chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Lyme disease, Magnetic resonance imaging head abnormal, Magnetic resonance imaging thoracic abnormal, Multiple sclerosis, Muscular weakness
Clinical narrative: The patient is a 49 year old male who has a past medical history significant for bipolar disorder with manic episodes, OSA on CPAP, morbid obesity, HLD, and  relapsing remitting MS.  Per chart review, patient's MS was initially diagnosed in 2012 on MRI and LP and was on Copaxone for several years but stopped taking in 2017.  Symptoms and imaging remained stable through 2019 then patient was lost to follow up until he was seen by Dr.  on 4/12/21 who ordered an outpt MRI.   Patient had COVID vaccine with Jansen vaccine on 4/10/21.  He developed bilateral upper and lower exremity weakness and urinary retention on 4/21/21 which prompted presentation.  He came into ED 4/21/21 and had foley placed but removed foley and decided to leave AMA. Returned on 4/22/21 with worsening symptoms and was subsequently admitted. Patient was seen by neurology and started on high dose steroid x5d for MS exacerbation. Initial MRI of the brain obtained on 4/22/21 was notably stable without change in previously described white matter disease. No new lesions to suggest active demyelination. New plaques were noted on MRI C and T spine (4/22/21). It is noted that patient received COVID19 vaccination with J&J vaccine on 4/10/21 and temporal relationship between his acute presentation and recent vaccination was questioned.    On 4/30/21, patient developed severe bilateral facial weakness and he additionally was reported to have had an episode of aspiration.  Repeat MRI brain on 4/30/21 showed new bilateral facial nerve enhancement. Etiologies could include: GBS, Lyme disease, botulism, neurosarcoidosis, less likely myasthenia gravis.  LP was pursued on 5/1/21 which was significant for tube 4 with 136 WBC, 88% lymphocytes, glucose 89, protein 632. Meningitis/encephalitis panel was negative.  Lyme CSF was negative, Lyme antibody panel was positive.  MuSK antibody negative.  ACE blood level normal.  Ganglioside antibody panel and myasthenia graivs adult panel pending. He is being treated for Lyme disease with Ceftriaxone 2g IV daily since 5/1/21 with plan for 2-4 week course to cover for Lyme disease.  He is still admitted and is still having symptoms of facial palsy as of today (5/4/21)
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary retention, Viral test negative
Clinical narrative: The patient is a 49 year old male who has a past medical history significant for bipolar disorder with manic episodes, OSA on CPAP, morbid obesity, HLD, and  relapsing remitting MS.  Per chart review, patient's MS was initially diagnosed in 2012 on MRI and LP and was on Copaxone for several years but stopped taking in 2017.  Symptoms and imaging remained stable through 2019 then patient was lost to follow up until he was seen by Dr.  on 4/12/21 who ordered an outpt MRI.   Patient had COVID vaccine with Jansen vaccine on 4/10/21.  He developed bilateral upper and lower exremity weakness and urinary retention on 4/21/21 which prompted presentation.  He came into ED 4/21/21 and had foley placed but removed foley and decided to leave AMA. Returned on 4/22/21 with worsening symptoms and was subsequently admitted. Patient was seen by neurology and started on high dose steroid x5d for MS exacerbation. Initial MRI of the brain obtained on 4/22/21 was notably stable without change in previously described white matter disease. No new lesions to suggest active demyelination. New plaques were noted on MRI C and T spine (4/22/21). It is noted that patient received COVID19 vaccination with J&J vaccine on 4/10/21 and temporal relationship between his acute presentation and recent vaccination was questioned.    On 4/30/21, patient developed severe bilateral facial weakness and he additionally was reported to have had an episode of aspiration.  Repeat MRI brain on 4/30/21 showed new bilateral facial nerve enhancement. Etiologies could include: GBS, Lyme disease, botulism, neurosarcoidosis, less likely myasthenia gravis.  LP was pursued on 5/1/21 which was significant for tube 4 with 136 WBC, 88% lymphocytes, glucose 89, protein 632. Meningitis/encephalitis panel was negative.  Lyme CSF was negative, Lyme antibody panel was positive.  MuSK antibody negative.  ACE blood level normal.  Ganglioside antibody panel and myasthenia graivs adult panel pending. He is being treated for Lyme disease with Ceftriaxone 2g IV daily since 5/1/21 with plan for 2-4 week course to cover for Lyme disease.  He is still admitted and is still having symptoms of facial palsy as of today (5/4/21)
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling of body temperature change, Nausea
Clinical narrative: Dizziness, nausea, alternating hot flashes and cold chills.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Inflamed lymph node under left arm.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell's Palsy, Left side of face
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dizziness, Fatigue, Headache, Muscular weakness
Clinical narrative: Severe Headache, severe body aches, fever 101.5 F,  severe nausea, vomiting, severe fatigue, severe dizziness and vertigo, severe pain in legs and arms and neck, upset stomach, weakness in legs. These severe adverse events lasted for 40 hours following vaccination.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Severe Headache, severe body aches, fever 101.5 F,  severe nausea, vomiting, severe fatigue, severe dizziness and vertigo, severe pain in legs and arms and neck, upset stomach, weakness in legs. These severe adverse events lasted for 40 hours following vaccination.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: Severe Headache, severe body aches, fever 101.5 F,  severe nausea, vomiting, severe fatigue, severe dizziness and vertigo, severe pain in legs and arms and neck, upset stomach, weakness in legs. These severe adverse events lasted for 40 hours following vaccination.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Neck pain, Vaccine positive rechallenge
Clinical narrative: Twenty-four hours after the second vaccine of Moderna developed pain on Right side of neck, above the right ear, four times and  lasting five second. With pain scale of 2 or 3.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Mixed Series. Incorrect mRNA COVID-19 vaccine product administered for second dose in 2-dose series
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Hunger, Hypersomnia, Injection site erythema
Clinical narrative: Note that after shot number 1 , I had nothing more than a sore arm, but I did get the raised welt 'Covid Arm' about a week after. No pain after day 1.  After shot #2 on May 1, the arm has been minimally sore. I felt totally normal for about 24 hours. After about 24 hours, however, I started to feel fatigued and brain-fogged. Then I developed muscle aches in the neck and shoulder area. Also got a low-grade fever (normal for me is 97.5 and when I checked it was 98.1). Taste was off during that time as well. I felt hungry but my stomach was queasy and nothing tasted right, so I didn't eat much. After 24 hours of that, where I slept a lot, I improved quickly.  Could almost feel stronger by the hour. Monday (day 2) I worked all day (on the computer) and struggled a little, but was mostly fine. After work, I did some work landscaping with digging and hard work and was fine. Then a day later I noticed the injection site in the left arm had a raised welt, but smaller and not discolored in the same way it was after the first shot. (After the first shot, the welt that showed up a week later was not colored in the middle but had a reddish but subtle ring around the injection site, I'd say about 3 inches in diameter.) I noticed small, red patches in a line surrounding the welt. Nothing painful, just interesting. Now, it looks more uniformly red and it is tiny bit tender, but nothing bad. Energy is back to 100%. Brain is working perfectly. I wanted to report my symptoms to help others and to fill in data.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Myalgia, Nausea, Pyrexia
Clinical narrative: Note that after shot number 1 , I had nothing more than a sore arm, but I did get the raised welt 'Covid Arm' about a week after. No pain after day 1.  After shot #2 on May 1, the arm has been minimally sore. I felt totally normal for about 24 hours. After about 24 hours, however, I started to feel fatigued and brain-fogged. Then I developed muscle aches in the neck and shoulder area. Also got a low-grade fever (normal for me is 97.5 and when I checked it was 98.1). Taste was off during that time as well. I felt hungry but my stomach was queasy and nothing tasted right, so I didn't eat much. After 24 hours of that, where I slept a lot, I improved quickly.  Could almost feel stronger by the hour. Monday (day 2) I worked all day (on the computer) and struggled a little, but was mostly fine. After work, I did some work landscaping with digging and hard work and was fine. Then a day later I noticed the injection site in the left arm had a raised welt, but smaller and not discolored in the same way it was after the first shot. (After the first shot, the welt that showed up a week later was not colored in the middle but had a reddish but subtle ring around the injection site, I'd say about 3 inches in diameter.) I noticed small, red patches in a line surrounding the welt. Nothing painful, just interesting. Now, it looks more uniformly red and it is tiny bit tender, but nothing bad. Energy is back to 100%. Brain is working perfectly. I wanted to report my symptoms to help others and to fill in data.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder, Urticaria
Clinical narrative: Note that after shot number 1 , I had nothing more than a sore arm, but I did get the raised welt 'Covid Arm' about a week after. No pain after day 1.  After shot #2 on May 1, the arm has been minimally sore. I felt totally normal for about 24 hours. After about 24 hours, however, I started to feel fatigued and brain-fogged. Then I developed muscle aches in the neck and shoulder area. Also got a low-grade fever (normal for me is 97.5 and when I checked it was 98.1). Taste was off during that time as well. I felt hungry but my stomach was queasy and nothing tasted right, so I didn't eat much. After 24 hours of that, where I slept a lot, I improved quickly.  Could almost feel stronger by the hour. Monday (day 2) I worked all day (on the computer) and struggled a little, but was mostly fine. After work, I did some work landscaping with digging and hard work and was fine. Then a day later I noticed the injection site in the left arm had a raised welt, but smaller and not discolored in the same way it was after the first shot. (After the first shot, the welt that showed up a week later was not colored in the middle but had a reddish but subtle ring around the injection site, I'd say about 3 inches in diameter.) I noticed small, red patches in a line surrounding the welt. Nothing painful, just interesting. Now, it looks more uniformly red and it is tiny bit tender, but nothing bad. Energy is back to 100%. Brain is working perfectly. I wanted to report my symptoms to help others and to fill in data.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Shortness of breath, hypoxia,  + COVID-19
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative
Clinical narrative: First day after shot was normal expectations as described to me. But, 7 days later I had another reaction. The symptoms were significantly worse. Much higher fever, chills, body aches, Light headache. But occasionally, that same light headache keeps coming back. It?s worrying me. Affecting my mental health. And I had panic attack today.  I?m also unemployed and have no insurance.  I wanna know if this is normal. Has it been reported by other ?
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Mental impairment, Pain, Panic attack, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: First day after shot was normal expectations as described to me. But, 7 days later I had another reaction. The symptoms were significantly worse. Much higher fever, chills, body aches, Light headache. But occasionally, that same light headache keeps coming back. It?s worrying me. Affecting my mental health. And I had panic attack today.  I?m also unemployed and have no insurance.  I wanna know if this is normal. Has it been reported by other ?
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Headache, Hypersensitivity, Rash erythematous, Rash pruritic
Clinical narrative: Moderate headache that lasted 2 days. Starting 5 days later, started to develop a burning sensation in my right armpit. By 4-28-2021, several clusters of sensitive and itchy red bumps appeared in my right armpit, on the back of my right shoulder, and right pectoral. Symptoms persist as of today, waiting to be seen by a doctor. It appears like shingles. I have had chicken pox as a child, and have not ever had shingles or the shingles vaccine.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia, Vomiting
Clinical narrative: 5pm tiredness 6pm achy 11pm 102 fever, chills 12pm 103 fever, chills, vomiting 1am 104 fever, chills, vomiting, took tylenol 3am 102 fever, chills, vomiting 4am 104 fever, chills, vomiting 9am 100 fever, took tylenol 12pm 101 fever, chills 3pm 103 fever, chills 5pm 103 fever, chills, took ibuprofen
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was new onset atrial fibrillation.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient received a Moderna Covid-19 vaccine. After patient received the vaccine she was instructed to wait 15 minutes after receiving the vaccine. As the patient was sitting in the waiting area she observed as not conscious. The patient did regain consciousness. Emergency was called, and after observation from EMT the patient was given the OK to go home with her father.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient vomited within 10 minutes of dose 1 with immediate recovery back to baseline. He was monitored for 20 minutes and discharged into the care of his family member who was driving his car.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase normal, Blood creatinine normal, Blood urea normal
Clinical narrative: 24 hours after receiving the vaccine, she developed fever >101F, myalgias, fatigue, headache. Then noticed a lesion on her forehead. Seen in urgicare and then ER. By then had additional lesions on her Left forehead extending into her scalp as well as 1 on her Left eyelid. Diagnosed with Shingles in L V1 region and started on IV Acyclovir x 3 days. Then transitioned to PO Valtrex 1gram PO TID and discharged home. Still with headaches and not all lesions have resolved. No visual involvement as per ophthalmology.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Herpes zoster, Myalgia, Pyrexia
Clinical narrative: 24 hours after receiving the vaccine, she developed fever >101F, myalgias, fatigue, headache. Then noticed a lesion on her forehead. Seen in urgicare and then ER. By then had additional lesions on her Left forehead extending into her scalp as well as 1 on her Left eyelid. Diagnosed with Shingles in L V1 region and started on IV Acyclovir x 3 days. Then transitioned to PO Valtrex 1gram PO TID and discharged home. Still with headaches and not all lesions have resolved. No visual involvement as per ophthalmology.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Skin lesion
Clinical narrative: 24 hours after receiving the vaccine, she developed fever >101F, myalgias, fatigue, headache. Then noticed a lesion on her forehead. Seen in urgicare and then ER. By then had additional lesions on her Left forehead extending into her scalp as well as 1 on her Left eyelid. Diagnosed with Shingles in L V1 region and started on IV Acyclovir x 3 days. Then transitioned to PO Valtrex 1gram PO TID and discharged home. Still with headaches and not all lesions have resolved. No visual involvement as per ophthalmology.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Asthenia, Blood albumin decreased, Blood alkaline phosphatase increased, Blood bicarbonate decreased
Clinical narrative: Fever, confusion.  He received the vaccine about 10:30 AM. He worked in the yard during the day and seemed to be doing fine. After eating dinner, he seemed to be unusually drowsy. Over the course of the evening, the wife realized that he was very confused and was too weak to ambulate. She summoned EMS, and he was taken to ED.   Of note, he had an episode of confusion lasting several days in 2/2021. No fever at that time. Evaluated in ED on 2/20/2021. CT Head and labs unrevealing. Released to home.  Initial vital signs 4/30/2021 at 00:59:  Temperature-100.4°, blood pressure-133/68, pulse-110, respirations-18, room air O2 saturation-97%. He subsequently had a T-max of 102.8°.  He received empiric therapy with dexamethasone, vancomycin, ceftriaxone, ampicillin, acyclovir on the evening of 4/30.  The morning of 5/1 he was afebrile, alert, oriented x3. Steroids and anti-infective discontinued. He was observed in the hospital for another 24 hours and had no recurrence of fever, confusion.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin decreased, Blood creatinine increased, Blood glucose increased, Blood pH normal, Blood potassium increased
Clinical narrative: Fever, confusion.  He received the vaccine about 10:30 AM. He worked in the yard during the day and seemed to be doing fine. After eating dinner, he seemed to be unusually drowsy. Over the course of the evening, the wife realized that he was very confused and was too weak to ambulate. She summoned EMS, and he was taken to ED.   Of note, he had an episode of confusion lasting several days in 2/2021. No fever at that time. Evaluated in ED on 2/20/2021. CT Head and labs unrevealing. Released to home.  Initial vital signs 4/30/2021 at 00:59:  Temperature-100.4°, blood pressure-133/68, pulse-110, respirations-18, room air O2 saturation-97%. He subsequently had a T-max of 102.8°.  He received empiric therapy with dexamethasone, vancomycin, ceftriaxone, ampicillin, acyclovir on the evening of 4/30.  The morning of 5/1 he was afebrile, alert, oriented x3. Steroids and anti-infective discontinued. He was observed in the hospital for another 24 hours and had no recurrence of fever, confusion.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood sodium decreased, Blood urea increased, Body temperature increased, Computerised tomogram head
Clinical narrative: Fever, confusion.  He received the vaccine about 10:30 AM. He worked in the yard during the day and seemed to be doing fine. After eating dinner, he seemed to be unusually drowsy. Over the course of the evening, the wife realized that he was very confused and was too weak to ambulate. She summoned EMS, and he was taken to ED.   Of note, he had an episode of confusion lasting several days in 2/2021. No fever at that time. Evaluated in ED on 2/20/2021. CT Head and labs unrevealing. Released to home.  Initial vital signs 4/30/2021 at 00:59:  Temperature-100.4°, blood pressure-133/68, pulse-110, respirations-18, room air O2 saturation-97%. He subsequently had a T-max of 102.8°.  He received empiric therapy with dexamethasone, vancomycin, ceftriaxone, ampicillin, acyclovir on the evening of 4/30.  The morning of 5/1 he was afebrile, alert, oriented x3. Steroids and anti-infective discontinued. He was observed in the hospital for another 24 hours and had no recurrence of fever, confusion.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Haematocrit decreased, Haemoglobin decreased, Heart rate increased, Laboratory test
Clinical narrative: Fever, confusion.  He received the vaccine about 10:30 AM. He worked in the yard during the day and seemed to be doing fine. After eating dinner, he seemed to be unusually drowsy. Over the course of the evening, the wife realized that he was very confused and was too weak to ambulate. She summoned EMS, and he was taken to ED.   Of note, he had an episode of confusion lasting several days in 2/2021. No fever at that time. Evaluated in ED on 2/20/2021. CT Head and labs unrevealing. Released to home.  Initial vital signs 4/30/2021 at 00:59:  Temperature-100.4°, blood pressure-133/68, pulse-110, respirations-18, room air O2 saturation-97%. He subsequently had a T-max of 102.8°.  He received empiric therapy with dexamethasone, vancomycin, ceftriaxone, ampicillin, acyclovir on the evening of 4/30.  The morning of 5/1 he was afebrile, alert, oriented x3. Steroids and anti-infective discontinued. He was observed in the hospital for another 24 hours and had no recurrence of fever, confusion.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte percentage, Monocyte percentage, Neutrophil percentage increased, PCO2 decreased, PO2 decreased
Clinical narrative: Fever, confusion.  He received the vaccine about 10:30 AM. He worked in the yard during the day and seemed to be doing fine. After eating dinner, he seemed to be unusually drowsy. Over the course of the evening, the wife realized that he was very confused and was too weak to ambulate. She summoned EMS, and he was taken to ED.   Of note, he had an episode of confusion lasting several days in 2/2021. No fever at that time. Evaluated in ED on 2/20/2021. CT Head and labs unrevealing. Released to home.  Initial vital signs 4/30/2021 at 00:59:  Temperature-100.4°, blood pressure-133/68, pulse-110, respirations-18, room air O2 saturation-97%. He subsequently had a T-max of 102.8°.  He received empiric therapy with dexamethasone, vancomycin, ceftriaxone, ampicillin, acyclovir on the evening of 4/30.  The morning of 5/1 he was afebrile, alert, oriented x3. Steroids and anti-infective discontinued. He was observed in the hospital for another 24 hours and had no recurrence of fever, confusion.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Pyrexia, SARS-CoV-2 test negative, Somnolence, White blood cell count increased
Clinical narrative: Fever, confusion.  He received the vaccine about 10:30 AM. He worked in the yard during the day and seemed to be doing fine. After eating dinner, he seemed to be unusually drowsy. Over the course of the evening, the wife realized that he was very confused and was too weak to ambulate. She summoned EMS, and he was taken to ED.   Of note, he had an episode of confusion lasting several days in 2/2021. No fever at that time. Evaluated in ED on 2/20/2021. CT Head and labs unrevealing. Released to home.  Initial vital signs 4/30/2021 at 00:59:  Temperature-100.4°, blood pressure-133/68, pulse-110, respirations-18, room air O2 saturation-97%. He subsequently had a T-max of 102.8°.  He received empiric therapy with dexamethasone, vancomycin, ceftriaxone, ampicillin, acyclovir on the evening of 4/30.  The morning of 5/1 he was afebrile, alert, oriented x3. Steroids and anti-infective discontinued. He was observed in the hospital for another 24 hours and had no recurrence of fever, confusion.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fibrin D dimer normal, Head discomfort, Headache
Clinical narrative: After my J&J vaccine, I experienced fever, chills and a left sore arm and those symptoms resolved in 24 hours. On 04-06-2021 I experienced headaches on and off and on 04-07-2021, I had light headiness, an air-filled pressure sensation to my eyes, forehead, more like a sinus headache. On 04-14-2021, I went to see my PCP due to my headaches continuing, the doctor ran complete blood panel test were performed along with a D-dimmer test to rule out blood clots and he told me to take Advil as pain medication.  My D-dimmer test was normal. I noticed when bending down my headaches became worse. On 04-20-2021, an MRI of the brain was performed. On 05-01-2021, I experienced muscle body aches, fever and continued with headaches. I went to a walk-in clinic, where a Covid-19 test was performed and it was negative. I started taking antibiotics and the fever and muscle bode aches started to go away. I still have to this day headaches and an air-filled pressure sensation around my eyes and eyebrows.  As of today, my headaches are consistent, and they come and go.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging head, Ocular discomfort, Pain, Pain in extremity
Clinical narrative: After my J&J vaccine, I experienced fever, chills and a left sore arm and those symptoms resolved in 24 hours. On 04-06-2021 I experienced headaches on and off and on 04-07-2021, I had light headiness, an air-filled pressure sensation to my eyes, forehead, more like a sinus headache. On 04-14-2021, I went to see my PCP due to my headaches continuing, the doctor ran complete blood panel test were performed along with a D-dimmer test to rule out blood clots and he told me to take Advil as pain medication.  My D-dimmer test was normal. I noticed when bending down my headaches became worse. On 04-20-2021, an MRI of the brain was performed. On 05-01-2021, I experienced muscle body aches, fever and continued with headaches. I went to a walk-in clinic, where a Covid-19 test was performed and it was negative. I started taking antibiotics and the fever and muscle bode aches started to go away. I still have to this day headaches and an air-filled pressure sensation around my eyes and eyebrows.  As of today, my headaches are consistent, and they come and go.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Sinus headache
Clinical narrative: After my J&J vaccine, I experienced fever, chills and a left sore arm and those symptoms resolved in 24 hours. On 04-06-2021 I experienced headaches on and off and on 04-07-2021, I had light headiness, an air-filled pressure sensation to my eyes, forehead, more like a sinus headache. On 04-14-2021, I went to see my PCP due to my headaches continuing, the doctor ran complete blood panel test were performed along with a D-dimmer test to rule out blood clots and he told me to take Advil as pain medication.  My D-dimmer test was normal. I noticed when bending down my headaches became worse. On 04-20-2021, an MRI of the brain was performed. On 05-01-2021, I experienced muscle body aches, fever and continued with headaches. I went to a walk-in clinic, where a Covid-19 test was performed and it was negative. I started taking antibiotics and the fever and muscle bode aches started to go away. I still have to this day headaches and an air-filled pressure sensation around my eyes and eyebrows.  As of today, my headaches are consistent, and they come and go.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema, Full blood count, Pruritus, Rash
Clinical narrative: first week- rashes face (nose), both hands, and both feet. with severe itchiness, redness and blisters on hands. Eczema like rashes. Symptoms still ongoing this is the 4th week since receiving vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: extreme nausea, severe vertigo lasting 3 days, persistent vertigo since vaccination-unpredictable in terms of when, and how severe
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Dose 1:  Day 7 - April 1st eve muscle discomfort in shoulder blade, neck and arm at site of shot. Initially only sore arm at site of shot or a few days (felt vaccine the second it entered arm)  then I was fine before muscle discomfort set in.  Day 8 - arm was a bit itchy, dull red spot. By morning of Day 9 had a 2 x 3 inch red blotch / rash.  Itchy, a bit swollen, hot to touch. Lasted 3 days. Muscle discomfort continued up to second shot and is still not 100%.  May be unrelated - cramping in left calf around Day 11/ 12 which turned into sciatica after some days- on and off now.  Dose 2:  April 22nd -  Less arm soreness after shot.  Eight hours after shot - 100.7 fever, chills, aches.  Aches and low grade fever, some fatigue lasted for a little over 2 days then fine.  Can still feel effects in shoulder blade and neck muscle - more tolerable now though.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle discomfort, Muscle spasms, Musculoskeletal discomfort, Pain, Pyrexia
Clinical narrative: Dose 1:  Day 7 - April 1st eve muscle discomfort in shoulder blade, neck and arm at site of shot. Initially only sore arm at site of shot or a few days (felt vaccine the second it entered arm)  then I was fine before muscle discomfort set in.  Day 8 - arm was a bit itchy, dull red spot. By morning of Day 9 had a 2 x 3 inch red blotch / rash.  Itchy, a bit swollen, hot to touch. Lasted 3 days. Muscle discomfort continued up to second shot and is still not 100%.  May be unrelated - cramping in left calf around Day 11/ 12 which turned into sciatica after some days- on and off now.  Dose 2:  April 22nd -  Less arm soreness after shot.  Eight hours after shot - 100.7 fever, chills, aches.  Aches and low grade fever, some fatigue lasted for a little over 2 days then fine.  Can still feel effects in shoulder blade and neck muscle - more tolerable now though.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash macular, Sciatica, Swelling, Tenderness
