chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Injection site pain, Pain in extremity
Clinical narrative: Sore arm on day #1 & #2... expected with any injection.  Day 5 I got up from bed and fell into nightstand, thinking I just got up too quickly, I tried to slow down but fell into shower once in the bathroom. The dizziness has continued for past 3 days now, no past history of vertigo or dizziness before.
Sex: U
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: A rash on my forehead it started 2 days after I got the shot
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Chills/fever/body ache/severe overall pain/ fever between 99.7 to 101.7 for 2 days/Tylenol 500 mg every 4 hrs for 2 days  Like to know what precaution I can take before the second dose schedule for 04/03/2021 to avoid the same severe condition.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Vasodilatation
Clinical narrative: ~5 blood vessels in forehead show
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chills, Dizziness, Eye irritation, Fatigue
Clinical narrative: "Moderna COVID 19 Vaccine EUA"   At time I thought it was the start of a panic attack but now looking back, it might have been an allergic reaction.  Felt like a sting going up my arm, over my shoulder into my back.  Felt a little dizzy but it went away with sitting for 15 min.  When I got home I then realized my heart was fluttering but it went away within an hour.  6pm got chills and very tired.  Didn't sleep much and took tylenol in am to help with pain in arm, headache, burning eyes, chills and nausea.  I was still very tired and stayed in bed all day Sunday.  Today, I feel better with taking Tylenol but still nausea and headache and a little dizzy.   I now have a rash on my arm near injection site.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site rash, Insomnia, Nausea, Pain
Clinical narrative: "Moderna COVID 19 Vaccine EUA"   At time I thought it was the start of a panic attack but now looking back, it might have been an allergic reaction.  Felt like a sting going up my arm, over my shoulder into my back.  Felt a little dizzy but it went away with sitting for 15 min.  When I got home I then realized my heart was fluttering but it went away within an hour.  6pm got chills and very tired.  Didn't sleep much and took tylenol in am to help with pain in arm, headache, burning eyes, chills and nausea.  I was still very tired and stayed in bed all day Sunday.  Today, I feel better with taking Tylenol but still nausea and headache and a little dizzy.   I now have a rash on my arm near injection site.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Panic attack
Clinical narrative: "Moderna COVID 19 Vaccine EUA"   At time I thought it was the start of a panic attack but now looking back, it might have been an allergic reaction.  Felt like a sting going up my arm, over my shoulder into my back.  Felt a little dizzy but it went away with sitting for 15 min.  When I got home I then realized my heart was fluttering but it went away within an hour.  6pm got chills and very tired.  Didn't sleep much and took tylenol in am to help with pain in arm, headache, burning eyes, chills and nausea.  I was still very tired and stayed in bed all day Sunday.  Today, I feel better with taking Tylenol but still nausea and headache and a little dizzy.   I now have a rash on my arm near injection site.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Dizziness, Fatigue, Nausea
Clinical narrative: Received vaccination dose 1 at 5pm.  Woke in middle of night with abdominal pain and thirst.  Day 1 woke at 6am extremely tired, woozy, nauseous (no fever).  I was able to work from home a little but napped several times.  Day 2 on a tired but functional, continued abdominal pain turning late in day to diarrhea (about 48 hours post vaccine).  Day 3 morning abdominal pain, diarrhea and tired. Day 4 mostly back to normal.  I had covid 90 days prior to the vaccination.  I'm scared to get the second dose.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Thirst
Clinical narrative: Received vaccination dose 1 at 5pm.  Woke in middle of night with abdominal pain and thirst.  Day 1 woke at 6am extremely tired, woozy, nauseous (no fever).  I was able to work from home a little but napped several times.  Day 2 on a tired but functional, continued abdominal pain turning late in day to diarrhea (about 48 hours post vaccine).  Day 3 morning abdominal pain, diarrhea and tired. Day 4 mostly back to normal.  I had covid 90 days prior to the vaccination.  I'm scared to get the second dose.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Feeling cold, Nausea
Clinical narrative: Woke up about 12 hours later, teeth chattering, dizziness, nausea, arm extremely sore, chills and feeling really cold and couldn't get warm. She had diarrhea, lightheadedness, couldn't keep anything down. She tried drinking ginger ale.  Lasted for about 20 hours. She started feeling better afterwards. Later she had no taste for food which lasted about 2 weeks. After 5 weeks, she has no taste for wine.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Vomiting
Clinical narrative: Woke up about 12 hours later, teeth chattering, dizziness, nausea, arm extremely sore, chills and feeling really cold and couldn't get warm. She had diarrhea, lightheadedness, couldn't keep anything down. She tried drinking ginger ale.  Lasted for about 20 hours. She started feeling better afterwards. Later she had no taste for food which lasted about 2 weeks. After 5 weeks, she has no taste for wine.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: Pain at injection site making it hard to use arm lasting twenty days.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo upon changing positions from lying down to sitting or standing, and from standing to lying down. Vertigo also when rolling over in bed.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Headache, Pain
Clinical narrative: Generalized pain, intensified in neck. Headache. Fatigue. Feeling hot but no fever
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pruritus, Urticaria
