chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Nervousness, Syncope, Tremor
Clinical narrative: Patient denied symptoms during 15-minute required observation period.  When she got up from chair to pick up vaccination card, endorsed near-syncope and bilateral lower extremity weakness like "she felt she was walking in sand."  Denies visual symptoms, oral swelling, dyspnea, pruritis, nausea.  Patient sat back down and was attended to.  She was noticeably nervous (hand/leg shaking).  SpO2 99%, HR 62.  Patient endorses history of anxiety that is treated with beta blocker.  Patient felt back to her baseline after approximately 15 additional minutes of rest and sipping on water.  Trial of ambulation at that time with complete resolution of symptoms.  She was cleared to return to work with return precautions.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Presyncope
Clinical narrative: vasovagal episode; patient fell from chair 5 min after receiving vaccine, denied any SOB; left asymptomatic after 30 min
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: possibly given a dose that was diluent only
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Swollen tongue
Clinical narrative: Swollen tongue , difficulty breathing. We gave 1 Epipen and called EMT, she got better and then was fine
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Epinephrine ordered day of vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in both ears
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Computerised tomogram, Dizziness, Dysarthria, Energy increased
Clinical narrative: 4/10 - sore arm, no other symptoms 4/11 - headache 8/10, brain fog, nausea, dizziness, 7/10 neck and back pain, 8/10 exhaustion 4/12-4/17 - low grade headache 3-4/10 4/19 - 8/10 headache, 8/10 exhaustion, extreme weakness on right-side, rapid onset of stroke-like symptoms (Est 815am) to right side (face droop with impaired slurred slow speech, right arm, right leg immobility) facial symptoms resolved quickly (less than 1 minute), complete speech impairment lasting 2-3 minutes, partial speech impairment sustaining through to mid-day, complete right side weakness lasting 3-5 minutes before total resolve and intermittent R-side weakness after transport to hospital. Arrived at Emergency department about 930/10am, most symptoms subsided by time of admission - slowed speech persisted to mid-day. Discharged at 4pm to home.  4/19 - 6/10 exhaustion through most of the day 4/20-4-21 unusually high level of energy 4/21 - back pain and low grade headache return 3/10 4/22 - back pain more intense 4/10, intermittent headache 3/10 - report to CDC 4/26 - scheduled follow up appointment with Neurology
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Fatigue, Feeling abnormal, Full blood count, Headache
Clinical narrative: 4/10 - sore arm, no other symptoms 4/11 - headache 8/10, brain fog, nausea, dizziness, 7/10 neck and back pain, 8/10 exhaustion 4/12-4/17 - low grade headache 3-4/10 4/19 - 8/10 headache, 8/10 exhaustion, extreme weakness on right-side, rapid onset of stroke-like symptoms (Est 815am) to right side (face droop with impaired slurred slow speech, right arm, right leg immobility) facial symptoms resolved quickly (less than 1 minute), complete speech impairment lasting 2-3 minutes, partial speech impairment sustaining through to mid-day, complete right side weakness lasting 3-5 minutes before total resolve and intermittent R-side weakness after transport to hospital. Arrived at Emergency department about 930/10am, most symptoms subsided by time of admission - slowed speech persisted to mid-day. Discharged at 4pm to home.  4/19 - 6/10 exhaustion through most of the day 4/20-4-21 unusually high level of energy 4/21 - back pain and low grade headache return 3/10 4/22 - back pain more intense 4/10, intermittent headache 3/10 - report to CDC 4/26 - scheduled follow up appointment with Neurology
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiparesis, Magnetic resonance imaging, Nausea, Neck pain, Pain in extremity
Clinical narrative: 4/10 - sore arm, no other symptoms 4/11 - headache 8/10, brain fog, nausea, dizziness, 7/10 neck and back pain, 8/10 exhaustion 4/12-4/17 - low grade headache 3-4/10 4/19 - 8/10 headache, 8/10 exhaustion, extreme weakness on right-side, rapid onset of stroke-like symptoms (Est 815am) to right side (face droop with impaired slurred slow speech, right arm, right leg immobility) facial symptoms resolved quickly (less than 1 minute), complete speech impairment lasting 2-3 minutes, partial speech impairment sustaining through to mid-day, complete right side weakness lasting 3-5 minutes before total resolve and intermittent R-side weakness after transport to hospital. Arrived at Emergency department about 930/10am, most symptoms subsided by time of admission - slowed speech persisted to mid-day. Discharged at 4pm to home.  4/19 - 6/10 exhaustion through most of the day 4/20-4-21 unusually high level of energy 4/21 - back pain and low grade headache return 3/10 4/22 - back pain more intense 4/10, intermittent headache 3/10 - report to CDC 4/26 - scheduled follow up appointment with Neurology