Clinical narrative: Dose 1:  Day 7 - April 1st eve muscle discomfort in shoulder blade, neck and arm at site of shot. Initially only sore arm at site of shot or a few days (felt vaccine the second it entered arm)  then I was fine before muscle discomfort set in.  Day 8 - arm was a bit itchy, dull red spot. By morning of Day 9 had a 2 x 3 inch red blotch / rash.  Itchy, a bit swollen, hot to touch. Lasted 3 days. Muscle discomfort continued up to second shot and is still not 100%.  May be unrelated - cramping in left calf around Day 11/ 12 which turned into sciatica after some days- on and off now.  Dose 2:  April 22nd -  Less arm soreness after shot.  Eight hours after shot - 100.7 fever, chills, aches.  Aches and low grade fever, some fatigue lasted for a little over 2 days then fine.  Can still feel effects in shoulder blade and neck muscle - more tolerable now though.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity, Pyrexia
Clinical narrative: Woke up with fever approximately 12 hours after second dose. Fever of 100.1, chills, body aches and arm pain on left side.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic valve thickening, Chest X-ray normal, Chest pain, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Patient felt febrile with flu-like symptoms on 4/29/21.  Woke up on 4/30/21 with chest pain.  Went to the emergency department. They evaluated him and transferred him by ambulance to Medical Center where he stayed for three days for tests and evaluation. Patient was ultimately diagnosed with acute perimyocarditis.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Magnetic resonance imaging heart, Mitral valve incompetence, Myocarditis, N-terminal prohormone brain natriuretic peptide increased
Clinical narrative: Patient felt febrile with flu-like symptoms on 4/29/21.  Woke up on 4/30/21 with chest pain.  Went to the emergency department. They evaluated him and transferred him by ambulance to Medical Center where he stayed for three days for tests and evaluation. Patient was ultimately diagnosed with acute perimyocarditis.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tricuspid valve incompetence, Troponin, Ultrasound Doppler, Ultrasound Doppler normal
Clinical narrative: Patient felt febrile with flu-like symptoms on 4/29/21.  Woke up on 4/30/21 with chest pain.  Went to the emergency department. They evaluated him and transferred him by ambulance to Medical Center where he stayed for three days for tests and evaluation. Patient was ultimately diagnosed with acute perimyocarditis.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound abdomen normal
Clinical narrative: Patient felt febrile with flu-like symptoms on 4/29/21.  Woke up on 4/30/21 with chest pain.  Went to the emergency department. They evaluated him and transferred him by ambulance to Medical Center where he stayed for three days for tests and evaluation. Patient was ultimately diagnosed with acute perimyocarditis.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Musculoskeletal stiffness, Neck pain, Pain in extremity
Clinical narrative: Neck  and upper  arm stiffness on right side. Throbbing and shooting pain in head, neck and arm.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral venous sinus thrombosis, Computerised tomogram head
Clinical narrative: Venous sinus thrombosis
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Respiratory tract congestion
Clinical narrative: cough, congestion
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Oligomenorrhoea
Clinical narrative: Period late x3 weeks
Age: 71.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Neck pain
Clinical narrative: Neck pain and stiffness starting shortly after vaccine admin of 2nd dose
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Injection site erythema
Clinical narrative: Very red, warm and swollen at injection site.  affected area was 3 inch in diameter. Very strong headache that hurt so much that it impacted sleep.  Body aches and chills.  Significant fatigue and mental tiredness and fog. All of the above except fatigue, mental tiredness and fogginess subsided by end of 3rd day.  Today is the 5th day and I still feel slightly fatigued and unmotivated to be active (I normally workout and exercise daily).  I also still feel mentally tired and foggy. The first vaccination wasn't as bad.  I had a sore arm at the site of the vaccination, tender to touch but no redness.  I didn't get a headache or body aches or chills.  I just felt very fatigued and mentally tired for about 4 days.  The brain fog lasted about 7-10 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pain, Sleep disorder
Clinical narrative: Very red, warm and swollen at injection site.  affected area was 3 inch in diameter. Very strong headache that hurt so much that it impacted sleep.  Body aches and chills.  Significant fatigue and mental tiredness and fog. All of the above except fatigue, mental tiredness and fogginess subsided by end of 3rd day.  Today is the 5th day and I still feel slightly fatigued and unmotivated to be active (I normally workout and exercise daily).  I also still feel mentally tired and foggy. The first vaccination wasn't as bad.  I had a sore arm at the site of the vaccination, tender to touch but no redness.  I didn't get a headache or body aches or chills.  I just felt very fatigued and mentally tired for about 4 days.  The brain fog lasted about 7-10 days.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Incontinence, Migraine, Vomiting
Clinical narrative: Severe vomiting, severe migraine, incontinence, inability to stand up without vomiting. Resolved after twelve hours.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac aneurysm, Cerebrovascular accident, Hypoxia, Pulmonary thrombosis, Thrombosis
Clinical narrative: My Father received the first dose of CV19 on 03/02/21 and the second dose on 03/03/2021 in the morning, and at night he had a stroke, we called 911 they hospitalized him within a week he was out of danger and had physical therapies for a month at facility he got out on the 31st of March 2021 and on April 4th he once again went into the hospital for lack of oxygen, they detected blood clots in his legs and his lungs and also an aneurysm in his heart.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Influenza like illness, Myalgia
