/25/2021 notes patient stated "today is the first day that I don't feel swelling in my lips." Patient will be referred to Allergy Clinic for evaluation.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Pain, Pain in extremity
Clinical narrative: arm pain, mild nausea mild nausea, injection site pain, and body aches days 1-3 after vaccine
Age: 72.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: URTICARIA Narrative:
Age: 74.0
Sex: M
Vaccine: PPV, VARCEL
Symptoms: Pain, Peripheral swelling
Clinical narrative: GENERALIZED ACHES AND PAINS; SWELLING OF ARM  Narrative:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Injection site pain Narrative:
Age: 68.0
Sex: M
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Myalgia, Pain, Pain in extremity
Clinical narrative: arm pain, shoulder pain, muscle and body aches, fatigue Narrative:
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Injection site pain, Injection site warmth
Clinical narrative: Injection site heat and pain x 1-2 days, diarrhea on days 3 and 4 Narrative:
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Malaise, Myalgia
Clinical narrative: Fever Narrative:  Received a telephone call from patient's daughter reporting the following side effects after receiving the COVID vaccine yesterday 1/19/2021: Muscle aches, tiredness, chills, fever (99.9), feeling overall sick. Patient's daughter had already given patient Tylenol for the fever. She was also reporting that patient felt short of breath with O2 sat 85%. As per daughter, he refuses to go to the ED for further evaluation. Provider called this writer later and recommended for patient to take and extra dose of furosemide 40mg in the afternoon and take Advil 600mg twice today with food. Continue to monitor. Patient's daughter provided update on patient's condition. As per daughter, patient is doing better. His shortness of breath is improved. Daughter reports the nurse came out and auscultated his lungs which she said were clear. O2 sat ranging from 88-92%. Patient declined to be enrolled with hospice at this time due to him feeling better. Daughter reported she had given him the Advil 600mg already and patient is afebrile at this time and feeling better. Patient was closely monitored and has been stable. Second dose of vaccine has not been administered.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever Narrative:  Received a telephone call from patient's daughter reporting the following side effects after receiving the COVID vaccine yesterday 1/19/2021: Muscle aches, tiredness, chills, fever (99.9), feeling overall sick. Patient's daughter had already given patient Tylenol for the fever. She was also reporting that patient felt short of breath with O2 sat 85%. As per daughter, he refuses to go to the ED for further evaluation. Provider called this writer later and recommended for patient to take and extra dose of furosemide 40mg in the afternoon and take Advil 600mg twice today with food. Continue to monitor. Patient's daughter provided update on patient's condition. As per daughter, patient is doing better. His shortness of breath is improved. Daughter reports the nurse came out and auscultated his lungs which she said were clear. O2 sat ranging from 88-92%. Patient declined to be enrolled with hospice at this time due to him feeling better. Daughter reported she had given him the Advil 600mg already and patient is afebrile at this time and feeling better. Patient was closely monitored and has been stable. Second dose of vaccine has not been administered.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia & Fever Narrative:  Other Relevant History:
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Received 2 doses within 7 days Narrative:  Patient received dose of Moderna vaccine at hospital on 1/29/21, then received another dose of Moderna vaccine at another hospital on 2/5/21. No adverse effects noted.
Age: 90.0
Sex: M
Vaccine: TD
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache
Clinical narrative: Headache & Diarrhea Narrative:  Other Relevant History:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Rash morbilliform
Clinical narrative: MORBILIFORM RASH Narrative:
Age: 78.0
Sex: M
Vaccine: FLUX
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: NAUSEA AND VOMITING; DIARRHEA (10/22/20@12:04) Narrative:
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Rash macular
Clinical narrative: Narrative:  Patient called seeking evaluation of a rash/red spots that began approx 7-10 days ago, states he had the 2nd covid-19 vaccine approx 2 weeks ago. Patient stated "I think the rash is a side effect of the vaccine." Patient states the rash is on bil arms, upper back/shoulders with redness and itching. Patient has been applying anti-itch cream with relief. Denies worsening rash, SOB, wheezing, facial/throat swelling. Team please advise.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Dose administered too soon. Second dose from different manufacture  Narrative: Second dose in COVID-19Vaccination series administered too soon. Patient did not have reaction as a result. Per CDC guidance, doses inadvertently administered earlier than the grace period should not be repeated. Sedond dose from a different manufacture and therefore the effectiveness is unclear/not been studied.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Confusional state, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Confusion, Dizziness, Headache, Myalgia, Arthralgia, Nausea Vomiting, SOB and fatigue  Narrative:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Vomiting
Clinical narrative: Confusion, Dizziness, Headache, Myalgia, Arthralgia, Nausea Vomiting, SOB and fatigue  Narrative:
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema
Clinical narrative: ERYTHEMA Narrative: