chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Muscle spasms, Myalgia
Clinical narrative: Received shot Wednesday at 7:00.  By 4:00 she was felling fatigued and developed muscle aches and leg cramps.  By Friday she was extremely sleepy  and her whole body hurt. She was having chills and "brain fog".  This lasted through Monday.  Today (Wed) she feels better but "just ok".  Still with drowsiness and fatigue.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Somnolence
Clinical narrative: Received shot Wednesday at 7:00.  By 4:00 she was felling fatigued and developed muscle aches and leg cramps.  By Friday she was extremely sleepy  and her whole body hurt. She was having chills and "brain fog".  This lasted through Monday.  Today (Wed) she feels better but "just ok".  Still with drowsiness and fatigue.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nasal congestion, Nausea, Restlessness
Clinical narrative: From midnight on the 26th through approx 2pm on the 26th: headache, restlessness, intermittent nausea, nasal congestion then runny nose and overall fatigue feeling.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: From midnight on the 26th through approx 2pm on the 26th: headache, restlessness, intermittent nausea, nasal congestion then runny nose and overall fatigue feeling.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: I was supposed to get my menstrual on 1/2  dint get it until 14 days later which is highly unusual. I did take several pregnancy tests results (negative).
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Four to five itchy red medium-sized hives that appeared on my back around 2 hours after the vaccine was administered. Resolved following administration of Zyrtec 10mg PO.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Lip swelling, Paraesthesia, Rash, Throat irritation
Clinical narrative: Patient experienced flushing, tingling, and itchy throat/tongue, rash within minutes of receiving first dose of vaccine.  Administered diphenhydramine 25 mg PO in vaccine clinic and called rapid response. Patient was taken to ED where they noted mild lip swelling. The itchy throat and rash resolved in the interval between vaccination and presentation to the ED. In the ED, she received famotidine IV and steroids. Epinephrine was deferred since patient had no shortness of breath or other respiratory symptoms. She was observed in the ED for 5 hrs and discharged with EpiPen and steroid taper.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Chills, Confusional state, Headache
Clinical narrative: Fever 103 start 4 hours after vaccine and still persist after 24 hours, rigors, headaches, back pain, left side weakness and numb, severe myalgias, confusion
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Myalgia, Pyrexia
Clinical narrative: Fever 103 start 4 hours after vaccine and still persist after 24 hours, rigors, headaches, back pain, left side weakness and numb, severe myalgias, confusion
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Pyrexia
Clinical narrative: headache / upset stomach / temperature 100
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypoaesthesia, Paraesthesia, Pharyngeal swelling
Clinical narrative: Slight swelling of tongue, throat-days 1 and 2 , tingling and numbness in face intermittently for almost 2 weeks , headaches, dizziness  Completely normal on 1/22/21
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Slight swelling of tongue, throat-days 1 and 2 , tingling and numbness in face intermittently for almost 2 weeks , headaches, dizziness  Completely normal on 1/22/21
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Feeling hot, Flushing, Injection site discomfort
Clinical narrative: Patient described feeling flushed and hot all over, some tightness in the chest, anxiety and ringing in her ears, tension in her neck and arm in the left side where she received the vaccine.  Took her pulse and lay her on a cot, gave her water.  After about 20 minutes of rest, she felt well enough to drive home.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Tinnitus
Clinical narrative: Patient described feeling flushed and hot all over, some tightness in the chest, anxiety and ringing in her ears, tension in her neck and arm in the left side where she received the vaccine.  Took her pulse and lay her on a cot, gave her water.  After about 20 minutes of rest, she felt well enough to drive home.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort
Clinical narrative: funny sensation in the feet or extremities post vaccination.  She is 6 days post vaccination. She does not have pins and needles, loss of sensation or weakness.  She describes it as more of a ?tickly? sensation
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Injection site swelling within 45 mins of injection. Swelling is red, painful, and warm to touch.  43 hours hours later swelling is about 2 inches wide and 1.5 inches in height, still red, warm, hard, and painful.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Slightly swollen, warm/hot to touch, red rash around injection site 8 days after injection . Noted on 1/26/2021
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Lip swelling, Oral herpes, Swelling of eyelid
Clinical narrative: NO IMMEDIATE RESPONSE Day 2, into day 3 my Right lid swelled shut (which I have had happen numerous times) and then on day 3 into day 4 my upper lip swelled and then I had fever blisters cover my top, swollen lips. I have a history of Asthma and it has also caused me to have mild flare up causing me to use my inhaler more than once a day.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Child maltreatment syndrome, Confusional state, Diarrhoea, Dizziness, Dysgeusia
