chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Cartilage injury, Injection site pain, Joint instability, Pain, Physical examination of joints abnormal
Clinical narrative: 29yo man who is an active swimmer presenting with persistent significant left shoulder pain, worse with activity. Coincides with getting his first covid vaccine 5-7 days earlier. Occurred the evening after his first swim after the covid vaccine. Exam notable for significant pain and shoulder instability. Worse pain was with external rotation. No evidence of impingement.  test positive. Empty can test somewhat positive. Concern for labral vs rotator cuff issues. Referred to Ortho for second opinion. x-ray ordered and will follow up with MRI.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia
Clinical narrative: Uncontrollable movements on arms or legs
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Oral discomfort, Paraesthesia, Paraesthesia oral
Clinical narrative: 5 hours after injection face and mouth felt numb and tingly. Throat felt like closing up.  Took Zyrtec at 7pm. Following morning after I ate a protein  bar my tongue, mouth and throat felt like burning tingly sensation.  Called nurse.  Instructed to take Benadryl. If symptoms do not improve by 48 hours after vaccine I am to call back.  I also notified store and left a voicemail on VAERS hotline
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Throat tightness, Tongue discomfort
Clinical narrative: 5 hours after injection face and mouth felt numb and tingly. Throat felt like closing up.  Took Zyrtec at 7pm. Following morning after I ate a protein  bar my tongue, mouth and throat felt like burning tingly sensation.  Called nurse.  Instructed to take Benadryl. If symptoms do not improve by 48 hours after vaccine I am to call back.  I also notified store and left a voicemail on VAERS hotline
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Muscle rigidity
Clinical narrative: PASSED OUT, WENT RIGID TEMPORARILY
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness
Clinical narrative: pts. wife called and said his legs were weak and that he could not stand.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Disorientation, Muscular weakness
Clinical narrative: pts. wife called and said his legs were weak and that he could not stand.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash with hives on both arms and legs....parts of neck and top of shoulders.   Dr prescribed Prednisone, Cetirizine, and Cimetidine
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer covid 19 vaccine vial was mixed with 1.4 instead of 1.8 ml of diluent and patient received a dose. Spoke to patient's wife 04/10/2021 and she stated patient was feeling fine. I provided counseling regarding possible side effects and what to do if he experiences any.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever of approximately 102F (oral temp) and chills starting 6hrs post-vaccine and resolving 12 hours post-vaccine Body aches and headache starting 6hrs post-vaccine and resolving 24 hrs post-vaccine Fatigue starting 6hrs post-vaccine and resolving 28hrs post-vaccine 100mg Tylenol administered approximately 12hrs post-vaccine, and 18hrs post-vaccine to mitigate body aches and headache
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Balance disorder, Deafness bilateral, Ear pain, Feeling abnormal
Clinical narrative: Around 330 on 4/6, I started feeling bad and arrived home around 530pm and  had a slight Temperature (99) with hearing loss in both ears. But the right one had complete hearing loss. Thinking it would be a short term side effect, but realizing on Thursday am with was not, I called my physician office on Thursday and they called back on Thursday for a Friday 9am appt with the PA. She said it was sinus related , fluid in the ears was pushing the ear drum back and gave me a prescription for Fluticasone and to take my Zyretx and Sudafed. Call her in a week if symptoms did not away. On 4/12/21, I still have massive hearing loss and pain, so called a ENT for an appt and received a 1:15pm on the same day. This  was the first day I had balance issues.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Otitis media, Pyrexia
Clinical narrative: Around 330 on 4/6, I started feeling bad and arrived home around 530pm and  had a slight Temperature (99) with hearing loss in both ears. But the right one had complete hearing loss. Thinking it would be a short term side effect, but realizing on Thursday am with was not, I called my physician office on Thursday and they called back on Thursday for a Friday 9am appt with the PA. She said it was sinus related , fluid in the ears was pushing the ear drum back and gave me a prescription for Fluticasone and to take my Zyretx and Sudafed. Call her in a week if symptoms did not away. On 4/12/21, I still have massive hearing loss and pain, so called a ENT for an appt and received a 1:15pm on the same day. This  was the first day I had balance issues.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deafness unilateral
Clinical narrative: Around 330 on 4/6, I started feeling bad and arrived home around 530pm and  had a slight Temperature (99) with hearing loss in both ears. But the right one had complete hearing loss. Thinking it would be a short term side effect, but realizing on Thursday am with was not, I called my physician office on Thursday and they called back on Thursday for a Friday 9am appt with the PA. She said it was sinus related , fluid in the ears was pushing the ear drum back and gave me a prescription for Fluticasone and to take my Zyretx and Sudafed. Call her in a week if symptoms did not away. On 4/12/21, I still have massive hearing loss and pain, so called a ENT for an appt and received a 1:15pm on the same day. This  was the first day I had balance issues.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Headache, Injection site hypoaesthesia