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: 4/10 - sore arm, no other symptoms 4/11 - headache 8/10, brain fog, nausea, dizziness, 7/10 neck and back pain, 8/10 exhaustion 4/12-4/17 - low grade headache 3-4/10 4/19 - 8/10 headache, 8/10 exhaustion, extreme weakness on right-side, rapid onset of stroke-like symptoms (Est 815am) to right side (face droop with impaired slurred slow speech, right arm, right leg immobility) facial symptoms resolved quickly (less than 1 minute), complete speech impairment lasting 2-3 minutes, partial speech impairment sustaining through to mid-day, complete right side weakness lasting 3-5 minutes before total resolve and intermittent R-side weakness after transport to hospital. Arrived at Emergency department about 930/10am, most symptoms subsided by time of admission - slowed speech persisted to mid-day. Discharged at 4pm to home.  4/19 - 6/10 exhaustion through most of the day 4/20-4-21 unusually high level of energy 4/21 - back pain and low grade headache return 3/10 4/22 - back pain more intense 4/10, intermittent headache 3/10 - report to CDC 4/26 - scheduled follow up appointment with Neurology
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Itching red skin larger than half dollar at shot injection  site began Day 8 after shot.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Pain
Clinical narrative: Shingles Medication  Still have shingles on April 21, 2021 Shingles pain started after 1st Moderna Vaccine On March 12, 2021 Visual Shingles blistering  and very  painful started after 2nd Moderna Vaccine on April 2, 2021
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Cerebral infarction, Cerebrovascular accident, Chest X-ray, Computerised tomogram abnormal
Clinical narrative: 04/11/21 stroke event --unable to speak and not consistent with actions, CT 04/11/21 L MCA infarct no midline shift
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram
Clinical narrative: 04/11/21 stroke event --unable to speak and not consistent with actions, CT 04/11/21 L MCA infarct no midline shift
Age: 83.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia
Clinical narrative: patient felt "weak" She responded to snacks and water BP 134/80 P 60
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram abnormal, Deafness, Deafness neurosensory, Deafness unilateral
Clinical narrative: first vaccine  dose on Jan 28 2021 noticed hearing loss on Jan 30 2021. Contacted primary MD on Feb 21 2021, started on antihistamines and decongestants per his recommendation. No improvement over the next few weeks. Seen by ENT and had audiology test on 4/19 /2021. Results: no structural damage but substantial low range hearing loss in Left ear. Received steroid injection in left ear and began 2 week course oral steroids. Follow up in 1 week and will receive addition steroid injection.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Ocular discomfort, Photosensitivity reaction, Vision blurred, Visual field defect
Clinical narrative: Extreme headache and photosensitivity on 4/16/21. Spot in central vision, blurry vision in periphery, eye pressure and headache on 4/21/21. Following up vision issues with an opthalmologist.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blister, C-reactive protein increased, Dry gangrene, Fibrin D dimer, Foot deformity
Clinical narrative: On 2/7/21 RIGHT  great toe developed a hang nail and 2 small blisters noted to 5th digit. 2/13/21 black/blue discoloration was noted to RIGHT foot 5th digit. 3/22/21 Dr. (surgeon) diagnosed patient with dry gangrene and trimmed the nail on RIGHT great toe.  3/25/21 RIGHT foot 5th digit amputated. 3/27/21 black discoloration noted to RIGHT foot 4th digit and RIGHT  great toe. 4/5/21 blisters noted to LEFT foot. Black discoloration noted to LEFT great toe and LEFT foot 3rd and 4th digit. After right digit was amputated patient continued to have other digits of the opposite extremity develop necrosis after several months.  Patient is currently awaiting appointment with a surgeon.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hangnail, Osteoarthritis, Red blood cell sedimentation rate increased, Skin discolouration, Toe amputation
Clinical narrative: On 2/7/21 RIGHT  great toe developed a hang nail and 2 small blisters noted to 5th digit. 2/13/21 black/blue discoloration was noted to RIGHT foot 5th digit. 3/22/21 Dr. (surgeon) diagnosed patient with dry gangrene and trimmed the nail on RIGHT great toe.  3/25/21 RIGHT foot 5th digit amputated. 3/27/21 black discoloration noted to RIGHT foot 4th digit and RIGHT  great toe. 4/5/21 blisters noted to LEFT foot. Black discoloration noted to LEFT great toe and LEFT foot 3rd and 4th digit. After right digit was amputated patient continued to have other digits of the opposite extremity develop necrosis after several months.  Patient is currently awaiting appointment with a surgeon.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasonic angiogram normal, Ultrasound Doppler normal, X-ray limb abnormal
Clinical narrative: On 2/7/21 RIGHT  great toe developed a hang nail and 2 small blisters noted to 5th digit. 2/13/21 black/blue discoloration was noted to RIGHT foot 5th digit. 3/22/21 Dr. (surgeon) diagnosed patient with dry gangrene and trimmed the nail on RIGHT great toe.  3/25/21 RIGHT foot 5th digit amputated. 3/27/21 black discoloration noted to RIGHT foot 4th digit and RIGHT  great toe. 4/5/21 blisters noted to LEFT foot. Black discoloration noted to LEFT great toe and LEFT foot 3rd and 4th digit. After right digit was amputated patient continued to have other digits of the opposite extremity develop necrosis after several months.  Patient is currently awaiting appointment with a surgeon.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Small red bumps appeared the evening two days after reviving the vaccine. They do not itch and they have seemed to calm down 24 hours after they appeared. They are semi swollen and they are scattered across my arms
