chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: High fever, chills, aches, nausea, headaches
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Hypersensitivity, Injection site bruising, Injection site erythema, Vaccination site mass
Clinical narrative: 1/18 - vaccine given. that night  mother noted pea sized lump under vaccine  with overlying redness.. 1/22 lump got bigger and by 1/24 was small sized avocado pit size with lavender coloration on skin. 1/23-diffuse red dots with itch. 1/25 - dots gone, nodule smaller to size of cherry . seen 1/26 by allergist - dx local hypersensitivity or foreign body arthus reaction likely to aluminum phosphate adjuvantin vaccine.  Recommended not revaccinating untilk at least 5 years old.  By 2/4 - lesions almost all gone without any treatment.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Paraesthesia oral, Pruritus
Clinical narrative: Pt states took prophylactic Benadryl prior to vaccine dose 1 reaction 9AM received IM injection @ let deltoid sat in waiting area 9:10 states "tongue feels weird" to Pharmacist. Pharmacist administered Pepcid 40 mg PO.  Tongue continued to feel "tingly" generalized itching, anxious 0925-Taken to ED via wheelchair by LPN and pharamcist
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Petechiae, Rash pruritic
Clinical narrative: pruritic rash on left forearm, right calf, right medial aspect of lower leg bruising/petechiae
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Facial swelling, self-resolving.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Anxiety, Blood glucose abnormal, Dry skin, Dyspnoea
Clinical narrative: Progress Notes Nurse Practitioner Cosign Needed Expand All Collapse All       Patient:                                                                     DOB:  10/1/1947  Date:  2/4/2021                                                            Subjective Patient is a 73 y.o. male who was seen at COVID Vaccine Clinic today for his first  dose of the COVID 19 vaccination.    He was given the Pfizer vaccination in the right deltoid muscle.   During his 15 minute waiting period after the injection, the patient began to experience SOB and throat tightness and abdominal pain.  He denied rash, hives, welts, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, dizziness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and he was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.   Pt is a diabetic ate last at 8 am.  Blood sugar 234 at 15:12.     ALLERGY REVIEW OF SYSTEMS:  Patient complains of shortness of breath and abdominal pain       Previous Reactions: None    Objective Vitals There were no vitals filed for this visit.    Blood Sugar 234 collected at 1512     Physical Exam Constitutional:      Appearance: Normal appearance. He is well-developed.  HENT:     Head: Normocephalic and atraumatic.     Right Ear: External ear normal.     Left Ear: External ear normal.     Nose: Nose normal.  Eyes:     Conjunctiva/sclera: Conjunctivae normal.     Pupils: Pupils are equal, round, and reactive to light.  Neck:     Musculoskeletal: Normal range of motion and neck supple.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Abdominal:     General: Bowel sounds are normal.     Palpations: Abdomen is soft.  Musculoskeletal: Normal range of motion.  Skin:    General: Skin is warm and dry.     Capillary Refill: Capillary refill takes less than 2 seconds.  Neurological:     Mental Status: He is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: no therapy Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) Pt left at 15:28
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Skin warm, Throat tightness
Clinical narrative: Progress Notes Nurse Practitioner Cosign Needed Expand All Collapse All       Patient:                                                                     DOB:  10/1/1947  Date:  2/4/2021                                                            Subjective Patient is a 73 y.o. male who was seen at COVID Vaccine Clinic today for his first  dose of the COVID 19 vaccination.    He was given the Pfizer vaccination in the right deltoid muscle.   During his 15 minute waiting period after the injection, the patient began to experience SOB and throat tightness and abdominal pain.  He denied rash, hives, welts, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, dizziness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and he was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.   Pt is a diabetic ate last at 8 am.  Blood sugar 234 at 15:12.     ALLERGY REVIEW OF SYSTEMS:  Patient complains of shortness of breath and abdominal pain       Previous Reactions: None    Objective Vitals There were no vitals filed for this visit.    Blood Sugar 234 collected at 1512     Physical Exam Constitutional:      Appearance: Normal appearance. He is well-developed.  HENT:     Head: Normocephalic and atraumatic.     Right Ear: External ear normal.     Left Ear: External ear normal.     Nose: Nose normal.  Eyes:     Conjunctiva/sclera: Conjunctivae normal.     Pupils: Pupils are equal, round, and reactive to light.  Neck:     Musculoskeletal: Normal range of motion and neck supple.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Abdominal:     General: Bowel sounds are normal.     Palpations: Abdomen is soft.  Musculoskeletal: Normal range of motion.  Skin:    General: Skin is warm and dry.     Capillary Refill: Capillary refill takes less than 2 seconds.  Neurological:     Mental Status: He is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: no therapy Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) Pt left at 15:28
