chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt was given 0.3mL of Moderna (second dose) instead of the recommended dosage 0.5mL of Moderna.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Flushing, Paraesthesia, Swollen tongue, Tremor
Clinical narrative: Pt. came for her second Moderna COVID vaccine shot.  After 15 minutes, noted flushing and tongue swollen and shortness of breathe.  Tingling in her hands and lower legs. Shaking.   Pt. was transported to our ED department.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pruritus, Malaise, Pruritus, Urticaria
Clinical narrative: I began with chills on the day after the vaccine,  Then about 6:00 pm I began to feel a little sick... I first had itching at the site of the injection, then about 8:00 PM I had an itchy arm in specific locations on that same arm... then it started itching on my right arm but not as much as the left arm,    Next, I had some itching on the back of my legs, upper thighs... About 11:00 pm is when I noticed the hives.  They were raised and about the size of a half a dollar.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Left arm is swollen at the injection site and shows some redness and slight warmness to the touch.
Sex: U
Vaccine: COVID19
Symptoms: Feeling hot, Hypoaesthesia, Hypoaesthesia oral, Injection site erythema, Paraesthesia
Clinical narrative: Numbness, tingling on both arms, tongue felt numb/tingling, redness on arms, chest, legs and face. Felt hot
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Dysgeusia, Hyperhidrosis, Nausea
Clinical narrative: Pt states I feel dizzy while walking to observation. Nurse assist resident to chair, nurse observed resident sweating,  warm to touch, Temp-96.9. Pt complaints of metal taste in mouth, nausea, dizziness, and back pain.   Pt self medicated with Bendaryl.  Pt sat in observation for 30 minutes. First BP-130/72, second BP-138/80  After 20 minutes pt states 'I feel better" nurse asked pt does she need a ride home, pt states "no" nurse edicated pt of safety risk of driving home alone, Pt states "I'm fine, it's only a 20 minute drive"  Nurse advised Pt to follow up with PCP.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Pt states I feel dizzy while walking to observation. Nurse assist resident to chair, nurse observed resident sweating,  warm to touch, Temp-96.9. Pt complaints of metal taste in mouth, nausea, dizziness, and back pain.   Pt self medicated with Bendaryl.  Pt sat in observation for 30 minutes. First BP-130/72, second BP-138/80  After 20 minutes pt states 'I feel better" nurse asked pt does she need a ride home, pt states "no" nurse edicated pt of safety risk of driving home alone, Pt states "I'm fine, it's only a 20 minute drive"  Nurse advised Pt to follow up with PCP.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Oedema peripheral
Clinical narrative: Report small lump to the left ankle 3 weeks post vaccination, not sure if it is related to the vaccine. States it was not there prior to the vaccine. Treatment: none .  Outcome: Does interfere with ADLs.  Recommend to follow-up PCP for any concerns.
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Pruritus, Throat irritation, Urticaria
Clinical narrative: Hour and half after shot in left arm... my throat and ears nexame itchy... and right arm became itchy and a couple of hives broke out.. same are on arm where I receive weekly allergy shot.  Took 2  Benadryl.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Tachycardia
Clinical narrative: Tachycardia developed within minutes of receiving second dose of vaccine and continued for 2-3 hours. Monitored in the ER and when heart came down, was sent home. Experienced tachycardic episodes, lasting for about 5 minutes  off and on for 2-3 days afterwards.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: 1610 Got light headed and sweaty.  Put feet up on chair and then took ee down to floor.  Sat with back against wall.  1/2 bottle of water and 3 juices.  Felt better after fluids 1615 BP 140/96 1620 HR 82 SPO2 100 on Room-air 1622 HR 85 SPO2 96% 143/98 1626 HR 79 SPO2 96 1632 HR 78 SPO2 97% 150/91 1638 HR 85 SPO2 97% States feels "ok" "not back to normal" 1640 HR 78 SPO2 96% 148/95 1642 Up in Chair 1646 HR 75 SPO2 95 140/91 1647 Walk to bathroom gait steady 1651 More water HR 86 SPO2 96% 133/93 Ready to go home 1657 Taken to car husband drove home.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Lymphadenopathy
Clinical narrative: Right underarm lymph nodes swollen and is a large mass. It is still swollen. I noticed it on Sunday, 3-14. I received my first Covid shot on Friday, 3-12, and my underarm is still swollen today, 3-16-21.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Musculoskeletal stiffness, Rash
Clinical narrative: rash on face and chest, headache, left side of neck stiffness.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: 03/13/2021: Presented to the emergency department for fever, generalized weakness, nausea, and vomiting. The patient was admitted for GI evaluation who stated that the nausea, vomiting, and chronic diarrhea, could be from gastroparesis and diabetic diarrhea versus IBS. The patient was discharged the next day with outpatient follow up with her primary gastroenterologist.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Livedo reticularis, Pruritus
Clinical narrative: At 1310 patient reported itchy hands that were red on the palms. BP 141/79, O2 at 98% and HR 113, hands were mottled and red, 50mg Benadryl given at 1312says se At 1316 BP was 125/80, HR 102 and O2 98%. Patient reports not issues with swallowing, no SOB, no dizziness or other issues.  At 1324 BP was 123/74, HR 99 and O2 98 At 1336, HR 97, BP 124/77, O2 97, patient feels less itchy and denies chest pain, SOB temp 98.0 Patient comfortable to go home
