chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, Blood gases abnormal, Blood lactic acid increased, Blood lactic acid normal, Blood urine
Clinical narrative: loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Cardio-respiratory arrest, Chest X-ray, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Differential white blood cell count abnormal, Dyspnoea, Fall, Full blood count
Clinical narrative: loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hypotension, Hypoxia, Intensive care
Clinical narrative: loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Oxygen saturation decreased, Pain, Platelet count normal, Pyrexia
Clinical narrative: loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cells urine, Respiration abnormal, Respiratory failure, SARS-CoV-2 test negative, Unresponsive to stimuli
Clinical narrative: loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary occult blood positive, Urinary sediment present, White blood cell count increased
Clinical narrative: loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Called patient to refill medication and spoke with daughter. She stated that her father had passed away last week.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure decreased, Dizziness, Hyperhidrosis, Oxygen saturation decreased
Clinical narrative: PT RECEIVED MODERNA VACCINE AT 11:45AM - ADMITTED TO FEELING ANXIOUS ABOUT RECEIVING VACCINE. AT 12PM WHILE SITTING IN THE WR-PT  VERBALIZED HAVING NUMBNESS AND TINGLING TO HANDS.ICE APPLIED TO THE BACK OF NECT - PT VERBALIZED FEELING BETTER- PT DRANK A COUPLE SIPS OF WATER AND PULSE OX WENT DOWN TO 89% PT BECAME PALE AND DIAPHORETIC-911 WAS CALLED AT 12:02PM. PT STATED THAT SHE HAS HX OF ANXIETY AND BLOOD DISORDER-  SKIN WAS STILL WARM TO TOUCH. PT WAS LAID ON FLOOR AND MAINTAINED AWAKE AND ALERT WHOLE TIME. VSS- 107/61,70,16,  PULSE OX 100% - FIRE DEPT ARRIVED AT 12:09PM. CFD#61 ARRIVED AT 12:15PM.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Condition aggravated, Hyperhidrosis, Hypoaesthesia, Pallor
Clinical narrative: PT RECEIVED MODERNA VACCINE AT 11:45AM - ADMITTED TO FEELING ANXIOUS ABOUT RECEIVING VACCINE. AT 12PM WHILE SITTING IN THE WR-PT  VERBALIZED HAVING NUMBNESS AND TINGLING TO HANDS.ICE APPLIED TO THE BACK OF NECT - PT VERBALIZED FEELING BETTER- PT DRANK A COUPLE SIPS OF WATER AND PULSE OX WENT DOWN TO 89% PT BECAME PALE AND DIAPHORETIC-911 WAS CALLED AT 12:02PM. PT STATED THAT SHE HAS HX OF ANXIETY AND BLOOD DISORDER-  SKIN WAS STILL WARM TO TOUCH. PT WAS LAID ON FLOOR AND MAINTAINED AWAKE AND ALERT WHOLE TIME. VSS- 107/61,70,16,  PULSE OX 100% - FIRE DEPT ARRIVED AT 12:09PM. CFD#61 ARRIVED AT 12:15PM.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: PT RECEIVED MODERNA VACCINE AT 11:45AM - ADMITTED TO FEELING ANXIOUS ABOUT RECEIVING VACCINE. AT 12PM WHILE SITTING IN THE WR-PT  VERBALIZED HAVING NUMBNESS AND TINGLING TO HANDS.ICE APPLIED TO THE BACK OF NECT - PT VERBALIZED FEELING BETTER- PT DRANK A COUPLE SIPS OF WATER AND PULSE OX WENT DOWN TO 89% PT BECAME PALE AND DIAPHORETIC-911 WAS CALLED AT 12:02PM. PT STATED THAT SHE HAS HX OF ANXIETY AND BLOOD DISORDER-  SKIN WAS STILL WARM TO TOUCH. PT WAS LAID ON FLOOR AND MAINTAINED AWAKE AND ALERT WHOLE TIME. VSS- 107/61,70,16,  PULSE OX 100% - FIRE DEPT ARRIVED AT 12:09PM. CFD#61 ARRIVED AT 12:15PM.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electroencephalogram, Seizure, Seizure like phenomena
Clinical narrative: PatieNt begaN seiziNg shoRtly afteR vacciNe. VacciNe giveN at 1:19p. seizuRe begaN at 1:23p. PatieNt still seiziNg at 1:41p wheN EMS tRaNspoRted to hosital. EMS gave versed at theiR aRRival. 02 96% HR 73bpm. No uRiNary oR bowel iNcoNtiueNce
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Drug level, Full blood count, Metabolic function test, Seizure
Clinical narrative: PatieNt begaN seiziNg shoRtly afteR vacciNe. VacciNe giveN at 1:19p. seizuRe begaN at 1:23p. PatieNt still seiziNg at 1:41p wheN EMS tRaNspoRted to hosital. EMS gave versed at theiR aRRival. 02 96% HR 73bpm. No uRiNary oR bowel iNcoNtiueNce
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Narrative: Patient arrives with mild rash, after vaccination. He also reported some slight flank tenderness that seemed to start just prior to arrival, but this went away in the ER, he has no microscopic hematuria. He was observed, treated with Toradol and loratadine, and did not progress to severe allergic reaction. We discussed plan of care including antihistamines, returning here for any worsening symptoms or concerning increased to do so.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident, Transient ischaemic attack
Clinical narrative: Stroke/ TIA 18 hours after second dose on 2/21/21
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Somnolence
Clinical narrative: Patient felt dizzy and sweating.  Patient put in semi fowlers position on a Saturday. VS T 97.7 degrees F, P 83, R18 B/P 11/72. Patient stated I feel much better 5 minutes post interventions. Stated I feel sleepy. Patient accompanied by her mother
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Computerised tomogram thorax, Eye pruritus, Hypersensitivity, Ocular hyperaemia
Clinical narrative: Patient received Moderna Vaccine @ 11AM; Patient admitted to PCN allergy (hives). Pt monitored x 30 min post vaccine. Pt returned to common area @ 1:45pm c/o itchiness around eyes. After more history - pt states had "breathing problem w/ PCN" O: P70, O2 99% RR = 16 Skin no rash no hives no swelling
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid decreased, Blood magnesium normal, Full blood count normal, Hypotension, Metabolic function test
Clinical narrative: Narrative:  65yo M with PMH significant for CAD s/p CABG and AAA s/p EVAR and SFA stenting 2017 and recent admission for planned right iliac branch device. Did NOT indicate acute illness or other concerns on pre-vaccine form. Received COVID vaccine dose #1 at 8:45AM on 2/25/21, waited for recommended 15 minutes, and then proceeded to vascular appt. Rapid response called just before 9:30AM for syncope and hypotension. Taken to the ED where initial VS: T97.7, P 56, RR16, BP 76/58, O2 99% on RA. CBC, BMP wnl other than mag 1.5, lactate elevated to 2.9, mild trop leak 0.034. COVID testing negative. Treated in the ED with IV fluids, started on empiric cefepime. Anticipated admission for further eval.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Syncope, Troponin increased
Clinical narrative: Narrative:  65yo M with PMH significant for CAD s/p CABG and AAA s/p EVAR and SFA stenting 2017 and recent admission for planned right iliac branch device. Did NOT indicate acute illness or other concerns on pre-vaccine form. Received COVID vaccine dose #1 at 8:45AM on 2/25/21, waited for recommended 15 minutes, and then proceeded to vascular appt. Rapid response called just before 9:30AM for syncope and hypotension. Taken to the ED where initial VS: T97.7, P 56, RR16, BP 76/58, O2 99% on RA. CBC, BMP wnl other than mag 1.5, lactate elevated to 2.9, mild trop leak 0.034. COVID testing negative. Treated in the ED with IV fluids, started on empiric cefepime. Anticipated admission for further eval.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest pain, Fibrin D dimer increased, Pulmonary embolism
Clinical narrative: RIGHT UPPER LOBE PE PATIENT PRESENTED TO WALK IN CLINIC 9 DAYS POST INJECTION #1 WITH CHEST PAIN IN RIGHT UPPER CHEST. SENT TO ER AS D-DIAMER ELEVATED. DX'ED WITH RUL PE AND STARTED ON  ANTICOAGULATION.
Age: 74.0
Sex: U
Vaccine: COVID19, DTAP
Symptoms: Guillain-Barre syndrome, Stomatitis, Swollen tongue
Clinical narrative: After 1 1/2 hr. after covid vaccine Tongue swelled with sores went to Urgent care 2 weeks tleso GBS - (Guillente Bane Syndrome) came on strong- Dr. Prespript Prednisone-needed hospital but full of Corona Virus. Urgent Care.