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: chills, fever, fatigue, headache, arm soreness
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Incomplete course of vaccination, Paraesthesia oral, Tongue exfoliation
Clinical narrative: After initial vaccination patient reported experiencing metallic taste in tongue and tingling. the tingling sensation persisted several weeks and the patient visited an allergist for further assessment. upon evaluation allergist noted sloughing on the tongue 4 weeks after the initial vaccination. patient was deemed ineligible for 2nd vaccination per recommendation from allergist.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Delayed localized cutaneous erythema with warmth occurring about 8 days following injection over left deltoid extending into upper anterior arm and clavicular region
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Diarrhoea, Full blood count, Metabolic function test, Nausea
Clinical narrative: Nausea and Diarrhea,  Colitis.  Received 1000cc normal saline, CT Scan of abd
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 4-5 inch red area around injection site with warmth and  hardness in center.. This lasted 8-10 days before completely fading.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Impaired work ability, Limb injury, Pain, Pain in extremity
Clinical narrative: diagnosed  at primary care office with SIRVA. 10/10 debilitating pain in left arm and shoulder. Tingling in left arm and neck. I have had pain and tingling in my arm since I received my second shot, I thought that that was to be expected until it worsened this week. It is now debilitating pain and I am out of work and having to use Earned Time to be out.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: diagnosed  at primary care office with SIRVA. 10/10 debilitating pain in left arm and shoulder. Tingling in left arm and neck. I have had pain and tingling in my arm since I received my second shot, I thought that that was to be expected until it worsened this week. It is now debilitating pain and I am out of work and having to use Earned Time to be out.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Pain in extremity, Peripheral swelling, Pruritus, Skin discolouration
Clinical narrative: Just a sore pink arm the first few days.  About day 6 after the shot, it got angry pink, very hard, swollen, and very itchy. It was the size of a baseball.    It stayed a localized reaction but was very uncomfortable for about 8 more days. By day 14 it was just an outline of what it was, skin colored inside, no longer hot but still a little bit itchy.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Skin reaction
Clinical narrative: Just a sore pink arm the first few days.  About day 6 after the shot, it got angry pink, very hard, swollen, and very itchy. It was the size of a baseball.    It stayed a localized reaction but was very uncomfortable for about 8 more days. By day 14 it was just an outline of what it was, skin colored inside, no longer hot but still a little bit itchy.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site infection, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: initially patient had soreness in left arm, eight days later patient experienced fever of 101 degrees,redness, tenderness, swelling to left arm Dr put patient on antibiotics , patient states patient has a " bacterial infection " at the injection site. On doxycycline and Bactrium at this time. Patient stated PMD stated that site of injection " may not have been disinfected well before the shot was given".
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: initially patient had soreness in left arm, eight days later patient experienced fever of 101 degrees,redness, tenderness, swelling to left arm Dr put patient on antibiotics , patient states patient has a " bacterial infection " at the injection site. On doxycycline and Bactrium at this time. Patient stated PMD stated that site of injection " may not have been disinfected well before the shot was given".
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Presyncope
Clinical narrative: Severe vasovagal response ~9 hours after injection. Got chills, 15 minutes later got up to get water. Made it about ~20 feet before getting severely lightheaded where I had to sit on the floor for 15+minutes. My roommate reported I was white as a ghost. I was on the cusp of fainting for roughly 15minutes.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: My doctor described it as ?Covid Arm?.  Red, very itchy ?ring? around injection site. Warm to the touch.  Still present and today is exactly 3 weeks post-injection Moderna 1st dose.  Occasional Benadryl and topical steroid, but itchyness & redness persist.  Am  scheduled  for Moderna 2nd dose next Fri, Feb 19.  My doctor said to get 2nd dose in other arm (right arm).