Clinical narrative: Pain and numbness at the injection site was my initial effect. Approximately 5-6 hours later I began experiencing chills, muscle and joint aches, nausea diarrhea, headache and a continuous fever of 104.0 f that eventually broke with 500mg of Tylenol, however fever / symptoms persist even today 15 hours later.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Pain, Pyrexia
Clinical narrative: Pain and numbness at the injection site was my initial effect. Approximately 5-6 hours later I began experiencing chills, muscle and joint aches, nausea diarrhea, headache and a continuous fever of 104.0 f that eventually broke with 500mg of Tylenol, however fever / symptoms persist even today 15 hours later.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Chest pain, Heart rate increased
Clinical narrative: Approximately 10 minutes after receiving the injection, I started to feel a pain in my chest like a weight was placed on my heart.  I could feel my blood pressure rising.  My heartrate jumped from 62 to 102 in 6 minutes. After approximately another 30 minutes the pain lessened however it did not go away for another 24 hours.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo, Vomiting
Clinical narrative: after April 2 22 episodes of dizziness of short duration then April 9 sustained episode of rotational vertigo with vomiting
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Dry eye, Dysuria, Eye swelling
Clinical narrative: Day 2- fever blister,  day 3 right eye, dry, red, swollen, day 3 back pain, right hip pain, right knee pain, burning pain upon urination, and tingling nerve pain all on right side of body per patient.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Metabolic function test, Neuralgia, Ocular hyperaemia
Clinical narrative: Day 2- fever blister,  day 3 right eye, dry, red, swollen, day 3 back pain, right hip pain, right knee pain, burning pain upon urination, and tingling nerve pain all on right side of body per patient.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes, Pain, Urine analysis
Clinical narrative: Day 2- fever blister,  day 3 right eye, dry, red, swollen, day 3 back pain, right hip pain, right knee pain, burning pain upon urination, and tingling nerve pain all on right side of body per patient.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Influenza A virus test negative, Influenza B virus test, SARS-CoV-2 test negative
Clinical narrative: I lost my sense of taste and smell on 4/11/2021 and have not regained either to date.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Magnetic resonance imaging, Nausea, Pollakiuria
Clinical narrative: Constant urination,  constant dizziness, N/V, burning up all over
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Skin burning sensation, Vomiting
Clinical narrative: Constant urination,  constant dizziness, N/V, burning up all over
Age: 51.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Dyspnoea, Eructation, Erythema, Feeling cold, Feeling hot
Clinical narrative: Left the parking lot felt warm down my arm to fingers started tingling & feeling warm, the fingers started to go numb. tried not to worry. Later fingers were getting tighter. Went to sleep hands were stiff 2 finger on right hand swollen. Sat.morning did not want to get out of bed was freezing and felt like I was going to vomit everywhere & headache.Tied to eat banana got water vitamin c pedialyte 2:530pm felt so bad.went home under covers 6blankets turned heat on 70 still ice cube,freezing wanted to vomit curled up in ball face bright red, passed out someone called I couldn't just said let me die, I am in so much pain, make it go away. I almost had them call 911, I do not have the money to pay. toughed it out cried . Body hurt so bad short of breathe. Sunday, still bad face not red woke up in puddle of sweat I was wet. Still feel like going to vomitstayed in bed drank , Sunday evening at 8:30pm I burped, Wow what a relief, still head pounding headache. Monday short of breathe whizzing. Took another hot shower,
Age: 51.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Headache, Hyperhidrosis, Hypoaesthesia, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: Left the parking lot felt warm down my arm to fingers started tingling & feeling warm, the fingers started to go numb. tried not to worry. Later fingers were getting tighter. Went to sleep hands were stiff 2 finger on right hand swollen. Sat.morning did not want to get out of bed was freezing and felt like I was going to vomit everywhere & headache.Tied to eat banana got water vitamin c pedialyte 2:530pm felt so bad.went home under covers 6blankets turned heat on 70 still ice cube,freezing wanted to vomit curled up in ball face bright red, passed out someone called I couldn't just said let me die, I am in so much pain, make it go away. I almost had them call 911, I do not have the money to pay. toughed it out cried . Body hurt so bad short of breathe. Sunday, still bad face not red woke up in puddle of sweat I was wet. Still feel like going to vomitstayed in bed drank , Sunday evening at 8:30pm I burped, Wow what a relief, still head pounding headache. Monday short of breathe whizzing. Took another hot shower,
Age: 51.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Nausea, Pain, Paraesthesia, Peripheral swelling, Wheezing
Clinical narrative: Left the parking lot felt warm down my arm to fingers started tingling & feeling warm, the fingers started to go numb. tried not to worry. Later fingers were getting tighter. Went to sleep hands were stiff 2 finger on right hand swollen. Sat.morning did not want to get out of bed was freezing and felt like I was going to vomit everywhere & headache.Tied to eat banana got water vitamin c pedialyte 2:530pm felt so bad.went home under covers 6blankets turned heat on 70 still ice cube,freezing wanted to vomit curled up in ball face bright red, passed out someone called I couldn't just said let me die, I am in so much pain, make it go away. I almost had them call 911, I do not have the money to pay. toughed it out cried . Body hurt so bad short of breathe. Sunday, still bad face not red woke up in puddle of sweat I was wet. Still feel like going to vomitstayed in bed drank , Sunday evening at 8:30pm I burped, Wow what a relief, still head pounding headache. Monday short of breathe whizzing. Took another hot shower,