Clinical narrative: HIVES AND ITCHING TO BOTH ARMS FOLLOWING SECOND INJECTION OF MODERNA. ALSO STARTED TO COMPLAIN OF A HEADACHE. PT WAS ADMINISTERED ZYRTECH 10MG PO. PT ALSO TOOK ON HER OWN 2 TYLENOLS (650MG). PT WAS RELEASED TO HER OWN CARE HOME AT 945AM WHEN SYMPTOMS RESOLVED.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: At day 9, I started have itching, swelling and redness (size of a silver dollar) at the injection site.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Clostridium difficile colitis, Clostridium difficile infection, Condition aggravated, Death, Escherichia sepsis
Clinical narrative: 79 yo with HFpEF, CKD, neurogenic bladder with chronic indwelling Foley admitted to Facility 01/21/21-01/28/21 with recurrent c. difficile/sepsis.  Received COVID vaccine on 2/3/21 as outpatietn.  Readmitted to Facility on 02/16/21 with sepsis with E. coli BSI from GU source, recurrent/persistent c. difficile colitis.  Worsening sepsis.  Family transitioned goals from full code to DNR/DNI and then to CMO.  Patient expired 02/18/2021.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Pain, Pain in extremity, Pyrexia
Clinical narrative: felt like had a bad flu, fever chills, sore, swollen, red arm. body aches.. treatment a few tylenol and went to bed stayed in bed all night and all day
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: as of this report, it is day 9 and I still have sore muscles in my arm where shot was given. midway between shoulder and elbow, when using the arm. It gets worse overnight. calms some after rising.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Lymphadenopathy
Clinical narrative: Patient developed swelling under his armpit, Felt like a pus sac. It was not red nor warm to the touch. He also had several joint aches in his knees.  He was applying ice to the armpit area. Advised the patient to see a physician if the swelling progressed or if warm to the touch. Patient noticed this on 3/21/21- reported it today 3/22/21. He will let us know if his condition worsens
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Palpitations, Tachycardia
Clinical narrative: person reported heart racing, SOB, chest tightness. Tachycardia 140-160's. Did remember that she had rxn to unknown medication around age 7. transported by EMS for on site observation
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: redness and itching swollen
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Mass, Pain of skin, Skin warm
Clinical narrative: Painful half dollar size warm red lump. Lump is both below and on top of skin.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Mobility decreased, Neck pain, Pain, Pain in extremity
Clinical narrative: Approx one moth post vaccine developed left arm pain radiating to neck and back, and decreased mobility in arm.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Approximately 10 hours after the vaccine I spiked a 100 degree fever and it hasn't subsided yet.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chills, Diarrhoea, Fatigue
Clinical narrative: 16.5 hrs after injection stomach cramping and diarrhea every 2 hrs x 3. 24 hrs after injection chills, fever (99.1), joint pain, fatigue.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 16.5 hrs after injection stomach cramping and diarrhea every 2 hrs x 3. 24 hrs after injection chills, fever (99.1), joint pain, fatigue.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Movement disorder
Clinical narrative: severe pain in shoulder unable to move, red streak across shoulder thought was from seat belt at first but hasn't gone away, advised to see primary care Doctor
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Brain injury, Cerebrovascular accident, Computerised tomogram, Hypoaesthesia, Magnetic resonance imaging abnormal
Clinical narrative: March 6th noticed right hand going numb but cleared up within 10 minutes.  March 7th right hand went numb again and had vision problems with right eye, cleared up in about 15 minutes.  March 9th right hand and right side of face went numb.  Went to hospital and was examined and told I was having a stroke.  I was admitted to hospital for two days.  MRI showed that I had a stroke and now have some brain tissue damage.  I and now going to occupational therapy to regain use of right hand.  The Doctors thought that it was pretty coincidental that my first stroke symptom (transient numb right hand on the 6th) started just a couple days after I got the second dose of the moderna vaccine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: March 6th noticed right hand going numb but cleared up within 10 minutes.  March 7th right hand went numb again and had vision problems with right eye, cleared up in about 15 minutes.  March 9th right hand and right side of face went numb.  Went to hospital and was examined and told I was having a stroke.  I was admitted to hospital for two days.  MRI showed that I had a stroke and now have some brain tissue damage.  I and now going to occupational therapy to regain use of right hand.  The Doctors thought that it was pretty coincidental that my first stroke symptom (transient numb right hand on the 6th) started just a couple days after I got the second dose of the moderna vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoacusis, Tinnitus
Clinical narrative: 3 hours after second COVUD Pfizer injection, the tinnitus in my right ear was amplified. it was very loud and made hearing on that side almost impossible. At 6 hours I called the Advice Nurse who asked me questions and decided to send an urgent message to my Primary Care Physician. I did not get a call back from that office until end of business the next day offering an appointment 5 days in the future. By then the sound level had returned to normal so I did not make an appointment.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes simplex, Oral herpes
Clinical narrative: Herpes outbreak, cold sore & genital.  Still have outbreak as of  3/22.   I don't have a doctor, so I notified the clinic, made an appt. for 3/30/21.  Couldn't get an earlier appointment.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Electrocardiogram, Flushing, Hypotension
Clinical narrative: Pt appeared dizzy, cold and clammy, pale, and flushed. Paramedics accessed pt, found out he was hypotensive. MD on site examined pt and called management. Pt was transported to Hospital via ambulance, accompanied by wife. Pt was alert and oriented x3, EKG done on sinus rhythm .
