chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Electrocardiogram, Fatigue, Headache
Clinical narrative: Within 45 mins of the first injection I felt dizzy and not myself. That night I had severe fatigue, body aches, chills, and headache. I woke the following day with severe fatigue, headache and tachycardia. Five days out I had muscle twitching and lymphadenopathy. I had tachycardia with heart rate in 120-130s at rest and higher with exertion. I had sustained tachycardia for a solid two days and then intermittently for five days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Muscle twitching, Pain, Tachycardia
Clinical narrative: Within 45 mins of the first injection I felt dizzy and not myself. That night I had severe fatigue, body aches, chills, and headache. I woke the following day with severe fatigue, headache and tachycardia. Five days out I had muscle twitching and lymphadenopathy. I had tachycardia with heart rate in 120-130s at rest and higher with exertion. I had sustained tachycardia for a solid two days and then intermittently for five days.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia
Clinical narrative: Chills, muscle and joint pain,  headache.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 7 days post vaccination, developed tenderness, warmth and swelling at injection site, size of  her palm.  Did not seek treatment, resolved within 4 days.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Herpes zoster, Rash, Rash erythematous
Clinical narrative: Developed painful head pain/neck pain on 2/15/21, followed by red rash, on neck upper right back and upper right chest. Went to Hospital on 2/20/21. Diagnosed with Shingles by doctor at that visit, 2/20/21.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Rash erythematous, Rash macular
Clinical narrative: Patient noticed a red, splotchy, rash on the back of her neck and upper back, extending to posterior R shoulder. She discovered it when she rubbed the back of her neck and felt a "sand-paper like"  texture to her skin. She noticed this at about 48 hours post-vaccine, and she went to the school nurse at the school where she is employed for an assessment. She denies having any other symptoms since the injection on 2/24/21. She denied itch but then reported itchiness after "thinking about it too much". She was advised to notify her PCP and took Benadryl once she got home around 2:45 PM. She also applied hydrocortisone cream and noticed a decrease in erythema. The sandpaper texture was also moderately relieved. Her injection was in the opposite arm, the L arm. She has no known history of allergies or reactions to vaccines or injectables. She did not have any recent changes in soaps, laundry products, or personal hygiene products. This nurse spoke with the patient at 4:40 PM on 2/24/21 and at this time the Benadryl was still in her system, but she felt it was helping to alleviate the size and extent of the rash which was originally  2 adjacent splotchy areas of about 2.5 inches in area. The patient had not yet notified her PCP and was again encouraged to do so.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Skin texture abnormal
Clinical narrative: Patient noticed a red, splotchy, rash on the back of her neck and upper back, extending to posterior R shoulder. She discovered it when she rubbed the back of her neck and felt a "sand-paper like"  texture to her skin. She noticed this at about 48 hours post-vaccine, and she went to the school nurse at the school where she is employed for an assessment. She denies having any other symptoms since the injection on 2/24/21. She denied itch but then reported itchiness after "thinking about it too much". She was advised to notify her PCP and took Benadryl once she got home around 2:45 PM. She also applied hydrocortisone cream and noticed a decrease in erythema. The sandpaper texture was also moderately relieved. Her injection was in the opposite arm, the L arm. She has no known history of allergies or reactions to vaccines or injectables. She did not have any recent changes in soaps, laundry products, or personal hygiene products. This nurse spoke with the patient at 4:40 PM on 2/24/21 and at this time the Benadryl was still in her system, but she felt it was helping to alleviate the size and extent of the rash which was originally  2 adjacent splotchy areas of about 2.5 inches in area. The patient had not yet notified her PCP and was again encouraged to do so.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: Pain at injection site for about 3 days- Tylenol Headache for 2 days  - Tylenol Fatigue for 2 days - rest
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash at the injection site on the left arm, 5-6 inches long and 3-4 inches wide
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bacterial test negative, Condition aggravated, Dermatitis, Hand dermatitis, Herpes simplex test
Clinical narrative: The patient received her first dose of the Moderna Covid-19 vaccine on 1/2/2021. Shortly after she noted that her hand eczema significantly worsened and became more swollen and itchy. She was treated with oral steroids and antihistamines. She had her second dose of the Moderna Covid-19 vaccine on 1/30/2021. After her second dose she noticed a flare of her hand and face dermatitis. She then developed shingles on the right side of the face shortly after the second dose, which was treated with valacylovir and gabapentin.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Varicella virus test positive
Clinical narrative: The patient received her first dose of the Moderna Covid-19 vaccine on 1/2/2021. Shortly after she noted that her hand eczema significantly worsened and became more swollen and itchy. She was treated with oral steroids and antihistamines. She had her second dose of the Moderna Covid-19 vaccine on 1/30/2021. After her second dose she noticed a flare of her hand and face dermatitis. She then developed shingles on the right side of the face shortly after the second dose, which was treated with valacylovir and gabapentin.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Malaise, Pain, Pyrexia
Clinical narrative: Starting feeling unwell approx 3:00 PM same day. By evening Fever went up to and stayed 102.5-102.9, severe headache, body aches and shivering/chills despite taking 2 extra strength Tylenol every 4 hours.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash pruritic
Clinical narrative: Nine days after received vaccine, got itchy rash at injection site.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Pruritus, Urticaria
Clinical narrative: 02/26/2021 itching, a large, swollen welt at injection site
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient reported lightheadedness following vaccination. Patient reported not eating before vaccination and fasting the days prior. Gave apple juice and granola bars. Patient vitals remained within normal limits throughout observation period. Patient monitored for total of 45 minutes following vaccination. Patient reported improvement by end of observation period. No other severe reaction noted.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Injection site pruritus, Injection site reaction, Pruritus
Clinical narrative: 02/19/2021:  slight rash over her chest and arm of immunization site. 02/20/2021:  around 5:30 pm, entire body started itching, to Benedryl around 7:30 pm and subsided 02/22/2021:  Mild itching at site of injection 02/25/2021:  Raised rash around 5:30 pm at site of injection, applied cortisone to the injection site 02/26/2021:  today early afternoon, started "felt off", chills,  noticed hives on neck, chest, upper abdomen, both arms and her back but these do not itch
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash papular, Urticaria
Clinical narrative: 02/19/2021:  slight rash over her chest and arm of immunization site. 02/20/2021:  around 5:30 pm, entire body started itching, to Benedryl around 7:30 pm and subsided 02/22/2021:  Mild itching at site of injection 02/25/2021:  Raised rash around 5:30 pm at site of injection, applied cortisone to the injection site 02/26/2021:  today early afternoon, started "felt off", chills,  noticed hives on neck, chest, upper abdomen, both arms and her back but these do not itch
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling, Somnolence
Clinical narrative: -Itching, Swelling, Firmness, Soreness around 2 inch diameter around injection site -Drowsiness
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Polyarthritis, Synovial fluid analysis
Clinical narrative: Asymmetric polyarthritis involving right ankle, left wrist, left elbow, left shoulder and neck
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Tremor
Clinical narrative: Patient received second dose of Pfizer vaccine. Both patient and her daughter went to the car to wait. Was approached by security as daughter returned to the center stating her mother was having a reaction. I went to the car & assessed patient. Patient c/o numbness/tingling along the left side of her face and head. Significant tremors and shortness of breath noted at the time. Daughter went and secured wheelchair & we brought the patient back into the vaccine clinic. VS at 1340: BP: 164/65, PO2: 88% on 3L, HR: 60 Patient reported anxiety prior to coming in for vaccine. VS at 1347:  BP: 184/82, PO2: 94% on 3L, HR: 60. Patient states numbness/tingling increasing; reporting circumoral tingling/numbness. 25mg Benadryl given. VS at 1355: BP: 233/102, PO2: 92% on 3L, HR: 60 Discussed with Pharmacist. EMTs called for transport to ED per patient's request. Observed in ED and d/c home with no further treatment in stable condition.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Headache, chills, nausea, difficulty breathing, body pain, swelling and redness of injection site. The next day after receiving it.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain
Clinical narrative: Headache, chills, nausea, difficulty breathing, body pain, swelling and redness of injection site. The next day after receiving it.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Incorrect dose administered
Clinical narrative: I am a pregnant patient. Dose 2  of Pfizer was injected too high,  ?pop? heard by nurse and myself.  Based on location this was likely into bursa .