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Ear haemorrhage, Headache, Hypoaesthesia, Muscular weakness
Clinical narrative: Reports that she had headache, sore throat, diarrhea for 4-5 days, bleeding of left ear and numbness, tingling and weakness of upper extremities. This started within 24 hours of vaccine
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Paraesthesia
Clinical narrative: Reports that she had headache, sore throat, diarrhea for 4-5 days, bleeding of left ear and numbness, tingling and weakness of upper extremities. This started within 24 hours of vaccine
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Sensation of foreign body
Clinical narrative: patient reports lump in throat, and needing to clear throat.  Denies difficulty swallowing or breathing.  Benadryl given at 1:16pm.  Patient reports improvement in symptoms at 1:24pm
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Numbness in tongue, mouth, lips, cheeks,  face  lasting approx 2hrs and 30 minutes
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Myalgia, Neuralgia
Clinical narrative: Extreme pain in left shoulder/arm resulting in the inability to move my arm.  My shot was given right below the shoulder joint rather than a little lower in the muscle, like all other shots I've ever been given.  It's been a week since my 2nd covid shot and I still have nerve pain that goes to the base of my neck and all the way down my arm into my hand at times.  Though it isn't as excrutiating  as a week ago, I still have muscle pain and nerve pain in the shoulder and arm.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swelling, Urticaria
Clinical narrative: Itchy, red, puffy hives on stomach, inner leg, backside of knee, and ankle. Nine in total
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia, Taste disorder
Clinical narrative: this is a positive but odd event: I had a heightened and dramatically improved sense of smell and taste after my shot. I could smell the new plastic smell of my laptop which I never smelt before. It was so odd. And I could really taste the cream in some pistachio ice cream. I can really say this was a dramatically heightened sense of smell and taste.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Condition aggravated, Dysphagia, Ear pain, Facial paralysis
Clinical narrative: This was the 2nd Moderna Shot on 2-18-2021.  She received the first shot on 1-22-2021. Patient verbally reported to me that about 4 hours after the shot, she began experiencing severe shocks all over her face and into her left neck and chest area.  This quickly worsened to include her left arm.  That all resolved after a nap.  But when she woke up, and went to the mirror, she noted that her left face was slow and drooping.  She went to the ER.  It was noted that she was having a severe problem with swallowing.  She also was noting severe pain in left external ear canal.  She had obvious severe breakout in the left ear canal - and the immediate area.  She was sent home - and came to my office the next day.  By that time, the symptoms had become much much worse.  She was unable to swallow.  The outbreak in the left ear was much more pronounced.  And her entire left face and left tongue were paralyzed.  She was diagnosed with the Ramsay-Hunt Syndrome - she was unable to talk or swallow.  She was readmitted back into the hospital.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Feeding tube user, Herpes zoster oticus, Pain, Rash, Shock
Clinical narrative: This was the 2nd Moderna Shot on 2-18-2021.  She received the first shot on 1-22-2021. Patient verbally reported to me that about 4 hours after the shot, she began experiencing severe shocks all over her face and into her left neck and chest area.  This quickly worsened to include her left arm.  That all resolved after a nap.  But when she woke up, and went to the mirror, she noted that her left face was slow and drooping.  She went to the ER.  It was noted that she was having a severe problem with swallowing.  She also was noting severe pain in left external ear canal.  She had obvious severe breakout in the left ear canal - and the immediate area.  She was sent home - and came to my office the next day.  By that time, the symptoms had become much much worse.  She was unable to swallow.  The outbreak in the left ear was much more pronounced.  And her entire left face and left tongue were paralyzed.  She was diagnosed with the Ramsay-Hunt Syndrome - she was unable to talk or swallow.  She was readmitted back into the hospital.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue paralysis
Clinical narrative: This was the 2nd Moderna Shot on 2-18-2021.  She received the first shot on 1-22-2021. Patient verbally reported to me that about 4 hours after the shot, she began experiencing severe shocks all over her face and into her left neck and chest area.  This quickly worsened to include her left arm.  That all resolved after a nap.  But when she woke up, and went to the mirror, she noted that her left face was slow and drooping.  She went to the ER.  It was noted that she was having a severe problem with swallowing.  She also was noting severe pain in left external ear canal.  She had obvious severe breakout in the left ear canal - and the immediate area.  She was sent home - and came to my office the next day.  By that time, the symptoms had become much much worse.  She was unable to swallow.  The outbreak in the left ear was much more pronounced.  And her entire left face and left tongue were paralyzed.  She was diagnosed with the Ramsay-Hunt Syndrome - she was unable to talk or swallow.  She was readmitted back into the hospital.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Autoimmune disorder, Condition aggravated, Cystitis, Gastroenteritis