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pallor
Clinical narrative: Pt appeared dizzy, cold and clammy, pale, and flushed. Paramedics accessed pt, found out he was hypotensive. MD on site examined pt and called management. Pt was transported to Hospital via ambulance, accompanied by wife. Pt was alert and oriented x3, EKG done on sinus rhythm .
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Paraesthesia, Paraesthesia oral
Clinical narrative: tingling in hands and tongue. Completely resolved in 20 minutes. Headache after tingling reesloved
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chromaturia, Fatigue, Feeling abnormal, Hyperhidrosis
Clinical narrative: After the first inoculation I had some transient pains in my head, and a few hive like welts, some tiredness.  Then I had the second inoculation.  The morning of 3/11/21 I woke up sweating with a fever and this very strange feeling was rolling through my body, from my head, down to my toes, then back up to my head and on and on.  I took my temperature and it was 100.5 F. Also, I had begun breaking out in a few hive-like red welts on my legs, arms, stomach, back,  maybe 8 to 10, hard to tell,  but strange looking, unusual,  and uncomfortable.  Then around that Wednesday, the 16th, my urine was brownish and smelled smoky.  I had not taken any supplements in days. The next day it was beige, smoky, then the next day bright yellow.  The next day it went back to normal. More welts.   EXTREME exhaustion.  Then  on  the 18th I developed chills and more itching and welts. One on my face.  One or two on my scalp.  More around my waist, arms, neck, and legs.  I am still having intermittent chills and hives/welts, and EXTREME  tiredness.  I have a cold sore in my mouth or throat, I can't tell exactly where.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes, Pyrexia, Urine abnormality, Urticaria
Clinical narrative: After the first inoculation I had some transient pains in my head, and a few hive like welts, some tiredness.  Then I had the second inoculation.  The morning of 3/11/21 I woke up sweating with a fever and this very strange feeling was rolling through my body, from my head, down to my toes, then back up to my head and on and on.  I took my temperature and it was 100.5 F. Also, I had begun breaking out in a few hive-like red welts on my legs, arms, stomach, back,  maybe 8 to 10, hard to tell,  but strange looking, unusual,  and uncomfortable.  Then around that Wednesday, the 16th, my urine was brownish and smelled smoky.  I had not taken any supplements in days. The next day it was beige, smoky, then the next day bright yellow.  The next day it went back to normal. More welts.   EXTREME exhaustion.  Then  on  the 18th I developed chills and more itching and welts. One on my face.  One or two on my scalp.  More around my waist, arms, neck, and legs.  I am still having intermittent chills and hives/welts, and EXTREME  tiredness.  I have a cold sore in my mouth or throat, I can't tell exactly where.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: before vaccination person reported that she had n/v everytime she had recived a flu vaccine. It was discussed with her and she insisted on taking the vaccine so she could keep working. 10 min after taking vaccination she had headache. Brought to observation area and progressed to n/v. Monitored for 30 min and then called for EMS. She was given Benadryl. She reported only 4 hours of sleep and not eating anything after waking up. transported via EMS for on site observation
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: The patient is having a sharp, specific pain in her arm that gets worse when she raises her arm. Sometimes it even radiates up to her neck.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Heart rate increased, Swollen tongue
Clinical narrative: Per patient; "almost instantly" after receiving 1st Moderna vaccine she felt warmth go up entire body, felt heart was beating fast, and felt tongue was swollen. She was given 10mg Cetirizine sublingual. Symptoms resolved after 15 minutes. No visible tongue swelling. Vitals signs were stable throughout assessment.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Dizziness, Electrocardiogram, Nausea, Palpitations
Clinical narrative: Medics called @14:20 to respond for patient evaluation due to persistent tachycardia, continued nausea, intermittent dizziness (stated she felt "light-headed") and report of occasional palpitations. Pt blood glucose 150@1426. Medics arrival @1430 and pt encouraged to be evaluated and followup at hospital, pt agreeed to be evaluated in ambulance (@1438 EKG-sinus tachycardia @120, BG @175) but declined transport to hospital. Pt husband provided with instruction on OTC nausea treatment including diet and hydration. Pt and spouse advised to call 911 or respond to hospital if symptoms persisted or worsened, both verbalized understanding.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus tachycardia, Tachycardia
Clinical narrative: Medics called @14:20 to respond for patient evaluation due to persistent tachycardia, continued nausea, intermittent dizziness (stated she felt "light-headed") and report of occasional palpitations. Pt blood glucose 150@1426. Medics arrival @1430 and pt encouraged to be evaluated and followup at hospital, pt agreeed to be evaluated in ambulance (@1438 EKG-sinus tachycardia @120, BG @175) but declined transport to hospital. Pt husband provided with instruction on OTC nausea treatment including diet and hydration. Pt and spouse advised to call 911 or respond to hospital if symptoms persisted or worsened, both verbalized understanding.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: Extreme left shoulder pain within hours of vaccination. Lost range of motion due to pain. 10 days later pain has not fully resolved.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram normal, Fatigue, Headache, Vision blurred
