chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Paraesthesia
Clinical narrative: CHIEF COMPLAINT: R facial droop, numbness, dysarthria HISTORY OF PRESENT ILLNESS: 47 yo F with PMH of insulin-dependent diabetes, hypertension, hyperlipidemia presents with right facial droop numbness and dysarthria for the last 2 hours. Last known normal was 2 hours prior to arrival. Patient recently received COVID-19 vaccine 4 days ago. This morning while driving she noted facial droop dysarthria and numbness of the face. She has also noticed decreased sensation of the right arm and subjective weakness of the right arm. Denies chest pain, shortness of breath, fevers chills, dysuria, hematuria, nausea vomiting diarrhea, abdominal pain. ASSESSMENT/PLAN: Consulted Teleneuro, thought symptoms most consistent with Bell's palsy with involvement of the forehead and R eye Patient has subjective symptoms of R arm weakness that is not appreciable on exam Not tPA candidate as this is not likely a stroke, though given subjective R arm complaints will admit for obs and MRI brain in the AM DIAGNOSIS: Bell's Palsy, possible CVA DISPOSITION: admitted CONDITION: improved
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Cheilitis, Chills, Fatigue, Gingival pain, Heart rate increased
Clinical narrative: Bad Chills at night with fever over 102.8 and fatigue.  Some nausea and body aches.  Elevated Heart rate up to  110bpm.  Fever lasted around 24 hours.  48 hours later mouth sores appeared on lips, roof of mouth and around gums and continue to present.  These are painful and blistered.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Lip blister, Lip pain, Nausea, Oral mucosal blistering, Oral pain
Clinical narrative: Bad Chills at night with fever over 102.8 and fatigue.  Some nausea and body aches.  Elevated Heart rate up to  110bpm.  Fever lasted around 24 hours.  48 hours later mouth sores appeared on lips, roof of mouth and around gums and continue to present.  These are painful and blistered.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Stomatitis
Clinical narrative: Bad Chills at night with fever over 102.8 and fatigue.  Some nausea and body aches.  Elevated Heart rate up to  110bpm.  Fever lasted around 24 hours.  48 hours later mouth sores appeared on lips, roof of mouth and around gums and continue to present.  These are painful and blistered.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Patient states she has leg pain behind the knee area on both legs starting 2 days after vaccination. She called into pharmacy today stating that she still has pain in both legs but it is more prominent on left leg. She called her physician who told her to call the pharmacy. Advised patient to schedule follow up visit or proceed to urgent care.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Tremor, Vomiting
Clinical narrative: Vomiting, diarrhea, and nausea. Also some shakiness. Onset of nausea and vomiting approximately 7 hours after vaccine, lasted about 12 hours with no ability to keep in fluids, still some lingering nausea after that.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache
Clinical narrative: Moderna Covid-19 Vaccine EUA Headache, fatigue, joint aches starting at 4 hours post injection.  continuing for 48 hours.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, Chills, Diarrhoea, Nausea
Clinical narrative: at 48 hours initial nausea and chills, temperature rose to between 101-102 and stayed at that level for 36 hours even with ibuprofen, extreme diarrhea for 24 hours and an additional 5 days of persistent diarrhea, nausea for 3 days
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature, Chills, Diarrhoea, Nausea, Pyrexia
Clinical narrative: at 48 hours initial nausea and chills, temperature rose to between 101-102 and stayed at that level for 36 hours even with ibuprofen, extreme diarrhea for 24 hours and an additional 5 days of persistent diarrhea, nausea for 3 days
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: At 1100 patient started feeling lightheaded,  vitals were B/P 128/81, 97% on room air, HR 146 BPM. No other symptoms, denied SOB, difficulty breathing. At 1110 vitals were 122/81, 98% on room air, HR 132 BPM.  At 1117 her HR 111, 98% on room air, remained alert and oriented, light headedness had improved. Patient was concerned she would develop hives, because she had a history in the past of developing hive. Patient agreed to transfer to ER at 1125.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient received her 1st dose COVID vaccine, Moderna, at 11:02AM, she was waiting in the waiting area. She became dizzy and light headed. While the pharmacy team was reaching to her chair, the patient's husband laid her on the floor.  (Pharmacy Manager) got to the patient 's side. She was awake, aware of her surrounding. I (staff pharmacist, administered the vaccine)  checked Pt's blood pressure, reading was 173/99. I gave few minutes to breath, rechecked her blood pressure in 2 minutes, it dropped down to159/82. Then rechecked it third time was 131/76. Patient was feeling fine, we gave her water and sat her on the chair. I checked her blood pressure again, reading was 117/66. Patient reported that she did not have breakfast, she ate a piece of candy, in 5 minute she stated that she feels just fine. Her husband reported that this is the fifth time she has this (unrelated to prior vaccinations). She doesn't have a PCP and has never checked for her previous events. Patient said she does not have a statement to write, she decided to leave the pharmacy area after assuring she feels normal.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Chest X-ray normal, Chest pain, Dyspnoea, Heart rate increased
Clinical narrative: From Monday (3/22/21) to Friday, I could hardly breathe. My resting heart rate was around 110-120bpm. On Wednesday I went to the Hospital and for chest pain (when I would breathe in), shortness of breath, rapid heart rate, and a fever (on Monday). They rain many tests with chest scans and found all to be clear except I had a ?extremely elevated? white blood cell count. They said they ran blood tests and did not think I had blood clots and they did an MRI and chest x-ray and could not find anything. They sent me home to rest. The rest of the week I had trouble breathing and it slowly started getting better on Friday.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Pyrexia, White blood cell count increased
Clinical narrative: From Monday (3/22/21) to Friday, I could hardly breathe. My resting heart rate was around 110-120bpm. On Wednesday I went to the Hospital and for chest pain (when I would breathe in), shortness of breath, rapid heart rate, and a fever (on Monday). They rain many tests with chest scans and found all to be clear except I had a ?extremely elevated? white blood cell count. They said they ran blood tests and did not think I had blood clots and they did an MRI and chest x-ray and could not find anything. They sent me home to rest. The rest of the week I had trouble breathing and it slowly started getting better on Friday.