Clinical narrative: After a few minutes started feeling sluggish, pain in abdominal, ribs, bladder, not feeling well for x2 weeks. Cystitis flared up, gastroenteritis, auto immune worse. 2wks not feeling better went to MD and started on Augmented x4 days with no relief. Went to see holistic MD and prescribed herbs that helped.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Malaise, Musculoskeletal chest pain
Clinical narrative: After a few minutes started feeling sluggish, pain in abdominal, ribs, bladder, not feeling well for x2 weeks. Cystitis flared up, gastroenteritis, auto immune worse. 2wks not feeling better went to MD and started on Augmented x4 days with no relief. Went to see holistic MD and prescribed herbs that helped.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Full blood count, Metabolic function test, Rash, Urine analysis
Clinical narrative: Rash with large raised dots. Originated on left arm, then patches occurred across abdomen, knees, and buttocks and both forearms. Persisted until present (4 weeks). Placed on prednisone taper for contact dermatitis, then when it continued to persist after two course of prednisone my doctor wondered if this is possibly an adverse event since symptoms continue unresolved.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Nausea, Vomiting
Clinical narrative: Immediately after receiving his covid vaccine patient started feeling nauseaus/dizzy, and threw up. After throwing up he felt better.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Bile duct stone, Biopsy liver abnormal, Blood bilirubin increased, Cholangitis, Cholecystitis
Clinical narrative: About  4-5 hours after her first shot she started getting and itchy feeling.  This carried on for the next several weeks.  She felt like the itching feeling may have improved a little just a couple days prior to her second vaccine, but then the symptoms came back even worse after her second vaccination. She saw her primary care and was noted to be very jaundiced.  She was sent to the emergency department where her bilirubin was greater than 12.  She ultimately was admitted to the hospital.  She had no abdominal pain, nausea, or vomiting.   She had persistent elevation of her bilirubin.  Workup was done during the hospitalization including lab work, MRI of the liver, liver biopsy.  She was also found to have choledocholithiasis on the MRI.  ERCP was done with  stone extraction.   Bilirubin trended down several days later to around seven.  She followed up with me in the office where repeat lab work was unchanged.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cholelithotripsy, Endoscopic retrograde cholangiopancreatography, Jaundice, Magnetic resonance cholangiopancreatography, Magnetic resonance imaging hepatobiliary abnormal
Clinical narrative: About  4-5 hours after her first shot she started getting and itchy feeling.  This carried on for the next several weeks.  She felt like the itching feeling may have improved a little just a couple days prior to her second vaccine, but then the symptoms came back even worse after her second vaccination. She saw her primary care and was noted to be very jaundiced.  She was sent to the emergency department where her bilirubin was greater than 12.  She ultimately was admitted to the hospital.  She had no abdominal pain, nausea, or vomiting.   She had persistent elevation of her bilirubin.  Workup was done during the hospitalization including lab work, MRI of the liver, liver biopsy.  She was also found to have choledocholithiasis on the MRI.  ERCP was done with  stone extraction.   Bilirubin trended down several days later to around seven.  She followed up with me in the office where repeat lab work was unchanged.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Portal fibrosis, Pruritus
Clinical narrative: About  4-5 hours after her first shot she started getting and itchy feeling.  This carried on for the next several weeks.  She felt like the itching feeling may have improved a little just a couple days prior to her second vaccine, but then the symptoms came back even worse after her second vaccination. She saw her primary care and was noted to be very jaundiced.  She was sent to the emergency department where her bilirubin was greater than 12.  She ultimately was admitted to the hospital.  She had no abdominal pain, nausea, or vomiting.   She had persistent elevation of her bilirubin.  Workup was done during the hospitalization including lab work, MRI of the liver, liver biopsy.  She was also found to have choledocholithiasis on the MRI.  ERCP was done with  stone extraction.   Bilirubin trended down several days later to around seven.  She followed up with me in the office where repeat lab work was unchanged.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Lip swelling, Rash
Clinical narrative: Swelling and rash at injection site on arm and swelling of lips 9 days after 1st dose. Arm rash lasted 24 hours, lips swelling still present at 4 days and required a doctor visit and medication to reduce swelling.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling
Clinical narrative: Left arm was tender to the touch at the injection site. over a period of 24 to 48 hours, my left arm increasingly became red, swollen, and welted at the injection site and hot to the touch.  All complications were isolated to my left arm and on, or around, the injection site.  48 hours after the injection my arm became itchy and felt like a (severe) allergic reaction.  I felt nauseated for the first day or so and body aches the second day.  Nausea and body aches lasted no more than a day.  The allergic reaction on the injection site continues to be a problem one week after the injection.  Tenderness, swelling, and welting has improved but I am still experiencing itchiness and the site still feels warm to the touch.  The injection site reaction began within 24 hours after injection and has been ongoing for almost a week.  It was at its worst after 48 and that lasted for days (Thursday through Sunday).