Clinical narrative: 4 hours after the Pfizer Vaccine #2, I experienced very strong leg muscle aches.  I took Tylenol and went to sleep.  The muscle aches were gone by 9am the next morning.  Today, 4 days later, I am experiencing  diarrhea and flu-like symptoms (no fever). NOTE:  I did not experience anything but a slight arm muscle ache on the Pfizer Vaccine #1 three weeks prior.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swelling and soreness in the left armpit/lymph nodes for three days rolling second dose of Pfizer CV-19 vaccine. Cleared up until day 7 post vaccine when upon getting allergy shots in same arm (allergy shots for tree pollen and animal dander) soreness and swelling recurred.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had several visits to the ED within 6 weeks of receiving COVID vaccination. DOS: 2/24, 3/6, 3/8. Then on 3/10 he presented to the ED and was subsequently hospitalized for 3 days. He presented to the ED on 3/28 and was subsequently hospitalized for 5 days. He also presented to the ED and was subsequently hospitalized on 4/14 for 6 days.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: patient was given accidently 3 doses of moderna vaccine, first dose from walgreens, 2nd dose was given, if resident missed the 28 day window, she would have to restart series. DON counted 2nd dose by us as 1st dose and subsequently reordered 2nd dose, which would be her third dose..doses were confirmed by LINKS system. Vaccine consent form filled out by DON reveals that "no" was answered for question #2. DON went by information given to her by walgreens pharmacist.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia, Rash, Rash erythematous
Clinical narrative: Pt received 2nd Moderna vaccine 4/20/21.  Developed a fever 101-104 eight hours after getting the vaccine.  Also experienced headache and body aches.  Next day felt better on 4/21/21.  On 4/22/21 pt woke up with red, itchy rash on chest, abdomen, back and arms.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Pt received 2nd Moderna vaccine 4/20/21.  Developed a fever 101-104 eight hours after getting the vaccine.  Also experienced headache and body aches.  Next day felt better on 4/21/21.  On 4/22/21 pt woke up with red, itchy rash on chest, abdomen, back and arms.
Age: 15.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site mass
Clinical narrative: noticed 1 cm lump at injection site - 3 wks after shot was given- no redness-
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory arrest
Clinical narrative: As per nursing notes documented on 4/22/21 at 6:17 am, resident observed in bed with no respirations at around 5:10 am.  Patient completed a 7 days course of Levaquin for UTI. Patient was on Vancomycin IV 750 mg every 12 hours and Zosyn 2.25 mg every 6 hours for possible pneumonia.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats
Clinical narrative: Gradual onset of night sweats, unexplained, in spite of hormone replacement, starting ~ 6wk after second injection, occurring 2-3x/wk  Symptoms are mild/manageable, but I have heard some others with similar symptoms of hot flashes/night sweats, so thought I would report.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Nausea, Vomiting
Clinical narrative: Diziness, Nausea, vomiting. Hypotension. Symps resolved after 10 mins.   BP 90/50 70 18 O2 sat 99% RA
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cyst, Lymphadenopathy, Pain of skin
Clinical narrative: Developed a swollen lymph/cyst on the left side of the neck, above the left collarbone. A bit painful when touched.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: A  non-patient, community member, received 1st COVID vaccine at dialysis clinic on 4/2/2021. A clinic teammate reached out to schedule the second dose and was informed, by the wife, that he suffered a stroke the day after the first vaccine and was currently hospitalized and stable.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash and itching to head, face, chest, back and bilateral arms.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Heavy menstrual bleeding, Intermenstrual bleeding
Clinical narrative: The event started on Tuesday, April 20-- the day after my first dose of Pfizer vaccine. My menstrual cycle began two days early (I typically have a regular cycle) and have experienced spotting continuously since ovulation. My period was heavier than usual and I experienced symptoms that were longer in duration, greater in intensity and/or that I do not typically experience during menstruation.  Abdominal cramps were worse and lasted longer into my cycle by a few days. I also experienced breast pain over several days, which is not a symptom I typically experience at all. Spotting occurred at, or shortly after, ovulation and has not ceased (I am currently on day 15 of my cycle; spotting since day 11). This is also not typical for me. I have also experienced more headaches than usual in the past two weeks.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Dry eye, Ear congestion, Ear pain
Clinical narrative: Body and joint aches, exhaustion, abdominal pain, particularly on left side, restless and amped up, and foggy headed. Abdominal pain resolved 48 hours post injection. Pain and pressure in ears, tinnitus, dry eyes.  Unresolved: Exhaustion, Restlessness, foggy headed, pain and pressure in head and ears, tinnitus, body and joint aches, dry eyes 2 weeks post second dose.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Head discomfort, Headache, Pain