Age: 44.0
Sex: M
Vaccine: EBZR
Symptoms: Chills, Emotional disorder, Fatigue
Clinical narrative: Fatigue not fixed with rest 20 days Emotional spikes 5 days  Chills 5 days
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pain in extremity
Clinical narrative: joint pain that is lingering 3+ weeks. The first week was really bad pain all over my body. Now it is in my hands, fingers, wrists, feet and toes.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blister
Clinical narrative: Per telephone call from spouse, developed blister type lesions to back and shoulder, noticed following day after vaccine administered.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Electrocardiogram, Feeling hot, Flushing
Clinical narrative: Patient began experiencing feeling hot and flushed approximately 10 minutes after injection.  He felt it was similar to his anxiety attacks he had in past.  He had multiple "waves" where he said he would feel anxious, his heart rate would increase.  His vital signs remained stable.  At 09:26 am, he had a tightness in chest and states he normally gets that with his anxiety.  Site captain consulted and continued to monitor patient and vitals.  At )9; 33 a.m. he had chest pressure, and tightness.  Described the pressure was 'different' than his usual.  EMS was called and recommended  follow up at hospital since his father died of heart attack at age 38, and he has had no follow up with heart since he was in high school.  Patient refused EMS transport but his wife said she would drive him to be evaluated.  EMS loaded patient into private vehicle.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Patient began experiencing feeling hot and flushed approximately 10 minutes after injection.  He felt it was similar to his anxiety attacks he had in past.  He had multiple "waves" where he said he would feel anxious, his heart rate would increase.  His vital signs remained stable.  At 09:26 am, he had a tightness in chest and states he normally gets that with his anxiety.  Site captain consulted and continued to monitor patient and vitals.  At )9; 33 a.m. he had chest pressure, and tightness.  Described the pressure was 'different' than his usual.  EMS was called and recommended  follow up at hospital since his father died of heart attack at age 38, and he has had no follow up with heart since he was in high school.  Patient refused EMS transport but his wife said she would drive him to be evaluated.  EMS loaded patient into private vehicle.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Headache, Seizure
Clinical narrative: The night of, I went to bed and woke up around 1:00 AM suddenly feeling very cold and shivering, under a blanket in a 73 degree room. I soon after experienced my body (especially my core) seize up for 5-6 seconds at a time for at least one or two minutes.  Next day, headache and fatigue.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: The night of, I went to bed and woke up around 1:00 AM suddenly feeling very cold and shivering, under a blanket in a 73 degree room. I soon after experienced my body (especially my core) seize up for 5-6 seconds at a time for at least one or two minutes.  Next day, headache and fatigue.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Started my menstrual cycle 6 days early, heavier than normal and increased cramping.  Also, many small clots being expelled
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, Paraesthesia, Peripheral swelling
Clinical narrative: Woke up with swelling in both hands. Right more pronounced. Slight nerve tingling in left hand and wrist. Pronounced tingling in right hand and wrist. Over the next two days the left stayed the same while the right continued to worsen to include pain and tingling from the elbow to the hand particularly in the three central fingers. Hand difficulty holding item in my right hand. I then decided to seek medical attention the next day. The next morning swelling and pain were lessened so I did not contact medical attention.  Each day since symptoms have improved except for discomfort in my right middle finger which is noticeable upon touch. Most noticeable when using eating utensils. The right middle finger has remained the same for days.