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nausea, Pain, Urticaria
Clinical narrative: Left arm was tender to the touch at the injection site. over a period of 24 to 48 hours, my left arm increasingly became red, swollen, and welted at the injection site and hot to the touch.  All complications were isolated to my left arm and on, or around, the injection site.  48 hours after the injection my arm became itchy and felt like a (severe) allergic reaction.  I felt nauseated for the first day or so and body aches the second day.  Nausea and body aches lasted no more than a day.  The allergic reaction on the injection site continues to be a problem one week after the injection.  Tenderness, swelling, and welting has improved but I am still experiencing itchiness and the site still feels warm to the touch.  The injection site reaction began within 24 hours after injection and has been ongoing for almost a week.  It was at its worst after 48 and that lasted for days (Thursday through Sunday).
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance
Clinical narrative: Intense knee pain where previous ACL replacement surgery performed 23 years ago, using patellar tendon and titanium screws. Arthritis and bone spurs present but do not cause any usual daily pain unless resulting from intense physical activity or injury.  No activity performed that should have caused any pain.  Difficulty walking without intense pain.  No swelling at site.  Pain subsided and flexibility returned after three days.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Chills, Erythema, Headache
Clinical narrative: 4/12/21 Call from case to discuss symptoms she developed after receiving her first COVID vaccination, The case received the first Pfizer vaccination on 4/5/21 in her left arm. Later that evening, her left arm began to swell and was reddened. She also developed fever (tmax 100.9), chills, and back pain. These symptoms continued through 4/7/21 and by 4/8/21 they were much improved. However on 4/9/21 she developed a severe headache and chest/neck pain at night which continued through 4/11/21. Her symptoms have now resolved as of 4/12/21. Case states she had a reaction to both Flu and Pneumovax vaccines in the past where her arm would swell and she would feel very sick for a few days afterward. RN encouraged case to call her PCP as soon as possible to let them know about her reports of chest and neck pain over the weekend. Also, encouraged her to consult with her PCP about whether she should have the 2nd Pfizer vaccination. Case agreed to follow up with her PCP as soon as possible.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Peripheral swelling, Pyrexia
Clinical narrative: 4/12/21 Call from case to discuss symptoms she developed after receiving her first COVID vaccination, The case received the first Pfizer vaccination on 4/5/21 in her left arm. Later that evening, her left arm began to swell and was reddened. She also developed fever (tmax 100.9), chills, and back pain. These symptoms continued through 4/7/21 and by 4/8/21 they were much improved. However on 4/9/21 she developed a severe headache and chest/neck pain at night which continued through 4/11/21. Her symptoms have now resolved as of 4/12/21. Case states she had a reaction to both Flu and Pneumovax vaccines in the past where her arm would swell and she would feel very sick for a few days afterward. RN encouraged case to call her PCP as soon as possible to let them know about her reports of chest and neck pain over the weekend. Also, encouraged her to consult with her PCP about whether she should have the 2nd Pfizer vaccination. Case agreed to follow up with her PCP as soon as possible.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: AE started about 10 to 12 hours after injection.  Developed in order- sore arm, chills, body aches, severe headache, fatigue, fever.  All symptoms resolved in about 48 hours.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: AE started about 10 to 12 hours after injection.  Developed in order- sore arm, chills, body aches, severe headache, fatigue, fever.  All symptoms resolved in about 48 hours.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Red, swollen, warm to the touch and tender from shoulder to elbow
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Electrocardiogram, Laboratory test, Loss of consciousness, Seizure
Clinical narrative: Stood up, sat down and got light headed before blacking out. Nurses on-site said I had a seizure. Rushed to hospital. Blacked out for 1.5 minutes
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bradycardia, Carotid pulse, Dyskinesia, Loss of consciousness, Memory impairment
Clinical narrative: Stood up, sat down and got light headed before blacking out. Nurses on-site said I had a seizure. Rushed to hospital. Blacked out for 1.5 minutes
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Radial pulse abnormal, Seizure, Unresponsive to stimuli
Clinical narrative: Stood up, sat down and got light headed before blacking out. Nurses on-site said I had a seizure. Rushed to hospital. Blacked out for 1.5 minutes
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient fainted and felt dizzy for ~15 minutes. no other symptoms.  s/sx lasted ~15-20 minutes. pt refused medical treatment