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Injection site pain, Malaise, Pain
Clinical narrative: Received vaccine with only soreness to site day of (2/4/21). Roughly 12 hours after woke with temp of 100, chills, and body aches. About 6 hours later, temp of 100.4, body aches, headache and general malaise.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Injection site erythema, Injection site rash, Injection site warmth, Pyrexia
Clinical narrative: one day fever on 8th day, then six inch rash has formed around injection site on 14th day. Looks similar to cellulitis, red, itchy warm.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Injection site warmth, Loss of personal independence in daily activities, Malaise, Myalgia
Clinical narrative: Extreme muscle pain in both upper arms (elbow to shoulder).  Contstant throbbing and  severe pain in moving arm.  Started 10+ days after vaccine and still happening.  Effects daily activity and sleep.   red circle around site that was hot.  Lasted 10 days.    I felt like I was getting sick the day after the vaccine.  Lasted 1 day.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Sleep disorder
Clinical narrative: Extreme muscle pain in both upper arms (elbow to shoulder).  Contstant throbbing and  severe pain in moving arm.  Started 10+ days after vaccine and still happening.  Effects daily activity and sleep.   red circle around site that was hot.  Lasted 10 days.    I felt like I was getting sick the day after the vaccine.  Lasted 1 day.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Feeling hot, Nausea, Sensation of foreign body
Clinical narrative: Spike in BP, feeling of a lump in throat, pt feels hot and nauseous, 50 mg of generic Benadryl orally administered with water,  pt went by ambulance to the hospital
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, headache
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Derealisation, Dizziness, Feeling abnormal, Gait disturbance
Clinical narrative: 15 hours after vaccine started with chills, fever 102-103 x 48 hours. Took Tylenol every 4 hours with little improvement of following symptoms: severe headache, nausea, dizziness. Got out of bed only for bathroom and needed help to walk there. In and out of reality with very strange dreams.  Still have foggy feeling and am not able to drive yet or go out.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired driving ability, Nausea, Pyrexia
Clinical narrative: 15 hours after vaccine started with chills, fever 102-103 x 48 hours. Took Tylenol every 4 hours with little improvement of following symptoms: severe headache, nausea, dizziness. Got out of bed only for bathroom and needed help to walk there. In and out of reality with very strange dreams.  Still have foggy feeling and am not able to drive yet or go out.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Chest pain, Dyspnoea, Fatigue
Clinical narrative: Shortness of breath, migraine, Chest pain, abdominal pain, body aches, joint aches, fatigue and fever
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain, Pyrexia
Clinical narrative: Shortness of breath, migraine, Chest pain, abdominal pain, body aches, joint aches, fatigue and fever
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Malaise, Nausea
Clinical narrative: Pt. states that he received his second dose of moderna on 2/5/21 to his left arm at 9 am. Pt. states that he had to wait 15 minutes and started getting a light headache around 09:45 am. Then two hours later he developed a worsened headache, dizziness, and nausea. Pt. told manager that he was not feeling well around 1:00 pm. Pt. states that he left work a little bit after 1 pm.  Pt. states that he took ibuprofen for headache. Pt. states that he did not get relief of symptoms after taking ibuprofen. Reported in VAERS by provider/reported in PURE. Pt. instructed to follow up with pcp. Pt. understands/agrees with plan. Questions/concerns addressed.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: Chills, body aches, headache, nausea started about 10 hours after vaccine administered. Most symptoms lasted 30 hours. Nausea lasted a few days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Musculoskeletal stiffness, Pain in extremity, Pruritus, Rash macular
Clinical narrative: Sore/stiff arm with small welt for 2 days following injection. 8 days post vaccination, splotchy, warm, red spot with occasional itchiness. 9 days post vaccination, splotchy, warm, red spot is slightly larger, welt developed overnight still just occasional itchiness
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Urticaria
Clinical narrative: Sore/stiff arm with small welt for 2 days following injection. 8 days post vaccination, splotchy, warm, red spot with occasional itchiness. 9 days post vaccination, splotchy, warm, red spot is slightly larger, welt developed overnight still just occasional itchiness
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Swelling face, Tachycardia
Clinical narrative: right side face swelling (cheek), tachycardia and blood pressure of 161/121. Administered epinephrine and called 911, recipient was taken to an emergency room
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Fever, chills, myalgias. Began 1/7/21 at 0130 and persisted until 1/7/21 at 2200.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Burning sensation, Pruritus, Rash, Skin wound