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Anaemia, Arthralgia, Back pain, Chills
Clinical narrative: Sore arm, fever, chills, pain in back and hips, severe stomach ache, extreme confusion, anemia
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, fever, chills, pain in back and hips, severe stomach ache, extreme confusion, anemia
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Possibly given a dose that was diluent only
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Chapped lips, Cheilitis
Clinical narrative: My lips became chapped and I had a sore on my  upper lip almost on its center and a sore just below my lower lip, again almost in its center.  Both sores are healed now.  But I have cracked lips like a drool  at both edges of my lips and down my face.  And my lips continue to be mildly chapped at their edges.  I keep them covered with a lip repair salve.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Impaired work ability, Injection site pain
Clinical narrative: I had minimal reaction to the 1st dose, slightly sore arm at injection site for 3 or 4 days. 2nd dose, I was feeling off by 3:30pm, mild headache and extremely tired. By 5 I was exhausted, and paranoid about a work situation, paranoia is not part of my normal state of being. By 6pm my left upper arm was very  painful from shoulder to elbow. Took aspirin and went to bed at 7pm.  Woke at 8am Friday with mild headache an very tired, by 10am was back in bed, slept 4 hours, Repeated the Friday pattern for 2 more days. Monday the extreme tiredness and arm pain abated. Tuesday, the paranoia abated. Now just Brain Fogged.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Paranoia
Clinical narrative: I had minimal reaction to the 1st dose, slightly sore arm at injection site for 3 or 4 days. 2nd dose, I was feeling off by 3:30pm, mild headache and extremely tired. By 5 I was exhausted, and paranoid about a work situation, paranoia is not part of my normal state of being. By 6pm my left upper arm was very  painful from shoulder to elbow. Took aspirin and went to bed at 7pm.  Woke at 8am Friday with mild headache an very tired, by 10am was back in bed, slept 4 hours, Repeated the Friday pattern for 2 more days. Monday the extreme tiredness and arm pain abated. Tuesday, the paranoia abated. Now just Brain Fogged.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Pruritus, Rash vesicular
Clinical narrative: Date and time adverse event started: Patient stated he started to experience symptoms about 1.5 weeks after the 1st vaccine.   he started to notice red blisters on his legs that proceeded to arms and fingers and on his head. He felt itchy (still itchy but not as much). He stated he went to his PCP and they referred him to a dermatologist (seen about 3 weeks ago). He was prescribed Triamcinolone Ointment by the dermatologist and stated it's helping and blisters are subsiding. The PCP didn't prescribe anything. About 2 weeks ago he stated he started to feel neck pain (about 4 weeks after the 2nd shot). Patient has no c/o headache,fever or chills.  pt received dose 2 on 3/1/2021.   I advised the neck pain wasn't related to the vaccine but recommended to continue with the Triamcinolone ointment and he can also apply cortisone-10 cream/ointment to the help with itchiness or benadryl. He stated that the blisters have been getting better but he feels the problem is internally and he feels he needs to see the dermatologist again on 4/20/21.  4/21-onset 2 weeks after vaccine dose 1 --moderna on 1/28/21; 8.5 weeks of symptoms; feeling better but symptoms still present. Dermatologist said not vaccine related; using topical steroids. Saw PMD - to check blood work; told internal allergy.  Will call next week for follow up.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Influenza like illness, Myalgia, Pyrexia
Clinical narrative: 16 hrs post second  vaccine, flu like symptoms, fever 101, muscular aching, weakness, loss of appetite. Lasting approximately 32 hours.  Tylenol 2x 500mg  every 6 hours.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Hypersomnia
Clinical narrative: I slept 15 to 20 hours a day from Tuesday until Friday.  I also had suffered severe brain zaps.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Day #1 post vaccination patient had red, itchy arm from shoulder to wrist on right side.  Resolved on day #2 after vaccination.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Hypertension, Mental disorder, Syncope
Clinical narrative: BH, syncope, patient fell to ground from chair.  Patient states that this situation occurs often with getting needles. Pt. states not eating prior to vaccine. Temporarily altered mental status. EMTs to observation area to assess patient. B/P 135/55    HR:72    SPO2:96% RA. Patient released at 10:05 a.m. EMT requested that patient be sent to ER for evaluation and treatment. Patient signed a refusal. M.D. D/C'd patient as per his request.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Feeling abnormal
Clinical narrative: About 8 days after the shot, my stomach started to have weird pains.  Those lasted from Thursday April 15 through Sunday April 18.  Starting Monday morning April 19 I began to experience intense diarrhea for all of Monday.  It has continued, although less intensely, Tuesday April 20 and Wed April 21.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in left ear