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: 4-12-21 10AM TC: PT STATES HER 'TINNITUS HAS BEEN WORSE THAN USUAL (HAS HX OF SAME) SINCE GETTING COVID SHOT'. SHE DID CALL HER PCP AND DISCUSS IT.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Tinnitus, Vertigo
Clinical narrative: 4-12-21 10AM TC: PT STATES HER 'TINNITUS HAS BEEN WORSE THAN USUAL (HAS HX OF SAME) SINCE GETTING COVID SHOT'. SHE DID CALL HER PCP AND DISCUSS IT.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Neuropathy peripheral, Paraesthesia, Sinusitis, Tinnitus
Clinical narrative: 4-12-21 10AM TC: PT STATES HER 'TINNITUS HAS BEEN WORSE THAN USUAL (HAS HX OF SAME) SINCE GETTING COVID SHOT'. SHE DID CALL HER PCP AND DISCUSS IT.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vertigo
Clinical narrative: 4-12-21 10AM TC: PT STATES HER 'TINNITUS HAS BEEN WORSE THAN USUAL (HAS HX OF SAME) SINCE GETTING COVID SHOT'. SHE DID CALL HER PCP AND DISCUSS IT.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Periorbital swelling, Pruritus, Rash
Clinical narrative: Swelling around eyes and itching . Second dose full body rash Both lasted 5-7 days
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Eye pruritus, Eye swelling
Clinical narrative: Swelling around eyes and itching . Second dose full body rash Both lasted 5-7 days
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Eye pruritus, Eye swelling, Rash
Clinical narrative: Swelling around eyes and itching . Second dose full body rash Both lasted 5-7 days
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity, Product preparation error, Pyrexia
Clinical narrative: Pfizer covid 19 vaccine was mixed with 1.4 ml instead of 1.8 ml of diluent. Spoke to patient 04/11/2021 and she reported having a mild fever and a sore arm. Provided counseling.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Neuralgia
Clinical narrative: Approximately 36 hrs after the injection I started feeling severe nerve and muscle pain to the left deltoid (the injection site). there are no other signs or symptoms noted. It is a debilitating pain especially after even the most mundane of tasks. OTC pain relief is ineffective.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenectomy, Lymphadenopathy, Physical examination
Clinical narrative: Woke up to visible swelling along my collar bone, it felt like lumps under the skin. The area was also tender to the touch. Went to urgent care and was told my lymph nodes were very swollen there. Now experiencing swollen lymph nodes on my left arm and possibly leg. Trying to get in to see my primary care doctor, but I have not seen her yet.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Gait disturbance, Vertigo, Vomiting
Clinical narrative: I had an onset of Vertigo. I was so dizzy I was unable to walk. I was vomiting due to the spinning and dizziness experienced. I had to go to the ER to receive fluids due to the vomiting. This lasted for  three days. I am still dizzy but it is manageable.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Blood bilirubin normal, Blood creatine phosphokinase increased
Clinical narrative: increasing body wide weakness 1 day after vaccine, found to be in fulminant renal and hepatic failure with +troponin and rhabdomyolysis with no other preceding symptoms or significant history
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood urea increased, Hepatic failure, Renal failure, Rhabdomyolysis
Clinical narrative: increasing body wide weakness 1 day after vaccine, found to be in fulminant renal and hepatic failure with +troponin and rhabdomyolysis with no other preceding symptoms or significant history
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, White blood cell count increased
Clinical narrative: increasing body wide weakness 1 day after vaccine, found to be in fulminant renal and hepatic failure with +troponin and rhabdomyolysis with no other preceding symptoms or significant history
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Dyspnoea, Electrocardiogram normal, Gait disturbance, Headache
Clinical narrative: Patient had an episode where he started stumbling, feeling diaphoretic, with diffuse muscle cramping 100 m from finishing a 5K race. He reports a sore throat, headache, and some dyspnea. He reports no adverse reaction to the first COVID vaccine.  The patient had great symptomatic improvement with hydration. Patient was recommended to follow up with PCP and cardiology.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Muscle spasms, Oropharyngeal pain, Troponin increased
Clinical narrative: Patient had an episode where he started stumbling, feeling diaphoretic, with diffuse muscle cramping 100 m from finishing a 5K race. He reports a sore throat, headache, and some dyspnea. He reports no adverse reaction to the first COVID vaccine.  The patient had great symptomatic improvement with hydration. Patient was recommended to follow up with PCP and cardiology.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient came in 4/11/21 to receive 2nd dose of Shingrix vaccine, but insurance rejected the claim stating he had already received 2 doses. Pharmacist on duty called insurance company and insurance representative stated that the billing of the second dose was a mistake and patient only received one dose. Insurance rep also stated in order to get override for second dose to go through the pharmacist would need to call the PA department which was now closed. Pharmacist gave patient dose of Shingrix and left note to call insurance 4/12/21. On 4/12/21 pharmacist on duty called insurance PA department to get override for second dose. A different insurance representative informed the pharmacist that the patient had already received both doses of Shingrix - first on 1/8/2020 at Pharmacy and second on 12/28/2020 at Vaccine clinic This was checked on the WIR and confirmed, so patient received 3rd Shingrix vaccine on 4/11/2021. No adverse effects were reported.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Eye movement disorder, Hyperhidrosis, Malaise, Pallor