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Condition aggravated, Ear infection, Ear pain
Clinical narrative: Sore throat and nasal congestion first week. Second week went to PCP for right ear pain. PCP saw infection on both ears but right eardrum was Ruptured. Second Vaccine on 2/3/21 and my symptoms for two days where headaches, fever, chills, body aches. 4 days later left ear had discharged, next day saw PCP ear infection worse. Given stronger antibiotics to take for 10more days. The next day 2/9/21 my ear was starting to swell, went to the ER and was admitted for severe ear infection.  Was discharged from the hospital on 2/15/21 with a midline on my right arm to continue home health with the antibiotics through a syringe.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Ear swelling, Headache, Laboratory test, Nasal congestion, Oropharyngeal pain
Clinical narrative: Sore throat and nasal congestion first week. Second week went to PCP for right ear pain. PCP saw infection on both ears but right eardrum was Ruptured. Second Vaccine on 2/3/21 and my symptoms for two days where headaches, fever, chills, body aches. 4 days later left ear had discharged, next day saw PCP ear infection worse. Given stronger antibiotics to take for 10more days. The next day 2/9/21 my ear was starting to swell, went to the ER and was admitted for severe ear infection.  Was discharged from the hospital on 2/15/21 with a midline on my right arm to continue home health with the antibiotics through a syringe.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Otorrhoea, Pain, Pyrexia, Tympanic membrane perforation
Clinical narrative: Sore throat and nasal congestion first week. Second week went to PCP for right ear pain. PCP saw infection on both ears but right eardrum was Ruptured. Second Vaccine on 2/3/21 and my symptoms for two days where headaches, fever, chills, body aches. 4 days later left ear had discharged, next day saw PCP ear infection worse. Given stronger antibiotics to take for 10more days. The next day 2/9/21 my ear was starting to swell, went to the ER and was admitted for severe ear infection.  Was discharged from the hospital on 2/15/21 with a midline on my right arm to continue home health with the antibiotics through a syringe.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide, Computerised tomogram, Dizziness, Electrocardiogram, Full blood count
Clinical narrative: presented with c/o possible allergic reaction to MODERNA vaccine. pt reported that he left  Urgent care 10 mins after recieving first COVID vaccination.  pt reported feeling lightheaded while driving, decided to pull in to facility. pt had syncopal episode while filling out paperwork. pt was sitting, was immediately assisted and did not sustained injury, but did have LOC.  pt had syncopal episode, dizziness, nausea and hypotension
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Loss of consciousness, Nausea, Syncope
Clinical narrative: presented with c/o possible allergic reaction to MODERNA vaccine. pt reported that he left  Urgent care 10 mins after recieving first COVID vaccination.  pt reported feeling lightheaded while driving, decided to pull in to facility. pt had syncopal episode while filling out paperwork. pt was sitting, was immediately assisted and did not sustained injury, but did have LOC.  pt had syncopal episode, dizziness, nausea and hypotension
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Headache, Nausea, Syncope
Clinical narrative: The patient presents with symptoms that started immediately after pt received her first covid vaccine around 1000 today at center.  she developed lightheadedness, sob, nausea, h/a, and when er triage nurse was triaging her she syncopized for 3-4 seconds. no fall. pt was seated.  and pt also reports that earlier she felt like the room was spinning.     Tx in the ED w zofran and discharged.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: The patient presents with symptoms that started immediately after pt received her first covid vaccine around 1000 today at center.  she developed lightheadedness, sob, nausea, h/a, and when er triage nurse was triaging her she syncopized for 3-4 seconds. no fall. pt was seated.  and pt also reports that earlier she felt like the room was spinning.     Tx in the ED w zofran and discharged.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: tingling and numbness on left side of mouth and face, beginning immediately after injection, and continuing intermittently for two days so far. Exacerbation of rash on right hand that usually occurs when exposed to wheat, beginning 24 hours after injection. Muscular pain in back beginning 12 hours after injection and subsiding 40 hours after injection.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: tingling and numbness on left side of mouth and face, beginning immediately after injection, and continuing intermittently for two days so far. Exacerbation of rash on right hand that usually occurs when exposed to wheat, beginning 24 hours after injection. Muscular pain in back beginning 12 hours after injection and subsiding 40 hours after injection.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: developed a slight rash.  took PO benadryl in monitoring site.  Symptoms resolved.  Patient left without issue
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Rash
Clinical narrative: Rash starting in center of chest and under breasts, spread to stomach, and spanned across sides of torso onto back. Spread mildly onto shoulder/neck. Pain/soreness at injection site, started a few hours after injection, and subsided a few days after injection.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: CSF test abnormal, Cardiac arrest, Guillain-Barre syndrome
Clinical narrative: Guillian Barre Syndrome with asystole for 20 seconds
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Hypoaesthesia oral, Iron deficiency, Muscular weakness, Oral discomfort
Clinical narrative: Guillian Barre Syndrome with asystole for 20 seconds
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Guillian Barre Syndrome with asystole for 20 seconds
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal distension, Dyspnoea, Paraesthesia, Pruritus
Clinical narrative: Eyelids and face swollen, itching on the jaw, tingling sensation and possible stomach upset and some shortness of breath.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Swelling of eyelid
Clinical narrative: Eyelids and face swollen, itching on the jaw, tingling sensation and possible stomach upset and some shortness of breath.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pruritus, Flushing, Hypersensitivity, Nervousness, Urticaria
Clinical narrative: Notified by patient that she had "an allergic reaction" to her first dose of the vaccine. "It happened a day later, but I don't know if it was the shrimp I had that day. I was flushed and I got welts, so I went to the urgent care. I was prescribed an Epi-pen by my allergist after following up with them. I feel comfortable getting the second dose." Pharmacist and vaccine clinic lead notified. 30 min after dose given, pt states, "My ears are feeling a little itchy." Vital signs @ 1002: BP 175/80 P 69 O2 97% Temp 98.3 F R 12. VS @ 1007: BP 165/79 P 64 O2 98% Temp 98.4 F R 14. 1015 Pt states, "I'm feeling better and my husband is at home to watch me. I think I was just nervous." Pt declines dizziness/lightheadedness upon standing and declines any itching after second set of VS. Educated pt on strict ER precautions. Pt verbalized understanding and was appreciative for visit.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: Numbness in lips on right side
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever for three days registering from 103.0 to 105.0, Treatment has been Tylenol and Ibuprofen
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: Pt reported covid arm - that lasted 9 days post vaccination
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt started the Moderna vaccine with his first dose and was vaccinated for the second dose with Pfizer Covid-19 vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: I woke up in the morning eight days after receiving Dose #1 to find my upper arm all around the injection site (about a 2" x 4" area) covered in a raised, red, itchy rash--much like poison ivy-type rash. I started applying OTC 1% hydrocortisone cream three times a day and the rash is slowly going away but has not completely cleared up yet.   Please note: This is not interfering with my daily activities, but I wanted to report it as a possibly unusual side effect to be added to the information base about the vaccine (assuming a few others may have had it as well).