Sex: U
Vaccine: COVID19
Symptoms: Chills, Headache, Joint stiffness, Muscle tightness, Pain
Clinical narrative: Fever Chill Body ache  Headache  Sour left arm Tigh neck and shoulder muscles Those symptoms is been continued until now ( 1:00pm Tuesday April 13th 2021)
Sex: U
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever Chill Body ache  Headache  Sour left arm Tigh neck and shoulder muscles Those symptoms is been continued until now ( 1:00pm Tuesday April 13th 2021)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pyrexia
Clinical narrative: Nausea, diarrhea, headache, fever/chills
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Malaise, Pain
Clinical narrative: Headache, body aches, chills - general not feeling well.  As long as I take ibuprofen I'm fine.  Symptoms continued this morning (day after vaccination) so I'm continuing to take a low dose of ibuprofen.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Extreme Headaches for 3 days beginning day of vaccination
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous, Rash macular
Clinical narrative: Splotchy noncontiguous  light red rash located in the inside of both legs starting on the lower end of the calf muscle at roughly the same distance from the ankle, and progress up to the inside of the Knee. The rash does not hurt or itch.  The rash has been present for about 3 weeks, but in the last few days I've noticed that the rash has now slowly progressed past the knee now in the inside of the lower left thigh. I'm also seeing a more recent light rash forming above the right knee on the lower thigh.  (NOTE EXTRA INFO IN BOX 9, and 12: Erectile Dysfunction & Sildenafil  - 1 tab 50 mg is taken as needed. Last does were March 28, and March 29th.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache
Clinical narrative: HEADACHE, CHILLS, PAIN IN JOINTS FOR 3 DAYS. I STILL HAVE HEADACHE.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Blood glucose normal, Chest X-ray normal, Cough, Diarrhoea
Clinical narrative: Cough, SOB, Sore throat, fatigue, dry mouth, dizziness, GI  cramps, diarrhea, legs going to sleep.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dry mouth, Dyspnoea, Fatigue, Oropharyngeal pain
Clinical narrative: Cough, SOB, Sore throat, fatigue, dry mouth, dizziness, GI  cramps, diarrhea, legs going to sleep.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, SARS-CoV-2 test
Clinical narrative: Cough, SOB, Sore throat, fatigue, dry mouth, dizziness, GI  cramps, diarrhea, legs going to sleep.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Pain in extremity
Clinical narrative: Severe fatigue, nausea, chills, fever, body aches, pain in left arm which developed into a red itchy rash.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash erythematous, Rash pruritic
Clinical narrative: Severe fatigue, nausea, chills, fever, body aches, pain in left arm which developed into a red itchy rash.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Emotional distress, Feeling abnormal, Headache, Loss of personal independence in daily activities
Clinical narrative: Rash/Hives starting the evening of the vaccine. The next morning severe brain fog to the point of not being able to complete any daily task, uncontrollable emotional and mental melt down, severe headache, feeling of being highly medicated, nausea, and stomach cramps. All of the sever symptoms lasted for 3 days after the vaccine. It has been 13 days now and the brain fog is still present, unable to focus on work tasks, and daily headache are still present.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Rash, Urticaria
Clinical narrative: Rash/Hives starting the evening of the vaccine. The next morning severe brain fog to the point of not being able to complete any daily task, uncontrollable emotional and mental melt down, severe headache, feeling of being highly medicated, nausea, and stomach cramps. All of the sever symptoms lasted for 3 days after the vaccine. It has been 13 days now and the brain fog is still present, unable to focus on work tasks, and daily headache are still present.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Crying, Feeling abnormal, Headache, Migraine
Clinical narrative: Rash/Hives starting the evening of the vaccine. The next morning severe brain fog to the point of not being able to complete any daily task, uncontrollable emotional and mental melt down, severe headache, feeling of being highly medicated, nausea, and stomach cramps. All of the sever symptoms lasted for 3 days after the vaccine. It has been 13 days now and the brain fog is still present, unable to focus on work tasks, and daily headache are still present.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic, Skin discolouration, Urticaria
Clinical narrative: Rash/Hives starting the evening of the vaccine. The next morning severe brain fog to the point of not being able to complete any daily task, uncontrollable emotional and mental melt down, severe headache, feeling of being highly medicated, nausea, and stomach cramps. All of the sever symptoms lasted for 3 days after the vaccine. It has been 13 days now and the brain fog is still present, unable to focus on work tasks, and daily headache are still present.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity, Pruritus
Clinical narrative: Arm very sore and itchy starting 2 days after injection. Rash appeared  later in the 2nd day. Injunction site red, swollen to size of golf ball, and hot. Reaction gone  5 days after injection.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Arm very sore and itchy starting 2 days after injection. Rash appeared  later in the 2nd day. Injunction site red, swollen to size of golf ball, and hot. Reaction gone  5 days after injection.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back injury, Fall, Headache, Limb injury
Clinical narrative: Woke up feeling VERY sick and weak with headache.  I honestly can't describe better how I felt except I was very ill, more so than I recall feeling my entire life.  Got up and used scooter to get to bathroom, as I was non-weight bearing from an ankle from a reconstruction surgery March 2.    70 mins later, I found myself on the bathroom floor after, I assume, I fainted.  I have no memory of falling onto the tile and blacking out.  My scooter was on the floor near me.  The good news is that I no longer felt sick, but was instead sore from slamming into the tile.  My coccyx area was hurting, but not enough for me to feel like I needed x-rays.  I also had a very sore left shoulder and neck area.  I see my ankle surgeon April 15 and will have the ankle x-rayed.  I'm hoping to see if I damaged the ankle with the fall.  (My ankle hurts a great deal and causes lack of sleep and nausea since the surgery, so I don't know if the fall made the ankle worse or not.)