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on both arms, back, chest, and on legs.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Confusional state, Dyspnoea, Mobility decreased
Clinical narrative: After 15minute observation after Moderna vaccine #1.  waited15minutes after the Covid 19 vaccine - I had shortness of breath, great difficulty breathing, and had to stop and lean on cart, as I was breathing very hard, and nearly couldn't breathe. I had confusion, reporting? Epipen?  Tell anyone.  I was not aware of my surroundings otherwise during the episode. Afterwards, I was breathing ok? and went home.  I later called Moderna, and reported this issue. I called the pharmacist, and reported the problem. I called many other pharmacies, asking for advise - ranging from NO do not take the 2nd vaccine (matter of life/death) due to serious reaction to take it & wait longer.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Developed a rash and bumps that are itchy two weeks after administration of first COVID vaccine
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache
Clinical narrative: Patient stated he had a headache. Water and crackers are given. Patient stated he felt a little better Without acute distress noted. Rest is advice to take. Tylenol if needed. Resident observed for 30 minutes in observation area
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Peripheral swelling
Clinical narrative: 03/01 DATE OF VACCINE; 03/03 SWEATING & CHILLS; CLIENT TOOK TYLENOL; 03/13 ARM AND HAND SWELLING 03/16 PCP VISIT; RX STERIOD SHOT & ANTIBIOTICS; 03/16 REPORTED TO HD.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Eyelid disorder, Facial paralysis, Facial paresis
Clinical narrative: Patient reported having trouble closing left eye, left facial weakness, and left facial drooping Patient was treated in ED and given prednisone and acyclovir
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Body temperature decreased, Chills, Chromaturia, Crystal urine present
Clinical narrative: The patient did report swelling, induration and pain at the injection site. The patient  reports onset of headache, fever of 100.6, chills, body aches, night sweats, and malaise within a couple of hours of receiving dose 2 of her Covid 19 vaccine.  Due to how she felt, she went to bed soon after, and slept until the next morning. Upon waking up she noticed resolution of all her symptoms except for night sweats, and malaise.  She continued feeling hot and having night sweats but did not appreciate having a fever.  She also reports  the onset of significant facial swelling, periorbital swelling and swelling of her hands and feet, basically her entire body.  She also reports an onset of "foul smelling" diarrhea.  Her chronic eczematous areas which are her eyebrows, posterior neck, and scalp became more itchy and flaking and peeling.  She developed new areas of eczema and itching over her torso located at her mid axillary areas from her braline down to her waist area.  She also reports the onset of browniish red/ amber colored urine since receiving the vaccine. She continued to flake and peel over her eyebrows and cheeks in  continuously and in large amounts for the next 10 days.  She reports taking no antihistamines, or antipyretics.  She went to urgent care and was treated with 0.5% clobetasol cream which after 2 applications to her face caused a chemical, sun burn like reaction and more severe swelling over her cheeks and periorbital areas.  A photo shows that her left eye was so swollen it was half closed and the skin color was purplish. She returned to urgent care on March 11, 2021 and was prescribed a medrol dose pak.  She started it right away and her facial swelling improved.   On March 13 she came to see me.  with improvement in her swelling, peeling and flaking.   She was noted to have a fever of 101.6, then it was 100.6 after recheck and finally 99.6 before the end of her appointment.   It isn't clear whether her temp decreased because her medrol taken earlier that morning had kicked in or by removing her sweatshirt and being out of the sun allowed her to sweat and decrease her core body temperture to that level.She was asked to continue checking her temp which she reported as 99.8 on March 13, 100.6 on March 14, and 100.5 on March 15.  She has been instructed to check her temp everyday for the next 14 days.  Her urinedipstick showed 1+ bilirubin and ketones with trace blood and all other indicators were negative.  Patient was sent for stat bloodwork to evaluate for possible hemolysis.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Eczema, Feeling hot, Full blood count normal, Haptoglobin
Clinical narrative: The patient did report swelling, induration and pain at the injection site. The patient  reports onset of headache, fever of 100.6, chills, body aches, night sweats, and malaise within a couple of hours of receiving dose 2 of her Covid 19 vaccine.  Due to how she felt, she went to bed soon after, and slept until the next morning. Upon waking up she noticed resolution of all her symptoms except for night sweats, and malaise.  She continued feeling hot and having night sweats but did not appreciate having a fever.  She also reports  the onset of significant facial swelling, periorbital swelling and swelling of her hands and feet, basically her entire body.  She also reports an onset of "foul smelling" diarrhea.  Her chronic eczematous areas which are her eyebrows, posterior neck, and scalp became more itchy and flaking and peeling.  She developed new areas of eczema and itching over her torso located at her mid axillary areas from her braline down to her waist area.  She also reports the onset of browniish red/ amber colored urine since receiving the vaccine. She continued to flake and peel over her eyebrows and cheeks in  continuously and in large amounts for the next 10 days.  