Clinical narrative: Extreme headache beginning 2 days after vaccine was administered. Accompanied by chills and tiredness, and blurred vision. Today is the 6th day after the vaccine was administered and still have extreme fatigue and moderate headache.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Vomiting
Clinical narrative: PT AFTER BEING IN OBSERVATION WENT TO LEAVE AND THEN PT REPORTED HE WENT TO THE RESTROOM AND VOMITED UP A LARGE AMOUNT OF EMESIS. PT WAS BROUGHT BACK TO THE OBSERVATION AREA WHERE HE WAS OBSERVED AND THEN COMPLAINED OF A HEADACHE. COLD COMPRESS WAS GIVEN.  PT STAYED FOR 30 MINUTES AND STATED HE FELT BETTER SO HE WAS RELEASED IN HIS OWN CARE HOME. NO MEDICATIONS GIVEN
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Fatigue, Headache, Lymphadenopathy, Pain
Clinical narrative: 4:30 sore left arm, 10:30 pm Chills and fever,  Chilles and fever over about 4am Sunday 03/21 .   8 am Sunday  Headache    Achey body until about 3:00pm   Monday 3/22 headache   Swollen symph nodes 3/22   9am to present  Very tired on Sunday all day
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: 4:30 sore left arm, 10:30 pm Chills and fever,  Chilles and fever over about 4am Sunday 03/21 .   8 am Sunday  Headache    Achey body until about 3:00pm   Monday 3/22 headache   Swollen symph nodes 3/22   9am to present  Very tired on Sunday all day
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Pain in extremity
Clinical narrative: The patient was found dead in his home on 3/18/2021, 8 days after vaccination. Due to the remoteness of where the individual lives and his lack of housemate, it is unknown how long he had been dead, but it is not believe that he was dead for more than 1-2 days. He had no adverse reactions in the 15-30 minutes that he was observed post-injection. He also reported only a sore arm to the public health nurse in an email a few days after his vaccination.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pain, Peripheral swelling, Pruritus
Clinical narrative: Injection site soreness returned, but additionally it is hot, swollen and itchy.   About 2-3? estimated diameter.   Applying Benadryl cream.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Mobility decreased
Clinical narrative: later that evening had chills and unable to get warm, extreme tiredness, loss of appetite, and unable to do much. This continued for several days.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate decreased, Hypopnoea, Loss of consciousness, Pulse abnormal, Stridor
Clinical narrative: Pt. became unconscious and lost bladder control-she had shallow, infrequent respirations with an exp. stridor noted-pulse faint and slow.  Epinephrine given IM per clinic standing order and pt. became conscious within 15 seconds-could not remember losing consciousness.  Taken to the hospital for further evaluation.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary incontinence
Clinical narrative: Pt. became unconscious and lost bladder control-she had shallow, infrequent respirations with an exp. stridor noted-pulse faint and slow.  Epinephrine given IM per clinic standing order and pt. became conscious within 15 seconds-could not remember losing consciousness.  Taken to the hospital for further evaluation.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Ear pain, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Headache, low-grade fever, rash, weakness, fatigue, stuffed up sinus, sinus pressure, sore throat, drainage, earache
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Pyrexia, Rash, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Headache, low-grade fever, rash, weakness, fatigue, stuffed up sinus, sinus pressure, sore throat, drainage, earache
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: Headache, low-grade fever, rash, weakness, fatigue, stuffed up sinus, sinus pressure, sore throat, drainage, earache
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Arthritis, Blood thyroid stimulating hormone, Cardiac failure chronic, Cardiac failure congestive
Clinical narrative: seen in office for appointment by Dr. on 3/22/21: arthritis of hand (Bilateral) bilateral hand swelling and MCP joint swelling  symptoms worsening each day per patient  suspect rheumatoid arthritis even with negative rheumatoid factor  will recheck labs today and refer patient to rheumatology for further work up  patient to start prednisone 7.5 mg every day x 30 days  used in the decision making process  Send for rheumatology referral Check ANA multiplex w/reflex 11 Ab cascade Check cyclic citrullinated peptide (ccp) Ab (IgG) Check rheumatoid factor Check C-reactive protein Check sed rate  Start predniSONE 5 mg tablet 1.5 tablets every day for 30 days tendonitis of left shoulder limited range of motion, tenderness  pain since administration of Pfizer covid vaccine in January  patient agrees to steroid injection to area  patient reports improvement post injection  used in the decision making process  Start Kenalog 40 mg/mL suspension for injection 1 cc kenalog and 2 cc xylocaine to L shoulder Send for physical therapy referral hypothyroidism denies worsening symptoms or side effects  will check lab today  continue current treatment  used in the decision making process  Check TSH hypertensive disorder blood pressure within normal limits patient denies side effects continue current treatment used in the decision making process  hyperlipidemia denies side effects  continue current treatment  used in the decision making process  celiac disease denies worsening symptoms  continue current treatment  neoplasm of prostate followed by oncology--reviewed records  congestive heart failure followed by cardiology--records reviewed  overweight BMI 27.8 + hypertension, hyperlipidemia, CHF  weight maintained since last visit  continue current efforts--diet and exercise  History of Present Illness pt is here for pain to hands pt states he is having pain to left arm where he had covid vaccine. pt thinks that pain and swelling to hands begin after he got the covid vaccine. pain level is 10/10 pt finds swelling is worse in the mornings pt is also having trouble walking   established pt  pain in right hand pain of left shoulder joint Kenalog 40 mg/mL suspension for injection hypertensive disorder hyperlipidemia neoplasm of prostate congestive heart failure cervico-occipital neuralgia celiac disease body mass index 25-29 - overweight overweight   pain in right hand ketorolac 60 mg/2 mL intramuscular solution ANA screen, ifa, w/refl titer and pattern C-reactive protein cyclic citrullinated peptide (ccp) Ab (IgG) rheumatoid factor hypertensive disorder hyperlipidemia neoplasm of prostate congestive heart failure cervico-occipital neuralgia celiac disease body mass index 25-29 - overweight overweight intolerant of cold CBC (includes diff/plt) comprehensive metabolic panel TSH w/reflex to FT4 T3, free
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Coeliac disease, Full blood count, Hyperlipidaemia, Hypertension, Hypothyroidism
Clinical narrative: seen in office for appointment by Dr. on 3/22/21: arthritis of hand (Bilateral) bilateral hand swelling and MCP joint swelling  symptoms worsening each day per patient  suspect rheumatoid arthritis even with negative rheumatoid factor  will recheck labs today and refer patient to rheumatology for further work up  patient to start prednisone 7.5 mg every day x 30 days  used in the decision making process  Send for rheumatology referral Check ANA multiplex w/reflex 11 Ab cascade Check cyclic citrullinated peptide (ccp) Ab (IgG) Check rheumatoid factor Check C-reactive protein Check sed rate  Start predniSONE 5 mg tablet 1.5 tablets every day for 30 days tendonitis of left shoulder limited range of motion, tenderness  pain since administration of Pfizer covid vaccine in January  patient agrees to steroid injection to area  patient reports improvement post injection  used in the decision making process  Start Kenalog 40 mg/mL suspension for injection 1 cc kenalog and 2 cc xylocaine to L shoulder Send for physical therapy referral hypothyroidism denies worsening symptoms or side effects  will check lab today  continue current treatment  used in the decision making process  Check TSH hypertensive disorder blood pressure within normal limits patient denies side effects continue current treatment used in the decision making process  hyperlipidemia denies side effects  continue current treatment  used in the decision making process  celiac disease denies worsening symptoms  continue current treatment  neoplasm of prostate followed by oncology--reviewed records  congestive heart failure followed by cardiology--records reviewed  overweight BMI 27.8 + hypertension, hyperlipidemia, CHF  weight maintained since last visit  continue current efforts--diet and exercise  History of Present Illness pt is here for pain to hands pt states he is having pain to left arm where he had covid vaccine. pt thinks that pain and swelling to hands begin after he got the covid vaccine. pain level is 10/10 pt finds swelling is worse in the mornings pt is also having trouble walking   established pt  pain in right hand pain of left shoulder joint Kenalog 40 mg/mL suspension for injection hypertensive disorder hyperlipidemia neoplasm of prostate congestive heart failure cervico-occipital neuralgia celiac disease body mass index 25-29 - overweight overweight   pain in right hand ketorolac 60 mg/2 mL intramuscular solution ANA screen, ifa, w/refl titer and pattern C-reactive protein cyclic citrullinated peptide (ccp) Ab (IgG) rheumatoid factor hypertensive disorder hyperlipidemia neoplasm of prostate congestive heart failure cervico-occipital neuralgia celiac disease body mass index 25-29 - overweight overweight intolerant of cold CBC (includes diff/plt) comprehensive metabolic panel TSH w/reflex to FT4 T3, free
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Joint swelling, Metabolic function test, Mobility decreased, Neoplasm prostate, Neuralgia
Clinical narrative: seen in office for appointment by Dr. on 3/22/21: arthritis of hand (Bilateral) bilateral hand swelling and MCP joint swelling  symptoms worsening each day per patient  suspect rheumatoid arthritis even with negative rheumatoid factor  will recheck labs today and refer patient to rheumatology for further work up  patient to start prednisone 7.5 mg every day x 30 days  used in the decision making process  Send for rheumatology referral Check ANA multiplex w/reflex 11 Ab cascade Check cyclic citrullinated peptide (ccp) Ab (IgG) Check rheumatoid factor Check C-reactive protein Check sed rate  Start predniSONE 5 mg tablet 1.5 tablets every day for 30 days tendonitis of left shoulder limited range of motion, tenderness  pain since administration of Pfizer covid vaccine in January  patient agrees to steroid injection to area  patient reports improvement post injection  used in the decision making process  Start Kenalog 40 mg/mL suspension for injection 1 cc kenalog and 2 cc xylocaine to L shoulder Send for physical therapy referral hypothyroidism denies worsening symptoms or side effects  will check lab today  continue current treatment  used in the decision making process  Check TSH hypertensive disorder blood pressure within normal limits patient denies side effects continue current treatment used in the decision making process  hyperlipidemia denies side effects  continue current treatment  used in the decision making process  celiac disease denies worsening symptoms  continue current treatment  neoplasm of prostate followed by oncology--reviewed