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash macular, Skin warm
Clinical narrative: Adult Caucasian Male (red blotchy, hot, shinny, itchy, skin.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Rash erythematous
Clinical narrative: Pt experienced stiffness in her left arm and red rash
Age: 18.0
Sex: U
Vaccine: UNK
Symptoms: Asthenia, Dizziness, Presyncope
Clinical narrative: Felt dizzy, weak. Vagal response; sat in recliner, given juice and crackers. Responded well.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Neuralgia, Pain
Clinical narrative: shooting pain of sciatic nerve from hip to thigh and leg.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Dyspnoea
Clinical narrative: Patient began to experience breathlessness after receiving vaccine. His SOB continued to worsen. On the 13th, the patient reported to the ER.  The patient was discharged from the hospital with a diagnosis of CHF exacerbation
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis acneiform
Clinical narrative: A small rash started on my right leg. I thought it might go away but it got bigger. Looks like an eczema with small pimple like formations. Very pink.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site reaction, Menstrual disorder, Rash erythematous, Swelling face
Clinical narrative: Swollen face on left side and red bump on face  Red rash on left arm site of injection  Period went off prior to vaccine and now period has returned. This has never happened before.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest pain, Dizziness, Dyspnoea, Electrocardiogram normal
Clinical narrative: History of Present Illness: This 54 year old  presents with: 1.  palpitations  Began April 11,2021. Occurs few times a day. Aggravated by cold drink. Associated symptoms include heart fluttering and chest pain. Denies: ha, crushing cp, same/similar s/s in past, sob, dizziness and lightheadedness. Pt states palps lasted 8 days. PT got Moderna covid vaccine on April 9 (first dose). getting a few times a day, not as much as before. no exertional sx.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: History of Present Illness: This 54 year old  presents with: 1.  palpitations  Began April 11,2021. Occurs few times a day. Aggravated by cold drink. Associated symptoms include heart fluttering and chest pain. Denies: ha, crushing cp, same/similar s/s in past, sob, dizziness and lightheadedness. Pt states palps lasted 8 days. PT got Moderna covid vaccine on April 9 (first dose). getting a few times a day, not as much as before. no exertional sx.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient felt faint, responded to fluids, snacks BP 100/60 P 72
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Fatigue, Hyperhidrosis
Clinical narrative: Patient not seen in office.  History obtained via phone from father of patient and patient herself.  Very early on 4/19/2021, 8hrs after receiving her 2nd Pfizer COVID-19 vaccination, patient began developing nausea, chills, sweating, fever and malaise.  Highest fever was 102.3', with symptoms treated with Advil 600mg.  Had x1 episode of vomiting that day, none since. The next day 4/20, patient woke up with new-onset lip swelling, progressing to periorbital swelling and swelling of her facial cheeks & rash.  She then began having a cough with some throat tightness with some mild discomfort with breathing in her throat, but no chest tightness or wheezing.  Tongue not swollen per patient.  Benadryl 25mg PO given multiple times and patient used her Albuterol MDI a few times as well, which helped.  She continued to have fevers to 101' throughout the day, treated with Advil again.  At night, patient then developed semi-itchy red "hives" on her legs. Per patient, she didn't feel she needed to go to ER for her symptoms or throat tightness/breathing issue.  She was still drinking & urinating well  and had been consuming light solids foods. The same day 4/20 in the afternoon, patient was prescribed over the phone Prednisone 60mg PO x1 which she first took after 5pm, with tapering dose over the next 4 days, in addition to increasing Benadryl to 50mg PO and starting Qvar 80 MDI BID, while using Albuterol prn. Via phone call to father this morning 4/21, patient reportedly slept well last night and woke up this morning with significantly less symptoms.  No longer having throat tightness/breathing issues, with much less periorbital/facial swelling.  Still fatigued but no longer having fevers, either.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Malaise, Nausea, Periorbital swelling, Pyrexia
Clinical narrative: Patient not seen in office.  History obtained via phone from father of patient and patient herself.  Very early on 4/19/2021, 8hrs after receiving her 2nd Pfizer COVID-19 vaccination, patient began developing nausea, chills, sweating, fever and malaise.  Highest fever was 102.3', with symptoms treated with Advil 600mg.  Had x1 episode of vomiting that day, none since. The next day 4/20, patient woke up with new-onset lip swelling, progressing to periorbital swelling and swelling of her facial cheeks & rash.  She then began having a cough with some throat tightness with some mild discomfort with breathing in her throat, but no chest tightness or wheezing.  Tongue not swollen per patient.  Benadryl 25mg PO given multiple times and patient used her Albuterol MDI a few times as well, which helped.  She continued to have fevers to 101' throughout the day, treated with Advil again.  