She reports taking no antihistamines, or antipyretics.  She went to urgent care and was treated with 0.5% clobetasol cream which after 2 applications to her face caused a chemical, sun burn like reaction and more severe swelling over her cheeks and periorbital areas.  A photo shows that her left eye was so swollen it was half closed and the skin color was purplish. She returned to urgent care on March 11, 2021 and was prescribed a medrol dose pak.  She started it right away and her facial swelling improved.   On March 13 she came to see me.  with improvement in her swelling, peeling and flaking.   She was noted to have a fever of 101.6, then it was 100.6 after recheck and finally 99.6 before the end of her appointment.   It isn't clear whether her temp decreased because her medrol taken earlier that morning had kicked in or by removing her sweatshirt and being out of the sun allowed her to sweat and decrease her core body temperture to that level.She was asked to continue checking her temp which she reported as 99.8 on March 13, 100.6 on March 14, and 100.5 on March 15.  She has been instructed to check her temp everyday for the next 14 days.  Her urinedipstick showed 1+ bilirubin and ketones with trace blood and all other indicators were negative.  Patient was sent for stat bloodwork to evaluate for possible hemolysis.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Injection site induration, Injection site swelling, Malaise
Clinical narrative: The patient did report swelling, induration and pain at the injection site. The patient  reports onset of headache, fever of 100.6, chills, body aches, night sweats, and malaise within a couple of hours of receiving dose 2 of her Covid 19 vaccine.  Due to how she felt, she went to bed soon after, and slept until the next morning. Upon waking up she noticed resolution of all her symptoms except for night sweats, and malaise.  She continued feeling hot and having night sweats but did not appreciate having a fever.  She also reports  the onset of significant facial swelling, periorbital swelling and swelling of her hands and feet, basically her entire body.  She also reports an onset of "foul smelling" diarrhea.  Her chronic eczematous areas which are her eyebrows, posterior neck, and scalp became more itchy and flaking and peeling.  She developed new areas of eczema and itching over her torso located at her mid axillary areas from her braline down to her waist area.  She also reports the onset of browniish red/ amber colored urine since receiving the vaccine. She continued to flake and peel over her eyebrows and cheeks in  continuously and in large amounts for the next 10 days.  She reports taking no antihistamines, or antipyretics.  She went to urgent care and was treated with 0.5% clobetasol cream which after 2 applications to her face caused a chemical, sun burn like reaction and more severe swelling over her cheeks and periorbital areas.  A photo shows that her left eye was so swollen it was half closed and the skin color was purplish. She returned to urgent care on March 11, 2021 and was prescribed a medrol dose pak.  She started it right away and her facial swelling improved.   On March 13 she came to see me.  with improvement in her swelling, peeling and flaking.   She was noted to have a fever of 101.6, then it was 100.6 after recheck and finally 99.6 before the end of her appointment.   It isn't clear whether her temp decreased because her medrol taken earlier that morning had kicked in or by removing her sweatshirt and being out of the sun allowed her to sweat and decrease her core body temperture to that level.She was asked to continue checking her temp which she reported as 99.8 on March 13, 100.6 on March 14, and 100.5 on March 15.  She has been instructed to check her temp everyday for the next 14 days.  Her urinedipstick showed 1+ bilirubin and ketones with trace blood and all other indicators were negative.  Patient was sent for stat bloodwork to evaluate for possible hemolysis.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Night sweats, Pain, Periorbital swelling, Peripheral swelling
Clinical narrative: The patient did report swelling, induration and pain at the injection site. The patient  reports onset of headache, fever of 100.6, chills, body aches, night sweats, and malaise within a couple of hours of receiving dose 2 of her Covid 19 vaccine.  Due to how she felt, she went to bed soon after, and slept until the next morning. Upon waking up she noticed resolution of all her symptoms except for night sweats, and malaise.  She continued feeling hot and having night sweats but did not appreciate having a fever.  She also reports  the onset of significant facial swelling, periorbital swelling and swelling of her hands and feet, basically her entire body.  She also reports an onset of "foul smelling" diarrhea.  Her chronic eczematous areas which are her eyebrows, posterior neck, and scalp became more itchy and flaking and peeling.  She developed new areas of eczema and itching over her torso located at her mid axillary areas from her braline down to her waist area.  She also reports the onset of browniish red/ amber colored urine since receiving the vaccine. She continued to flake and peel over her eyebrows and cheeks in  continuously and in large amounts for the next 10 days.  She reports taking no antihistamines, or antipyretics.  She went to urgent care and was treated with 0.5% clobetasol cream which after 2 applications to her face caused a chemical, sun burn like reaction and more severe swelling over her cheeks and periorbital areas.  A photo shows that her left eye was so swollen it was half closed and the skin color was purplish. She returned to urgent care on March 11, 2021 and was prescribed a medrol dose pak.  She started it right away and her facial swelling improved.   