Clinical narrative: Approximately 8 hours after the vaccination I begin to feel itching, burning sensation in my left wrist area surrounding the site of the surgery on Jan. 4 for skin cancer.  This increased over the next few hours and by the next morning my lower forearm was involved.  The surgical site was about 2 inches long, stitches had been removed ten days before and the wound was mostly healed.  The rash extended from the wound site toward the wrist about 2 inches, radiated laterally along the length of the wound about 2 inches on either side and up into the upper forearm another 3 inches.  There were small blisters within the rash as well.  I initially tried a cortisone cream I had left over from a previous wound.  This seemed to inflame the rash even more and I stopped.  I then applied some of the antibiotic cream I used when the wound was fresh and actively treated.  This seemed to reduce the inflammation some.  After 2 days I contacted my dermatologist who prescribed Triamcinolone Acetonide 0.1 % External Cream.  I have been taking this for 24 hours, 3 applications and the rash is beginning to dissipate.  My dermatologist  indicated I was the third patient to have a rash on the same arm with a surgery and a Moderna shot, in the same arm.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Type IV hypersensitivity reaction
Clinical narrative: left arm redness started several days after receiving the vaccine, slightly swollen and itchy. c/w delayed hypersensitivity response.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever 103 f. Chills  Muscle aches  Headache
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus, Skin warm
Clinical narrative: Slightly sore red, warm to the touch, itchy patch of skin below injection site that developed 7 days after Covid vaccine injection.  Itchy, red and warm for two days.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Report fever of 101.2, chills, HA began next day after vaccination. Treatment: Tylenol with improvement of HA and chills and fever resolved. Outcome: Does not interfere with ADLs.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Hyperhidrosis, Muscular weakness
Clinical narrative: Intense Pain in both knees - 2 hours plus lesser pain continuing Weakness in legs and in general - still a little Sweating - no fever  - has stopped
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Speech disorder developmental
Clinical narrative: Patient stated that 45 min. after receiving her first Maderna COVID-19 vaccination she experienced some drainage in the back of her throat and was unable to speak for an unspecified amount of time.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Throat tightness
Clinical narrative: throat tightness, couhg
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Somnolence
Clinical narrative: Dizzy,lightheadedness within minutes. Was told I could stay longer if needed but all they had was the same epipen that I had. Was taken home by daughter. Lightheadedness continued and some trouble focusing continued and desire to fall asleep. Took my bp ,it was 85/61.pulse 109.I hydrated with 3 bottles of water and ate olives to increase sodium level. an hour later bp was up to 107/67,pulse 67. I continued to monitor my bp through the next 24 hrs. I skipped my blood pressure meds  for that night and continued with them the next day when my pressure was back to normal range. I did not use my epipen.  Would have gone to ER if I was unable to control my hypotension. I am an RN.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: red and swollen vaccine site
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: On Day 8 post vaccine injection, Site of injection became extremely itchy, red, swollen and warm.  Ebbed and flowed for 48 hours . size of a half dollar bill.   Used Hydrocortisone cream to relieve itch, cool compresses.  Took Benadryl 2x.  Now, 2 days later, beginning to disappear.   Did not contact MD, since it did not expand after initial appearance, and is now going away..
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Injection site paraesthesia, Nausea
Clinical narrative: 1st vaccine:  Injection site tingling.  Felt lightheaded, dizziness, nauseated, vomiting.  Developed headache.  HR: 84, BP 106/68.  Rash all along arm, back and neck.  Applied hydrocortisone.  Went away within 1 day.  Throughout the week body chills, headaches, sinus pains, low grade fever.  Recovered in about 1 week.  Took Benadryl and Dayquil.  Extended observation and sent home.  Advised to notify PCP.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Sinus pain, Vomiting
Clinical narrative: 1st vaccine:  Injection site tingling.  Felt lightheaded, dizziness, nauseated, vomiting.  Developed headache.  HR: 84, BP 106/68.  Rash all along arm, back and neck.  Applied hydrocortisone.  Went away within 1 day.  Throughout the week body chills, headaches, sinus pains, low grade fever.  Recovered in about 1 week.  Took Benadryl and Dayquil.  Extended observation and sent home.  Advised to notify PCP.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site urticaria, Pruritus
Clinical narrative: Hard, baseball sized bump under vaccine site and round red circle appeared approximately 8 days after getting the injection, which two days later turned into a large, splotchy red rash that traveled down my arm along with itchy hives
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash macular, Urticaria
Clinical narrative: Hard, baseball sized bump under vaccine site and round red circle appeared approximately 8 days after getting the injection, which two days later turned into a large, splotchy red rash that traveled down my arm along with itchy hives