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulation drug level above therapeutic
Clinical narrative: Supratherapeutic INR on warfarin, unclear if this was related
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Genital herpes simplex
Clinical narrative: Severe Herpes simplex vulvovaginitis outbreak 24 hours after second Moderna covid-19 vaccination with prolonged course unresponsive to antiviral therapy.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: patient had vasovagal reaction and felt light headed. She got on the ground herself and put her feet up, prevented fainting. She recovered within minutes and was given apple juice. This has happened before with other needles and procedures. She fully recovered after about 10 minutes.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Erythema below site of injection, swelling and darker in color.  Calor and itching also present. Site about 3x3, just above the right elbow.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Developed tingling in arm that shot was given- symptoms resolved within 24 hours
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Severe headache for 3 days
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site pain, Rash erythematous, Skin warm
Clinical narrative: -Flu like symptons started about 8 hours after and lasted for 36 hours. - Injection sight very sore (nothing with first vaccine) and developed hot red rash which increased in size for 48 hours then slowly disappeared
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Pallor, Tremor, Unresponsive to stimuli, Urinary incontinence
Clinical narrative: 2/26/21 @ 1150 Pt in 15min waiting area following administration of moderna 2nd dose. Approx. 5min into wait the pt wife reported something was wrong. Pt was pale, shaking, non responsive and urinated on himself during this event. Pulse was present. Within moments pt became responsive and answering questions.  Ambulance arrived, preformed assessment, advised to go to hospital. Pt refused. Pt remained coherent and without complaints.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Diarrhoea, Dizziness, Feeling abnormal
Clinical narrative: Felt normal side effects for 24 hours . 3 days later started with weakness, diarrhea , slight fever. 5 days later having bouts of weakness, not able to think clearly an BP was elevated to 160/90. Now for 2&1/2 weeks symptoms continue  up till today when almost passed out, BP190/99. Feel terrible. Have apt next week with my Dr. Getting scary.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Thinking abnormal
Clinical narrative: Felt normal side effects for 24 hours . 3 days later started with weakness, diarrhea , slight fever. 5 days later having bouts of weakness, not able to think clearly an BP was elevated to 160/90. Now for 2&1/2 weeks symptoms continue  up till today when almost passed out, BP190/99. Feel terrible. Have apt next week with my Dr. Getting scary.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Facial pain, Swelling face
Clinical narrative: started with slight pain in left cheek and then had swelling with no pain. started approximately 3 hours after injection.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Heart rate increased, Hypotension, Nausea
Clinical narrative: Day of vaccine-1/7/21-no symptoms.  Day 2-1/8/21-started vomiting and vomited with nausea for 7 days and extreme fatigue-first ER visit on 1/14/21, second ER visit on 1/16/21-started having heart palpitations on 1/14/21 and was lightheaded and dizzy with low Blood Pressure and elevated heart rate=180. On 1/16/21-with activity heart rate jumped up to 190, and provider stated this was Inappropriate Sinus Syndrome caused by Acute Viral Response.  Is set to have a heart ablation in March 2021.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Sinus tachycardia, Sustained viral response, Vomiting
Clinical narrative: Day of vaccine-1/7/21-no symptoms.  Day 2-1/8/21-started vomiting and vomited with nausea for 7 days and extreme fatigue-first ER visit on 1/14/21, second ER visit on 1/16/21-started having heart palpitations on 1/14/21 and was lightheaded and dizzy with low Blood Pressure and elevated heart rate=180. On 1/16/21-with activity heart rate jumped up to 190, and provider stated this was Inappropriate Sinus Syndrome caused by Acute Viral Response.  Is set to have a heart ablation in March 2021.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Hyperhidrosis, Myocardial infarction, Nausea, Skin warm
Clinical narrative: Excerpt taken from patient's medical record notes.    Recreational Therapist was in room with patient who was at baseline mentation at that time, and was getting patient a cup of tea.  Rec Therapist observed patient to "all of a sudden slouch down toward left side" and became unresponsive.  Therapist called for help, and Registered Nurse (RN) and Certified Nurse Aide (CNA) came into room.  Patient was initially non-responsive and profusely sweating and hot to touch.  Vitals  were taken (see below).  The patient then slowly became responsive after approximately 4 minutes and was visibly nauseous  and appeared like she was going to vomit, but ultimately did not.  Patient was assisted into bed, APRN was called, order for vital signs to be taken every 4 hours for 72 hours, and Electrocardiogram (EKG) to be performed.   EKG results were abnormal, indicative of infarct; APRN ordered transport to Emergency Department.   Patient returned from Hospital ED at approximately 10:45 PM same day (1/28/21), with transfer paperwork documenting  a  Hospital diagnosis of "Syncope" without any additional lab results or any new medication or treatment orders in the documentation.  