Clinical narrative: Metallic taste post injection Fever 102 degrees (by 8pm eve of shot) Tylenol only reducing fever to 101 Severe chills/shakes Insomnia  Confusion Dizziness Tachycardia  (125 bpm) persistent the first night) Loose stools Incontinence
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Incontinence, Insomnia, Pyrexia, Tachycardia
Clinical narrative: Metallic taste post injection Fever 102 degrees (by 8pm eve of shot) Tylenol only reducing fever to 101 Severe chills/shakes Insomnia  Confusion Dizziness Tachycardia  (125 bpm) persistent the first night) Loose stools Incontinence
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Myalgia
Clinical narrative: Approximately 22 hours after vaccine,  I had extreme chills and muscle aches especially back pain. Felt terrible for approximately 19 hours including fever up to a 102?. Headache fatigue muscle pain . Laid in bed all day, woke up next day with a mild headache. Other symptoms resolved
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Approximately 22 hours after vaccine,  I had extreme chills and muscle aches especially back pain. Felt terrible for approximately 19 hours including fever up to a 102?. Headache fatigue muscle pain . Laid in bed all day, woke up next day with a mild headache. Other symptoms resolved
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Mobility decreased, Neck pain
Clinical narrative: Employee received her 2nd COVID-19 vaccine on Friday, January 22.  On day 3 of her vaccination she developed neck pain that decreased her ability to turn her head from side to side or look up/down.  She has taken Ibuprofen and one of her husband?s baclofen for relief, and she states that it did not touch the pain, rating it a 5/10.  She has not had any changes in sensation to any of her other extremities, and this pain does not radiate anywhere.  She does state that she does also have a slight headache, but no sensitivity to light.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain
Clinical narrative: Employee received her 2nd COVID-19 vaccine on Friday, January 22.  On day 3 of her vaccination she developed neck pain that decreased her ability to turn her head from side to side or look up/down.  She has taken Ibuprofen and one of her husband?s baclofen for relief, and she states that it did not touch the pain, rating it a 5/10.  She has not had any changes in sensation to any of her other extremities, and this pain does not radiate anywhere.  She does state that she does also have a slight headache, but no sensitivity to light.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Mobility decreased, Neck pain
Clinical narrative: severe neck pain, not resolving with OTC medications
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain
Clinical narrative: severe neck pain, not resolving with OTC medications
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Pain in extremity
Clinical narrative: side effects sore arm chills diarrhea
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Pain, Pain in extremity
Clinical narrative: Day 1 post vaccine: 1) arm pain 2) tired and achy Day 2 post vaccine: 1)full body aches 2) weak 3) one dizzy spell lasting briefly
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: Chills w/ uncontrollable shivering, body aches, exhaustion
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue
Clinical narrative: elevated temp of 102, fatigue, chills,
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Breast discomfort, Sleep disorder, Vaginal haemorrhage
Clinical narrative: within 24 hours of the initial shot I began to experiencing spotting (intermittent vaginal bleeding) for the next 3 days. I also experienced hypersensitivity in my breasts, especially my nipples. So much so that I could not allow running water from the shower to touch them or sleep on my stomach. This also started within 24 hours of receiving the first shot and lasted for 5 days.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gastrointestinal disorder, Headache, Pain
Clinical narrative: Full body aches, GI issues, extreme exhaustion, headache
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Candida infection, Chest X-ray normal, Chest discomfort, Chills, Dyspnoea
Clinical narrative: Vaccine at 9 am 1-15-21, by 7 pm experiencing fatigue, chills, sweats for the next 24 hours.  1-17-21 at 2am woken up by itching, covered in rash/hives from head to toe, took benadryl.  Severe headaches began and continued until around the 25th, treated with tylenol and ibuprofen with little relief.  Morning of 1-18-21 developed thrush and treated with nystatin.  Noted increased fluid retention and swelling, rash still present.  From the 17th to 21st noted a 10lb weight gain due to fluid, rash present until 21st, swelling continued to increase.  Noted increased SOB, and chest pressure, went to ER at 9pm 1-23-21 when at #28lb weight gain was noted.  Sx began to subside over the next few days with weight slowly coming off.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Fluid retention, Headache, Hyperhidrosis
Clinical narrative: Vaccine at 9 am 1-15-21, by 7 pm experiencing fatigue, chills, sweats for the next 24 hours.  1-17-21 at 2am woken up by itching, covered in rash/hives from head to toe, took benadryl.  Severe headaches began and continued until around the 25th, treated with tylenol and ibuprofen with little relief.  Morning of 1-18-21 developed thrush and treated with nystatin.  Noted increased fluid retention and swelling, rash still present.  From the 17th to 21st noted a 10lb weight gain due to fluid, rash present until 21st, swelling continued to increase.  Noted increased SOB, and chest pressure, went to ER at 9pm 1-23-21 when at #28lb weight gain was noted.  Sx began to subside over the next few days with weight slowly coming off.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Pruritus, Rash, Swelling, Urticaria
