chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient returned for 2nd dose and reported that she had hives that started within 1 hour of her dose and lasted for 3 days despite taking Benadryl. Reports no shortness of breath occurred
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain, Urinary incontinence
Clinical narrative: Next day after shot, 3/6/21, I woke up with a severe back pain. When I walked to bathroom I was not able to sit on Toilet to urinate and not able to hold the urine back causing me to urinate all over my clothes.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Lower respiratory tract infection, Nasopharyngitis, Nausea, Tachycardia
Clinical narrative: Chest cold and head cold symptoms for over 7 days, diaherra on day 7, nausea, and tachacardyia.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Phimosis
Clinical narrative: Phimosis bad
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Miliaria, Pyrexia, Rash
Clinical narrative: Woke up approximately 12 hours after vaccination, with severe chills causing my teeth to chatter and shaking all over.  Chills dissipated within about 4 hours.  Had a very bad headache which also began about same time as chills and lasted for approximately another 12 hours, even though I took tylenol and advil alternating every 4 hours.  Had a slight fever, approximately 1 degree over what I normally register for about 8 hours.  I showered about 36 hours after vaccination and immediately broke out in a rash (not hives)...more like prickly heat all over my stomach, neck, chest, stomach, inside arms.  This lasted until the next day; did not itch or cause any discomfort.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Woke up approximately 12 hours after vaccination, with severe chills causing my teeth to chatter and shaking all over.  Chills dissipated within about 4 hours.  Had a very bad headache which also began about same time as chills and lasted for approximately another 12 hours, even though I took tylenol and advil alternating every 4 hours.  Had a slight fever, approximately 1 degree over what I normally register for about 8 hours.  I showered about 36 hours after vaccination and immediately broke out in a rash (not hives)...more like prickly heat all over my stomach, neck, chest, stomach, inside arms.  This lasted until the next day; did not itch or cause any discomfort.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pruritus, Hot flush
Clinical narrative: 1324 - Vaccine received 1354 - Observation time ended, but developed "itching" to bilateral ears (reported to assessment tent at 1355). History of same plus "heat flushing" to face after 1st dose, which autoresolved without any meds within a few hours the first time. 1400 - HR 85, RR 18, BP 153/109, SpO2 100 1405 - Administered 25 mg PO Benadryl per MD verbal orders. 1410 - D/ced home w/ verbal instructions per MD.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Throat irritation
Clinical narrative: Patient received her second dose of the Pfizer Covid-19 vaccine at 1634 this date.  At about 1640 she began to experience chest heaviness, a scratchy throat, and dizziness. Patient had told clinic staff that she had a similar experience at home after receiving her first dose of the vaccine last month. At that time she took 50 mg Benadryl by mouth and her symptoms resolved. The clinic staff had been monitoring the patient for indications of a reaction and when she did start to experience her symptoms, she was moved into a vaccination cubical for privacy. Vital signs were recorded and the patient used her own Albuterol rescue inhaler once. 50 mg Benadryl was administered IM in the right deltoid by Paramedic at 1658. By 1705, patient stated her symptoms were resolving. She called her husband by cell phone to arrange for him to come get her. Vital signs were re-checked and patient was given cool water to sip. Her husband arrived at about 1710. Both the patient and her husband were advised to be cognizant of a return of any symptoms and to seek medical attention if symptoms returned or worsened.  Patient was released to the care of her husband at 1720
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Cough, Decreased appetite, Fatigue, Flatulence
Clinical narrative: I felt sickish at stomach. Did not vomit but not hungry. Excessive amount of gas on stomach. Some coughing. My normal temperature is 96 or 97 but it measured 99 degrees then. This could have been a touch of something else but since it followed the shot, I felt that it was the probable source. I was also very tired. It lasted about 4 days.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: I felt sickish at stomach. Did not vomit but not hungry. Excessive amount of gas on stomach. Some coughing. My normal temperature is 96 or 97 but it measured 99 degrees then. This could have been a touch of something else but since it followed the shot, I felt that it was the probable source. I was also very tired. It lasted about 4 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: Sore arm starting around 8 pm, and quite tired the following day.  After a 2.5 hr nap, I was feeling much better
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Dizziness, Fatigue, Headache
Clinical narrative: have been extremely fatigued, headaches, muscle aches, swelling in my fingers (joints), weak, dizzy, weird feeling in my chest
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Myalgia
Clinical narrative: have been extremely fatigued, headaches, muscle aches, swelling in my fingers (joints), weak, dizzy, weird feeling in my chest