Follow up the next day (1/29/21) by RN at the Nursing Facility--RN logged into the Hospital medical Charting system, only to find that there was no record whatsoever of the patient being in the Emergency Department on 1/28/21--no notes, no labs, no summary from a practitioner.  Patient recovered and has resumed close-to-baseline activity and functioning.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Excerpt taken from patient's medical record notes.    Recreational Therapist was in room with patient who was at baseline mentation at that time, and was getting patient a cup of tea.  Rec Therapist observed patient to "all of a sudden slouch down toward left side" and became unresponsive.  Therapist called for help, and Registered Nurse (RN) and Certified Nurse Aide (CNA) came into room.  Patient was initially non-responsive and profusely sweating and hot to touch.  Vitals  were taken (see below).  The patient then slowly became responsive after approximately 4 minutes and was visibly nauseous  and appeared like she was going to vomit, but ultimately did not.  Patient was assisted into bed, APRN was called, order for vital signs to be taken every 4 hours for 72 hours, and Electrocardiogram (EKG) to be performed.   EKG results were abnormal, indicative of infarct; APRN ordered transport to Emergency Department.   Patient returned from Hospital ED at approximately 10:45 PM same day (1/28/21), with transfer paperwork documenting  a  Hospital diagnosis of "Syncope" without any additional lab results or any new medication or treatment orders in the documentation.  Follow up the next day (1/29/21) by RN at the Nursing Facility--RN logged into the Hospital medical Charting system, only to find that there was no record whatsoever of the patient being in the Emergency Department on 1/28/21--no notes, no labs, no summary from a practitioner.  Patient recovered and has resumed close-to-baseline activity and functioning.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt received first covid-19 vaccine with Moderna. Pt was given Pfizer covid-19 vaccine for her second dose.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: vomiting
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Infection, Injection site erythema, Injection site induration, Skin warm
Clinical narrative: Quarter size Red circle surrounded by swollen area about 3 in. Over 12 days the red area grew to i compass the  3 in swollen area   The entire area was hot. With a hard darker red  area at injection site.  Probable infection diagnosed    Cephalexin prescribed.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Quarter size Red circle surrounded by swollen area about 3 in. Over 12 days the red area grew to i compass the  3 in swollen area   The entire area was hot. With a hard darker red  area at injection site.  Probable infection diagnosed    Cephalexin prescribed.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Photophobia
Clinical narrative: Slight nausea and about 2:00 am -woke up with an excruciating headache - worse when I was lying down. Sensitivity to lights. Fatigue throughout the day as well. I called clinic at 8:00 am (where I work, too) - spoke with a nurse through triage. They told me to rest and that I should stay on schedule for my second dose (didn't think it was from vaccine). Told me I could take 600 mg Ibuprofen about noon that day and finally started getting relief from headache. I did take another Ibuprofen when I went to bed. On the 13th,I was back to 100%. I don't usually get migraines - it was really weird because I felt worse when I was lying down.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphagia, Pharyngeal swelling, Urticaria
Clinical narrative: Urticaria, chest tightness, difficulty swallowing, "throat swelling"
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Flushing, Nausea, Pain, Pyrexia
Clinical narrative: The night of the second dose: Facial flushing, fever of 101.6, nausea, shivering for extended period during night,  general aches and pains. Through body,  By Thursday evening, fever reduced to 100.5.  Friday morning, temperature was 98.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Mild rash on forearms approximately 10 minutes after injection. Subsided/cleared 10 minutes later.   Issue potentially occurred with first dose but difficult to determine based on resident skin color. Gave low dose (6.25mg diphenhydramine) 30 minutes prior to the dose on 2/26 in the event there was a adverse reaction with 1st dose.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Developed tingling in arm. The tingling was not in the arm that the vaccine was administered.  Patient stayed in monitoring center for an hour and symptoms resolved.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Vomiting
Clinical narrative: Fever, chills, aches, headache and vomiting
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: After vaccination with Pfizer vaccine at our clinic, the patient presented her vaccine card to the nurse and it showed that she had previously received the Moderna vaccine.  The patient stated that someone at her workplace had scheduled the appointment for her.  Our clinic records showed that she had registered to receive a 1st dose and 2nd dose of Pfizer vaccine with us through .  The patient was monitored for 15 minutes and did not experience any adverse reactions.  She was discharged with instructions that she had completed her Covid vaccine series.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Itching and redness at injection site
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Tremor