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Parosmia
Clinical narrative: Day after patient received all she could smell was "burnt toast" all day, symptom resolved next day
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: Patient had swelling of the lips 4 days after the vaccine. Called his Dr. Prescribed prednsione and to take OTC Benadryl. Swelling resolved
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Balance disorder, Diarrhoea, Faeces soft, Fatigue, Headache
Clinical narrative: Achy, exhaustion, loss of continence very loose soft stools ... sudden emergency to bathroom still present headaches, loss of balance
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Incontinence, Pain
Clinical narrative: Achy, exhaustion, loss of continence very loose soft stools ... sudden emergency to bathroom still present headaches, loss of balance
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Oedema peripheral, Peripheral swelling, Pruritus
Clinical narrative: Extreme itching THruout the niite  Approx 6 HRs. Mass swelling iN Right  HaNd - DemA.  Had SimulaR symptoNs iN uppeR ARM on 12-15-01
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site erythema, Injection site rash, Injection site swelling, Rash
Clinical narrative: local swelling red rash arm involved with shot and on chest
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: local swelling red rash arm involved with shot and on chest
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Outbreak of Shingles left upper back and chest
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Tremor, Vomiting
Clinical narrative: Pt received moderna @ 853AM - @ 9:03 stated feeling lightheaded.  Syncopd episode - shaling & vomited . 9:05A 911 called . Pt stated that this happened to her whenever she gets a vaccine or blood draw."
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acute psychosis, Aggression, Confusional state, Magnetic resonance imaging head normal
Clinical narrative: Acute confusion, then combative. Acute Psychosis. treated with precedx. reaohulot 24hrs.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pruritus, Rash
Clinical narrative: Patient c/o palpitations and itching all over, Rash developed torso, arms 2 Benadryl tabs 25mg ea.(=50mg) administered Right away. 20-30 minutes later sx's decreased Rash did remain chest, neck pt eval. by M.D. in office sent home stable
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Pt became vasovagal & fainted. Lasted a few seconds. Given H20/& monitoring
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Complains of swelling, redness, itching, soreness since 2/25/21. Evaluated by MD on 02/26/21 and Rx  Doxycycline 100 mg BID x 7 days, Loratadine prn itching, warm compresses.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Colitis, Condition aggravated
Clinical narrative: Colitis flare up  Called office on 2/22/2021 to report  Had not had a flare up since medication change 8 mos prior
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Malaise, Oropharyngeal pain, Throat tightness
Clinical narrative: She had the Pfizer vaccine of Feb 1st and then  a bladder botox injection of Feb 2nd at 915am. At 2pm on Feb 2nd she started to feel "absolutely terrible" with extreme fatigue ,mental fogginess and throat pain with tightening sensation in her throat. it has gradually "gotten a bit better" but she still has these symptoms.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient tested positive for COVID-19 on 2/19/21. Patient due for second dose of COVID-19 vaccine on 02/26/21. Second dose administered on 2/26/21.  Second dose administered after 7 days of positive test instead of recommended 10 days after positive test.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pemphigoid
Clinical narrative: Pemphigold skin reaction, improving.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV9, MNQ, TDAP
Symptoms: Product preparation issue
Clinical narrative: Pt was given the vaccine incorrectly. Was given the powder of Menveo & a sterile Diluent out of a  separate box. No reaction. We need to make you aware & know what to do for patient.