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Neck injury, Syncope
Clinical narrative: Woke up feeling VERY sick and weak with headache.  I honestly can't describe better how I felt except I was very ill, more so than I recall feeling my entire life.  Got up and used scooter to get to bathroom, as I was non-weight bearing from an ankle from a reconstruction surgery March 2.    70 mins later, I found myself on the bathroom floor after, I assume, I fainted.  I have no memory of falling onto the tile and blacking out.  My scooter was on the floor near me.  The good news is that I no longer felt sick, but was instead sore from slamming into the tile.  My coccyx area was hurting, but not enough for me to feel like I needed x-rays.  I also had a very sore left shoulder and neck area.  I see my ankle surgeon April 15 and will have the ankle x-rayed.  I'm hoping to see if I damaged the ankle with the fall.  (My ankle hurts a great deal and causes lack of sleep and nausea since the surgery, so I don't know if the fall made the ankle worse or not.)
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt signed consent to receive J & J vaccine without notifying provider that he received another dose prior to that date. No adverse effects noted. Patient stable condition.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: Teeth very sensitive and painful
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death, Laboratory test normal, Unresponsive to stimuli
Clinical narrative: UNRESPONSIVE, CARDIAC ARREST Narrative: Death following Covid Vaccine dose # 1 According to nursing note 3/4/21: "pt was found unresponsive in bathroom this AM, no foul play suspected" No evidence of ADR immediately following vaccine or up until date of death. No recent hospitalizations before, at time of or following vaccination up to time of death. No illnesses recently around vaccination or time of death. No pre-disposing factors to death. Unlikely that vaccine contributed to patient's death, but was likely a result of advanced age (74 y/o) in combination with comorbidities.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Within probably a minute, I had a hard time breathing. It wasn?t bad enough for me to alert anyone but breathing was labored for at least an hour afterwards. I had a hard time taking in a deep breath for days and possibly at least a week. I wasn?t too sure if this was related to the vaccination until I had the same reaction after the second dose (which I will also enter a report once my difficulty with taking a deep breath has passed).
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic, Urticaria, Wheezing
Clinical narrative: GOT RASH/HIVES PRIMARILY ON THE LEFT SIDE OF NECK AND UPPER CHEST.  IT DID MOVE SOME TO THE RIGHT SIDE BUT NOT AS BAD AS THE LEFT.  IT WAS RAISED AND ITCHY.  I WOULD USE A CREAM ON IT AND IT WOULD CALM DOWN SLIGHTLY.  IT ALSO AFFECTED BY BREATHING SLIGHTLY AS I COULD TELL I WAS GETTING WHEEZY AS IF MY ASTHMA WANTED TO START WHERE I WOULD NEED MY PUFFER BUT IT WOULD GO AWAY AFTER A FEW MINUTES AND THEN START AGAIN.  THAT PART ONLY LASTED A DAY.  THE RASH/HIVES ARE STILL WITH ME BUT MUCH BETTER.  I EXPECT IT TO BE GONE WITHIN A COUPLE MORE DAYS.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Presyncope
Clinical narrative: "hot", presyncope, lightheadedness. Evaluated by EMS-Refusal to transport.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fatigue, Head injury, Pain, Syncope
Clinical narrative: Fainted twice after receiving second shot.  Fainted on bathroom floor and hit head and back.  Achy, tired and sore afterwards.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Computerised tomogram, Constipation, Feeling cold
Clinical narrative: High fever, 102.7 F; high pulse 160 bpm, ranged for first 36-48 hours 122-140 bpm resting rate; severe abdominal pain, kidney pain right side, constipation, severe headache, rash underarm, cold chills, and hot spells
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Heart rate increased, Pyrexia, Rash
Clinical narrative: High fever, 102.7 F; high pulse 160 bpm, ranged for first 36-48 hours 122-140 bpm resting rate; severe abdominal pain, kidney pain right side, constipation, severe headache, rash underarm, cold chills, and hot spells
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Renal pain
Clinical narrative: High fever, 102.7 F; high pulse 160 bpm, ranged for first 36-48 hours 122-140 bpm resting rate; severe abdominal pain, kidney pain right side, constipation, severe headache, rash underarm, cold chills, and hot spells
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Respiratory arrest
Clinical narrative: Death. My mother passed away 3/18/2021 from pulmonary arrest.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Deep vein thrombosis, Pain in extremity
Clinical narrative: Right calf pain similar to previous DVT pain she had experienced in the past. Symptoms starting 4/11/21 day 2 after receiving COVID 19 vaccine.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Malaise
Clinical narrative: At approximately 1010 the client lied down on the bleachers and reported feeling dizzy and not well, he was also visibly clammy.  He stated he usually feels that way after medical situations such as vaccinations and blood draws. Client was offered to go to a more private area and refused. MRC volunteer got cool paper towels to place on his forehead and client requested to continue  to lay down where he was. After about 10 minutes client wanted to sit back up and reported he was not as dizzy any more. He sat up with ease and no difficulty and he stated he was not feeling as dizzy. After sitting for a few minutes he received notification that his observation period was over and he stated that he was ready to go. I assisted him down the bleachers and out of the outreach facility, he had a steady gait and stated he was feeling, much better. He left the facility with his partner.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood glucose increased, Dizziness, Dyspnoea, Hypertension