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Muscle spasms, Nausea
Clinical narrative: STRONG SPASMS IN LOWER BACK.  NOT NORMAL. NEEDED TO TAKE STRONG PAIN KILLER. ALSO, NEXT DAY - DIZZINESS AND NAUSEA.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Chest discomfort, Chills, Dizziness, Dyspnoea
Clinical narrative: Immediately began to feel a headache, dizzy and nauseated.  The doctor on site had me lie down on the floor. Was starting to feel better so was able to sit up in a chair for about 15 minutes. Another wave of dizziness and nausea came over and was lying on the floor again. It was hard to breathe, but oxygen and HR were good. The doctor tried to give me juice to see if it was my blood sugar going low, but afterward, I still felt dizzy and nauseated. It was still hard to breathe. It felt like something was sitting on my chest. BP was elevated, oxygen levels were good, HR was good but I started to get a cold chill where my teeth were chattering. At that point (about 45 min to an hour) the symptoms had not gone away and the ambulance was called. Was transported to the local hospital where I received a liter of saline and Zofran for nausea.  BP was high, but oxygen levels and HR were good. The heart monitor showed no signs of arrhythmia or tachycardia so I was discharged. The doctor believes it was a side effect and not an allergic reaction.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea
Clinical narrative: Immediately began to feel a headache, dizzy and nauseated.  The doctor on site had me lie down on the floor. Was starting to feel better so was able to sit up in a chair for about 15 minutes. Another wave of dizziness and nausea came over and was lying on the floor again. It was hard to breathe, but oxygen and HR were good. The doctor tried to give me juice to see if it was my blood sugar going low, but afterward, I still felt dizzy and nauseated. It was still hard to breathe. It felt like something was sitting on my chest. BP was elevated, oxygen levels were good, HR was good but I started to get a cold chill where my teeth were chattering. At that point (about 45 min to an hour) the symptoms had not gone away and the ambulance was called. Was transported to the local hospital where I received a liter of saline and Zofran for nausea.  BP was high, but oxygen levels and HR were good. The heart monitor showed no signs of arrhythmia or tachycardia so I was discharged. The doctor believes it was a side effect and not an allergic reaction.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Chills, Dizziness, Injection site pruritus
Clinical narrative: Immediately began to feel a headache, dizzy and nauseated.  The doctor on site had me lie down on the floor. Was starting to feel better so was able to sit up in a chair for about 15 minutes. Another wave of dizziness and nausea came over and was lying on the floor again. It was hard to breathe, but oxygen and HR were good. The doctor tried to give me juice to see if it was my blood sugar going low, but afterward, I still felt dizzy and nauseated. It was still hard to breathe. It felt like something was sitting on my chest. BP was elevated, oxygen levels were good, HR was good but I started to get a cold chill where my teeth were chattering. At that point (about 45 min to an hour) the symptoms had not gone away and the ambulance was called. Was transported to the local hospital where I received a liter of saline and Zofran for nausea.  BP was high, but oxygen levels and HR were good. The heart monitor showed no signs of arrhythmia or tachycardia so I was discharged. The doctor believes it was a side effect and not an allergic reaction.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: I received the 2nd dose of the Pfizer vaccine on 3/2/21. My reactions to the vaccine:   1st dose on 2/9/21: a little sleepy and a bit sore at the site of the injection. Both symptoms were gone within 24 hrs.  2nd dose on 3/2/21: tired and sleepy the next day and a little itchy rash and sore arm at the site of injection that was about one inch in diameter. The sleepiness and tiredness were gone within 24 hrs. The itchy and sore part of my arm at and around the injection site lasted for about 5 days. I put on Benadryl cream and took Tylenol and that helped. I also put on aspercream to take away some of the pain because I'm a side sleeper and it hurt to sleep on that side. Today is Sunday (3/7/21) and there is no more itchiness or pain but I still feel a little hard bump when I rub around the site of the injection. That doesn't bother me because the sore arm and itchiness at the site of the injection are gone.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Somnolence
Clinical narrative: I received the 2nd dose of the Pfizer vaccine on 3/2/21. My reactions to the vaccine:   1st dose on 2/9/21: a little sleepy and a bit sore at the site of the injection. Both symptoms were gone within 24 hrs.  2nd dose on 3/2/21: tired and sleepy the next day and a little itchy rash and sore arm at the site of injection that was about one inch in diameter. The sleepiness and tiredness were gone within 24 hrs. The itchy and sore part of my arm at and around the injection site lasted for about 5 days. I put on Benadryl cream and took Tylenol and that helped. I also put on aspercream to take away some of the pain because I'm a side sleeper and it hurt to sleep on that side. Today is Sunday (3/7/21) and there is no more itchiness or pain but I still feel a little hard bump when I rub around the site of the injection. That doesn't bother me because the sore arm and itchiness at the site of the injection are gone.