At night, patient then developed semi-itchy red "hives" on her legs. Per patient, she didn't feel she needed to go to ER for her symptoms or throat tightness/breathing issue.  She was still drinking & urinating well  and had been consuming light solids foods. The same day 4/20 in the afternoon, patient was prescribed over the phone Prednisone 60mg PO x1 which she first took after 5pm, with tapering dose over the next 4 days, in addition to increasing Benadryl to 50mg PO and starting Qvar 80 MDI BID, while using Albuterol prn. Via phone call to father this morning 4/21, patient reportedly slept well last night and woke up this morning with significantly less symptoms.  No longer having throat tightness/breathing issues, with much less periorbital/facial swelling.  Still fatigued but no longer having fevers, either.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic, Swelling face, Throat tightness
Clinical narrative: Patient not seen in office.  History obtained via phone from father of patient and patient herself.  Very early on 4/19/2021, 8hrs after receiving her 2nd Pfizer COVID-19 vaccination, patient began developing nausea, chills, sweating, fever and malaise.  Highest fever was 102.3', with symptoms treated with Advil 600mg.  Had x1 episode of vomiting that day, none since. The next day 4/20, patient woke up with new-onset lip swelling, progressing to periorbital swelling and swelling of her facial cheeks & rash.  She then began having a cough with some throat tightness with some mild discomfort with breathing in her throat, but no chest tightness or wheezing.  Tongue not swollen per patient.  Benadryl 25mg PO given multiple times and patient used her Albuterol MDI a few times as well, which helped.  She continued to have fevers to 101' throughout the day, treated with Advil again.  At night, patient then developed semi-itchy red "hives" on her legs. Per patient, she didn't feel she needed to go to ER for her symptoms or throat tightness/breathing issue.  She was still drinking & urinating well  and had been consuming light solids foods. The same day 4/20 in the afternoon, patient was prescribed over the phone Prednisone 60mg PO x1 which she first took after 5pm, with tapering dose over the next 4 days, in addition to increasing Benadryl to 50mg PO and starting Qvar 80 MDI BID, while using Albuterol prn. Via phone call to father this morning 4/21, patient reportedly slept well last night and woke up this morning with significantly less symptoms.  No longer having throat tightness/breathing issues, with much less periorbital/facial swelling.  Still fatigued but no longer having fevers, either.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient not seen in office.  History obtained via phone from father of patient and patient herself.  Very early on 4/19/2021, 8hrs after receiving her 2nd Pfizer COVID-19 vaccination, patient began developing nausea, chills, sweating, fever and malaise.  Highest fever was 102.3', with symptoms treated with Advil 600mg.  Had x1 episode of vomiting that day, none since. The next day 4/20, patient woke up with new-onset lip swelling, progressing to periorbital swelling and swelling of her facial cheeks & rash.  She then began having a cough with some throat tightness with some mild discomfort with breathing in her throat, but no chest tightness or wheezing.  Tongue not swollen per patient.  Benadryl 25mg PO given multiple times and patient used her Albuterol MDI a few times as well, which helped.  She continued to have fevers to 101' throughout the day, treated with Advil again.  At night, patient then developed semi-itchy red "hives" on her legs. Per patient, she didn't feel she needed to go to ER for her symptoms or throat tightness/breathing issue.  She was still drinking & urinating well  and had been consuming light solids foods. The same day 4/20 in the afternoon, patient was prescribed over the phone Prednisone 60mg PO x1 which she first took after 5pm, with tapering dose over the next 4 days, in addition to increasing Benadryl to 50mg PO and starting Qvar 80 MDI BID, while using Albuterol prn. Via phone call to father this morning 4/21, patient reportedly slept well last night and woke up this morning with significantly less symptoms.  No longer having throat tightness/breathing issues, with much less periorbital/facial swelling.  Still fatigued but no longer having fevers, either.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hypertension, Paraesthesia oral, Tremor
Clinical narrative: Client complained of feeling flushed and limbs shaking a few minutes after 1st COVID 19 (Moderna) injection. Had some relief when she drank water and ate a couple of crackers, but symptoms returned within a few minutes and client had tingling of her tongue. B/P was elevated as daily antihypertensive medications were not yet taken on 4/9 as it was the same time of the appointment and needed to be taken with food. 911 were called. Client declined transport to ER and was discharged to home with her husband driving her.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Rash
Clinical narrative: PATIENT COMPLAINED OF A HEADACHE AND A RASH IN HER RIGHT ARM. BY THE TIME OF EVUALTION RASH WENT AWAY AND PATIENT STATED THAT SHE FELT BETTER. VITALS WERE NORMAL.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Injection site swelling, Pregnancy, Rash
Clinical narrative: PATIENT COMPLAINED OF A HEADACHE AND A RASH IN HER RIGHT ARM. BY THE TIME OF EVUALTION RASH WENT AWAY AND PATIENT STATED THAT SHE FELT BETTER. VITALS WERE NORMAL.