On March 13 she came to see me.  with improvement in her swelling, peeling and flaking.   She was noted to have a fever of 101.6, then it was 100.6 after recheck and finally 99.6 before the end of her appointment.   It isn't clear whether her temp decreased because her medrol taken earlier that morning had kicked in or by removing her sweatshirt and being out of the sun allowed her to sweat and decrease her core body temperture to that level.She was asked to continue checking her temp which she reported as 99.8 on March 13, 100.6 on March 14, and 100.5 on March 15.  She has been instructed to check her temp everyday for the next 14 days.  Her urinedipstick showed 1+ bilirubin and ketones with trace blood and all other indicators were negative.  Patient was sent for stat bloodwork to evaluate for possible hemolysis.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Skin exfoliation, Swelling face, Urine analysis
Clinical narrative: The patient did report swelling, induration and pain at the injection site. The patient  reports onset of headache, fever of 100.6, chills, body aches, night sweats, and malaise within a couple of hours of receiving dose 2 of her Covid 19 vaccine.  Due to how she felt, she went to bed soon after, and slept until the next morning. Upon waking up she noticed resolution of all her symptoms except for night sweats, and malaise.  She continued feeling hot and having night sweats but did not appreciate having a fever.  She also reports  the onset of significant facial swelling, periorbital swelling and swelling of her hands and feet, basically her entire body.  She also reports an onset of "foul smelling" diarrhea.  Her chronic eczematous areas which are her eyebrows, posterior neck, and scalp became more itchy and flaking and peeling.  She developed new areas of eczema and itching over her torso located at her mid axillary areas from her braline down to her waist area.  She also reports the onset of browniish red/ amber colored urine since receiving the vaccine. She continued to flake and peel over her eyebrows and cheeks in  continuously and in large amounts for the next 10 days.  She reports taking no antihistamines, or antipyretics.  She went to urgent care and was treated with 0.5% clobetasol cream which after 2 applications to her face caused a chemical, sun burn like reaction and more severe swelling over her cheeks and periorbital areas.  A photo shows that her left eye was so swollen it was half closed and the skin color was purplish. She returned to urgent care on March 11, 2021 and was prescribed a medrol dose pak.  She started it right away and her facial swelling improved.   On March 13 she came to see me.  with improvement in her swelling, peeling and flaking.   She was noted to have a fever of 101.6, then it was 100.6 after recheck and finally 99.6 before the end of her appointment.   It isn't clear whether her temp decreased because her medrol taken earlier that morning had kicked in or by removing her sweatshirt and being out of the sun allowed her to sweat and decrease her core body temperture to that level.She was asked to continue checking her temp which she reported as 99.8 on March 13, 100.6 on March 14, and 100.5 on March 15.  She has been instructed to check her temp everyday for the next 14 days.  Her urinedipstick showed 1+ bilirubin and ketones with trace blood and all other indicators were negative.  Patient was sent for stat bloodwork to evaluate for possible hemolysis.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Feeling abnormal, Musculoskeletal chest pain, Nausea
Clinical narrative: Severe pain in left arm, tingling pain down my left arm and chest/ribs area. Extremely loopy the next day, tired, nausea. 5 days later and still having pain and tingling all down my left side and extremely tired.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia
Clinical narrative: Severe pain in left arm, tingling pain down my left arm and chest/ribs area. Extremely loopy the next day, tired, nausea. 5 days later and still having pain and tingling all down my left side and extremely tired.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: body aches, 101.5 fever beginning around 14 hours after receiving vaccine
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Pruritus
Clinical narrative: Systemic itching. Doctor office visit. With antihistamine, including prescribed medications, took 48 hours to resolve.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: Pt felt dizzy and weak.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous, Rash pruritic
Clinical narrative: Extremely itchy, roundish red rash with small bumps 2--3 inches around perimeter of injection site
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: Severe headache not long after the shot it lasted  for 2 days. Sore arm the next day.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Episcleritis
Clinical narrative: Episcleritis
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Noticed itching Friday the 12th, progressed from Friday to Sunday, it became a 6*4 red patch that was swollen, red, and hot to the touch.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Loss of control of legs
Clinical narrative: Loss of muscle control in legs for entire day; resulted in fall
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: lip swelling 72 hours after vaccination of Round 2 Moderna
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Developed low grade fever (99.1) approximately 20 hours post-injection. Took (2) 500mg Tylenol, fever gone within 2 hours. No further occurance.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Healthcare professional administering vaccine did not draw it up correctly and administered less than 0.3 mL.  The error was found when she brought back the vial, used all 6 syringes but there was still enough liquid in the vial for 3-4 doses.  It is unclear how much of the vaccine was injected into each person who received a dose from this particular vial.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Pyrexia