Age: 48.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Injection site pain, Limb discomfort, Mobility decreased, Muscle spasms
Clinical narrative: Moderate severe pain at injection site that has increased in duration since vaccination 7 months prior.  Symptoms include decreased mobility, joint tenderness, muscle spasms , stiffness and radiating pain  to tips of the right upper extremity.  Patient has dificulties with ADLS dues to limitations and pain as a result of injury sustained from vaccine
Age: 48.0
Sex: F
Vaccine: FLUC4
Symptoms: Musculoskeletal stiffness, Pain, X-ray
Clinical narrative: Moderate severe pain at injection site that has increased in duration since vaccination 7 months prior.  Symptoms include decreased mobility, joint tenderness, muscle spasms , stiffness and radiating pain  to tips of the right upper extremity.  Patient has dificulties with ADLS dues to limitations and pain as a result of injury sustained from vaccine
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Body temperature increased, Chills, Cough, Diarrhoea
Clinical narrative: After getting the shot I felt light headed , nauseous, heart pounding.  I became very tired approx. 1 hr later and slept 3 hrs.  When I woke up my face was itchy and top of hands. I also had cold type symptoms such as stuffy nose, watery eyes, cough, chills, 99.8 temp. and a bad headache.  Around 3 am on 3/5/21 ,I started having stomach pain then diarrhea until around 12 am on 3/6/21. Still had headache and low grade temp of 99.3. Approx 11:30 am started feeling better. No symptoms except mild headache.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Lacrimation increased, Nasal congestion, Nausea
Clinical narrative: After getting the shot I felt light headed , nauseous, heart pounding.  I became very tired approx. 1 hr later and slept 3 hrs.  When I woke up my face was itchy and top of hands. I also had cold type symptoms such as stuffy nose, watery eyes, cough, chills, 99.8 temp. and a bad headache.  Around 3 am on 3/5/21 ,I started having stomach pain then diarrhea until around 12 am on 3/6/21. Still had headache and low grade temp of 99.3. Approx 11:30 am started feeling better. No symptoms except mild headache.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pruritus
Clinical narrative: After getting the shot I felt light headed , nauseous, heart pounding.  I became very tired approx. 1 hr later and slept 3 hrs.  When I woke up my face was itchy and top of hands. I also had cold type symptoms such as stuffy nose, watery eyes, cough, chills, 99.8 temp. and a bad headache.  Around 3 am on 3/5/21 ,I started having stomach pain then diarrhea until around 12 am on 3/6/21. Still had headache and low grade temp of 99.3. Approx 11:30 am started feeling better. No symptoms except mild headache.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Mobility decreased, Muscular weakness, Myalgia
Clinical narrative: I was experiencing a mild RA flare w/ tendinitis going into the vaccine sequence. After 2nd dose my flare worsened to severe within a 9 day period. I had joint, muscle pain, swelling of fingers, hands. I lost much mobility, having gait issues and could not walk unaided ( a first in a flare). I do not take immunosuppressive infusions. Just NSAIDs. My doctor  prescribed a week of Prednisone. I am improving but having to build up strength to stand and walk. My flare continues but is abated. My muscles are weak.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rheumatoid arthritis, Tendonitis
Clinical narrative: I was experiencing a mild RA flare w/ tendinitis going into the vaccine sequence. After 2nd dose my flare worsened to severe within a 9 day period. I had joint, muscle pain, swelling of fingers, hands. I lost much mobility, having gait issues and could not walk unaided ( a first in a flare). I do not take immunosuppressive infusions. Just NSAIDs. My doctor  prescribed a week of Prednisone. I am improving but having to build up strength to stand and walk. My flare continues but is abated. My muscles are weak.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Large red spot at site of injection  a few days after vaccine.   Very itchy.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Continuous positive airway pressure, Fatigue, Injection site pain, Nausea, Pain
Clinical narrative: Told to include this information in this box: Janssen COVID-19 Vaccine EUA  Symptoms: Fatigue, nausea, body aches (entire body, but especially hips and injection site), and temperature between 98.5F-99.8F all day on the first day following the day of injection. Tylenol taken once and Advil taken twice throughout the day, which mostly relieved symptoms. Second day following day of injection, moderate fatigue in the afternoon, even after full 8 hour sleep with CPAP on all night.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash on entire torso, arms, and fingers, especially dominant under both arms. This occurred about 40 hours after vaccine. The rash lasted for at least 48 hours and was itchy. The itchiness lasted an additional 24 hours after the rash dissipated. I took Benadryl.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Pain, Pain in extremity
Clinical narrative: During the second day (6/3/2021) of the vaccine I felt tired and with pain all over my body and a lot of pain in my left arm. The third day (3/7/2021) I was feeling pretty good already, but at 4:00 PM I had a stomach ache and I went to the bathroom with a bit of diarrhea.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient's wife called and said he had developed a rash this morning on his upper leg , hip, and back.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Allodynia, Fatigue, Headache, Nausea, Pain