Age: 53.0
Sex: U
Vaccine: UNK
Symptoms: Flushing
Clinical narrative: patient flushed, resolved in 5 min BP 122/72 P 70
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Rash erythematous, Urticaria
Clinical narrative: First shot of COVID-19 vaccine was administered on left arm.  Hives /red bumps appeared on right forearm over 3.5 hours after the shot was administered.  Diphenhydramine was administered after hives appeared and resolved within about 30 minutes of administration.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, severe headache and nausea for 24 hours following administration of 2nd dose. After day 2, moderate to severe headache and nausea that has persisted for 10 straight days. Headache does respond to ibuprofen but keeps returning. Nausea is persistent. No vomiting.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Fall, Pallor
Clinical narrative: Pt fell out out of chair onto floor. Was pale and clammy.  4:26 BP 89/50, P 83, o2 95% 4:28 BP 91/54, P 83, O2 95% 4:31 BP 120/82 4:39 92/62 , BG 113 Vaccine site closed at 5 , Pt had no one to contact for a ride home. Transported to hospital via ambulance for further eval, discharged home from ER.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to ED and was subsequently admitted within 6 weeks of receiving COVID vaccination.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Blood test, Exposure during pregnancy
Clinical narrative: MISCARRIAGE- Conceived and got pregnant March 28. Received 2nd dose of Pfizer vaccine April 2. Found out I was pregnant April 14th, and confirmed it with blood test taken April 15th. HCG levels at 57, putting me at around 3 weeks pregnant. Started bleeding April 18th and doctor confirmed a miscarriage is taking place.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: pt says that he started getting a blood clot and his left hand wrist.  He had this for 2 days.  It disappeared and then the next day he discovered he had another blood clot on his right hand palm.  He says it is a bump and he can see the blood clot under the skin.  Pt will contact his PCP.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nervousness, Tremor
Clinical narrative: patient said "I feel high", appears shaky, DM-sugar ok this AM; resolved with juice and crackers BP 128/70 P 76
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal hernia, Abdominal pain, Acute respiratory failure, Anaemia, Blood alkaline phosphatase increased
Clinical narrative: patient said "I feel high", appears shaky, DM-sugar ok this AM; resolved with juice and crackers BP 128/70 P 76
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood creatinine increased, Blood glucose increased, Blood urea increased, Brain natriuretic peptide increased, COVID-19
Clinical narrative: patient said "I feel high", appears shaky, DM-sugar ok this AM; resolved with juice and crackers BP 128/70 P 76
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cardiac failure congestive, Chest X-ray abnormal, Computerised tomogram abdomen abnormal, Computerised tomogram head normal
Clinical narrative: patient said "I feel high", appears shaky, DM-sugar ok this AM; resolved with juice and crackers BP 128/70 P 76
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Cough, Decreased appetite, Drug screen positive, Dyspnoea
Clinical narrative: patient said "I feel high", appears shaky, DM-sugar ok this AM; resolved with juice and crackers BP 128/70 P 76
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electroencephalogram normal, Fatigue, Fluid balance positive, Headache, Hypoaesthesia
Clinical narrative: patient said "I feel high", appears shaky, DM-sugar ok this AM; resolved with juice and crackers BP 128/70 P 76
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, Imaging procedure abnormal, Intensive care, Melaena, Mental status changes
Clinical narrative: patient said "I feel high", appears shaky, DM-sugar ok this AM; resolved with juice and crackers BP 128/70 P 76
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oesophagogastroduodenoscopy normal, Partial seizures, Pneumonia, Pneumonia bacterial, Pulmonary congestion
Clinical narrative: patient said "I feel high", appears shaky, DM-sugar ok this AM; resolved with juice and crackers BP 128/70 P 76
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulmonary oedema, Pyrexia, SARS-CoV-2 test positive, Seizure like phenomena, Tachypnoea
Clinical narrative: patient said "I feel high", appears shaky, DM-sugar ok this AM; resolved with juice and crackers BP 128/70 P 76
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Thrombocytopenia, Troponin increased
Clinical narrative: patient said "I feel high", appears shaky, DM-sugar ok this AM; resolved with juice and crackers BP 128/70 P 76
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Endotracheal intubation, Gastrointestinal tube insertion, Intensive care, Pulmonary haemorrhage
Clinical narrative: 25 y/o male with an intellectual disability who presents for his telehealth visit today with his mother after being hospitalized. He was hospitalized from 03/31 to 04/08 for about 8-9 days days  after J&J vaccine on 03/30. Reports son and her daughter-in- law were walking at the mall when her son collapsed on the sidewalk, EMS was called and the son was transported via ambulance to the ED. CT scan completed in the ED and mother was told patient had blood in his lungs. was intubated in the ICU and had feeding tube. Still awaiting medical records.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: 25 y/o male with an intellectual disability who presents for his telehealth visit today with his mother after being hospitalized. He was hospitalized from 03/31 to 04/08 for about 8-9 days days  after J&J vaccine on 03/30. Reports son and her daughter-in- law were walking at the mall when her son collapsed on the sidewalk, EMS was called and the son was transported via ambulance to the ED. CT scan completed in the ED and mother was told patient had blood in his lungs. was intubated in the ICU and had feeding tube. Still awaiting medical records.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Headache, Neck pain, Pain