Clinical narrative: received vaccine at 1007, complaint of dizziness and nausea at 1010, BP 147/74 HR 80 100% on room air. continued to monitor. at 1050 BP 161/82 HR 88 100% on room air. continues to complain of dizziness and nausea and starting to have tremors. Patient was placed in a wheelchair vs at 1036 152/74 HR 139 100% on room air, at 1040 patient was taken to the ER via wheelchair.  Given tylenol in ED. Discharged.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Rash
Clinical narrative: pt had developed a rash, suspect cellulitis.  action taken: cephalexin 500 mg 1 capsule bid for 5 days
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Peripheral swelling
Clinical narrative: Sore and red at injection and arm swollen
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Contusion, Fatigue, Peripheral swelling, Pruritus
Clinical narrative: reaction started 9 days after shot:  arm swelling with 2 bruises, itching, small lumps that itched, irritation in chest area, fatigue
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: reaction started 9 days after shot:  arm swelling with 2 bruises, itching, small lumps that itched, irritation in chest area, fatigue
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination error
Clinical narrative: Vaccine error. The patient received Dose 1 Moderna 1/28/2021 (lot 004M20A) and recieved the second dose of Pfizer in error. The dose should have been Moderna. The event occurred at a large vaccine site administered jointly bt.  This event is being reported as a vaccine error to assist in data collection and process improvement. CDC recommendations are that no further action is needed at this time.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Cough, Dizziness, Oropharyngeal discomfort
Clinical narrative: Patient left clinic with husband 15 mins after dose. She noticed she was coughing while she was in the obeservation area but thought it was due to wearing a mask. When she got into her car she felt chest tightness and her throat was "gummy", also tingling on lips and mild dizziness/weakness. They returned to the hospital and were escorted to ED to be evaluated. Was given oral benadryl, pepcid, prednisone and albuterol inhaler with effect. Discharged home after 1 hour of observation and symptom resolution.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient left clinic with husband 15 mins after dose. She noticed she was coughing while she was in the obeservation area but thought it was due to wearing a mask. When she got into her car she felt chest tightness and her throat was "gummy", also tingling on lips and mild dizziness/weakness. They returned to the hospital and were escorted to ED to be evaluated. Was given oral benadryl, pepcid, prednisone and albuterol inhaler with effect. Discharged home after 1 hour of observation and symptom resolution.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Chest X-ray, Computerised tomogram, Electrocardiogram
Clinical narrative: Had syncopal episode a week later, followed by weakness, fatigue, fogginess and balance impairment for three days.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Laboratory test, Syncope
Clinical narrative: Had syncopal episode a week later, followed by weakness, fatigue, fogginess and balance impairment for three days.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Ear swelling, Hypoaesthesia oral, Mastication disorder, Pain in jaw, Trismus
Clinical narrative: On 2nd day following vaccine I woke with a really hard jaw pain  Its hard to eat, chew  or even open mouth. Now on 2/26/21 it still hurts however it is better, there is a slight swelling at the bottom of my right ear. The bone.( It seems) Question is:  is this a known reaction? About 10 minutes following the vaccine my upper left lip became numb ,but only a few seconds then disappeared.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine, Headache, Urine output decreased
Clinical narrative: headachy  urination decreased
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Exfoliative rash, Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Pruritic, erythematous, raised, scaly rash on trunk and arms developed about 2 weeks after first dose of COVID-19 mRNA vaccine (Moderna). Patient reported he does not know what may have caused the rash aside from the COVID-19 vaccine, denies other recent changes to medications, soaps, detergents prior to onset of the rash. Rash is still present on trunk, arms, and legs about 2 weeks later on 2/26/21 and patient reports he has seen Dermatology and been prescribed a topical treatment.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Pain
Clinical narrative: Cold sweats, body aches
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dyspnoea, Fatigue, Headache, Hypotension
Clinical narrative: Pt received dose #2 Moderna COVID vaccine 2/1/21 @  clinic. 2/4/21 @ 1645 presents to  ED for workup of hypotension, headache. Also reporting back pain, fatigue, shortness of breath. Given IVF and able to discharge home without escalation of care
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Hemiplegia, Skin abrasion
Clinical narrative: Patient reported temporary paralysis on entire left side of body. Patient fell and suffered abrasions. Symptoms resolved within 30 minutes
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Fatigue, Headache, Hypoaesthesia
Clinical narrative: After 10-15min of receiving the second booster I experienced numbness, tingling and muscle weakness in my hands, fingers and arms.  This lasted about an hour then subsided.  The very next morning I woke up with a bad migraine and a headache that lasted consistently for 10 days.  I had intense chills and shaking for three days that started within 24 hours of receiving it.  I also experienced muscle aches and pains, fatigue, nausea and tummy aches lasting about 10 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Muscular weakness, Myalgia, Nausea, Paraesthesia