Age: 49.0
Sex: U
Vaccine: COVID19
Symptoms: Eye swelling, Eyelid ptosis, Injection site pain, Pain in extremity
Clinical narrative: Complains of pain on her left arm where the injection site is. No redness or swelling noted, pain rated as 5/10. she woke up this  morning 02/26/2021 and feels that her R eye is droopy. Slight swelling on her R eyelid noted. Denies numbness on that side.  Instructed her to contact PCP or visit urgent care as soon as  possible.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary pain, Chills, Dizziness, Fatigue, Hyperhidrosis
Clinical narrative: sweating/dizziness in 10 mins after shot. Extreme chills/fatigue - next 24 hours. Day 1 after shot silver dollar sized bump-red, painful formed near elbow. Whole arm from injection site down swelled up. Radiating pain off and on from armpit down rib cage. By Monday following, doing better.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Musculoskeletal chest pain, Pain
Clinical narrative: sweating/dizziness in 10 mins after shot. Extreme chills/fatigue - next 24 hours. Day 1 after shot silver dollar sized bump-red, painful formed near elbow. Whole arm from injection site down swelled up. Radiating pain off and on from armpit down rib cage. By Monday following, doing better.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling
Clinical narrative: sweating/dizziness in 10 mins after shot. Extreme chills/fatigue - next 24 hours. Day 1 after shot silver dollar sized bump-red, painful formed near elbow. Whole arm from injection site down swelled up. Radiating pain off and on from armpit down rib cage. By Monday following, doing better.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Aphthous ulcer, Lip swelling, Mouth ulceration, Sinus congestion
Clinical narrative: He got his second Moderna Covid vaccine at the local HD on 2/21/21 at noon without immediate problems The next morning, around 6 am, he had swelllng of the left side of his lower lip. He took Benadryl 25-50 mg several times a day over the past few days, and thought the swelling may be improving. Stlll there today and wanted to be checked. No other vaccines or change in meds. Saw ENT on Tuesday to follow up tonsillar CA, s/p RT last fall. Responded well, with no evidence for cancer at this time. He is alert and oriented, and in NAD. VSS. He has mild sinus congestion which he states is normal, Pharynx- clear. No swelling or airway compromise.Neck supple. I do not feel any adenopathy. Lower lip- mild swelllng, about 2 cm along the lip from the midllne laterally. Buccal mucosa with what appears to be early canker sore, about 2mm In diameter, with slight blanching but no open sore. Mlld localized angioedema of the left side of the lower lip, noted about 18 hours after receiving second Moderna covid vaccine at a local HD. Continue Bendryl 25-50 mg q hours end begin Prednisone 40 mg q day x 3, then reduce by 10 mg q 3 days. Seek medical care immedletely for worsening symptoms. 24 hour recheck at this office. VAERS paperwork completed.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Narrative: Patient received his second Moderna Covid 19 vaccination 6 days prior to presentation to ED. On Saturday 2/20/21, he first noticed a slight rash under his left proximal medial arm. On Monday 2/22/21, the rash has small discrete "red bumps", itches moderately and burns slightly. He never witnessed vesicles/welts/hives/induration/scabs/peeling of skin surface. No surrounding redness or bruising. No discharge or oozing. No rash elsewhere. No immediate axillary discomforts or lumps. No constitutional symptoms of fever, chills, headache, confusion, dizziness or lightheadedness, N/V/D, new discomforts of head/trunk/abdomen. No SOB, dyspnea, changes of voice or swallowing or intraoral. Patient has not self-applied any chemical or medication to the rash. He has not taken any specific oral
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Renal pain
Clinical narrative: Kidneys ache, fatigue Narrative:
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Skin swelling
Clinical narrative: Narrative: skin swelling
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: L arm inj pain X2 days Narrative:
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Pain in extremity
Clinical narrative: fatigue, injection sign pain Narrative:  Pt called COVID-19 Adverse event hotline to report symptoms of sore arm, headache, and fatigue s/p first dose of the Pfizer vaccine on 2/24/21. Pt reports symptoms are improving since yesterday when he received the vaccine.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose administered too soon  Narrative:  Second dose in COVID-19 Vaccination series administered too soon. Patient did not have reaction as a result. Per CDC guidance, doses inadvertently administered earlier than the grace period should not be repeated.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Condition aggravated, Dizziness, Hypertension