records  congestive heart failure followed by cardiology--records reviewed  overweight BMI 27.8 + hypertension, hyperlipidemia, CHF  weight maintained since last visit  continue current efforts--diet and exercise  History of Present Illness pt is here for pain to hands pt states he is having pain to left arm where he had covid vaccine. pt thinks that pain and swelling to hands begin after he got the covid vaccine. pain level is 10/10 pt finds swelling is worse in the mornings pt is also having trouble walking   established pt  pain in right hand pain of left shoulder joint Kenalog 40 mg/mL suspension for injection hypertensive disorder hyperlipidemia neoplasm of prostate congestive heart failure cervico-occipital neuralgia celiac disease body mass index 25-29 - overweight overweight   pain in right hand ketorolac 60 mg/2 mL intramuscular solution ANA screen, ifa, w/refl titer and pattern C-reactive protein cyclic citrullinated peptide (ccp) Ab (IgG) rheumatoid factor hypertensive disorder hyperlipidemia neoplasm of prostate congestive heart failure cervico-occipital neuralgia celiac disease body mass index 25-29 - overweight overweight intolerant of cold CBC (includes diff/plt) comprehensive metabolic panel TSH w/reflex to FT4 T3, free
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Peripheral swelling, Rheumatoid arthritis, Rotator cuff syndrome, Temperature intolerance
Clinical narrative: seen in office for appointment by Dr. on 3/22/21: arthritis of hand (Bilateral) bilateral hand swelling and MCP joint swelling  symptoms worsening each day per patient  suspect rheumatoid arthritis even with negative rheumatoid factor  will recheck labs today and refer patient to rheumatology for further work up  patient to start prednisone 7.5 mg every day x 30 days  used in the decision making process  Send for rheumatology referral Check ANA multiplex w/reflex 11 Ab cascade Check cyclic citrullinated peptide (ccp) Ab (IgG) Check rheumatoid factor Check C-reactive protein Check sed rate  Start predniSONE 5 mg tablet 1.5 tablets every day for 30 days tendonitis of left shoulder limited range of motion, tenderness  pain since administration of Pfizer covid vaccine in January  patient agrees to steroid injection to area  patient reports improvement post injection  used in the decision making process  Start Kenalog 40 mg/mL suspension for injection 1 cc kenalog and 2 cc xylocaine to L shoulder Send for physical therapy referral hypothyroidism denies worsening symptoms or side effects  will check lab today  continue current treatment  used in the decision making process  Check TSH hypertensive disorder blood pressure within normal limits patient denies side effects continue current treatment used in the decision making process  hyperlipidemia denies side effects  continue current treatment  used in the decision making process  celiac disease denies worsening symptoms  continue current treatment  neoplasm of prostate followed by oncology--reviewed records  congestive heart failure followed by cardiology--records reviewed  overweight BMI 27.8 + hypertension, hyperlipidemia, CHF  weight maintained since last visit  continue current efforts--diet and exercise  History of Present Illness pt is here for pain to hands pt states he is having pain to left arm where he had covid vaccine. pt thinks that pain and swelling to hands begin after he got the covid vaccine. pain level is 10/10 pt finds swelling is worse in the mornings pt is also having trouble walking   established pt  pain in right hand pain of left shoulder joint Kenalog 40 mg/mL suspension for injection hypertensive disorder hyperlipidemia neoplasm of prostate congestive heart failure cervico-occipital neuralgia celiac disease body mass index 25-29 - overweight overweight   pain in right hand ketorolac 60 mg/2 mL intramuscular solution ANA screen, ifa, w/refl titer and pattern C-reactive protein cyclic citrullinated peptide (ccp) Ab (IgG) rheumatoid factor hypertensive disorder hyperlipidemia neoplasm of prostate congestive heart failure cervico-occipital neuralgia celiac disease body mass index 25-29 - overweight overweight intolerant of cold CBC (includes diff/plt) comprehensive metabolic panel TSH w/reflex to FT4 T3, free
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tenderness
Clinical narrative: seen in office for appointment by Dr. on 3/22/21: arthritis of hand (Bilateral) bilateral hand swelling and MCP joint swelling  symptoms worsening each day per patient  suspect rheumatoid arthritis even with negative rheumatoid factor  will recheck labs today and refer patient to rheumatology for further work up  patient to start prednisone 7.5 mg every day x 30 days  used in the decision making process  Send for rheumatology referral Check ANA multiplex w/reflex 11 Ab cascade Check cyclic citrullinated peptide (ccp) Ab (IgG) Check rheumatoid factor Check C-reactive protein Check sed rate  Start predniSONE 5 mg tablet 1.5 tablets every day for 30 days tendonitis of left shoulder limited range of motion, tenderness  pain since administration of Pfizer covid vaccine in January  patient agrees to steroid injection to area  patient reports improvement post injection  used in the decision making process  Start Kenalog 40 mg/mL suspension for injection 1 cc kenalog and 2 cc xylocaine to L shoulder Send for physical therapy referral hypothyroidism denies worsening symptoms or side effects  will check lab today  continue current treatment  used in the decision making process  Check TSH hypertensive disorder blood pressure within normal limits patient denies side effects continue current treatment used in the decision making process  hyperlipidemia denies side effects  continue current treatment  used in the decision making process  celiac disease denies worsening symptoms  continue current treatment  neoplasm