Clinical narrative: Vaccine at 9 am 1-15-21, by 7 pm experiencing fatigue, chills, sweats for the next 24 hours.  1-17-21 at 2am woken up by itching, covered in rash/hives from head to toe, took benadryl.  Severe headaches began and continued until around the 25th, treated with tylenol and ibuprofen with little relief.  Morning of 1-18-21 developed thrush and treated with nystatin.  Noted increased fluid retention and swelling, rash still present.  From the 17th to 21st noted a 10lb weight gain due to fluid, rash present until 21st, swelling continued to increase.  Noted increased SOB, and chest pressure, went to ER at 9pm 1-23-21 when at #28lb weight gain was noted.  Sx began to subside over the next few days with weight slowly coming off.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Weight increased
Clinical narrative: Vaccine at 9 am 1-15-21, by 7 pm experiencing fatigue, chills, sweats for the next 24 hours.  1-17-21 at 2am woken up by itching, covered in rash/hives from head to toe, took benadryl.  Severe headaches began and continued until around the 25th, treated with tylenol and ibuprofen with little relief.  Morning of 1-18-21 developed thrush and treated with nystatin.  Noted increased fluid retention and swelling, rash still present.  From the 17th to 21st noted a 10lb weight gain due to fluid, rash present until 21st, swelling continued to increase.  Noted increased SOB, and chest pressure, went to ER at 9pm 1-23-21 when at #28lb weight gain was noted.  Sx began to subside over the next few days with weight slowly coming off.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Nausea
Clinical narrative: Shortly after getting the vaccine (within 20 minutes)- headache, minor aches in muscles.   45 minutes after vaccine- more severe muscle soreness. 12 hours after vaccine- full body muscle aches (pain in all muscles like a post-run lactic acid build up), joint pain throughout entire body with radiating pain in joints from toes to fingers to neck.   Chills (no fever) Nausea Inability to sleep
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Shortly after getting the vaccine (within 20 minutes)- headache, minor aches in muscles.   45 minutes after vaccine- more severe muscle soreness. 12 hours after vaccine- full body muscle aches (pain in all muscles like a post-run lactic acid build up), joint pain throughout entire body with radiating pain in joints from toes to fingers to neck.   Chills (no fever) Nausea Inability to sleep
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Headache, Muscle spasms
Clinical narrative: I received the 2nd dose of my Pfizer COVID-19 vaccine on 01/25/2021 at ~7:30am, at around 2:00pm I noticed I had generalized fatigue, a general sense of feeling cold, and the muscles in the back of my neck were sore, which was causing a tension-like headache. The fatigue gradually increased throughout the day. I attempted to go to bed around 11:00pm and I was so cold my entire body was shivering to a point where my whole body was shaking. I also began noticing muscle cramps throughout my body as well, primarily located in my calves. Eventually fell asleep around 2:00am (symptoms were preventing me from falling asleep), when waking up noticed the symptoms had resolved.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Sleep disorder
Clinical narrative: I received the 2nd dose of my Pfizer COVID-19 vaccine on 01/25/2021 at ~7:30am, at around 2:00pm I noticed I had generalized fatigue, a general sense of feeling cold, and the muscles in the back of my neck were sore, which was causing a tension-like headache. The fatigue gradually increased throughout the day. I attempted to go to bed around 11:00pm and I was so cold my entire body was shivering to a point where my whole body was shaking. I also began noticing muscle cramps throughout my body as well, primarily located in my calves. Eventually fell asleep around 2:00am (symptoms were preventing me from falling asleep), when waking up noticed the symptoms had resolved.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Pain in extremity
Clinical narrative: Sore arm day off and for 48 hours following, severe abdominal pain approx 36 hours after injection
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administered 1 mL instead of 0.5 mL
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hyperhidrosis, Pallor
Clinical narrative: Patient presented to waiting room after having COVID 19 vaccine #1, feeling short of breath after 5 minutes in waiting room. Color pale, skin diaphoretic. Laid patient in clinic room bed; BP 142/82 Pulse 60 (Patient avid swimmer)Pulse Oximetry 92%. O2 per nasal cannula at 2L. Patient has leukemia and received monoclonal antibodies last March. Pulse oximetry fluctuated from 92%-97% with O2 on. 911 called and report given and taken to ED per stretcher per ambulance Patient at discharge not short of breath alert and oriented and BP 138/72-62.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature abnormal
Clinical narrative: Temp
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Red, rashy, itchy
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Pain, Pyrexia
Clinical narrative: Chills,  Fever, body ache and headache
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever of 99.3F Body aches Chills Great left arm pain at injection site
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Blood test, Computerised tomogram head, Contusion, Immune thrombocytopenia, Petechiae
Clinical narrative: Patient received MMR and Varicella vaccine on 11/12/2020 and Hep A and flu vaccine on 12/03/2020 Pt developed easy bruising and petechiae on 12/09  dx Idiopatic Thrombocytopenia on 12/17/2020 treated at Med Ctr
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Skeletal survey