Clinical narrative: After 10-15min of receiving the second booster I experienced numbness, tingling and muscle weakness in my hands, fingers and arms.  This lasted about an hour then subsided.  The very next morning I woke up with a bad migraine and a headache that lasted consistently for 10 days.  I had intense chills and shaking for three days that started within 24 hours of receiving it.  I also experienced muscle aches and pains, fatigue, nausea and tummy aches lasting about 10 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: After 10-15min of receiving the second booster I experienced numbness, tingling and muscle weakness in my hands, fingers and arms.  This lasted about an hour then subsided.  The very next morning I woke up with a bad migraine and a headache that lasted consistently for 10 days.  I had intense chills and shaking for three days that started within 24 hours of receiving it.  I also experienced muscle aches and pains, fatigue, nausea and tummy aches lasting about 10 days.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Muscle spasms
Clinical narrative: Other than mild pain at the injection site on the night of 2/19/21, things were fine until Tuesday, 2/22/21 when my tongue began twitching.  It is now 2/26/21 and it continues to twitch.  I can eat and drink and swallow fine.
Age: 87.0
Sex: U
Vaccine: COVID19
Symptoms: Epistaxis, Hypertension
Clinical narrative: nose bleeds (epistatis)  140/90 BP P-80  o2 98%  #21 went home
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Tendonitis
Clinical narrative: Onset of severe ipsilateral arm pain 2 days after immunization.  Pain improving. Exam consistent with bicep tendonitis.  Treating with rest, ice, acetaminophen.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac telemetry, Computerised tomogram head normal, Dysarthria, Facial paralysis, Hemiparesis
Clinical narrative: On 02/09/2021, the patient received his first dose of the Pfizer COVID-19 vaccine.  Two days later, the patient presented to ER at Hospital on 02/11/2021 after noticing right arm weakness, slurred speech and facial droop while in the shower at home.  Patient was evaluated and determined to have an ischemic stroke, treated with tPA.  Patient transferred to hospital ICU for monitoring on 02/12/2021.  Patient transferred to step down care on 02/12/2021 and then was discharged  home on 02/13/2021 with improvement in his right sided weakness and the ability to ambulate independantly.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Ischaemic stroke, Muscular weakness, Plasminogen activator inhibitor, Sinus rhythm
Clinical narrative: On 02/09/2021, the patient received his first dose of the Pfizer COVID-19 vaccine.  Two days later, the patient presented to ER at Hospital on 02/11/2021 after noticing right arm weakness, slurred speech and facial droop while in the shower at home.  Patient was evaluated and determined to have an ischemic stroke, treated with tPA.  Patient transferred to hospital ICU for monitoring on 02/12/2021.  Patient transferred to step down care on 02/12/2021 and then was discharged  home on 02/13/2021 with improvement in his right sided weakness and the ability to ambulate independantly.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: On 02/09/2021, the patient received his first dose of the Pfizer COVID-19 vaccine.  Two days later, the patient presented to ER at Hospital on 02/11/2021 after noticing right arm weakness, slurred speech and facial droop while in the shower at home.  Patient was evaluated and determined to have an ischemic stroke, treated with tPA.  Patient transferred to hospital ICU for monitoring on 02/12/2021.  Patient transferred to step down care on 02/12/2021 and then was discharged  home on 02/13/2021 with improvement in his right sided weakness and the ability to ambulate independantly.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Condition aggravated, Rash erythematous, Rash papular
Clinical narrative: I had a lot of the usual adverse events, but yesterday (a week after the 2nd dose) I got a very bad, burning rash, a raised, red area, on my brow, an area where I sometimes have dermatitis. It doesn't burn as much today but is still puffy and red. I think the vaccine supercharged (for lack of a better word) the dermatitis.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture, Blood lactic acid, C-reactive protein, Headache, Leukocytosis
Clinical narrative: Severe headache, fever, leukocytosis, myalgias, neck stiffness
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture, Musculoskeletal stiffness, Myalgia, Pyrexia, Red blood cell sedimentation rate
Clinical narrative: Severe headache, fever, leukocytosis, myalgias, neck stiffness
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, White blood cell count
Clinical narrative: Severe headache, fever, leukocytosis, myalgias, neck stiffness
Age: 100.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient stated she was having some SOB after being vaccinated. She states she is Asthmatic and have not had her nebulizer treatment in over a week, because she had received a new one and had no idea how to set it up. Patient's VS was stable and Sat @ 95% - 97% on RA. Patient urged to take 2 puffs of her Xopenex treatment. Patient was then monitored for an additional 10 minutes after which she states felt well enough to go home. Patient accompanied by her husband to home in stable condition
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Mild headache; BP 148/75 (pulse 83); final BP 146/61 (pulse 71).