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea exertional, Fatigue, Injection site erythema, Muscular weakness
Clinical narrative: Evening of 2nd dose (same day) experienced redness to site, fatigue, body aches and chills.  The following day (2/2) experienced shortness of breath with ANY exertion.  Heart palpitations and tachycardia noted.  Complaint of weakness to legs.  The shortness of breath, palpitations and tachycardia are continuing on 2/5 (4 days post vaccination)  Pt. states the symptoms are frequent and exacerbated with any exertion including just walking short distances.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations, Tachycardia
Clinical narrative: Evening of 2nd dose (same day) experienced redness to site, fatigue, body aches and chills.  The following day (2/2) experienced shortness of breath with ANY exertion.  Heart palpitations and tachycardia noted.  Complaint of weakness to legs.  The shortness of breath, palpitations and tachycardia are continuing on 2/5 (4 days post vaccination)  Pt. states the symptoms are frequent and exacerbated with any exertion including just walking short distances.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Fever, chills, myalgias, fatigue, headache. Began 8 hours after the vaccine and lasted for 48 hours.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Fever, chills, myalgias, fatigue, headache. Began 8 hours after the vaccine and lasted for 48 hours.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: TESTED POSITIVE FOR COVID19 ON 01/31/21
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Sensitive skin
Clinical narrative: Chills, aches, sensitive skin, headache, slight fever
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: No adverse events from the above vaccination, other than a sore arm that last approximately 24 hours.  However the reason for this report is, this individual who is 17 yo was given a Moderna Covid vaccination which has an Emergency Use Authorization for those 18 years old and older.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: On 9th day after injection( Feb 3) felt itching to injection site on upper left arm.  Observed approx 1.5 inch diameter red circle, warm to touch and muscle area felt slightly swollen, but not painful to touch.  Day 9 and 10 applied a cold wet compress for 5 minutes about 2 times a day.  Circle remains, however, redness receding in center with red margins.  Because I felt no side effects or discomfort to site in first days, I did not look at injection site not visible when facing a mirror.  Thus, I do  not know if red circle has been present the entire time since receiving injection or if it suddenly appeared on Day 9. I did photograph the site today, Day 11.  I have had no other adverse symptoms.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Arm soreness/redness/swelling
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: patient called reporting a rash at injection site today (date 8) patient is not signed up for vsafe.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Hypoaesthesia oral, Paraesthesia, Tremor
Clinical narrative: Five minutes after taking the vaccine, patient c/o facial burning, face turning red, facial tingling, and feeling shaky. Admin Benadryl 25 mg PO.  Patient c/o tongue numbness.  B/P 180/94.  HR 70;.  EMS arrived for transport but patient declined.   Symptoms resolved.  F/U with patient confirmed that she went to ER. Admin Decadron
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Flushing
Clinical narrative: Flush & Feeling warm
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Myalgia, Pyrexia
Clinical narrative: Fever up to 101.1* F: Tylenol 320mg q 4 hrs x 3 doses, resolved after 12 hours Headache, onset at 5:00 a.m. morning after injection, resolved 18 hours later Muscle aches, onset 12 hours post injection, resolved after 24 hours Diarrhea, onset 40 hours post injection
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Myalgia, Rash
Clinical narrative: rash consistent with shingles, T4 dermatome, on same side, with muscle pain
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Vaccination site is swollen and very itchy.   Patient is taking Benadryl to treat the symptoms.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Inappropriate schedule of product administration
Clinical narrative: this event is being reported for the following reason: the patient was inadvertently given the 2nd dose shingrix today when he had 1st Covid vaccine on 1/26/21. this would be 10 days past admin of Covid vaccine and not the required 14 days wait. Patient was observed for 30 minutes post vaccine while remaining in clinic and no adverse reaction was noted while patient still in clinic. Covid-19, mRNA, LNP-S, PF (Pfizer-BioNTech) 0.3ml IM given in Left deltoid on 1/26/21. NDC 59267-1000-1 Lot # 1111-20-EL9262 exp date 5/31/21
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Myocardial infarction
Clinical narrative: Patient died of a heart attack on 1/31/21, 2.5 weeks after vaccination
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site rash, Pyrexia
Clinical narrative: Extreme fatigue fever- 100.3 highest chills headaches rash on site of  injection