Clinical narrative: Patient received MMR and Varicella vaccine on 11/12/2020 and Hep A and flu vaccine on 12/03/2020 Pt developed easy bruising and petechiae on 12/09  dx Idiopatic Thrombocytopenia on 12/17/2020 treated at Med Ctr
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: started with redness and itching at site of injection and around the area on Saturday 1/23/21.  It is still itching today, not as red.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: I had minimal symptoms at time of shot. My arm was sore for a few days and I was pretty tired. But 12 days later my arm has begun to swell, it is warm to the touch, and is red all around the area where the vaccine was injected.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Base excess, Blood bicarbonate normal, Blood calcium decreased, Blood glucose normal
Clinical narrative: Patient received first dose of Moderna on January 19, 2021. 48 hours later upon waking from sleep patient had myalgias, arthralgia in all distributions, and  a frontal headache. Patient was instructed to rest and increase fluid intake and Ibuprofen as this was likely a known adverse reaction to COVID vaccination. At 72hrs from vaccination patient began to have fevers Tmax 101.9 orally. Continued rest, hydration and ibuprofen, started Tylenol. At 96hrs from vaccination patient began to have a dry cough, diarrhea, severe fatigue and inspiratory chest pain. Patients myalgias and arthralgias continued, and Tmax increased to 104.5 orally. At this time bedside ECHO, iSTAT chemistry, COVID antigen, COVID antibody and COVID PCR, Rapid Flu, and Viral Respiratory Panel were obtained. Administered 1.5 liters of lactated ringers, Toradol 15mg and Tylenol 975mg  and patient was isolated.  EKG, troponin and Chest Xray were obtained 12 hours later (108 hours from vaccination) at which time the patient reported improvement  by 95%. Patient was afebrile and chest pain free. Only symptom at that time was fatigue. After  another 12 hours of rest/sleep (hour 120 post vaccination)  patient reports no symptoms and 100% well.  See below for lab/rad/test details.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pH normal, Blood potassium normal, Blood sodium normal, Carbon dioxide normal, Chest X-ray normal
Clinical narrative: Patient received first dose of Moderna on January 19, 2021. 48 hours later upon waking from sleep patient had myalgias, arthralgia in all distributions, and  a frontal headache. Patient was instructed to rest and increase fluid intake and Ibuprofen as this was likely a known adverse reaction to COVID vaccination. At 72hrs from vaccination patient began to have fevers Tmax 101.9 orally. Continued rest, hydration and ibuprofen, started Tylenol. At 96hrs from vaccination patient began to have a dry cough, diarrhea, severe fatigue and inspiratory chest pain. Patients myalgias and arthralgias continued, and Tmax increased to 104.5 orally. At this time bedside ECHO, iSTAT chemistry, COVID antigen, COVID antibody and COVID PCR, Rapid Flu, and Viral Respiratory Panel were obtained. Administered 1.5 liters of lactated ringers, Toradol 15mg and Tylenol 975mg  and patient was isolated.  EKG, troponin and Chest Xray were obtained 12 hours later (108 hours from vaccination) at which time the patient reported improvement  by 95%. Patient was afebrile and chest pain free. Only symptom at that time was fatigue. After  another 12 hours of rest/sleep (hour 120 post vaccination)  patient reports no symptoms and 100% well.  See below for lab/rad/test details.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough, Diarrhoea, Echocardiogram normal, Fatigue
Clinical narrative: Patient received first dose of Moderna on January 19, 2021. 48 hours later upon waking from sleep patient had myalgias, arthralgia in all distributions, and  a frontal headache. Patient was instructed to rest and increase fluid intake and Ibuprofen as this was likely a known adverse reaction to COVID vaccination. At 72hrs from vaccination patient began to have fevers Tmax 101.9 orally. Continued rest, hydration and ibuprofen, started Tylenol. At 96hrs from vaccination patient began to have a dry cough, diarrhea, severe fatigue and inspiratory chest pain. Patients myalgias and arthralgias continued, and Tmax increased to 104.5 orally. At this time bedside ECHO, iSTAT chemistry, COVID antigen, COVID antibody and COVID PCR, Rapid Flu, and Viral Respiratory Panel were obtained. Administered 1.5 liters of lactated ringers, Toradol 15mg and Tylenol 975mg  and patient was isolated.  EKG, troponin and Chest Xray were obtained 12 hours later (108 hours from vaccination) at which time the patient reported improvement  by 95%. Patient was afebrile and chest pain free. Only symptom at that time was fatigue. After  another 12 hours of rest/sleep (hour 120 post vaccination)  patient reports no symptoms and 100% well.  See below for lab/rad/test details.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Headache, Influenza virus test, Myalgia
Clinical narrative: Patient received first dose of Moderna on January 19, 2021. 48 hours later upon waking from sleep patient had myalgias, arthralgia in all distributions, and  a frontal headache. Patient was instructed to rest and increase fluid intake and Ibuprofen as this was likely a known adverse reaction to COVID vaccination. At 72hrs from vaccination patient began to have fevers Tmax 101.9 orally. Continued rest, hydration and ibuprofen, started Tylenol. At 96hrs from vaccination patient began to have a dry cough, diarrhea, severe fatigue and inspiratory chest pain. Patients myalgias and arthralgias continued, and Tmax increased to 104.5 orally. At this time bedside ECHO, iSTAT chemistry, COVID antigen, COVID antibody and COVID PCR, Rapid Flu, and Viral Respiratory Panel were obtained. Administered 1.5 liters of lactated ringers, Toradol 15mg and Tylenol 975mg  and patient was isolated.  EKG, troponin and Chest Xray were obtained 12 hours later (108 hours from vaccination) at which time the patient reported improvement  by 95%. Patient was afebrile and chest pain free. Only symptom at that time was fatigue. After  another 12 hours of rest/sleep (hour 120 post vaccination)  patient reports no symptoms and 100% well.  See below for lab/rad/test details.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Painful respiration, Patient isolation, Pyrexia, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative
Clinical narrative: Patient received first dose of Moderna on January 19, 2021. 48 hours later upon waking from sleep patient had myalgias, arthralgia in all distributions, and  a frontal headache. Patient was instructed to rest and increase fluid intake and Ibuprofen as this was likely a known adverse reaction to COVID vaccination. At 72hrs from vaccination patient began to have fevers Tmax 101.9 orally. Continued rest, hydration and ibuprofen, started Tylenol. At 96hrs from vaccination patient began to have a dry cough, diarrhea, severe fatigue and inspiratory chest pain. Patients myalgias and arthralgias continued, and Tmax increased to 104.5 orally. At this time bedside ECHO, iSTAT chemistry, COVID antigen, COVID antibody and COVID PCR, Rapid Flu, and Viral Respiratory Panel were obtained. Administered 1.5 liters of lactated ringers, Toradol 15mg and Tylenol 975mg  and patient was isolated.  EKG, troponin and Chest Xray were obtained 12 hours later (108 hours from vaccination) at which time the patient reported improvement  by 95%. Patient was afebrile and chest pain free. Only symptom at that time was fatigue. After  another 12 hours of rest/sleep (hour 120 post vaccination)  patient reports no symptoms and 100% well.  See below for lab/rad/test details.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Vaccination complication, Viral test negative
Clinical narrative: Patient received first dose of Moderna on January 19, 2021. 48 hours later upon waking from sleep patient had myalgias, arthralgia in all distributions, and  a frontal headache. Patient was instructed to rest and increase fluid intake and Ibuprofen as this was likely a known adverse reaction to COVID vaccination. At 72hrs from vaccination patient began to have fevers Tmax 101.9 orally. Continued rest, hydration and ibuprofen, started Tylenol. At 96hrs from vaccination patient began to have a dry cough, diarrhea, severe fatigue and inspiratory chest pain. Patients myalgias and arthralgias continued, and Tmax increased to 104.5 orally. At this time bedside ECHO, iSTAT chemistry, COVID antigen, COVID antibody and COVID PCR, Rapid Flu, and Viral Respiratory Panel were obtained. Administered 1.5 liters of lactated ringers, Toradol 15mg and Tylenol 975mg  and patient was isolated.  EKG, troponin and Chest Xray were obtained 12 hours later (108 hours from vaccination) at which time the patient reported improvement  by 95%. Patient was afebrile and chest pain free. Only symptom at that time was fatigue. After  another 12 hours of rest/sleep (hour 120 post vaccination)  patient reports no symptoms and 100% well.  See below for lab/rad/test details.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Feeling abnormal, Headache
Clinical narrative: Mild headache started at 10:00 PM on 1/25/21.  In the morning around 6:30 am, 1/26/21, fever of 99.5, body aches, fatigue, no appetite.  At 11:30 am, fever up to 100.9.  8:00 PM on 1/26/21, fever was up to 103.2, severe body aches continued, was in bed all day long, felt like she was dying.  Today, 1/27/21, diarrhea.  Fever has resolved, no body aches, no headaches, just the diarrhea.   Did not take her Tylenol on Monday due to conflicted reports, but did take Tylenol when her fever got up to 100 and continued to take it every 6 hours and is continuing that now.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Mild headache started at 10:00 PM on 1/25/21.  In the morning around 6:30 am, 1/26/21, fever of 99.5, body aches, fatigue, no appetite.  At 11:30 am, fever up to 100.9.  8:00 PM on 1/26/21, fever was up to 103.2, severe body aches continued, was in bed all day long, felt like she was dying.  Today, 1/27/21, diarrhea.  Fever has resolved, no body aches, no headaches, just the diarrhea.   Did not take her Tylenol on Monday due to conflicted reports, but did take Tylenol when her fever got up to 100 and continued to take it every 6 hours and is continuing that now.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Induration, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: A few hours after receiving the vaccine my arm was sore. It has stayed sore since then, Yesterday it was bothering me so I looked and noticed there was knot about the size bigger the a dime but smaller then a quarter.  Slightly red area the injection site and has been itching. Feels warm to touch. I haven't really bad or anything. Since Saturday I have been trouble with my stomach which isn't anything unusual. It seems like it is upset.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: A few hours after receiving the vaccine my arm was sore. It has stayed sore since then, Yesterday it was bothering me so I looked and noticed there was knot about the size bigger the a dime but smaller then a quarter.  Slightly red area the injection site and has been itching. Feels warm to touch. I haven't really bad or anything. Since Saturday I have been trouble with my stomach which isn't anything unusual. It seems like it is upset.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral
Clinical narrative: tingly lips 30 min after vaccine. Patient felt upper lip was slightly swollen but hard to tell. No respiratory distress. Benadryl 50 mg given orally 45 minutes post vaccine. Patient asked to leave 60 minutes post vaccine, felt symptoms were not progressing, knows what to do if they progressed.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Oedema peripheral, Pain