Clinical narrative: No energy, sore on whole body, "flu-like" symptoms, pain in back/base of neck - currently still occurring  Back of head/neck felt a lot of pressure (next day after 2nd dose, but has gone away now) Recommendation: Stay hydrated, pedialyte/H2O. Treatment of "flu-like" symptoms include common over the counter pain relievers/anti-fever medication such as ibuprofen, naproxen and acetaminophen (according to package instructions). Seek PCP/HCF if "flu-like" symptoms lasting longer than 4 days.  Please contact PCP.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Feeling abnormal, Headache, Musculoskeletal stiffness
Clinical narrative: Initial complaint:  At 1640 the patient reported feeling lightheaded, having a lump in her throat and chest heaviness.  1645  BP 132/84  Pulse 86  Lung sounds clear.  No wheezing, chest less heavy.  Feels shaky 1650  BP 132/96  Lung sounds clear 1700  BP 12/82  Pulse 72  Feels "on a boat".  Some vertigo.  Noticeable swaying while seated.  Left arm tingling.  No change in throat lump.   1708  Vaccination site inspection.  No noticeable erythema, swelling or tenderness.  No further tingling in arm. 1711  Mild improvement in throat lump, drinking cold water.  Not flushed or diaphoretic 1719  BP 118/76  Pulse  68  PERRLA-Brisk, round, reactive, equal size.  Reports that she can not focus, "out f it" 1724  Boat feeling/vertigo subsiding.  Still feels "out of it".   Reports improvement in throat. 1729  BP 122/88  Seated.  Initial increase in dizziness/vertigo.  Sustained slight increase in symptoms.  Chest heaviness no longer present.  Neck stiffness (no pain/resistance turning) 1736  New onset headache above temples.  Pain/stiffness equal on both sides.  Pain is dull 2/10.  "Just there" 1745  BP  122/78  Pulse 62 irregular.  Seated, conversing, smiles.  Fogginess and neck stiffness continues.  Is aware of irregular heart rate.  Calling for a ride. 1848  Pulse 82 more regular.  Still no improvement.  Sister picked up and will take her to Hospital for evaluation.  Telephone call placed to notify them.  4/13 call placed for follow up.  left with no return call.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Sensation of foreign body, Tremor, Vertigo
Clinical narrative: Initial complaint:  At 1640 the patient reported feeling lightheaded, having a lump in her throat and chest heaviness.  1645  BP 132/84  Pulse 86  Lung sounds clear.  No wheezing, chest less heavy.  Feels shaky 1650  BP 132/96  Lung sounds clear 1700  BP 12/82  Pulse 72  Feels "on a boat".  Some vertigo.  Noticeable swaying while seated.  Left arm tingling.  No change in throat lump.   1708  Vaccination site inspection.  No noticeable erythema, swelling or tenderness.  No further tingling in arm. 1711  Mild improvement in throat lump, drinking cold water.  Not flushed or diaphoretic 1719  BP 118/76  Pulse  68  PERRLA-Brisk, round, reactive, equal size.  Reports that she can not focus, "out f it" 1724  Boat feeling/vertigo subsiding.  Still feels "out of it".   Reports improvement in throat. 1729  BP 122/88  Seated.  Initial increase in dizziness/vertigo.  Sustained slight increase in symptoms.  Chest heaviness no longer present.  Neck stiffness (no pain/resistance turning) 1736  New onset headache above temples.  Pain/stiffness equal on both sides.  Pain is dull 2/10.  "Just there" 1745  BP  122/78  Pulse 62 irregular.  Seated, conversing, smiles.  Fogginess and neck stiffness continues.  Is aware of irregular heart rate.  Calling for a ride. 1848  Pulse 82 more regular.  Still no improvement.  Sister picked up and will take her to Hospital for evaluation.  Telephone call placed to notify them.  4/13 call placed for follow up.  left with no return call.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dyspnoea, Hallucination, Oedema peripheral
Clinical narrative: Hallucination, shortness of breath, dizziness, weakness, leg edema and low oxygen level. Patient sent to hospital for evaluation and treatment.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased
Clinical narrative: Hallucination, shortness of breath, dizziness, weakness, leg edema and low oxygen level. Patient sent to hospital for evaluation and treatment.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pruritus
Clinical narrative: after about 10 mins from injection, pt complained of tingly tongue and itchy for arms
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Rash, Rash macular, Urticaria
Clinical narrative: Patient took 25mg Benadryl x 2 doses prior to immunization. Patient developed prickly sensation all over body, blotches like first vaccine.  Per patient report at this time patient got rashes and hives for three weeks after first vaccine.  Patient took another 25mg of Benadryl during time in observation and immunization clinic. Patient instructed to go to ED if symptoms worsen.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Headache, Hypoaesthesia
Clinical narrative: About 5 mins after vaccine administration at 1135 am, the individual complained of R side of head numbness, "feels like a balloon".  Also experiencing pain at same site and spreading to the nasal area and R side of face and also the forehead. No other sxs. Provided some juice since she did not eat this am per client. Pulse ox 96-97%. HR rate within acceptable ranges, 60-74/min.  Continue to assess sxs and monitor for any other issues.  No facial swelling, or any type of asymmetry is absent. Alert and oriented to name, address and place.  The symptoms of the numbness feeling and pain is still the same after 40 mins. Pt instructed to call physician but declined. Instructed that we will call 911 and educate her the reason.  At 1220, 911 was called. EMT arrived at 1228. the client refused to go to the hospital for further assessment.  The client remains stable and felt a little better. Ambulatory and d/c in stable status, accompanied with staff member.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Menstruation irregular, Vaginal discharge