Clinical narrative: fever 99.6, sore shoulder injection site, chills
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Progress Notes        Subjective Patient is a 61 y.o. female who was seen at COVID vaccine clinic today for her first  dose of the COVID 19 vaccination.    She was given the Pfizer vaccination in the left deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience left arm paresthesia and aching.  She denied rash, hives, SOA.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to skin changes.   . Pt received injection to LUE, developed paresthesia to LUE, distal to injection site. ROS/PE unremarkable. No red flag findings to warrant further intervention. Clinically, superficial skin nerve involvement. Dismissed after period of observation.       Previous Reactions: none    Objective    Vitals Vitals:   03/16/21 0843 BP: 121/84 Pulse: 74 Resp: 18 SpO2: 100%            Physical Exam Vitals reviewed.  Constitutional:      General: She is not in acute distress.    Appearance: She is not ill-appearing, toxic-appearing or diaphoretic.  HENT:     Nose: Nose normal.     Mouth/Throat:     Mouth: Mucous membranes are moist.  Cardiovascular:     Rate and Rhythm: Normal rate.     Pulses: Normal pulses.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds. No stridor.  Musculoskeletal:        General: Normal range of motion.     Cervical back: Normal range of motion.  Skin:    General: Skin is warm and dry.     Findings: No rash.     Comments: No injection site erythema, rash  Neurological:     Mental Status: She is alert.     Sensory: Sensory deficit present.     Motor: No weakness.     Comments: Paresthesia, mild without weakness  Psychiatric:        Mood and Affect: Mood normal.        Behavior: Behavior normal.        Thought Content: Thought content normal.        Judgment: Judgment normal.         Assessment/Plan  Treatment included: no therapy Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash)    Pt received injection to LUE, developed paresthesia to LUE, distal to injection site. ROS/PE unremarkable. No red flag findings to warrant furhter intervention. Clinically, superficial skin nerve involvement. Dismissed after period of observation.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Lymph node pain, Lymphadenopathy
Clinical narrative: fatigue 3 days, swollen painful lump lymph node under right arm 3 days, headache 1 day, painful at injection site 4 days
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatine abnormal, Blood urea increased, C-reactive protein abnormal, Chest X-ray, Dizziness
Clinical narrative: Day 1 - Within 30 minutes of injection I felt dizzy and my vision was unfocused (almost blurry).   Day 2 -  The ocular disturbances continued and I had a huge headache.  Almost felt as if my eyes were dilated. Day 3 - The back of my head and neck ached like whiplash from a car crash if I moved my head up  and down; head felt stiff and heavy; ocular disturbances continue Day 4 - Same symptoms as Day 3 continue
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Full blood count, Head discomfort, Headache, Magnetic resonance imaging head
Clinical narrative: Day 1 - Within 30 minutes of injection I felt dizzy and my vision was unfocused (almost blurry).   Day 2 -  The ocular disturbances continued and I had a huge headache.  Almost felt as if my eyes were dilated. Day 3 - The back of my head and neck ached like whiplash from a car crash if I moved my head up  and down; head felt stiff and heavy; ocular disturbances continue Day 4 - Same symptoms as Day 3 continue
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Neck pain, Vision blurred
Clinical narrative: Day 1 - Within 30 minutes of injection I felt dizzy and my vision was unfocused (almost blurry).   Day 2 -  The ocular disturbances continued and I had a huge headache.  Almost felt as if my eyes were dilated. Day 3 - The back of my head and neck ached like whiplash from a car crash if I moved my head up  and down; head felt stiff and heavy; ocular disturbances continue Day 4 - Same symptoms as Day 3 continue
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Headache, Neck pain, Post-traumatic neck syndrome, Strabismus
Clinical narrative: Day 1 - Within 30 minutes of injection I felt dizzy and my vision was unfocused (almost blurry).   Day 2 -  The ocular disturbances continued and I had a huge headache.  Almost felt as if my eyes were dilated. Day 3 - The back of my head and neck ached like whiplash from a car crash if I moved my head up  and down; head felt stiff and heavy; ocular disturbances continue Day 4 - Same symptoms as Day 3 continue
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vision blurred
Clinical narrative: Day 1 - Within 30 minutes of injection I felt dizzy and my vision was unfocused (almost blurry).   Day 2 -  The ocular disturbances continued and I had a huge headache.  Almost felt as if my eyes were dilated. Day 3 - The back of my head and neck ached like whiplash from a car crash if I moved my head up  and down; head felt stiff and heavy; ocular disturbances continue Day 4 - Same symptoms as Day 3 continue
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Syncope, Tachycardia
Clinical narrative: S:  is a 52 y/o female on the floor on presentation after receiving Moderna vaccine  1st dose. Nurse  reports holding her to the floor did not hit her head.  O: 10:47 1st blood pressure 150/100. HR 104 Oxygen saturation  97 Resp. 17 2nd Blood pressure 140/ 80 No signs of trauma. No hematoma of the head. No bleeding. No acute distress noted. Talking a/o x4.   Integumentary: normal dry, Intact skin, neg abrasion or lacerations. Resp. Normal . No rapid breathing, neg wheezing or shortness of breath Cardio:  Tachycardia, neg for murmur, positive for syncope neuro: Negative for slurring, negative facial drop, negative for weakness, negative for numbness and tingling  Assessment  Syncope Monitored for 20