Clinical narrative: around 15 minutes post-imz, pt reports dizziness and difficulty breathing due to palpitations. sat pt on the floor and gave her cold compress. had epipen readily available but determined difficulty breathing was due to increased HR/anxiety.  second rph came into clinic, took pts temp (WNL), blood sugar (was 122) and BP which was 157/103, HR 83. BP concerned pt so she stayed longer, called pts husband so she wouldn't be driving home. we rechecked 15 minutes later and BP check was 168/109, HR 89. pts breathing was rapid and shallow but no facial swelling or other signs of anaphylaxis. pt did not want us to call  EMS at this time. another 25 minutes later, BP recheck was 147/104 HR 82. Determined husband would take her to urgent care. Upon helping her get up and out to the car, pt became closer to passing out, she fell limp and started gasping for air. At this time I called EMS and paramedics arrived on scene to assess her further and took her to the ER, Follow up with pt about 2 hours later, she was still in the ER with her BP being monitored
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypopnoea, Hypotonia, Palpitations, Respiratory rate increased
Clinical narrative: around 15 minutes post-imz, pt reports dizziness and difficulty breathing due to palpitations. sat pt on the floor and gave her cold compress. had epipen readily available but determined difficulty breathing was due to increased HR/anxiety.  second rph came into clinic, took pts temp (WNL), blood sugar (was 122) and BP which was 157/103, HR 83. BP concerned pt so she stayed longer, called pts husband so she wouldn't be driving home. we rechecked 15 minutes later and BP check was 168/109, HR 89. pts breathing was rapid and shallow but no facial swelling or other signs of anaphylaxis. pt did not want us to call  EMS at this time. another 25 minutes later, BP recheck was 147/104 HR 82. Determined husband would take her to urgent care. Upon helping her get up and out to the car, pt became closer to passing out, she fell limp and started gasping for air. At this time I called EMS and paramedics arrived on scene to assess her further and took her to the ER, Follow up with pt about 2 hours later, she was still in the ER with her BP being monitored
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicitis, Appendicitis perforated, Computerised tomogram, Echocardiogram, Laboratory test
Clinical narrative: Acute appendicitis with rupture.  Was in hospital receiving IV antibiotics for 5 days.  Woke wife at 3am and dressed and went to hospital with acute pain. Surgery at 6pm.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial necrosis marker increased, Pain, Surgery
Clinical narrative: Acute appendicitis with rupture.  Was in hospital receiving IV antibiotics for 5 days.  Woke wife at 3am and dressed and went to hospital with acute pain. Surgery at 6pm.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Vision blurred, Visual impairment
Clinical narrative: Vision impairment two days after shot. Wavy, blurry light at edges of vision, like a kaleidoscope. Neck pain, headache. Not yet treated, seeing doctor tomorrow.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Injected limb mobility decreased, Injection site nodule
Clinical narrative: -Dibilitating headache came on slowly starting around 4pm day of vaccine (roughly 60-90 minutes following) Built in intensity and the following morning throughout the day after vaccine was causing dizziness to the point of motionsickness and vomiting when moved too much. headache hit peak at 24 hrs post vaccination and slowly decreased in intensity until about 48 hrs post vaccination. Took advil throughout. -Full body shivers despite warm or hot environment and comfort level Beginning about 30 hrs post vaccination vaccination and lasting about 6 hrs.  -Large bump at vaccination point started developing 72 hrs post vaccination. By 5 days post it was the diameter of roughly a baseball but only slightly raised, hot to the touch, very painful, restricted arm function and itched. That evening before bed (5 days post) self treated with 20 minute ice pack,  hydrocortizone cream and performing deep massage moving outward from vaccination point as long as could tolerate pain. Noticed extreme improvement the next morning: area had cooled to regular body temperature marked improvement in pain, size and fuctionality. Repeated "treatment" that evening (6 days post) and today (a few hours shy of 7 days post) area is still itchy, knot has decreased to the size of a bean, pain gone except when poked like a bruise. I will likely repeat self prescribed treatment more time.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site warmth, Motion sickness, Vaccination site swelling