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Headache, Joint swelling, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: started hurting same day of shot. i cried. i cant lift my arm at all. i cant dress or bath or anything. my shoulder is swollen.  I can only lift it with my other arm. pain goes up my shoulder to the back of my neck and up my head. The shot was given in the muscle and  joint. It was am immediate pain.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain
Clinical narrative: started hurting same day of shot. i cried. i cant lift my arm at all. i cant dress or bath or anything. my shoulder is swollen.  I can only lift it with my other arm. pain goes up my shoulder to the back of my neck and up my head. The shot was given in the muscle and  joint. It was am immediate pain.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Peripheral swelling
Clinical narrative: started hurting same day of shot. i cried. i cant lift my arm at all. i cant dress or bath or anything. my shoulder is swollen.  I can only lift it with my other arm. pain goes up my shoulder to the back of my neck and up my head. The shot was given in the muscle and  joint. It was am immediate pain.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Headache, Joint swelling, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: phone call from patient on 2/5/2021 who states that her arm is swollen and very and unable to lift arm.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain
Clinical narrative: phone call from patient on 2/5/2021 who states that her arm is swollen and very and unable to lift arm.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Peripheral swelling
Clinical narrative: phone call from patient on 2/5/2021 who states that her arm is swollen and very and unable to lift arm.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Physical examination, Pruritus
Clinical narrative: itchiness - benadryl, no relief.  sent for observation in ED
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthma, Headache, Nausea, Pain
Clinical narrative: itchiness - benadryl, no relief.  sent for observation in ED
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: itchiness - benadryl, no relief.  sent for observation in ED
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Pyrexia
Clinical narrative: fever, chills, headache, dirraha
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Erythema, Headache, Influenza like illness
Clinical narrative: flu like symptoms, chills, fever, aches, headache, nausea, dizziness, arm red and swelling
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Swelling
Clinical narrative: flu like symptoms, chills, fever, aches, headache, nausea, dizziness, arm red and swelling
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Lip injury, Loss of consciousness, Myalgia
Clinical narrative: I experienced muscle aches the spread across my entire back starting at about 8 PM on 2/4/21. At 2:30 AM on 2/5/21, I passed out three times after rising from the toilet, resulting in a split lip.  I was covered with sweat the third time I "came to" and soon got the chills.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Paraesthesia
Clinical narrative: Tingle in left side of face, chin, and Burning in Back from Right arm to left arm, Treatment, with Doxycline and Predisone, second day   some re-leaf.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site hypoaesthesia, Injection site inflammation, Injection site pain, Injection site paraesthesia
Clinical narrative: Moderna COVID-19 Vaccine EUA. 02/04/2021: Patient called to report adverse side effects following receipt of Moderna COVID-19 vaccine on February 3, 2021, 9:05 AM. 02/03/2021, 1 hour after vaccine, patient stated left arm pain at site of injection. 02/04/2021: patient had worsening Left arm pain, vaccination site redness, inflammation, and skin warm to touch at vaccination site. Patient notified health department approximately 3 PM. Nurse provided assessment questions via phone. In addition to previous stated symptoms: client stated slight numbness and tingling at site of injection (denied radiation down arm and to fingers), and rated pain ?4 or 5? (according to 1-10 pain scale). He was advised to: use cool compress 10-15 minutes per hour (vaccination site on the arm), contact his PCP to determine for evaluation, and determine if able to take ibuprofen or acetaminophen. 02/05/2021: Patient notified by health department nurse (9:00 AM) for cont. evaluation: identical evaluation as provided on 02/04/2021. Client stated he had contacted PCP office this AM and spoke with receptionist/nurse. He stated he was waiting for return call. 02/05/2021 (2 PM). Client again contacted byRN. Client had message to NP and had not received return call. RN explained, from evaluation, arm soreness was localized. RN stated that RN would notify client on 02/06/2021 to review symptoms. It was explained to client that if there was an increase in pain severity, swelling, redness, or transmission of tingling or numbness extending to fingers that he should go to the nearest Emergency Dept. for evaluation. Client verbalized his understanding.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site warmth, Pain in extremity