Clinical narrative: Monday afternoon, January 25, I started feeling achy and chilly.  Just not well.  I work 5 a.m. to 1:30 p.m.  I went straight home from work.  I took shoes off and got in bed.  I was very cold and felt that the coldness was from inside out especially in my hands.  I covered with a sheet and 3 blankets with an extra blanket to my feet and used winter gloves on my hands.  I got up at 5 p.m and felt better.   Tuesday morning, January 26 at 3 a.m. when I got up to shower,  I noticed a soreness and large swelling under left armpit, ? lymphadenopathy.  All others symptoms had passed.  Continues to be the same on today, January 27.  Seeing MD on Thursday, January 28.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Headache, Injection site pain
Clinical narrative: Pain when injected, sore, chills,  headaches
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Very hard induration at site of injection. Site also had redness, heat, and itching for 3 days following injection. Systemically experienced chills, muscle aches/soreness, and fatigue. Of note, the vaccine administrator said they were going to hold the injection in place for 10 seconds following the injection per instructions to do this this way, which I had never had occur before. I have also never had a vaccine reaction before. Unsure if the local site reaction could have been worse due to this practice.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Myalgia
Clinical narrative: Very hard induration at site of injection. Site also had redness, heat, and itching for 3 days following injection. Systemically experienced chills, muscle aches/soreness, and fatigue. Of note, the vaccine administrator said they were going to hold the injection in place for 10 seconds following the injection per instructions to do this this way, which I had never had occur before. I have also never had a vaccine reaction before. Unsure if the local site reaction could have been worse due to this practice.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: pt states she woke up during the night after the vax and her armpit was sore under the left arm and noticed lymph node swollen.  Pt called and made apt w/ PCP on 1/26/21.  She noticed two 3x3  red spots on left arm just below the injection site on the day of her appt.  Pt states today the left armpit and injection site is swollen.  Her PCP told her to keep her on it and keep her next scheduled apt for FU.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Paraesthesia
Clinical narrative: 2:15PM At approximately 2:10PM on 1/6/21 in observation area patient raised her hand. Writer and several other staff approached patient asking what was wrong. Patient appeared to be clammy, and stated: "I feel kind of dizzy, and now my hands feel tingly." Writer immediately alerted charge RN. Other staff stayed with patient and helped drink water, deep breathe. V/S checked. BP 142/97 HR-96 (apical) RR-17. Over a few minutes patient began to state she felt less "dizzy" and was starting to feel better. Patient being closely monitored for additional 15 minutes. Writer will re check V/S and patient before advising to leave observation. 2:30 BP 130/96 HR-72. Patient states: "I feel a lot better." Patient asked to wait an additional 10 minutes to be monitored. Patient in compliance. RN aware and did assess patient. Patient cleared to leave at 2:40PM 2:44PM Patient felt well enough to leave. Patient observed walking out of facility with no complications, no further concerns.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension
Clinical narrative: lightheadness, dizziness, & hypotension
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Injection site pain, Pain
Clinical narrative: Around noon, the injection site pain started.  Around 5:30pm, fatigue, body aches, fever and chills set in and continued through the night.  Upon waking the next day at 9am, fatigue, body aches, and chills were lessened significantly.  Around 2:30pm, I took 2 advil and the body aches and chills went away shortly after.  Fever/sweaty feeling continued into the evening and overnight.  Woke up the next morning feeling much better (thank god!) and all symptoms gone.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Around noon, the injection site pain started.  Around 5:30pm, fatigue, body aches, fever and chills set in and continued through the night.  Upon waking the next day at 9am, fatigue, body aches, and chills were lessened significantly.  Around 2:30pm, I took 2 advil and the body aches and chills went away shortly after.  Fever/sweaty feeling continued into the evening and overnight.  Woke up the next morning feeling much better (thank god!) and all symptoms gone.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Headache, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: At approximately 8 days post vaccine she developed headache, nausea, ringing in ears.  Objectively had a ring shaped rash around the site of vaccine that was described as itching and burning.  The ring was approximately 7cm in diameter.  This was treated on a visit prior to ED arrival with clindamycin and prednisone, and it worsened despite those treatments.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Nausea, Tinnitus, Urine analysis normal
Clinical narrative: At approximately 8 days post vaccine she developed headache, nausea, ringing in ears.  Objectively had a ring shaped rash around the site of vaccine that was described as itching and burning.  The ring was approximately 7cm in diameter.  This was treated on a visit prior to ED arrival with clindamycin and prednisone, and it worsened despite those treatments.