Clinical narrative: -Dibilitating headache came on slowly starting around 4pm day of vaccine (roughly 60-90 minutes following) Built in intensity and the following morning throughout the day after vaccine was causing dizziness to the point of motionsickness and vomiting when moved too much. headache hit peak at 24 hrs post vaccination and slowly decreased in intensity until about 48 hrs post vaccination. Took advil throughout. -Full body shivers despite warm or hot environment and comfort level Beginning about 30 hrs post vaccination vaccination and lasting about 6 hrs.  -Large bump at vaccination point started developing 72 hrs post vaccination. By 5 days post it was the diameter of roughly a baseball but only slightly raised, hot to the touch, very painful, restricted arm function and itched. That evening before bed (5 days post) self treated with 20 minute ice pack,  hydrocortizone cream and performing deep massage moving outward from vaccination point as long as could tolerate pain. Noticed extreme improvement the next morning: area had cooled to regular body temperature marked improvement in pain, size and fuctionality. Repeated "treatment" that evening (6 days post) and today (a few hours shy of 7 days post) area is still itchy, knot has decreased to the size of a bean, pain gone except when poked like a bruise. I will likely repeat self prescribed treatment more time.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: -Dibilitating headache came on slowly starting around 4pm day of vaccine (roughly 60-90 minutes following) Built in intensity and the following morning throughout the day after vaccine was causing dizziness to the point of motionsickness and vomiting when moved too much. headache hit peak at 24 hrs post vaccination and slowly decreased in intensity until about 48 hrs post vaccination. Took advil throughout. -Full body shivers despite warm or hot environment and comfort level Beginning about 30 hrs post vaccination vaccination and lasting about 6 hrs.  -Large bump at vaccination point started developing 72 hrs post vaccination. By 5 days post it was the diameter of roughly a baseball but only slightly raised, hot to the touch, very painful, restricted arm function and itched. That evening before bed (5 days post) self treated with 20 minute ice pack,  hydrocortizone cream and performing deep massage moving outward from vaccination point as long as could tolerate pain. Noticed extreme improvement the next morning: area had cooled to regular body temperature marked improvement in pain, size and fuctionality. Repeated "treatment" that evening (6 days post) and today (a few hours shy of 7 days post) area is still itchy, knot has decreased to the size of a bean, pain gone except when poked like a bruise. I will likely repeat self prescribed treatment more time.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient was hospitalized x 2  within 60 days of receiving a COVID vaccine series
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was hospitalized x 2  within 60 days of receiving a COVID vaccine series
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Cardiac discomfort, Chills, Gait disturbance, Headache
Clinical narrative: Taste in mouth. Could feel in lungs. Eyes watering. Teeth chattering.  Could not walk at first. When could walk needed help of two person to sit in observation area. After about 40 minuets was able to walk.  Felt like my heart was bouncing at times.  Legs were very weak. Headache the next day and nausea. My legs and balance are still off but I?m much better.   Notified md office on April 12, and 13th by phone and was told if not better by next Monday to call back then by the nurse that I did not need to be seen at this time.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Lacrimation increased, Muscular weakness, Nausea, Taste disorder
Clinical narrative: Taste in mouth. Could feel in lungs. Eyes watering. Teeth chattering.  Could not walk at first. When could walk needed help of two person to sit in observation area. After about 40 minuets was able to walk.  Felt like my heart was bouncing at times.  Legs were very weak. Headache the next day and nausea. My legs and balance are still off but I?m much better.   Notified md office on April 12, and 13th by phone and was told if not better by next Monday to call back then by the nurse that I did not need to be seen at this time.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time prolonged, Arteriosclerosis coronary artery, Blood albumin decreased, Blood chloride decreased, Blood glucose increased
Clinical narrative: Presented to the ER with chest pain lasting 2 hours
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood sodium decreased, Cardiomegaly, Chest pain, Computerised tomogram thorax abnormal
Clinical narrative: Presented to the ER with chest pain lasting 2 hours
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Full blood count normal, International normalised ratio normal, Lung opacity, Lymphadenopathy mediastinal
Clinical narrative: Presented to the ER with chest pain lasting 2 hours
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Pneumonia, Prothrombin time shortened, Pulmonary embolism, Pulmonary infarction
Clinical narrative: Presented to the ER with chest pain lasting 2 hours
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Troponin normal
Clinical narrative: Presented to the ER with chest pain lasting 2 hours
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Myalgia, Pain in extremity
Clinical narrative: Muscle aches, fatigue, chills, headache, soreness of arm for about 24 hours
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Influenza like illness, Pruritus, Urticaria
Clinical narrative: 2nd dose - In addition to the flu like symptoms routinely reported I had also had anaphylaxis approx. 24 hours after the shot. It happened between 6-11 pm on 4/12 (the day after receiving the vaccine at 6 pm on 4/11). It did not impact my breathing, but I had itchy welts and hives over most of my trunk and arms and upper legs. I took a Claritin and it helped relieve the symptoms.   After the 1st dose on 3/20/2021 I also experienced mild rash like symptoms and hives for several weeks following the vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Exacerbation of pre-existing tinnitus:  One hour after receiving the vaccine my tinnitus became very pronounced.  Constant high level volume and consistent tone.  This not the typical presentation of my tinnitus.  It lasted without interruption from 6:15 on April 1 to 12:30 PM on April 2.    It has since returned to a more typical presentation but I don't know if it will prolong my recovery from tinnitus or contribute to it being a permanent chronic condition.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Cough, Fatigue, Headache