Clinical narrative: After about 7 minutes of getting the Janssen Covid-19 vaccines, patient husband said patient is not feeling well.  I attended to patient immediately.  She said she is not feeling well, and her eye was rolling (as if when she tried to look up and couldn't get their eye to remain open) a for about few seconds and then she her eye was open back to normal.  She was sweating on both hands and face were cold to the touch.  I got the manager from the store to help me lie patient flat on the floor's surface gently to prevent her from falling off the chair.    Based on this our adverse event protocol, patient exhibited similar symptoms to Syncope (paleness, sweating, coldness of extremities), so I patient is lying flat on the floor, feet elevated, and cold compression was apply on her arms and face.  Unfortunately, patient conditions was not improving as it seem but she was alert and able to breath (fast pace) the whole entire time the incident occurred where she answer all questions when we myself, then the paramedics asked her questions.  Paramedic arrived at scene within 10 minutes after individual got off the phone with 911.  They took her away around 9 am and said patient probably experience anxiety attack.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Panic attack, Peripheral coldness, Syncope
Clinical narrative: After about 7 minutes of getting the Janssen Covid-19 vaccines, patient husband said patient is not feeling well.  I attended to patient immediately.  She said she is not feeling well, and her eye was rolling (as if when she tried to look up and couldn't get their eye to remain open) a for about few seconds and then she her eye was open back to normal.  She was sweating on both hands and face were cold to the touch.  I got the manager from the store to help me lie patient flat on the floor's surface gently to prevent her from falling off the chair.    Based on this our adverse event protocol, patient exhibited similar symptoms to Syncope (paleness, sweating, coldness of extremities), so I patient is lying flat on the floor, feet elevated, and cold compression was apply on her arms and face.  Unfortunately, patient conditions was not improving as it seem but she was alert and able to breath (fast pace) the whole entire time the incident occurred where she answer all questions when we myself, then the paramedics asked her questions.  Paramedic arrived at scene within 10 minutes after individual got off the phone with 911.  They took her away around 9 am and said patient probably experience anxiety attack.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Exposure to SARS-CoV-2, Malaise, Pyrexia
Clinical narrative: Patient is a 69 year old male with a PMH significant for CKD, DM, CAD, HTN, HLD and GERD presents for shortness of breath, fevers, and malaise.  States symptoms started on Friday and have gotten progressively worse.  He reports contact with a granddaughter who was subsequently Covid positive.  He does report Covid vaccination approximately 1 month ago.  He denies loss of taste or smell.  No nausea vomiting diarrhea.  No chest pain.  Noted to be 92-94 percent the emergency room
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is a 69 year old male with a PMH significant for CKD, DM, CAD, HTN, HLD and GERD presents for shortness of breath, fevers, and malaise.  States symptoms started on Friday and have gotten progressively worse.  He reports contact with a granddaughter who was subsequently Covid positive.  He does report Covid vaccination approximately 1 month ago.  He denies loss of taste or smell.  No nausea vomiting diarrhea.  No chest pain.  Noted to be 92-94 percent the emergency room
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Contusion, Dyspnoea, Pruritus, Throat tightness, Urticaria
Clinical narrative: Tightness in throat, breathing problems, used my albuteral inhaler 2x, coughing, very itchy all within 10 minutes of the shot.  I was taken back to a separate room and seen by paramedics.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Tightness in throat, breathing problems, used my albuteral inhaler 2x, coughing, very itchy all within 10 minutes of the shot.  I was taken back to a separate room and seen by paramedics.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Heart rate increased, Hypersensitivity, Pruritus, Throat tightness, Vascular access site bruising
Clinical narrative: Tightness in throat, breathing problems, used my albuteral inhaler 2x, coughing, very itchy all within 10 minutes of the shot.  I was taken back to a separate room and seen by paramedics.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Chills, Fatigue, Headache