Clinical narrative: Fever (101.9 at highest) Body aches Allodynia- anything that touched my skin caused a painful/tingling sensation Nausea  Headache Fatigue
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin, Paraesthesia, Pyrexia
Clinical narrative: Fever (101.9 at highest) Body aches Allodynia- anything that touched my skin caused a painful/tingling sensation Nausea  Headache Fatigue
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Paraesthesia oral, Pharyngeal swelling, Throat tightness
Clinical narrative: Throat swelling and closing, burning sensation on my face, and tingling lips (all reactions began approximately 10-15 min after injection).  Provider at PHARMACY gave me oral Benadryl, which has helped, but I still don't feel 100% (it has been 1 hour 45 minutes)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain, Pyrexia
Clinical narrative: First day rash/ hives and headaches with fatigue Continue to aches, fever, headaches and nauseated
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: First day rash/ hives and headaches with fatigue Continue to aches, fever, headaches and nauseated
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth, Lethargy, Limb discomfort, Pain in extremity
Clinical narrative: Post injection Day 1, merely lethargic & painful arm. Day 2, absolutely PERFECT. Day 3, low-grade fever, uncomfortable arm but never inspected Day 4 (today):  Noticed redness on arm, reaching 4-1/2 inches in length below site of injection, warm to the touch.  Low grade fever of   98.1  when normal is in the 97.1 area.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Post injection Day 1, merely lethargic & painful arm. Day 2, absolutely PERFECT. Day 3, low-grade fever, uncomfortable arm but never inspected Day 4 (today):  Noticed redness on arm, reaching 4-1/2 inches in length below site of injection, warm to the touch.  Low grade fever of   98.1  when normal is in the 97.1 area.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Dysarthria, Dysphemia, Electrocardiogram normal, Fatigue
Clinical narrative: This 64 year old female experienced an adverse event. At baseline, she presented in a wheelchair. Within 5 minutes after vaccination, she complained of a racing heart, a new onset tremor of hands and head, and slurred/stuttering speech.  She denied chest pain, shortness of breath or itching.  No facial droop or one-sided weakness was observed.  The patient had a history of hypertension and history of an adverse reaction to albuterol in November 2020.   The patient described being nervous to get the vaccine due to her previous reaction to alberterol which had the similar effects as today's.    The patient's new tremor worsened, and speech became more slurred and stuttered while we observed her.  The patient denied any pain and described a similar event that caused her to be hospitalized for a week with no definitive diagnosis.  Her primary care doctor had cleared her to get the vaccine.    Her Vitals were as follows: BP 160/90. HR 65, RR 20. Heart sounds were regular with occasional PVC's. Lung sounds were clear No visible rash on neck, trunk or injection site. Capillary refill was normal.  Mild edema in both lower extremities. No swelling of the lips. No visible droop in facial muscles. Patient was tearful and struggled to speak.  She repeatedly said she was tired.  She reported nausea.  EMT was called and found similar vitals and O2 saturation at 100% on room air by pulse ox.  O2 via nasal canula was begun.  Rhythm strip showed NSR.  Patient refused transport to the hospital for further evaluation.  She was informed of a possible Transient Ischemic Attack (TIA) could be occurring which could need a blood thinner and further work up.    Patient was tearful saying her previous hospitalization was traumatic and did not want to return.  EMS offered her transport to another hospital facility via private vehicle, and she refused.  We offered to contact her primary care doctor and she also refused.  She was concerned about the cost of a hospital stay if she signed out AMA.  EMS left the facility and offered to return if the patient changed her mind.  The patient's symptoms had not resolved by 4:30pm.  The patient's son, by phone, confirmed she would be monitored until 5pm.   She was driven home by one of our staffers. The next day, the patient told our staffer that she felt well. She said it took about 7 hours for her speech to return. She said her head, stomach and body felt better in the morning. She said she going to see an allergist as her doctor recommended.   Our presumed diagnosis was a TIA related to uncontrolled HTN with anxiety.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Head titubation, Nausea, Oedema peripheral, Palpitations, Tearfulness
Clinical narrative: This 64 year old female experienced an adverse event. At baseline, she presented in a wheelchair. Within 5 minutes after vaccination, she complained of a racing heart, a new onset tremor of hands and head, and slurred/stuttering speech.  She denied chest pain, shortness of breath or itching.  No facial droop or one-sided weakness was observed.  The patient had a history of hypertension and history of an adverse reaction to albuterol in November 2020.   The patient described being nervous to get the vaccine due to her previous reaction to alberterol which had the similar effects as today's.    The patient's new tremor worsened, and speech became more slurred and stuttered while we observed her.  The patient denied any pain and described a similar event that caused her to be hospitalized for a week with no definitive diagnosis.  