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Fatigue, Pneumonia, Productive cough, Pyrexia
Clinical narrative: Tiredness and fever began on 3/1.  On 3/2/21, patient had phelgm in her lungs but unable to cough up.  She was admitted to the hospital on 3/4/21 and stayed for 5 days.  Patient was at the Pali Momi Medical Center in Aiea, HI.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Tiredness and fever began on 3/1.  On 3/2/21, patient had phelgm in her lungs but unable to cough up.  She was admitted to the hospital on 3/4/21 and stayed for 5 days.  Patient was at the Pali Momi Medical Center in Aiea, HI.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hot flush
Clinical narrative: About 5 minutes after injection I had a wave of dizziness and hot flash which only lasted a few seconds.  I remained at the facility to make sure I was OK to drive.  Later that evening until next day at noon I was slightly dizzy.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Facial paralysis, Hypoaesthesia, Lyme disease, Paraesthesia, Vaccination complication
Clinical narrative: patient had onset of left sided numbness and tingling on march 12 and started to have facial dropping on march 14 patient was vaccinated with second dose on march the 9th
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Sneezing, Tinnitus
Clinical narrative: ringing in ears (high pitched screech)  within 1 hr of vaccine,( getting louder 1 day later), sneezing, fatigue started next day,
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bed rest, Chills, Impaired work ability, Myalgia
Clinical narrative: After approx 3 hours, chills, overnight began severe muscle aches and joint pains, often stabbing pain, low grade fever. To descibe as flu-like symptoms is way to mild, this was awful for  about 60 hours, then stopped.  I could not work for 2 days and was in bed.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: After approx 3 hours, chills, overnight began severe muscle aches and joint pains, often stabbing pain, low grade fever. To descibe as flu-like symptoms is way to mild, this was awful for  about 60 hours, then stopped.  I could not work for 2 days and was in bed.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Palpitations, Vaccination complication
Clinical narrative: At approximately 2:50 pm, two minutes after receiving vaccination, patient complaining of heart racing and feeling lightheaded. HR 88, oxygen 97%-100% on room air,  BP123/84. Denies SOB or chest pain. Given glass of water, symptoms improving at 3:10 pm. Monitored in room for 30 minutes and discharged to home at 3:20 pm. Symptoms much improved.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood thyroid stimulating hormone decreased, Fatigue, Somnolence, Thyroxine decreased
Clinical narrative: Second in the Moderna series was given to me on 2-2-21 and it initially made me very sleepy. I went home 3 hours early and went to sleep, I slept the majority of the next 24-30 hours and then started to feel better. The lingering severe fatigue and massive joint pains (I have never had elbow, shoulder, wrist, hip pains) is what is concerning me now. I did see my PCP Dr.  yesterday and he mentioned as there are so many things we still do not know about the vaccines or virus - he was concerned and if these continue at the 4-6 month period would like to review rheumatoid issues (negative before) . The severity of the fatigue has not allowed me to work as a provider of healthcare for the past 2 weeks and this is very concerning to me.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Tri-iodothyronine decreased, Vitamin D
Clinical narrative: Second in the Moderna series was given to me on 2-2-21 and it initially made me very sleepy. I went home 3 hours early and went to sleep, I slept the majority of the next 24-30 hours and then started to feel better. The lingering severe fatigue and massive joint pains (I have never had elbow, shoulder, wrist, hip pains) is what is concerning me now. I did see my PCP Dr.  yesterday and he mentioned as there are so many things we still do not know about the vaccines or virus - he was concerned and if these continue at the 4-6 month period would like to review rheumatoid issues (negative before) . The severity of the fatigue has not allowed me to work as a provider of healthcare for the past 2 weeks and this is very concerning to me.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Fatigue, Headache, Pain, Peripheral swelling
Clinical narrative: Morning after vaccination body aches, headache, low fever, tiredness.  Second day after vaccination same as above with additional symptom of difficulty swallowing, right side of throat feels swollen internally. these symptoms are continuing for several days up to and including  date of this report, Tuesday 3/16/21
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Pyrexia
Clinical narrative: Morning after vaccination body aches, headache, low fever, tiredness.  Second day after vaccination same as above with additional symptom of difficulty swallowing, right side of throat feels swollen internally. these symptoms are continuing for several days up to and including  date of this report, Tuesday 3/16/21
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Erythema, Fatigue, Headache
Clinical narrative: 1. Sore arm started 3/12 in the afternoon. As it progressed, became hot, red and painful. As of today (3/16), still red and tender. 2.Fever began 3/13 in the afternoon. The high was 101.8 Fahrenheit and it lasted for 2 days. There is a residual low fever. 3. Chills started 3/13 in the afternoon. Lasted off and on for 12 hours. 4. Headache has been intermittent since 3/13.  5. Fatigue off and on since 3/13. 6. Joint pain on 3/13.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Skin warm, Tenderness