Clinical narrative: Moderna COVID-19 Vaccine EUA. 02/04/2021: Patient called to report adverse side effects following receipt of Moderna COVID-19 vaccine on February 3, 2021, 9:05 AM. 02/03/2021, 1 hour after vaccine, patient stated left arm pain at site of injection. 02/04/2021: patient had worsening Left arm pain, vaccination site redness, inflammation, and skin warm to touch at vaccination site. Patient notified health department approximately 3 PM. Nurse provided assessment questions via phone. In addition to previous stated symptoms: client stated slight numbness and tingling at site of injection (denied radiation down arm and to fingers), and rated pain ?4 or 5? (according to 1-10 pain scale). He was advised to: use cool compress 10-15 minutes per hour (vaccination site on the arm), contact his PCP to determine for evaluation, and determine if able to take ibuprofen or acetaminophen. 02/05/2021: Patient notified by health department nurse (9:00 AM) for cont. evaluation: identical evaluation as provided on 02/04/2021. Client stated he had contacted PCP office this AM and spoke with receptionist/nurse. He stated he was waiting for return call. 02/05/2021 (2 PM). Client again contacted byRN. Client had message to NP and had not received return call. RN explained, from evaluation, arm soreness was localized. RN stated that RN would notify client on 02/06/2021 to review symptoms. It was explained to client that if there was an increase in pain severity, swelling, redness, or transmission of tingling or numbness extending to fingers that he should go to the nearest Emergency Dept. for evaluation. Client verbalized his understanding.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Decreased appetite, Fatigue, Headache, Irritability
Clinical narrative: Sore right arm Headaches Muscle aches Right armpit painful Tiredness  Irritability  Lack of appetite
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Sore right arm Headaches Muscle aches Right armpit painful Tiredness  Irritability  Lack of appetite
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Arthralgia, Diarrhoea, Fatigue
Clinical narrative: Vaccine 1: flu like symptoms, severe headache, rash, severe body aches, fatigue for about 4 days.  Vaccine 2: Nausea, diarrhea, fatigue, severe body and  muscle and joint aches, headache, temporary loss of taste and smell again. Lasted about 30 hours. Diarrhea persisted for 6 days.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Myalgia, Nausea, Pain
Clinical narrative: Vaccine 1: flu like symptoms, severe headache, rash, severe body aches, fatigue for about 4 days.  Vaccine 2: Nausea, diarrhea, fatigue, severe body and  muscle and joint aches, headache, temporary loss of taste and smell again. Lasted about 30 hours. Diarrhea persisted for 6 days.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Orthostatic hypotension, Palpitations
Clinical narrative: Fast heart rate, sought treatment at the ER, dc paperwordkstated orthostatic hypotension
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pruritus, Skin reaction
Clinical narrative: an extremely itchy, red, sore, slightly swollen patch on my upper left arm (but not the exact site of the injection) about 2" x 1". So far, symptoms have subsided after 22 hours  except for redness.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Vital signs measurement
Clinical narrative: Pt stated she felt like she had a "tickle" in her throat.  She was given a bottle of water. She felt as though that was helpful.  She denied itchiness, shortness of breath, dizziness, lightheadedness, tachypnea, dysphagia, facial, tongue or lip swelling.  She denies feeling like her throat is closing. No visible rash or urticaria noted.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Fatigue, Feeling cold, Pain in extremity, Pyrexia
Clinical narrative: First dose :   Second day  of vaccination very mild fatigue ,  moderate pain  in arm Second dose :  pain in the arm began the day of vaccination, second day  at noon began chills, fatigue, joints pain and and fever at around 4 pm , highest reading 100.4  Third day feeling good for
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient's daughter feels as though some of the vaccine was not injected into deltoid therefore did not receive adequate dosing.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Headache, Lymphadenopathy, Nausea
Clinical narrative: Fever at max 39.7, body aches, chills, headache, nausea Severe lymph node swelling armpit on the side of injection ( size of a ping pong ball)
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: Fever at max 39.7, body aches, chills, headache, nausea Severe lymph node swelling armpit on the side of injection ( size of a ping pong ball)
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: 1.Fever 2.Headache 3.Bodyaches
Age: 66.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Alopecia, COVID-19, Rash pruritic
Clinical narrative: Hair loss started 4 days after 1st vaccine, had chicken pox type lesions when had active positive covid and lesions reappeared after vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Itchy and swollen rash at injection site began the evening of the eighth day after receiving the shot.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient stated that he had some lip tingling after first time dose after leaving from observation. That did diminish on its own.    3:00pm  Tongue tingling. 25mg of Benadryl given. BP, P, 02  through out observation. VS WNL normal and all symptoms resolved prior to leaving at 3:35pm. Patient verbalized feeling comfortable to leave. Director of Nursing and PCP will be notified.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Immunisation anxiety related reaction, Injection site bruising