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Headache
Clinical narrative: Headache
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was 17 years old at time of vaccine
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 12 hours after vaccine began having chills, fever, body aches and headache. Temperature up to 102. This lasted about 12 hours. About 34 hours after vaccine started chilling again, took ibuprofen and it stopped. Also had red, warm to the touch, hardened area about an inch below the vaccine site. It is about 2 inches in diameter and sore to the touch.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 12 hours after vaccine began having chills, fever, body aches and headache. Temperature up to 102. This lasted about 12 hours. About 34 hours after vaccine started chilling again, took ibuprofen and it stopped. Also had red, warm to the touch, hardened area about an inch below the vaccine site. It is about 2 inches in diameter and sore to the touch.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Mobility decreased
Clinical narrative: 26th 0130-can't move, all joints bones-Can't get out of bed. No eating.  Poor voiced quality.  She's been vomiting.   When I asked her the Lot# and manufacturer-she said-stop yelling- don't get frustrated-began to cry-I softy asked the question again Lot# and Manufacturer. Told to go see her PCM.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Patient received Moderna on 01/20/2021 and states that left arm was sore until Thursday, 01/21/2021. Patient woke up on 01/27/2021 with 45mm red knot at the injection site, with surrounding swelling. No tenderness to touch, but patient states pain is radiating to hand.  Site is warm to touch.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Exposure during pregnancy, Myalgia, Pain in extremity
Clinical narrative: First round of moderna vaccine received 28days prior when I was not pregnant. After first dose, I had a lard red, indurated but painless bump on my arm for a week. I became pregnant about two weeks after first dose and this, the second dose, was given at four weeks pregnant (due date oct 1 2021). Side effects included fever, chills, muscle aches, very sore arm, light-headedness, tachcardia.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tachycardia
Clinical narrative: First round of moderna vaccine received 28days prior when I was not pregnant. After first dose, I had a lard red, indurated but painless bump on my arm for a week. I became pregnant about two weeks after first dose and this, the second dose, was given at four weeks pregnant (due date oct 1 2021). Side effects included fever, chills, muscle aches, very sore arm, light-headedness, tachcardia.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hot flush, Hyperhidrosis, Pyrexia
Clinical narrative: Shivering, hot flashes, sweats, fever
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Cellulitis-like reaction to the injection site that is red, swollen, firm, hot to touch, and has a burning sensation a week after vaccine administration. Have taken Benadryl, ibuprofen and have been prescribed an antibiotic,
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Dyskinesia, Fatigue, Headache, Myalgia
Clinical narrative: After the first dose I began to shake uncontrollably and I had uncontrolled muscle movements in my whole body. I had the chills and a headache as well as muscle aches and a sore throat.  After the second dose I had the chills again, headache, fever, sore throat, severe fatigue, muscle aches, runny nose that lasted over 24 hours.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Rhinorrhoea, Tremor
Clinical narrative: After the first dose I began to shake uncontrollably and I had uncontrolled muscle movements in my whole body. I had the chills and a headache as well as muscle aches and a sore throat.  After the second dose I had the chills again, headache, fever, sore throat, severe fatigue, muscle aches, runny nose that lasted over 24 hours.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Impaired work ability, Influenza like illness
Clinical narrative: At the time of 1st dose shot (approx. 1pm) on Friday 01/08/2021 slight irritation at injection site. Approximately 12:30-1:00 AM on 01/09/2021 woke up, turned my head and experienced room spinning dizziness for about 2 minutes. Had to remain completely still to stop the room spinning.  For the next 2 days (until the morning of Monday 01/11/2021)  I experienced on and off room spinning dizziness at unpredictable intervals.  Usually didn't last longer than 2 minutes but had to remain completely still to stop the spinning.   Starting on Monday 01/11/2021 had "normal" dizziness along with some flu like symptoms,  headache, tiredness,  soreness/achiness and extreme soreness and pain in my left upper arm where I received the vaccine shot. I stayed out of work because of the on-going dizziness. These symptoms continued until Saturday 01/16/2021.  I took an antihistamine on Saturday night and finally woke up Sunday 01/17/2021 with no dizziness.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site irritation, Injection site pain, Pain