Clinical narrative: heaviness on chest, sore throat, cough, aches / pains, joints muscles, tried, cramping in lower legs, headaches (i couldnot think)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Mental impairment, Muscle spasms, Myalgia, Oropharyngeal pain
Clinical narrative: heaviness on chest, sore throat, cough, aches / pains, joints muscles, tried, cramping in lower legs, headaches (i couldnot think)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dry throat, Feeling drunk
Clinical narrative: lightheaded "felt drunk", dry throat. Evaluated by EMS-Refusal to transport.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash, Urticaria
Clinical narrative: DEVELOPED A RASH/HIVES/SWELLING IN AREA JUST BELOW MY ARMPIT AROUND MY RIGHT PECTORAL MUSCLE. I NOTICED IT WHEN I WOKE UP FRIDAY MORNING, 4/9/21, THE DAY AFTER MY SHOT AND IT STAYED WITH ME UNTIL SOMETIME DURING THE DAY MONDAY, 4/12/21. THE SHOT WAS GIVEN IN MY RIGHT ARM
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Feeling cold, Headache
Clinical narrative: sudden sharp pain on left side, severe body pain especially in neck and shoulders, hot/cold flashes, migraine, headache, severe fatigue, blurry vision, skin sensitivity to touch, body aches, back pain so bad couldn't stand straight, jaw pain. currently on day 5 of symptoms. called doctor they advise to just watch symptoms
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Migraine, Neck pain, Pain, Pain in jaw
Clinical narrative: sudden sharp pain on left side, severe body pain especially in neck and shoulders, hot/cold flashes, migraine, headache, severe fatigue, blurry vision, skin sensitivity to touch, body aches, back pain so bad couldn't stand straight, jaw pain. currently on day 5 of symptoms. called doctor they advise to just watch symptoms
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Skin sensitisation, Vision blurred
Clinical narrative: sudden sharp pain on left side, severe body pain especially in neck and shoulders, hot/cold flashes, migraine, headache, severe fatigue, blurry vision, skin sensitivity to touch, body aches, back pain so bad couldn't stand straight, jaw pain. currently on day 5 of symptoms. called doctor they advise to just watch symptoms
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, C-reactive protein increased, Condition aggravated, Crying, Differential white blood cell count abnormal
Clinical narrative: On December 21st I got my first Pfizer Injection.  Had minimal side effects, that included a weird headache (I have migraines and this was unlike any migraine I ever had), it was like a halo above my ears and around the crown of my head.  I also had a sore arm.  No other issues.  On January 11th I got my second dose.  Again sore arm, nothing terrible.  This time I was prepared and over hydrated to prevent the headaches.  On day 2 after my shot I noticed both my shoulders starting to hurt and complained to my best friend I felt like a bus ran me over.  I said maybe it?s the shot but we shuffled it off to I slept funny.  2 weeks went by, same thing still going on; except some days my shoulders hurt so bad I couldn?t take my clothes off.  About 4 weeks post injection my knees also started to hurt.  I visit my chiropractor every 2-3 weeks regularly since having my daughter 12 years ago because my pelvis rotates out of place; her and I discussed what was going on and she said she had a couple other patients complain of similar things and it typically gets better after 6 weeks.  So I give it a few more days, decide to message my family care doctor just to let her know what?s going on.  She checks me for Rheumatoid Arthritis- that?s negative.  Checked my CRP-  which were elevated to basically say I was having an inflammatory response.  (I knew all these things already lol you don?t just wake up at 38 with RA with no family history but whatever).  Another week went by and I am at work and can?t stand up to walk- like crying in pain my knees and arms hurt so bad.  One of the anesthesiologist gives me a Decadron injection.  An hour later it was like magic, I actually had relief.  Unfortunately less than 48 hrs later the pain came back.  I went to my family doctor and had a conversation about all of this.  They put me on a tapering dose of Prednisone for 10 days- because unfortunately the max dose for Decadron is 6 days we decided to do Prednisone so I could have more days.  I started with 100 mg a day of Prednisone and tapered it down for 10 days.  I finally felt back to normal and it was amazing!!  Then 5 days after the last dose of Prednisone the pain came back yet again in my knees.  It hasn?t come back as bad in my shoulders but it?s definitely worse in my knees.  My family doctors recommendation is for me to see a rheumatologist; which I am waiting on an appointment for now.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Eosinophil count increased, Feeling abnormal, Headache, Inflammation