Clinical narrative: Moderna COVID-19 Vaccine EUA  Up until recently, I have had a predictable cycle every 28 days, lasting 7 days, beginning heavy and tapering out.  At the beginning of 2021, I began to enter the perimenopause stage.  My first gap was 37 days (normal period length/strength) and my second gap was 48 days.  My most period came after my first vaccine (at the end of 48 day gap).  I felt it was lighter and less discharge.  It ended after the normal 7 days.  I had 2 days of nothing (as to be expected).  I then began to have some brown discharge and mild cramping/discomfort.  This was not heavy enough for a pad or tampon, only a panty liner was needed.  The brown discharge occurred for about 3-4 days when small amounts of fresh, bright red blood began showing.  This has been occurring for the past 3 days, along with continued mild cramping/discomfort.  I am still in the middle of this discharge which now alternates between fresh blood drops and brown discharge.  I was originally scheduled to have my second dose tomorrow but have decided to postpone it as I don't want to chance blood clots.  Additionally, I am 45 years old and have had 3 children.  I have never had a menstrual cycle closer than 26 days apart.  I have NEVER had any blood discharge after my normal 7 day cycle.  Another matter to consider is that I have a blood clotting disorder called Factor V Leiden, heterozygous.  I did hemorrhage after giving birth to my third child but have had no other clotting issues.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart palpations
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse drug reaction, Blood test normal, Chills, Condition aggravated, Impaired driving ability
Clinical narrative: I started having severe muscle ache and chills from 4/9/21 and I went to see doctor on 4/11/21. They tested for COVID but it came out negative on 4/12/21. I kept taking Tylenol since 4/9/21 every 6 hours. It got worst on 4/15/21. I could not sit down or lie down. I went to see doctor again on 4/16/21. Dr said my lower back is inflamed and it could be from vaccine and  gave me Meloxicam 15mg 1 per day and Cyclobenzaprine 5mg 3 per day. I stopped taking tylenol during this time. It was still miserable and I could not get any sleep. I went to see doctor again on 4/19/21. Dr told me to start taking Tylenol every 6 hours. I can bear the pain with Tylenol. I still have severe muscle pain and chills. It's hard to sit down and work or drive.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Inflammation, Insomnia, Myalgia, SARS-CoV-2 test negative
Clinical narrative: I started having severe muscle ache and chills from 4/9/21 and I went to see doctor on 4/11/21. They tested for COVID but it came out negative on 4/12/21. I kept taking Tylenol since 4/9/21 every 6 hours. It got worst on 4/15/21. I could not sit down or lie down. I went to see doctor again on 4/16/21. Dr said my lower back is inflamed and it could be from vaccine and  gave me Meloxicam 15mg 1 per day and Cyclobenzaprine 5mg 3 per day. I stopped taking tylenol during this time. It was still miserable and I could not get any sleep. I went to see doctor again on 4/19/21. Dr told me to start taking Tylenol every 6 hours. I can bear the pain with Tylenol. I still have severe muscle pain and chills. It's hard to sit down and work or drive.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: I started having severe muscle ache and chills from 4/9/21 and I went to see doctor on 4/11/21. They tested for COVID but it came out negative on 4/12/21. I kept taking Tylenol since 4/9/21 every 6 hours. It got worst on 4/15/21. I could not sit down or lie down. I went to see doctor again on 4/16/21. Dr said my lower back is inflamed and it could be from vaccine and  gave me Meloxicam 15mg 1 per day and Cyclobenzaprine 5mg 3 per day. I stopped taking tylenol during this time. It was still miserable and I could not get any sleep. I went to see doctor again on 4/19/21. Dr told me to start taking Tylenol every 6 hours. I can bear the pain with Tylenol. I still have severe muscle pain and chills. It's hard to sit down and work or drive.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Paraesthesia, Paraesthesia oral, Pruritus
Clinical narrative: Patient presented for second Pfizer covid vaccination today.  She tolerated first vaccination well, however did note some hives on trunk 1 week later, which resolved with zyrtec.  However, did have some residual erythema on chest at presentation today.    I met with her before vaccination and given CDC recommendation to only discontinue vaccination series if evidence of allergic reaction within first 4 hours of vaccination, and patients motivation to complete series, we did proceed with second vaccination.   Approximately 10 minutes after vaccination (11:30 am), she reported feeling hot and tingling in extremities and tongue.  She did not feel short of breath, was able to drink water, but did report mild tightness of throat.   Initial PE:   She had increased erythema on chest, no redness or edema noted of face or tongue. No acute distress/increased work of breathing.  Mild tachycardia, regular rhythm, lungs CTA bilaterally.  Skin warm and dry, conversant and alert.    Vitals initially HR 91, BP 121/85, O2 99%. Temp 97.2 F O2 sats remained 96-100 at all times.  After 5 minutes, pt given 50 mg IM benedryl.  Discussed having husband meet her to drive her home and to be with her this afternoon in case of worsening symptoms.    After 15 minutes, BP 11/5/72, HR70 and O2 100%.  She did begin to feel sleepy, but was able to ambulate to bathroom with assistance without difficulty.    She felt her symptoms had resolved after 30 minutes and felt comfortable returning home with husband.  She will continue benedryl 50 mg q 4-6 hrs for 24 hrs and allegra, which she had added recently for hives.    They have strict instructions to seek medical attention with any change in condition.  I will follow up with her tomorrow as well and then will also report to VAERS.     4/21/21 1:30 pm I spoke with Patient- she is doing very well today.  She states she took an additional dose of benedryl before bed and allegra.  This morning complete resolution, however where she had some hives in the last two weeks have flared and are itchy.  I have asked her to sign up for vsafe and I will submit to VAERS as well.  I also suggested she consider seeing an allergist if she has ongoing issue with hives.