Her primary care doctor had cleared her to get the vaccine.    Her Vitals were as follows: BP 160/90. HR 65, RR 20. Heart sounds were regular with occasional PVC's. Lung sounds were clear No visible rash on neck, trunk or injection site. Capillary refill was normal.  Mild edema in both lower extremities. No swelling of the lips. No visible droop in facial muscles. Patient was tearful and struggled to speak.  She repeatedly said she was tired.  She reported nausea.  EMT was called and found similar vitals and O2 saturation at 100% on room air by pulse ox.  O2 via nasal canula was begun.  Rhythm strip showed NSR.  Patient refused transport to the hospital for further evaluation.  She was informed of a possible Transient Ischemic Attack (TIA) could be occurring which could need a blood thinner and further work up.    Patient was tearful saying her previous hospitalization was traumatic and did not want to return.  EMS offered her transport to another hospital facility via private vehicle, and she refused.  We offered to contact her primary care doctor and she also refused.  She was concerned about the cost of a hospital stay if she signed out AMA.  EMS left the facility and offered to return if the patient changed her mind.  The patient's symptoms had not resolved by 4:30pm.  The patient's son, by phone, confirmed she would be monitored until 5pm.   She was driven home by one of our staffers. The next day, the patient told our staffer that she felt well. She said it took about 7 hours for her speech to return. She said her head, stomach and body felt better in the morning. She said she going to see an allergist as her doctor recommended.   Our presumed diagnosis was a TIA related to uncontrolled HTN with anxiety.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Ventricular extrasystoles, Wheelchair user
Clinical narrative: This 64 year old female experienced an adverse event. At baseline, she presented in a wheelchair. Within 5 minutes after vaccination, she complained of a racing heart, a new onset tremor of hands and head, and slurred/stuttering speech.  She denied chest pain, shortness of breath or itching.  No facial droop or one-sided weakness was observed.  The patient had a history of hypertension and history of an adverse reaction to albuterol in November 2020.   The patient described being nervous to get the vaccine due to her previous reaction to alberterol which had the similar effects as today's.    The patient's new tremor worsened, and speech became more slurred and stuttered while we observed her.  The patient denied any pain and described a similar event that caused her to be hospitalized for a week with no definitive diagnosis.  Her primary care doctor had cleared her to get the vaccine.    Her Vitals were as follows: BP 160/90. HR 65, RR 20. Heart sounds were regular with occasional PVC's. Lung sounds were clear No visible rash on neck, trunk or injection site. Capillary refill was normal.  Mild edema in both lower extremities. No swelling of the lips. No visible droop in facial muscles. Patient was tearful and struggled to speak.  She repeatedly said she was tired.  She reported nausea.  EMT was called and found similar vitals and O2 saturation at 100% on room air by pulse ox.  O2 via nasal canula was begun.  Rhythm strip showed NSR.  Patient refused transport to the hospital for further evaluation.  She was informed of a possible Transient Ischemic Attack (TIA) could be occurring which could need a blood thinner and further work up.    Patient was tearful saying her previous hospitalization was traumatic and did not want to return.  EMS offered her transport to another hospital facility via private vehicle, and she refused.  We offered to contact her primary care doctor and she also refused.  She was concerned about the cost of a hospital stay if she signed out AMA.  EMS left the facility and offered to return if the patient changed her mind.  The patient's symptoms had not resolved by 4:30pm.  The patient's son, by phone, confirmed she would be monitored until 5pm.   She was driven home by one of our staffers. The next day, the patient told our staffer that she felt well. She said it took about 7 hours for her speech to return. She said her head, stomach and body felt better in the morning. She said she going to see an allergist as her doctor recommended.   Our presumed diagnosis was a TIA related to uncontrolled HTN with anxiety.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose given may have been 1 hour and 45 minutes outside the 6 hour limit on use of an open Moderna vaccine vial.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Computerised tomogram head, Computerised tomogram neck, Computerised tomogram thorax
Clinical narrative: Day 4 became short of breath and continued to increase each day until hospitalized on March 3, 2021.  Wheezing, poor response to home meds. Oxygen sat was lowest 88. Dr thought this reaction was due to prior lung infection 2018 (ARDS - staph pneumonia).
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Echocardiogram, Oxygen saturation decreased, Walking distance test
Clinical narrative: Day 4 became short of breath and continued to increase each day until hospitalized on March 3, 2021.  Wheezing, poor response to home meds. Oxygen sat was lowest 88. Dr thought this reaction was due to prior lung infection 2018 (ARDS - staph pneumonia).
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Day 4 became short of breath and continued to increase each day until hospitalized on March 3, 2021.  Wheezing, poor response to home meds. Oxygen sat was lowest 88. Dr thought this reaction was due to prior lung infection 2018 (ARDS - staph pneumonia).