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Nausea, Paraesthesia
Clinical narrative: Pt received Moderna 1st dose at 12:11.  12:20 Felt Flush.  12:28 felt tingling all over body, diaphoretic.  12:30 BP - 60/35, HR 80 100% RA. Physician notified.  Physician  arrived and evaluated pt.  Pt placed on a gurney trendeleberg.  12:40 BP - 137/35, 88, 110% RA. Complained of nausea.12:45 113/64 73, 100% RA.  Patient remain in the clinic for observation.  Husband picked up patient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Herpes zoster oticus
Clinical narrative: Recurrent Ramsey Hunt syndrome (herpes zoster involving left ear/face)
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Incoherent, Memory impairment, Mobility decreased
Clinical narrative: INCOHERENT: NO MEMORY OF EVENT FROM SATURDAY MORNING TO MONDAY MORNING. 101.9 FEVER FOR 48 HOURS. SEVER WEAKNESS ,  COULDN'T MOVE HIMSELF, COULDN'T GET OUT OF BED OR EVEN ROLL OVER IN BED: DIFFICULTY BREATHING, LOW OXYGEN
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: INCOHERENT: NO MEMORY OF EVENT FROM SATURDAY MORNING TO MONDAY MORNING. 101.9 FEVER FOR 48 HOURS. SEVER WEAKNESS ,  COULDN'T MOVE HIMSELF, COULDN'T GET OUT OF BED OR EVEN ROLL OVER IN BED: DIFFICULTY BREATHING, LOW OXYGEN
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombophlebitis superficial, Ultrasound Doppler
Clinical narrative: Patient developed extensive superficial thrombophlebitis of left leg  within 36 hours of receiving the vaccine with no other provocative factor
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Pyrexia
Clinical narrative: I felt extra tired before bed that night. I woke up at 06:30 I had some body aches and felt really fatigued and had some nausea. I felt well enough to work from home. I logged on and worked but by 08:30 am - I had a fever 101.6. I did take two Tylenol 325mgs at 09:00 am. I kept on with chills and fever and it went down  to 99.6 and it bounced back up in afternoon and I took another dose of Tylenol (325 mgs each) - at 1:30 because it was up for 101.6 - with nausea, chills and body aches. Tylenol did help again this time. I didn't take my temp after work. Right before bed, the chills had basically gone away but I took another dose of Tylenol (two of the 325 mgs) before bed. I woke up the next morning feeling really well with just a little a bit of fatigue (so I was 95% back to normal).
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Migraine, Nausea, Pain in extremity
Clinical narrative: She reported her left arm started hurting about an hour after injection.  Started having a mild to moderate headache around 5:30 pm on 02/23/21.  She reported that she was able to sleep that night.  Woke up around 4:30 am with a severe migraine, swelling in her left arm and fingers which continued to get worse throughout the day.  She took Tylenol, Ibuprofen, Benadryl, Maxalt before contacting the health department and physician.  She was seen by her primary care physician on the 02/24.  She received a Toradol shot, and was prescribed Flexeril. She reported that her headache started to lessen around 9:00 pm on 02/25/21.  She reports a mild head ache the morning of 02/26/21 and by 11:00 am her headache has resolved.  She is still having chills, and nausea.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: She reported her left arm started hurting about an hour after injection.  Started having a mild to moderate headache around 5:30 pm on 02/23/21.  She reported that she was able to sleep that night.  Woke up around 4:30 am with a severe migraine, swelling in her left arm and fingers which continued to get worse throughout the day.  She took Tylenol, Ibuprofen, Benadryl, Maxalt before contacting the health department and physician.  She was seen by her primary care physician on the 02/24.  She received a Toradol shot, and was prescribed Flexeril. She reported that her headache started to lessen around 9:00 pm on 02/25/21.  She reports a mild head ache the morning of 02/26/21 and by 11:00 am her headache has resolved.  She is still having chills, and nausea.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Urticaria
Clinical narrative: Hives and facial swelling approximately 30 minutes after vaccine; went to urgent care; doctor administered epinephrine and steroid; started series of benedryl and Pepcid for 48 hours; swelling and hives went away
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Gastric disorder, Headache, Pain in extremity
Clinical narrative: Fever, chills, headache,  arm pain and into back and under arm... some stomach issues
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, headache,  arm pain and into back and under arm... some stomach issues