of prostate followed by oncology--reviewed records  congestive heart failure followed by cardiology--records reviewed  overweight BMI 27.8 + hypertension, hyperlipidemia, CHF  weight maintained since last visit  continue current efforts--diet and exercise  History of Present Illness pt is here for pain to hands pt states he is having pain to left arm where he had covid vaccine. pt thinks that pain and swelling to hands begin after he got the covid vaccine. pain level is 10/10 pt finds swelling is worse in the mornings pt is also having trouble walking   established pt  pain in right hand pain of left shoulder joint Kenalog 40 mg/mL suspension for injection hypertensive disorder hyperlipidemia neoplasm of prostate congestive heart failure cervico-occipital neuralgia celiac disease body mass index 25-29 - overweight overweight   pain in right hand ketorolac 60 mg/2 mL intramuscular solution ANA screen, ifa, w/refl titer and pattern C-reactive protein cyclic citrullinated peptide (ccp) Ab (IgG) rheumatoid factor hypertensive disorder hyperlipidemia neoplasm of prostate congestive heart failure cervico-occipital neuralgia celiac disease body mass index 25-29 - overweight overweight intolerant of cold CBC (includes diff/plt) comprehensive metabolic panel TSH w/reflex to FT4 T3, free
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Influenza like illness, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Face flushing right away within the first 15 minutes and that lasted until I went to bed - about 6 hours or so. When I woke up the next morning, I had really intense pain in my arm (injection site) and could barely lift my up and I had an inch big response on the injection site - it was pretty itchy, red and hot. It started going away on day 3. On day 5, it was 3 inches in diameter, itchy, hot and red . I took Benadryl at first - but it makes me super sleepy. I took for for two days and then I took it again on 8 or 9th day before I went to the doctor and my welt was still getting bigger. (Circle was getting bigger on my arm.) On day 10, I called the doctor - and they said  people were having a delayed response and they said to wait. I also got a fever and flu-like symptoms on Day 10. I had those flu like symptoms for twelves hours or so.  It (the welt on my arm) lasted 14 days.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Injection site warmth, Pain, Pyrexia, Somnolence
Clinical narrative: Face flushing right away within the first 15 minutes and that lasted until I went to bed - about 6 hours or so. When I woke up the next morning, I had really intense pain in my arm (injection site) and could barely lift my up and I had an inch big response on the injection site - it was pretty itchy, red and hot. It started going away on day 3. On day 5, it was 3 inches in diameter, itchy, hot and red . I took Benadryl at first - but it makes me super sleepy. I took for for two days and then I took it again on 8 or 9th day before I went to the doctor and my welt was still getting bigger. (Circle was getting bigger on my arm.) On day 10, I called the doctor - and they said  people were having a delayed response and they said to wait. I also got a fever and flu-like symptoms on Day 10. I had those flu like symptoms for twelves hours or so.  It (the welt on my arm) lasted 14 days.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site pain, Vaccination site swelling
Clinical narrative: Itching, redness, swelling, soreness on vaccination site (upper right arm) starting today. Much like if I had an insect bite. Using Benadryl Cream.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia
Clinical narrative: PFizer-BioNTech Covid-19 Vaccine EUA Muscle soreness at the injection site lasting for 24 hours.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Pruritus, Rash, Sensation of foreign body, Urticaria
Clinical narrative: On Thursday, March 18th I experience mild itchiness on my scalp. On Friday, March 19th I began to feel a lump in my throat and developed large itchy hives all over my body. My lips began to swell up.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint stiffness, Mobility decreased, Musculoskeletal stiffness, Peripheral swelling
Clinical narrative: My RA began to really act up.  My whole body stiffened up-(legs, hands, hips, back).  Lower back made it hart to bend over, Rt shoulder had a swelling and hurt at a pinch point in shoulder, my rt hip hurt when I walked more than 0.25 miles, my hands swelled and could not use hand well. Did not initially link to Covid shot, so called my Rheumatologist on the sixth day that the symptoms continued.  Received prescription to reduce muscle  tension and an anti inflamatory.  However, a couple of days after talking to my doctor and before taking any of the prescribed meds, the symptoms went away and since that time, my RA is back to typical old symptoms and pain level.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Rheumatoid arthritis, Swelling
Clinical narrative: My RA began to really act up.  My whole body stiffened up-(legs, hands, hips, back).  Lower back made it hart to bend over, Rt shoulder had a swelling and hurt at a pinch point in shoulder, my rt hip hurt when I walked more than 0.25 miles, my hands swelled and could not use hand well. Did not initially link to Covid shot, so called my Rheumatologist on the sixth day that the symptoms continued.  Received prescription to reduce muscle  tension and an anti inflamatory.  However, a couple of days after talking to my doctor and before taking any of the prescribed meds, the symptoms went away and since that time, my RA is back to typical old symptoms and pain level.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nasal congestion, Oropharyngeal pain, Paraesthesia, Streptococcus test negative