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Sinus tachycardia, Throat tightness
Clinical narrative: Patient reported feeling warm with sensation of facial warmth. Patient had tachycardia and reported the sensation of throat closing. Epinephrine (Epi pen) administered and held in place for 3 seconds, Airway, Breathing, Circulation, and level of consciousness assessed and stable at 1450, Benadryl 50mg administered as a single dose. Second dose of Epinephrine administered. Patient transported via family member to ED.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal hypoaesthesia
Clinical narrative: back of throat felt numb
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dizziness, Feeling hot, Nausea, Pain
Clinical narrative: Nausea, Weakness, Overheated, Lightheaded, Body Aches, Fever, Rash, Dizziness
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: Nausea, Weakness, Overheated, Lightheaded, Body Aches, Fever, Rash, Dizziness
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Dizziness, Fatigue, Headache
Clinical narrative: Nausea, Weakness, Overheated, Lightheaded, Body Aches, Fever, Rash, Dizziness
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Nausea, Pain, Pyrexia, Rash
Clinical narrative: Nausea, Weakness, Overheated, Lightheaded, Body Aches, Fever, Rash, Dizziness
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Hyperhidrosis, Loss of consciousness
Clinical narrative: After receiving the vaccine I had some common side effects such as nausea, vomiting, fever, chills, achiness, and headache, but after several hours I tried to get out of bed and I lost consciousness. In addition I had two episodes of intense sweating and dizziness.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: After receiving the vaccine I had some common side effects such as nausea, vomiting, fever, chills, achiness, and headache, but after several hours I tried to get out of bed and I lost consciousness. In addition I had two episodes of intense sweating and dizziness.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Pyrexia
Clinical narrative: Low grade fever, severe chills, headache, no energy Took acetaminophen for fever symptoms lasted about 16 hours
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Mouth injury, Pain in extremity, Peripheral swelling
Clinical narrative: Sore left arm, severe headaches (3-4 per week), extreme swelling in feet-from first shot to present  - inside mouth left cheek lining disintegrated into a bloody mess after 14 days after 2nd shot
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Headache, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Bad headache one day after first dose, third day after first dose experienced hay fever type symptoms, fourth day after first dose experienced pain in chest under right rib and cough
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products, No adverse event
Clinical narrative: Received Moderna 2/6/21 Received Pfizer 3/3/21  Patient came in for 2nd dose of COVID-19 vaccine on the incorrect day. Patient stated to vaccinator he was receiving his first dose during screening then after injection was administered stated no this is my 2nd dose. The clinic was supporting a National Guard event, so the medical record system did not have the previously received Moderna dose documented. Patient did not have any immediate adverse event or experience any symptoms during the 30 minute monitoring period.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Headache, Pyrexia
Clinical narrative: Bone and joint pain, fever. Joint pain severe.  Headache. Lasted 48 hours.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fall, Pyrexia, Syncope
Clinical narrative: Temperature 102-104 F 15 hours after vaccine. No temperature when going to sleep 3 hours earlier. Chills and severe shaking. Fainting when standing to go to bathroom (fell on bed no injuries). Chills and temperature continued for next 12 hours. Stayed in bed the entire next day (3 March). Temperature subsided and was able to work on 4 March.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever, chills, headache, nausea, vomiting  starting @22 hours after injection
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Musculoskeletal stiffness, Pain
Clinical narrative: I had Covid-19 in March/2020.  The 1st series vaccine symptoms were similar to main infection to a lesser degree.  Headache/BodyAches/On and off fevers/fatigue/right and left leg stiffness and major muscle/joint pain/on and off rapid heart rate Vaccine at 11:00am/Symptoms started around 7:00pm with tingling arm that received vaccine.  By bedtime I was suffering from chills and general body aches.  Woke up next morning with fever at 100.3, major pain/aching in both legs/general body aching and pain and headache.  The fever came and went for 24 hours.  On day two after the vaccine I woke up with no systems but was majorly fatigued.  I took 800mg of Advil every 6 hours of onset until end of symptoms.  I also had taken 2 Tylenol 2 hours before the initial vaccine.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: I had Covid-19 in March/2020.  The 1st series vaccine symptoms were similar to main infection to a lesser degree.  Headache/BodyAches/On and off fevers/fatigue/right and left leg stiffness and major muscle/joint pain/on and off rapid heart rate Vaccine at 11:00am/Symptoms started around 7:00pm with tingling arm that received vaccine.  By bedtime I was suffering from chills and general body aches.  Woke up next morning with fever at 100.3, major pain/aching in both legs/general body aching and pain and headache.  The fever came and went for 24 hours.  On day two after the vaccine I woke up with no systems but was majorly fatigued.  I took 800mg of Advil every 6 hours of onset until end of symptoms.  I also had taken 2 Tylenol 2 hours before the initial vaccine.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Back pain, Fatigue, Headache, Influenza like illness, Musculoskeletal discomfort
Clinical narrative: I wanted to report that 10 hours after having the shot in the right arm  I had fly like sypmtoms. Very achy and most uncomfortable in back and hips tiredness. The next morning I had a headache that last a few hours. By 4pm the next day I felt better just a little tired.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Pain