Clinical narrative: 1. Sore arm started 3/12 in the afternoon. As it progressed, became hot, red and painful. As of today (3/16), still red and tender. 2.Fever began 3/13 in the afternoon. The high was 101.8 Fahrenheit and it lasted for 2 days. There is a residual low fever. 3. Chills started 3/13 in the afternoon. Lasted off and on for 12 hours. 4. Headache has been intermittent since 3/13.  5. Fatigue off and on since 3/13. 6. Joint pain on 3/13.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Speech disorder
Clinical narrative: A 61 y.o. female who received the Pfizer-BioNtech Covid-19 Vaccine, mRNA, BNT162b2 (PF) 30 mcg/0.3 mL IM Susp, Lot ER2613 on 3/16/2021. The patient experienced the following reaction(s) during the immediate   of observation: 11:42am Patient c/o "dizziness and mumbling noise." Patient alert, oriented, and verbal. Patient assessed in treatment area. Patient was treated/managed as follows:  11:44am VS BP 118/64, HR 67, RR 18, O2 sat 98% on room air. Patient denies shortness of breath or difficulty breathing. No swelling noted to face, mouth, or tongue. 11:59am VS BP 134/80, HR 70, RR 18, 97% on room air. Patient reports feeling better and symptoms have subsided. Patient given educational material regarding vaccine and advised to continue to self-monitor per the CDC guidance. 12:08pm Escorted to car by sister and RN.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased
Clinical narrative: 03/13/2021: Presented with elevated blood sugar after having bilateral knee cortisone injections yesterday. Insulin regimen adjusted and patient discharged within 3 days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Both hands developed pain and the white color pattern of Reynaud's phenomenon that evening when I was out in the cold  briefly.  The symptoms  resolved after a couple hours.  I had no recurrence of this after the second vaccine dose, or when out in severely cold weather in January 2021.  I've never had these symptoms before.  My father had Reynaud's disease that began when he was in his fifties.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Dizziness, Gait disturbance, Gait inability
Clinical narrative: received vaccine friday afternoon saturday started feeling extremely dizzy and weak,  difficulty walking sunday unable to walk, blood pressure high, tremors called 911
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Tremor
Clinical narrative: received vaccine friday afternoon saturday started feeling extremely dizzy and weak,  difficulty walking sunday unable to walk, blood pressure high, tremors called 911
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Feeling abnormal, Headache, Hyperhidrosis, Loss of consciousness
Clinical narrative: Got an increasing headache - annoying fuzzy and headache by 11pm and went to sleep.  Had plenty of water/fluids throughout the night. urinated often about ever 1 3/4 hrs-I cath and good at it (big prostate) and use a bucket.  Had a nasty headache by 3am and while cathing I stayed low because I felt real sick sweaty nauseous and went blind passed out, covered with half quart of urine, woke up on the floor with face against the wall-didn't know anything for a few seconds. Went back to bed-headache lasted for about four days.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pollakiuria
Clinical narrative: Got an increasing headache - annoying fuzzy and headache by 11pm and went to sleep.  Had plenty of water/fluids throughout the night. urinated often about ever 1 3/4 hrs-I cath and good at it (big prostate) and use a bucket.  Had a nasty headache by 3am and while cathing I stayed low because I felt real sick sweaty nauseous and went blind passed out, covered with half quart of urine, woke up on the floor with face against the wall-didn't know anything for a few seconds. Went back to bed-headache lasted for about four days.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperaesthesia teeth, Tooth disorder
Clinical narrative: Dental issues.  My dentist feels taking Prolia interacted with the Dose 2 of Moderna.  Needed a root canal redo and a crown.  Anticipate needing same for another sensitive tooth.  No tooth problems prior to receiving the second dose of Moderna.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pain, Pruritus, Rash, Swelling
Clinical narrative: Not serious, but the fact that it didn't happen until eight days after the vaccination seemed unusual. Sore arm at the site, redness, some swelling and itching and a rash  Faded after about three days.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Odynophagia, Oropharyngeal pain, Pain in extremity
Clinical narrative: throat sore to swallow on left side for 4 days then was gone. Arm is still sore 10 days later but improving.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Migraine
Clinical narrative: Migraine Headache
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal discomfort, Fatigue, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Stomach upset and vomiting one time, fever, low-grade fever, muscle ache, tiredness, some soreness at site of injection
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Vomiting
Clinical narrative: Stomach upset and vomiting one time, fever, low-grade fever, muscle ache, tiredness, some soreness at site of injection
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: None reported
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urticaria
Clinical narrative: Fever reaching 102.6 and hives treated with OTC antihistamine
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Oedema, Thrombosis, Ultrasound scan