Clinical narrative: Patient did not bring vaccine information for lot number and expiration date.    Pt states he received in his right upper arm.  States his "Face felt tingling" following administration of vaccine.  Pt states he was monitored for 30 minutes at his VA clinic and sent home.  He states he has a sore throat, nasal congestion, and lymph node enlargement with the left side of his neck.  He denies rash, fever, shortness of breath, mouth or tongue swelling.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pharyngeal swelling, Pyrexia
Clinical narrative: Pt. states she developed fever, chills, headache and felt as if her throat was closing.  She started to feel progressively better but 3 days after shot still had headache.  Pt. states she already had COVID disease and this felt very similar to actual disease.  Pt. able to speak but due to feeling as if her throat was closing, her doctor recommended she NOT get second vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Pruritus
Clinical narrative: person reported itching on her arms. Person moved to observation area and was there at the same time as another person with n/v. Person then progressed to n/v as well. While EMS assessed the other person they also assessed her. She was hypertensive. Benadryl was given. She also reported only 4 hours of sleep and not having anything to eat before getting vaccine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthma, Bedridden, Blood test, Culture
Clinical narrative: The day after vaccination I had a swollen face and I had Asthma issues for about 4 days. I had taken a Benadryl before I went to bed but I still woke up with swollen face which is what happens with some of my drug allergies. The swelling in my face lasted four days during which I took Benadryl every six hours. Four days after the shot I had issues with Herpes. I have never had this before. I had a burning sensation in my genitals and went to visit my doctor the next day. The doctor ran multiple tests and prescribed Valacyclovir 1 gm tablets for 10 days. The symptoms did not resolve until the full course of the medication before I got relief. The results came back Herpes Simplex 1 but I was negative for the antibodies for Herpes Simplex1. I have received the second dose with the normal side effects for two days, joint pain body aches. I was bedridden for two days. My face swelled up again  and lasted a little longer than four days. The swelling was more profound but I had taken Benadryl before I started. My Asthma was a little worse after both vaccines. I had to use it more often for four or five days after vaccination.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes simplex, Pain, Skin burning sensation, Swelling face
Clinical narrative: The day after vaccination I had a swollen face and I had Asthma issues for about 4 days. I had taken a Benadryl before I went to bed but I still woke up with swollen face which is what happens with some of my drug allergies. The swelling in my face lasted four days during which I took Benadryl every six hours. Four days after the shot I had issues with Herpes. I have never had this before. I had a burning sensation in my genitals and went to visit my doctor the next day. The doctor ran multiple tests and prescribed Valacyclovir 1 gm tablets for 10 days. The symptoms did not resolve until the full course of the medication before I got relief. The results came back Herpes Simplex 1 but I was negative for the antibodies for Herpes Simplex1. I have received the second dose with the normal side effects for two days, joint pain body aches. I was bedridden for two days. My face swelled up again  and lasted a little longer than four days. The swelling was more profound but I had taken Benadryl before I started. My Asthma was a little worse after both vaccines. I had to use it more often for four or five days after vaccination.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given vaccine that was not indicated for under the age of 18, no adverse events reported.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Presyncope
Clinical narrative: Vasal Vagal response. Vitals 72/24 initial and 102/58 at D/C.  Placed pt in Trendelenburg No SOB, some dizziness and diaphoretic.  After B/P more stable sat pt up pt was able to walk after 15 minutes without any difficulty. Dr.  and Dr. assessed patient and ok to go home.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Product administered at inappropriate site
Clinical narrative: I developed severe shoulder pain within 3 hours of my vaccination.  The injection was given high on my shoulder, and after consultation with a physician it became apparent that the injection was into a bursa of my shoulder instead of intramuscularly. I am currently in a sling and unable to use my affected arm.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Fibrin D dimer normal, Painful respiration, Troponin normal
Clinical narrative: Patient developed some chest pain heaviness in her left chest area. The pain was worse with a deep breath She took 6 baby aspirins prior to coming to the ER - did not help with the pain She rec'd Nitroglycerin SL and Tylenol 650mg. Cardiac enzymes were negative X 2. D-dimer was negative.  Patient was discharged without any further incidents
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Eye pain, Keratitis
Clinical narrative: Red eyes, painful and burning . Went to the ER and then was sent to ophthalmology and was diagnosed with keratoconjunctivitis. The doctor said she has seen this in patients that receive the Covid shot.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 1010 Post vaccination reports feeling lightheaded w/hx of similar event post blood draws. Medical monitoring x 30 min, symptoms improved after rest, po hydration/ orange juice; vitals assessed: BP 110/80 P83 RR 18 O2 sat 98% RA.  Released from facility w/self.