Clinical narrative: Body and joint aches, exhaustion, abdominal pain, particularly on left side, restless and amped up, and foggy headed. Abdominal pain resolved 48 hours post injection. Pain and pressure in ears, tinnitus, dry eyes.  Unresolved: Exhaustion, Restlessness, foggy headed, pain and pressure in head and ears, tinnitus, body and joint aches, dry eyes 2 weeks post second dose.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Psychomotor hyperactivity, Restlessness, Tinnitus
Clinical narrative: Body and joint aches, exhaustion, abdominal pain, particularly on left side, restless and amped up, and foggy headed. Abdominal pain resolved 48 hours post injection. Pain and pressure in ears, tinnitus, dry eyes.  Unresolved: Exhaustion, Restlessness, foggy headed, pain and pressure in head and ears, tinnitus, body and joint aches, dry eyes 2 weeks post second dose.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event at this time. Patient received his second dose of the Moderna COVID-19 vaccination only 14 days after his first dose (given 04/20/2021). Patient reported no adverse effects while under observation at the clinic and he was instructed to seek medical attention immediately should he begin to have any unusual symptoms.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Ultrasound scan abnormal
Clinical narrative: Noticed lump on base of the right side of my neck in 4/15/21 around 3 in the afternoon. It was sore when much pressure was applied, but nothing else.  Went to doctor the next week. Next vaccine was on 4/27/21 and that night the lump was extremely sore and enlarged. Went for an ultrasound the following day.  Pain began to lessen by 4/30/21 but I started  Bactrim 5/2/21 to keep any potential infection at bay.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Ear discomfort, Exophthalmos, Facial pain, Headache
Clinical narrative: Double Vision,  Proptosis, Ocular hypertension, Headache, Right facial pain, Fullness right ear.....All right facial area....All started 3 to 10 dayspost vaccine......ordered MRI head .....ordered Medrol dose pak  started on 5/4/21....ENT consult ordered
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Idiopathic orbital inflammation, Magnetic resonance imaging abnormal, Ocular hypertension, Orbital space occupying lesion, Sinus disorder
Clinical narrative: Double Vision,  Proptosis, Ocular hypertension, Headache, Right facial pain, Fullness right ear.....All right facial area....All started 3 to 10 dayspost vaccine......ordered MRI head .....ordered Medrol dose pak  started on 5/4/21....ENT consult ordered
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness, Unresponsive to stimuli
Clinical narrative: Patient received second dose of Covid19 Pfizer-BioNTech. A few minutes later, my pharmacy technician, was informed that patient had collapsed in front of the pharmacy. I was in the immunization room with another patient. I grabbed an Epinephrine 0.3mg auto injector and went to the patient. He was unconscious and unresponsive. I told him to call 911 and to send for paramedics. I administered one dose of 0.3mg epinephrine and patient woke up within a few seconds. He stayed sitting with me assisting as this was his most comfortable position. He later transferred to a chair and paramedics/emt took over when they arrived.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Irritable bowel syndrome, Tremor
Clinical narrative: Shortly after receiving the Janssen vaccine, patient complained of shakiness and hot. Has history of migraines, Cerebral Palsy with brain injury at birth sustained. At 1 pm, BP=160/100, Pulse=71 and regular. Sp O2 reading 100% on room air.  She was concentrating on not succumbing to seizure possibly and by 1:06 pm, her blood pressure is 140/80 and feeling better. Was stating she was feeling better and blood pressure was 140/80. Encouraged to drink 2 water. She was able to ambulate with friends after 30 minutes of recovery. Encouraged to drink fluids and rest.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Underdose
Clinical narrative: The vaccinator thought there was vaccine in the syringe when in fact there was nothing in the syringe being used. The Patient received less than 0.5cc of air.  Patient could not come back that day and stated they would reschedule with the health district to receive first dose.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Bone pain, Contusion, Onychomadesis, Osteopenia
Clinical narrative: On 4/4 and my feet all the way to my knees have swollen up for the last three and a half weeks, I lost all the toenails on my left foot, my other foot the big toe nail died and all the bones in my body hurt and are sore and feels like I've been beaten. The tops of my feet are bruised and my knuckles are seriously bruised across the finger and bones. I've had liver test, heart test, blood clots test and nothing was found, all the tissue in my body is tender and I have osteopenia, PBD positive,
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Tenderness, Urine analysis
Clinical narrative: On 4/4 and my feet all the way to my knees have swollen up for the last three and a half weeks, I lost all the toenails on my left foot, my other foot the big toe nail died and all the bones in my body hurt and are sore and feels like I've been beaten. The tops of my feet are bruised and my knuckles are seriously bruised across the finger and bones. I've had liver test, heart test, blood clots test and nothing was found, all the tissue in my body is tender and I have osteopenia, PBD positive,
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Diffuse itching and hives, given 50mg oral Benadryl. No resolution after 30 minutes of observation, transported to the Emergency Room for monitoring. No anaphylaxis, no epinephrine given.