Clinical narrative: I wanted to report that 10 hours after having the shot in the right arm  I had fly like sypmtoms. Very achy and most uncomfortable in back and hips tiredness. The next morning I had a headache that last a few hours. By 4pm the next day I felt better just a little tired.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Nausea, Pain, Pyrexia
Clinical narrative: Fever, chills, nausea, body aches, chest pain
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose given may have been outside the 6 hour limit on an open vial of Moderna vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: I developed diarrhea on March 5th, and still have it today on march 7th.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Pruritus, Pyrexia
Clinical narrative: Day of 2nd dose of vaccine - Dizzy and headache Day 1 post vaccine - headache, chills, fever Day 2 post vaccine - headache Day 3 - Day 5 post vaccine - Hives, itching all over body. Benadryl relieves temporarily, cortisone cream used to help relieve itching but not effective really. Most of the hives are on arms and legs and trunk. Most itching occurs on hands and feet.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Day of 2nd dose of vaccine - Dizzy and headache Day 1 post vaccine - headache, chills, fever Day 2 post vaccine - headache Day 3 - Day 5 post vaccine - Hives, itching all over body. Benadryl relieves temporarily, cortisone cream used to help relieve itching but not effective really. Most of the hives are on arms and legs and trunk. Most itching occurs on hands and feet.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Heart rate increased, Hypoaesthesia, Paraesthesia, Tremor
Clinical narrative: 5 min after vaccination, patient complained of increase in heart rate to 133 BPM and feeling like his arm was tingling and numb.  We propped his feet up and gave supportive care such as blanket and ice packs.  Patients heart rate went back to normal (75-80 bpm) after 10 minutes.  However, 35 minutes post vaccination, pt started having chills and shakes.  Gave blanket and monitored patient for 45 min after vaccination.  Pt declined 911.  Wife took patient home 50 min past vaccination stating she felt he was stable and they would monitor at home.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Dizziness, Erythema, Flushing
Clinical narrative: 5 min after vaccination, patient complained of increase in heart rate to 133 BPM and feeling like his arm was tingling and numb.  We propped his feet up and gave supportive care such as blanket and ice packs.  Patients heart rate went back to normal (75-80 bpm) after 10 minutes.  However, 35 minutes post vaccination, pt started having chills and shakes.  Gave blanket and monitored patient for 45 min after vaccination.  Pt declined 911.  Wife took patient home 50 min past vaccination stating she felt he was stable and they would monitor at home.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Hypoaesthesia, Palpitations, Paraesthesia, Tremor
Clinical narrative: 5 min after vaccination, patient complained of increase in heart rate to 133 BPM and feeling like his arm was tingling and numb.  We propped his feet up and gave supportive care such as blanket and ice packs.  Patients heart rate went back to normal (75-80 bpm) after 10 minutes.  However, 35 minutes post vaccination, pt started having chills and shakes.  Gave blanket and monitored patient for 45 min after vaccination.  Pt declined 911.  Wife took patient home 50 min past vaccination stating she felt he was stable and they would monitor at home.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Urticaria
Clinical narrative: 6 days after the vaccination my arm got terribly sore and a little itchy - very similar to what happened the first couple of days after the vaccine.  However, on day 8 I woke with hives all over my back, around my waist to the front, on top of both of my feet and in spotty locations on arms and legs.  Today, I still have no relief.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache started 30 minutes after injection and has been continuous without relief. This is day 6. Headache is severe enough that wakes me in my sleep. I wake up with the headache every morning. Tylenol and Aleve do not help.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Panic attack
Clinical narrative: PATIENT HAD PANIC ATTACK
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Swelling
Clinical narrative: First does given 2/5/2021 no reactions except sore arm next day Second dose given 3/5/2021 Headache next day and on 3/7/2021 now have swollen knot on left side of neck, area around somewhat swollen as well.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling
Clinical narrative: First does given 2/5/2021 no reactions except sore arm next day Second dose given 3/5/2021 Headache next day and on 3/7/2021 now have swollen knot on left side of neck, area around somewhat swollen as well.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Within 30 minutes of receiving the vaccine, I developed a headache followed by extreme fatigue, both lasting for 3 days. I experienced alternating chills and sweats, but no fever, lasting for 2 days post-vaccine. I also experienced a small flare of my RA symptoms lasting for 2-3 days post-vaccine. I had no injection site reactions.   One week post-vaccine, I developed a small red lump at the injection site,. The next day, I developed another lump about half inch below the injection site. The lumps are red, slightly raised, hot to the touch, and itchy. If scratched, they produce a burning sensation under the skin. Left arm is achy (both at the injection site and down the length of the arm) and I am experiencing another small flare of my RA symptoms. Extreme fatigue has returned along with alternating chills and sweats, but no fever.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Pain in extremity, Pruritus, Rheumatoid arthritis