Clinical narrative: Pt developed RUE erythema and edema. RUE US demonstrated clot in 1 of 3 brachial veins in mid-portion of RUE. Pt prescribed Eliquis x  6 weeks ( 5 mg PO BID once. 10 mg PO BID x 7 days. Then 5 mg PO BID x 5 weeks) followed by repeat RUE US.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Cogwheel rigidity, Dysarthria, Dyspnoea, Immediate post-injection reaction, Muscle contracture
Clinical narrative: Tachycardia, Dyspnea, Dysarthria, wtihin seconds after receiving the vaccine injection. injection site showed no erythema, edema or tenderness. patient could not verbally describe what he was feeling. patient was given Epinephrine. After epinephrine patient stated improvement, but as patient was being moved the observation room symptoms returned mainly the dysarthria which was accompanied by cogwheel rigidity, petechias and global muscle contraction. EMS was called, benadryl injection was given as EMS arrived. Patient was then taken to ED.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Petechiae, Tachycardia
Clinical narrative: Tachycardia, Dyspnea, Dysarthria, wtihin seconds after receiving the vaccine injection. injection site showed no erythema, edema or tenderness. patient could not verbally describe what he was feeling. patient was given Epinephrine. After epinephrine patient stated improvement, but as patient was being moved the observation room symptoms returned mainly the dysarthria which was accompanied by cogwheel rigidity, petechias and global muscle contraction. EMS was called, benadryl injection was given as EMS arrived. Patient was then taken to ED.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 1 mL dose instead of 0.5mL
Age: 50.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Balance disorder, Dizziness, Malaise, Pyrexia, Somnolence
Clinical narrative: I am still sick and it has been 9 days since I received the 2nd vaccine. I had a high fever, 101 deg and slept for 3 days straight after the injection. I am very lightheaded and very unsteady on my feet with a low grade fever that comes and goes. I met with my provider yesterday, she feels it is an exaggerated immune response and she wants me to rest and will order bloodwork in a week if I still feel the same. She wants me to have a covid and flu test as a rule out which I'm doing today.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Palpitations
Clinical narrative: "Patient with palpitations and numbness to both hands (fingertips) that lasted 10min after PFIZER covid-19 vaccine, self limited BP 110/83 O2Sat 100%  pulse 80,  feeling better, refused ER ,HX anxiety disorder"
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt was given 0.3mL of Moderna (second dose) instead of the recommended dosage 0.5mL of Moderna.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pain, Palpitations, Pyrexia
Clinical narrative: Fever, body aches, dizziness, palpitations Pt has contacted her PCP for advise and evaluaiton
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient who received the vaccine was not eligible to receive the vaccine under the pharmacy's protocol or standing order.  EUA for Moderna's Covid-19 Vaccine is for 18 years old and up.  This is a patient who was 17 years old at the time of administration.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Myalgia
Clinical narrative: Stiff neck and full body muscle aches
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: Patient reported back to the clinic saying her neck felt thick and off 40 minutes post-vaccination.  Then patient was administered 50mg Benadryl PO. She felt fine after 15 minutes. Patient was informed to call primary care doctor  or 911 if she experienced any problems later.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Injection site reaction, Injection site warmth, Psoriasis, Rash
Clinical narrative: The day after my vaccine I developed around the site of vaccination. It lasted 4 days and went away for three days It was very sore and hot the second time it came back it was really itchy. It was bigger when it came back. I saw a doctor and they advised that I take Zyrtec and Cortisone cream with ice. The rash went away after six days. I have Psoriasis and it flared up in places that it has never been before. It is still a little worse than normal.  I have had my second dose and there were no side effects with that one.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: The day after my vaccine I developed around the site of vaccination. It lasted 4 days and went away for three days It was very sore and hot the second time it came back it was really itchy. It was bigger when it came back. I saw a doctor and they advised that I take Zyrtec and Cortisone cream with ice. The rash went away after six days. I have Psoriasis and it flared up in places that it has never been before. It is still a little worse than normal.  I have had my second dose and there were no side effects with that one.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Decreased appetite, Fatigue, Inappropriate schedule of product administration
Clinical narrative: Moderna COVID-19 Vaccine EUA  First vaccine 2/5/21 second cancelled by phar.  3/5/21 reschd to 3/12/21. FIVE WEEKS. Noon injection. Chills within  ten hours.  (Fri 12th) Soon fevered.  Exhausted. Forty eight hours of average 102° fever.  NO appetite.  Ibuprofen three times.  First food (Sun 14th 6:00pm). Back ache now...pain kept me up during night.   Fever down.  Monday noon back to normal.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA  First vaccine 2/5/21 second cancelled by phar.  3/5/21 reschd to 3/12/21. FIVE WEEKS. Noon injection. Chills within  ten hours.  (Fri 12th) Soon fevered.  Exhausted. Forty eight hours of average 102° fever.  NO appetite.  Ibuprofen three times.  First food (Sun 14th 6:00pm). Back ache now...pain kept me up during night.   Fever down.  Monday noon back to normal.