Clinical narrative: Subjective  57 y.o. male who was seen at COVID Vaccine Clinic today for his second  dose of the COVID 19 vaccination.    He was given the Moderna vaccination in the right deltoid muscle.   During his 15 minute waiting period after the injection, the patient began to experience Right sided chest discomfort, mild shortness of breath and intermittent dizziness.  He denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and he was then assessed in the emergency  area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting. patient denies any previous cardiac history but does have Asthma. Chest discomfort did not worsen with activity and actually improved some per his report.      ALLERGY REVIEW OF SYSTEMS:  Patient complains of chest tightness (Right side, no radiation) and dizziness (Intermittent)       Previous Reactions: None   Objective   Vitals Vitals:   02/05/21 1009 02/05/21 1019 BP: 136/83 130/83 Pulse: 70 62 Resp:   14 SpO2: 98% 98%   Physical Exam Vitals signs reviewed.  Constitutional:      General: He is not in acute distress.    Appearance: He is not diaphoretic.  Cardiovascular:     Rate and Rhythm: Normal rate.     Heart sounds: Normal heart sounds. No murmur.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing.  Neurological:     Mental Status: He is alert.       Assessment/Plan  Treatment included: albuterol, water and Acetaminophen Follow up response to treatment: Excellent Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash)   Symptoms developed just prior to patient leaving, started visit at 10:05 am, self administered albuterol at 10:10am. Self administered Acetaminophen 1,000 mg at 10:24 AM, Symptoms resolved and patient discharged around 10:30 AM.    History of anxiety. Showed great relief of symptoms with use of his personal Albuterol inhaler and 1,000 mg of Acetaminophen (also his own). Symptoms completely subsided prior to discharge.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site haemorrhage, Injection site irritation, Injection site pain, Injection site rash
Clinical narrative: Subjective  57 y.o. male who was seen at COVID Vaccine Clinic today for his second  dose of the COVID 19 vaccination.    He was given the Moderna vaccination in the right deltoid muscle.   During his 15 minute waiting period after the injection, the patient began to experience Right sided chest discomfort, mild shortness of breath and intermittent dizziness.  He denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and he was then assessed in the emergency  area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting. patient denies any previous cardiac history but does have Asthma. Chest discomfort did not worsen with activity and actually improved some per his report.      ALLERGY REVIEW OF SYSTEMS:  Patient complains of chest tightness (Right side, no radiation) and dizziness (Intermittent)       Previous Reactions: None   Objective   Vitals Vitals:   02/05/21 1009 02/05/21 1019 BP: 136/83 130/83 Pulse: 70 62 Resp:   14 SpO2: 98% 98%   Physical Exam Vitals signs reviewed.  Constitutional:      General: He is not in acute distress.    Appearance: He is not diaphoretic.  Cardiovascular:     Rate and Rhythm: Normal rate.     Heart sounds: Normal heart sounds. No murmur.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing.  Neurological:     Mental Status: He is alert.       Assessment/Plan  Treatment included: albuterol, water and Acetaminophen Follow up response to treatment: Excellent Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash)   Symptoms developed just prior to patient leaving, started visit at 10:05 am, self administered albuterol at 10:10am. Self administered Acetaminophen 1,000 mg at 10:24 AM, Symptoms resolved and patient discharged around 10:30 AM.    History of anxiety. Showed great relief of symptoms with use of his personal Albuterol inhaler and 1,000 mg of Acetaminophen (also his own). Symptoms completely subsided prior to discharge.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Injection site rash, Myalgia, Night sweats
Clinical narrative: Increasing sore left deltoid.  Muscle ache in bilateral lower extremities, chills, night sweats.  Developed a rash at and just below injection site on 2/3/21.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Dizziness, Headache, Hyperhidrosis
Clinical narrative: 2/4/2021 330pm 22 hours post vaccine, sweat running down my neck and back, stomach cramps, felt like I could get diarrhea any minute,  fever of 100.2, pounding headache  2/5/2021 1230am horrendous muscle cramps in my legs, back hurts so bad couldn't get out of bed 2/5/2021 11am felt dizzy and lightheaded, pounding headache came back
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Pyrexia
Clinical narrative: 2/4/2021 330pm 22 hours post vaccine, sweat running down my neck and back, stomach cramps, felt like I could get diarrhea any minute,  fever of 100.2, pounding headache  2/5/2021 1230am horrendous muscle cramps in my legs, back hurts so bad couldn't get out of bed 2/5/2021 11am felt dizzy and lightheaded, pounding headache came back
Age: 22.0
Sex: U
Vaccine: COVID19
Symptoms: Back pain, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Got vaccine 02/02/21 starting feeling fatigued immediately 11am, around 5pm started feeling fever, at 7pm started having chills, fever and pain and keep getting worse, by 11pm or 12am fever was 102.6 with lower back pain and all muscles felt weak even with tylenol continued, 3-4 am started getting headache and fever starting going down after tylenol and pain reduced and chills stopped.  Now pt contined tylenol and is feeling better tried eating breakfast almost passed out, does not have appetite