Clinical narrative: Within 30 minutes of receiving the vaccine, I developed a headache followed by extreme fatigue, both lasting for 3 days. I experienced alternating chills and sweats, but no fever, lasting for 2 days post-vaccine. I also experienced a small flare of my RA symptoms lasting for 2-3 days post-vaccine. I had no injection site reactions.   One week post-vaccine, I developed a small red lump at the injection site,. The next day, I developed another lump about half inch below the injection site. The lumps are red, slightly raised, hot to the touch, and itchy. If scratched, they produce a burning sensation under the skin. Left arm is achy (both at the injection site and down the length of the arm) and I am experiencing another small flare of my RA symptoms. Extreme fatigue has returned along with alternating chills and sweats, but no fever.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Skin burning sensation, Skin warm
Clinical narrative: Within 30 minutes of receiving the vaccine, I developed a headache followed by extreme fatigue, both lasting for 3 days. I experienced alternating chills and sweats, but no fever, lasting for 2 days post-vaccine. I also experienced a small flare of my RA symptoms lasting for 2-3 days post-vaccine. I had no injection site reactions.   One week post-vaccine, I developed a small red lump at the injection site,. The next day, I developed another lump about half inch below the injection site. The lumps are red, slightly raised, hot to the touch, and itchy. If scratched, they produce a burning sensation under the skin. Left arm is achy (both at the injection site and down the length of the arm) and I am experiencing another small flare of my RA symptoms. Extreme fatigue has returned along with alternating chills and sweats, but no fever.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral
Clinical narrative: On Saturday,  Feb 20th, I lost hearing in my right ear. It continued for 10 days. On the day that I was going to make an appointment with an ENT, I could suddenly hear again. It has been almost a week now & I can still hear.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Tympanometry
Clinical narrative: tingling on hands/feet/arms/legs for the past 7 days(everyday, all days)  after 4th day from the inoculated date
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Cough, Fatigue, Malaise, Myalgia
Clinical narrative: Red Rash wrists and hands 4-6 hours after first shot with itchiness. Severe Red Rash all over body with tiredness, cough, muscle pain, joint pain in wrists and feeling unwell within 12-24 hours after receiving first shot.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: Red Rash wrists and hands 4-6 hours after first shot with itchiness. Severe Red Rash all over body with tiredness, cough, muscle pain, joint pain in wrists and feeling unwell within 12-24 hours after receiving first shot.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: after no reaction to initial injection and no visible injection site, abrupt onset of itchy red area at injection site, dime-sized, on day 8. Later in day ,  two additional smaller pale red satellite circular lesions 2 inches from the injection site. All 3 red lesions became slightly raised (almost like a hives lesion).    Lasted about 36 hours. Itching relieved with topical steroid x 2 doses
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: May have gotten a dose 2 hours and 5 minutes outside of the 6 hour limit of use of an open Moderna vial of vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site warmth, Rash macular
Clinical narrative: Big red splotch, covering half of the upper left arm.  The area is hot and itchy as well.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Red itchy area on arm near injection site
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Pain, Pyrexia, Vomiting
Clinical narrative: Joint pain Body aches Fever Vomiting- severe starting 9:30 pm -4:30am.  Every 15-20 min Diarrhea Dr prescribed ondansetron
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Decreased appetite, Lacrimation increased, Pruritus
Clinical narrative: Watery eyes, running itchy nose, sinus headache, partial loss of taste and smell, loss of appetite. Severe symptoms for 36 hours, less severe for another 2 days. No treatment.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Sinus headache
Clinical narrative: Watery eyes, running itchy nose, sinus headache, partial loss of taste and smell, loss of appetite. Severe symptoms for 36 hours, less severe for another 2 days. No treatment.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure normal, Dizziness, Electrocardiogram normal, Nausea, SARS-CoV-2 test negative
Clinical narrative: On February 19th, one week after shot I woke up with severe dizziness and nausea. Room was spinning and would only stop by sitting up. Eventually dizziness subsided but had mild nausea all day. Dizziness returned each morning for following week but not as severe as on the 19th. Went to an urgent care where they gave me rapid and pcr covid tests. Both came back negative. Also checked heart and blood pressure multiple times. Everything was normal. Reported everything to my doctor. On March 6th, woke up at 7am with severe dizziness and nausea again. Dizziness is subsiding and nausea is gone. Seeing doctor on March 10th and will discuss then.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Chills, Dizziness, Nausea
Clinical narrative: Five hours after injection I got nauseous, little dizzy, abdominal cramps (severe), fever, chills, body aches (severe back and side pain). Lasted two days.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Five hours after injection I got nauseous, little dizzy, abdominal cramps (severe), fever, chills, body aches (severe back and side pain). Lasted two days.
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Ageusia, Anosmia, Chills, Fatigue, Headache
Clinical narrative: Fever, cold chills, swollen red spot at injection site, injection site was extremely hot, extreme fatigue, headache, slight loss of taste and smell.
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Fever, cold chills, swollen red spot at injection site, injection site was extremely hot, extreme fatigue, headache, slight loss of taste and smell.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: Very bad pain in the tailbone, unsure if muscle or joint pain