Clinical narrative: On December 21st I got my first Pfizer Injection.  Had minimal side effects, that included a weird headache (I have migraines and this was unlike any migraine I ever had), it was like a halo above my ears and around the crown of my head.  I also had a sore arm.  No other issues.  On January 11th I got my second dose.  Again sore arm, nothing terrible.  This time I was prepared and over hydrated to prevent the headaches.  On day 2 after my shot I noticed both my shoulders starting to hurt and complained to my best friend I felt like a bus ran me over.  I said maybe it?s the shot but we shuffled it off to I slept funny.  2 weeks went by, same thing still going on; except some days my shoulders hurt so bad I couldn?t take my clothes off.  About 4 weeks post injection my knees also started to hurt.  I visit my chiropractor every 2-3 weeks regularly since having my daughter 12 years ago because my pelvis rotates out of place; her and I discussed what was going on and she said she had a couple other patients complain of similar things and it typically gets better after 6 weeks.  So I give it a few more days, decide to message my family care doctor just to let her know what?s going on.  She checks me for Rheumatoid Arthritis- that?s negative.  Checked my CRP-  which were elevated to basically say I was having an inflammatory response.  (I knew all these things already lol you don?t just wake up at 38 with RA with no family history but whatever).  Another week went by and I am at work and can?t stand up to walk- like crying in pain my knees and arms hurt so bad.  One of the anesthesiologist gives me a Decadron injection.  An hour later it was like magic, I actually had relief.  Unfortunately less than 48 hrs later the pain came back.  I went to my family doctor and had a conversation about all of this.  They put me on a tapering dose of Prednisone for 10 days- because unfortunately the max dose for Decadron is 6 days we decided to do Prednisone so I could have more days.  I started with 100 mg a day of Prednisone and tapered it down for 10 days.  I finally felt back to normal and it was amazing!!  Then 5 days after the last dose of Prednisone the pain came back yet again in my knees.  It hasn?t come back as bad in my shoulders but it?s definitely worse in my knees.  My family doctors recommendation is for me to see a rheumatologist; which I am waiting on an appointment for now.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Migraine, Mobility decreased, Pain in extremity, Rheumatoid factor negative
Clinical narrative: On December 21st I got my first Pfizer Injection.  Had minimal side effects, that included a weird headache (I have migraines and this was unlike any migraine I ever had), it was like a halo above my ears and around the crown of my head.  I also had a sore arm.  No other issues.  On January 11th I got my second dose.  Again sore arm, nothing terrible.  This time I was prepared and over hydrated to prevent the headaches.  On day 2 after my shot I noticed both my shoulders starting to hurt and complained to my best friend I felt like a bus ran me over.  I said maybe it?s the shot but we shuffled it off to I slept funny.  2 weeks went by, same thing still going on; except some days my shoulders hurt so bad I couldn?t take my clothes off.  About 4 weeks post injection my knees also started to hurt.  I visit my chiropractor every 2-3 weeks regularly since having my daughter 12 years ago because my pelvis rotates out of place; her and I discussed what was going on and she said she had a couple other patients complain of similar things and it typically gets better after 6 weeks.  So I give it a few more days, decide to message my family care doctor just to let her know what?s going on.  She checks me for Rheumatoid Arthritis- that?s negative.  Checked my CRP-  which were elevated to basically say I was having an inflammatory response.  (I knew all these things already lol you don?t just wake up at 38 with RA with no family history but whatever).  Another week went by and I am at work and can?t stand up to walk- like crying in pain my knees and arms hurt so bad.  One of the anesthesiologist gives me a Decadron injection.  An hour later it was like magic, I actually had relief.  Unfortunately less than 48 hrs later the pain came back.  I went to my family doctor and had a conversation about all of this.  They put me on a tapering dose of Prednisone for 10 days- because unfortunately the max dose for Decadron is 6 days we decided to do Prednisone so I could have more days.  I started with 100 mg a day of Prednisone and tapered it down for 10 days.  I finally felt back to normal and it was amazing!!  Then 5 days after the last dose of Prednisone the pain came back yet again in my knees.  It hasn?t come back as bad in my shoulders but it?s definitely worse in my knees.  My family doctors recommendation is for me to see a rheumatologist; which I am waiting on an appointment for now.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Sinus headache
Clinical narrative: I have mild headaches daily due to seasonal allergies, but I was told to report even if I wasn?t sure if it was a reaction.  Early Monday, 4/12/21, I woke up with a severe sinus headache. I took some sinus medicine by 7 am but it remained fairly strong for 2-3 hours. It eased up some so I went to work and by 11 am took another dose of sinus medicine. I felt nauseated so I ate a couple of Tums through the afternoon. I assumed it was related to the sinus medicine.  After work, I went home and was very tired. I went to bed earlier than normal but woke up this morning feeling normal. (With a mild - as usual - headache)
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Chills, Computerised tomogram, Dyspnoea
Clinical narrative: The morning of 2 April, I woke up with a fever, chills, sweating and an excruciating headache. The symptoms persisted for approximately 10 hours. The following Monday, I woke up with sharp pains across my chest and shortness of breath. I was admitted to the hospital Emergency Room for about 7 hours and subsequently diagnosed with pericarditis. It is unknown if the pericarditis was associated to the vaccine but thought it was a good idea to document here.