Clinical narrative: Narrative:  Patient with known anxiety disorder presented to Covid Vaccination clinic concerned about getting the vaccination. After much discussion patient decided to have vaccination. Patient monitored 15 minutes as per protocol and nurse approached him to ask how he was feeling as he looked anxious. Patient reports that he is anxious and has some dizziness. Vitals obtained. 1522: BP190/92 p62, 1530: BP 191/90 p 62, 1545:206/96 p62. Dizziness slightly improved. Patient at first refused water and a snack, but later did have apple juice. At 1615 patients BP still elevated. Patient reports he was told by PCP to d/c Lisinopril 20mg and he has been taking antihistamines for past 3 days for anxiety. EMS was called to evaluate patient. BP on manual cuff was 186/61. Patient and EMS team discussed risks of patient driving home. Patient decided to drive home and f/up with PCP. Staff at clinic consulted patients PCP and an On Call MD regarding patients symptoms. PCP felt that the episode of hypertension was related to patients anxiety.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Dose administered too soon  Narrative:  Second dose in COVID-19 Vaccination series administered too soon. Patient did not have reaction as a result. Per CDC guidance, doses inadvertently administered earlier than the grace period should not be repeated.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Inappropriate schedule of product administration, Pain in extremity, Panic reaction, Product administration error
Clinical narrative: sore arm, fatigue Narrative:  * Reporting administration error of COVID MODERNA VACCINE EUA * Per nursing CPRS notes 2/25/2021: "Patient called the covid vaccine line and said he got his covid vaccines 7 days apart and he is panicing about what to do. Verfied per notes that first dose was given on Feb 17 and Second dose on Feb 24th per CPRS notes. Asked patient if he was having any major symptoms like chest pain or SOA, patient denies either. Asked patient what side effects he was experiencing and he said just the same ones as his first shot-sore arm, and fatigue. Told patient I was going to ask my nurse manager about next steps since PCP is out today. Verified call back number with patient and told him if he got any major side effects like SOA, chest pain, disoriented to please call 911 and head to the ER. Patient verbalized understanding. Patient is going to stay by phone for call back from RN." Per addendum on this note from PCC nurse 2/25/2021: "spoke to Dr. (pt's pcp not in clinic today) and informed him pt received his 1st covid inj 2/17 and 2nd inj 2/24. Pt reports only sore arm and fatigue at this time. Dr. advised pt to monitor his symptoms and if he has cp, soa, fevers or just doesn't feel well he should go to ED to be evaluated. Informed patient of pcp's isntructions and he gave verbal understanding. Pt asking if getting these injections so close will it decrease his immunity. Advised pt I can not answer that question but will alert PCP. Pt states he will not go to 3/24 covid appt that is still scheduled until PCP tells him what to do. PT will go to ED if having cp, soa, uncontrolled fevers or if he has symptoms he can not tolerate." Appears pt is stable at this time. PCP to follow-up with patient.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea
Clinical narrative: Dayof inj: H/A, Nausea, dizziness, fatigue. Day 2-7 fatigue Narrative:
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: persistent swelling/redness of injection site area Narrative:  Developed a dime-sized area of swelling/redness over injection site that started on the same day as the vaccination and lasted for another 5 days. Area was no indurated or warm to touch. There was no associated rash, pruritus, or sloughing. He denies experiencing other adverse effects. He did not try or apply any therapies.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Gait disturbance
Clinical narrative: FATIGUE,CHILLS,SOB,GAIT DISTURBANCE Narrative:
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Second dose in COVID-19 Vaccination series administered too  soon. Patient did not have reaction as a result. Per CDC guidance, doses  inadvertently administered earlier than the grace period should not be repeated.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Fatigue Narrative:
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Pain in extremity
Clinical narrative: Narrative: bilat thigh pain 9 on 10 x 2 days since he received the second covid  vaccine. denies sob, cp, dizziness, weakness. states walking makes it worse. not  listed as a severe rxn on moderna fact sheet. but pain is "bad" per patient.  advised may come to ER for evaluation.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose administered too soon (16 days apart) Narrative: Second dose in COVID-19 Vaccination series administered too soon. Patient did not have reaction as a result. Per CDC guidance, doses inadvertently administered earlier than the grace period should not be repeated.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain
Clinical narrative: MUSCLE ACHE, JOINT ACHE, BODY ACHE RESOLVED ON FEBRUARY 3, 2021 Narrative:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: Odd taste in mouth lasting 15 minutes Narrative:
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety
Clinical narrative: anxiety Narrative:
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain
Clinical narrative: TIRED, FATIGUED SLIGHT SORE ARM AT INJECTION SITE RESOLVED 1/31/2021.  Narrative:
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pyrexia, Skin warm, Swelling, Tenderness
Clinical narrative: Day 1 - 3 = tenderness, swelling, slight fever. Day 8 - 13 = large, red hot spot Narrative:
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: LEFT shoulder and arm pain, decreased ROM  Narrative:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Skin discolouration
Clinical narrative: Narrative: Patient reported rash/discoloration on the back of legs the day after receiving vaccine.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: "Facial itchiness" Narrative:
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Narrative:  PATIENT REPORTS ITCHINESS 2 DAYS POST SECOND DOWN, 10 DAYS LATER ARM IS STILL RED, SWOLLEN AND WARM.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event, Product administration error
Clinical narrative: Administration Error Narrative: No reaction occurred. Frequency too soon.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site hypoaesthesia, Injection site pain, Nausea
Clinical narrative: Headache, Fever,  ACHES & PAINS, CHILLS, INJECTIO SITE  PAIN & NUMBNESS, NAUSEA Narrative:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Headache, Fever,  ACHES & PAINS, CHILLS, INJECTIO SITE  PAIN & NUMBNESS, NAUSEA Narrative:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lethargy, Myalgia
Clinical narrative: Headache, Myalgia, lethargy/fatigue Narrative:  Other Relevant History:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rash
Clinical narrative: Headache & Rash Narrative:
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site swelling, Myalgia, Nausea, Vomiting
Clinical narrative: Myalgia, NauseaVomiting, chills, injection site swelling Narrative:  Other Relevant History:
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia
Clinical narrative: Headache, Myalgia & Arthralgia Narrative:  Other Relevant History:
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Fever SORE ARM, CHILLS, FATIGUE Narrative:  Other Relevant History:
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Headache
Clinical narrative: Headache, Arthralgia, Weakness Narrative:
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Headache, Impaired work ability, Myalgia
Clinical narrative: Headache, Myalgia, Fever, chest pain, chills Narrative: Per employee report: Had 2nd dose Mon. [2/22] around 3 pm. The next two days [2/23, 2/24] had fever chills, muscle aching, chest pain, headache. Off work for those two days. Now recovered and back to work.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, Myalgia, Fever, chest pain, chills Narrative: Per employee report: Had 2nd dose Mon. [2/22] around 3 pm. The next two days [2/23, 2/24] had fever chills, muscle aching, chest pain, headache. Off work for those two days. Now recovered and back to work.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Myalgia, Pain in extremity
Clinical narrative: Myalgia , weakness of legs and of left arm (injection site) Narrative: Per employee report: "took 2nd dose of Moderna on January 20th and states took off on January 21st-22nd due to states had weakness and aching lower extremities. Also c/o left upper extremity weakness"
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Injection site mass
Clinical narrative: Headache, local site reaction-swelling/lump; tired, sweats; chills Narrative:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling, Local reaction
Clinical narrative: Headache, local site reaction-swelling/lump; tired, sweats; chills Narrative:
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cold sweat, Headache, Neck pain
Clinical narrative: Headache, Fever, COLD SWEATS, CHILLS, SHOULDER/NECK PAIN Narrative:
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, Fever, COLD SWEATS, CHILLS, SHOULDER/NECK PAIN Narrative:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Brain fog, Headache, Hypoaesthesia oral, Injection site pain, Nausea
Clinical narrative: Headache, NauseaVomiting, foggy head, injection site soreness, lip numbness  Narrative:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache, NauseaVomiting, foggy head, injection site soreness, lip numbness  Narrative:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia & Fever  Narrative:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Headache, Myalgia, Nausea
Clinical narrative: Headache, Myalgia, Arthralgia, NauseaVomiting, LIGHT HEADED Narrative:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache, Myalgia, Arthralgia, NauseaVomiting, LIGHT HEADED Narrative:
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia
Clinical narrative: Headache, Myalgia & Arthralgia Narrative:
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Nausea, Vomiting
Clinical narrative: NauseaVomiting metallic taste Narrative:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Employee is a breast feeding mother and her infant developed a fever the night of her second vaccine Narrative:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Myalgia
Clinical narrative: Dizziness, Headache, Myalgia,  CHILLS Narrative:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site pain, Myalgia, Neck pain
Clinical narrative: Dizziness, Headache, Myalgia, sore arm at injection site Narrative: Per employee report: Had second dose yesterday (2/24). At 4:30 this morning (2/25) awoke with headache. Minimal improvement with Tylenol. Right arm hurts especially at injection site. Had some dizziness also, and aching in her right neck and shoulder. Advised to rest, hydrate, consult primary care provider if not improving, and restrict Tylenol to less than 4g/24h and 3g is preferable.