Clinical narrative: At the time of 1st dose shot (approx. 1pm) on Friday 01/08/2021 slight irritation at injection site. Approximately 12:30-1:00 AM on 01/09/2021 woke up, turned my head and experienced room spinning dizziness for about 2 minutes. Had to remain completely still to stop the room spinning.  For the next 2 days (until the morning of Monday 01/11/2021)  I experienced on and off room spinning dizziness at unpredictable intervals.  Usually didn't last longer than 2 minutes but had to remain completely still to stop the spinning.   Starting on Monday 01/11/2021 had "normal" dizziness along with some flu like symptoms,  headache, tiredness,  soreness/achiness and extreme soreness and pain in my left upper arm where I received the vaccine shot. I stayed out of work because of the on-going dizziness. These symptoms continued until Saturday 01/16/2021.  I took an antihistamine on Saturday night and finally woke up Sunday 01/17/2021 with no dizziness.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Woke up in morning ~14d following my 2nd Pfizer COVID vaccine with fairly significant bilateral tinnitus. I am an otherwise healthy 32 y/o male with no relevant PMH and never with tinnitus prior to this. It continues to persist for 2 days. No other relevant sx to report. Seemed worthy of reporting given the likely timing of my peak antibody response at the 14d mark and general vaccine monitoring concerns of cross reactive antibody responses.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival blister, Lip blister
Clinical narrative: Blisters along lower gum  line and bottom lip.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Headache, Lymphadenopathy, Pain
Clinical narrative: Woke up at 5am 1/26/21 with Headache, body aches, ax temp 100.4.  Left arm pain with enlarged lymph nodes left axillary area.  Fatigued. Headache became debilitating around noon.  Extra strength Tylenol decreased temperature and body aches but did not help with headache.  Fatigued all day.  1/27/21 10amFatigued, headache, body aches gone.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Woke up at 5am 1/26/21 with Headache, body aches, ax temp 100.4.  Left arm pain with enlarged lymph nodes left axillary area.  Fatigued. Headache became debilitating around noon.  Extra strength Tylenol decreased temperature and body aches but did not help with headache.  Fatigued all day.  1/27/21 10amFatigued, headache, body aches gone.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Immediate post-injection reaction, Injection site inflammation, Injection site urticaria, Pharyngeal swelling
Clinical narrative: immediate local injection site inflammation & urticaria lasting 4 days, later in day and over next 2 days minor throat swelling and feeling of facial fullness, all symptoms resolved without treatment over 4 days
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Herpes zoster, Paraesthesia, Rash
Clinical narrative: Herpes Zoster (Shingles)- tingling, rash, sharp shooting pains all on left side of face. Acyclovir 1 GM tablet TID
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: Diarrhea, Nausea, Headache, Fatigue, Body Aches started at 4am Tuesday 1/26 and still ongoing today presently. Cough is starting today.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Diarrhea, Nausea, Headache, Fatigue, Body Aches started at 4am Tuesday 1/26 and still ongoing today presently. Cough is starting today.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Discomfort, Fatigue, Pain, Sleep disorder
Clinical narrative: About 8-10 minutes after the injection, my vision got blurry. It was very brief- only a couple minutes long. If it had lasted until the end of my 15 minute post-injection observation period, I would have reported it then, but it didn't. I decided to include it here, because later in the day, I had another reaction. About 12 hours after the dose -around 7PM- I started getting chills and body aches and abnormally fatigued. The chills were intense almost as soon as they come on. The body aches were mild for the first couple hours and progressed to intense. Both symptoms lasted continuously for about 12 hours, then around 7AM they started to wane. I'm not sure if I should list insomnia as a reaction, but despite how exhausted I felt, I could not sleep. It could have also been just general discomfort that kept me from being able to sleep. Through most of the following day I had mild aches and waves of chills. By the time I went to bed that night (last night at the time of writing this), the symptoms had mostly  cleared and so far have not returned.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: About 8-10 minutes after the injection, my vision got blurry. It was very brief- only a couple minutes long. If it had lasted until the end of my 15 minute post-injection observation period, I would have reported it then, but it didn't. I decided to include it here, because later in the day, I had another reaction. About 12 hours after the dose -around 7PM- I started getting chills and body aches and abnormally fatigued. The chills were intense almost as soon as they come on. The body aches were mild for the first couple hours and progressed to intense. Both symptoms lasted continuously for about 12 hours, then around 7AM they started to wane. I'm not sure if I should list insomnia as a reaction, but despite how exhausted I felt, I could not sleep. It could have also been just general discomfort that kept me from being able to sleep. Through most of the following day I had mild aches and waves of chills. By the time I went to bed that night (last night at the time of writing this), the symptoms had mostly  cleared and so far have not returned.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: arm became red