Clinical narrative: I got my shot on the morning of Monday, 4/5. On Thursday, 4/8 I woke up very tired, weak and achy. I experienced some abdominal pain around 2pm. By Friday, I had body aches and a headache and a slight fever. On Saturday and Sunday night I had chills and fevers of over 100. One week following my shot, on 4/12 I woke up with a fever.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: I got my shot on the morning of Monday, 4/5. On Thursday, 4/8 I woke up very tired, weak and achy. I experienced some abdominal pain around 2pm. By Friday, I had body aches and a headache and a slight fever. On Saturday and Sunday night I had chills and fevers of over 100. One week following my shot, on 4/12 I woke up with a fever.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity, Peripheral swelling
Clinical narrative: 2 am sunday morning I woke up with pain in my left wrist and hand. A blood vessel traveling through my hand and about 3 inches up my left arm felt like a rope to the touch with some swelling between my 3rd and 4th fingers. No redness or hot to the touch. Sunday morning at 9am the blood vessel returned to normal. However Sunday night at 830 pm the swelling and pain and rope like feeling of the same vein returned and the area is the same as of now  [2pm Monday the 12th of April ].
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Chills, fever, body aches, sweating
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Induration, Lymphadenopathy, White blood cell count
Clinical narrative: Almost a week after my first dose I developed swollen nodes in my collar bone area along with a hard, "cartiladge" like spot beside those.  This was how I woke up the day after getting my period that same week. These large nodes seem to be lymphnode like from what my Doctor had said after checking me. These areas are still swollen, but have decreased in size. I have no other allergies or symptons at this time. We've done a blood test to check white blood cell count in the case that I shouldn't get the second dose of Pfizer vaccine. I'm scheduled to receive this second shot 4/14/21, which I still plan to do so, but in the other arm.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Apnoea, Asthenia, Dyspnoea, Paraesthesia oral
Clinical narrative: Patient reported he had SOB and trouble breathing while sleeping and his tongue felt "heavy" while eating.  Patient went to the ER at 1634 on 4/8/2021.  ER report- positive for swollen tongue, weakness, negative for respiratory distress, Respirations were normal with mild scattered bronchial sounds
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Fatigue, Intermenstrual bleeding, Malaise, Menstrual disorder
Clinical narrative: Initially, I felt fine. Several hours later I began to feel run down, like a cold. I then began to have an ache near my right kidney that I attributed to laying weirdly. However, I also began experiencing a sort of menstrual cramping on my right side as well. This has persisted since Friday night. Today (4/12/21) at about 02:30 pm, I got my period 10 days early! This isn't normal for me. Right now it is as if I'm spotting (dark discharge to warn that full-on bleeding will happen soon). I don't usually spot. My period is rather predictable and I have been dutiful in my tracking as my cycle has shortened over the years, going from a 28 day to 25 day cycle. The malaise and aches are consistent with my PMS, but I just wasn't expecting my period right now. I really don't understand how this is happening.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Renal pain
Clinical narrative: Initially, I felt fine. Several hours later I began to feel run down, like a cold. I then began to have an ache near my right kidney that I attributed to laying weirdly. However, I also began experiencing a sort of menstrual cramping on my right side as well. This has persisted since Friday night. Today (4/12/21) at about 02:30 pm, I got my period 10 days early! This isn't normal for me. Right now it is as if I'm spotting (dark discharge to warn that full-on bleeding will happen soon). I don't usually spot. My period is rather predictable and I have been dutiful in my tracking as my cycle has shortened over the years, going from a 28 day to 25 day cycle. The malaise and aches are consistent with my PMS, but I just wasn't expecting my period right now. I really don't understand how this is happening.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Heart rate increased, Injection site pain
Clinical narrative: 12 hours after vaccination, I experienced chills, fever (of up to 101 F), joint pain, muscle aches, fatigue, pain in the injection site, and a swollen lymph node in my left armpit. In addition, I had an elevated resting heart rate of 110 bpm (mine is normally around 73). It took 2 days for my heart rate to return to normal. All other symptoms resolved after about a day.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: 12 hours after vaccination, I experienced chills, fever (of up to 101 F), joint pain, muscle aches, fatigue, pain in the injection site, and a swollen lymph node in my left armpit. In addition, I had an elevated resting heart rate of 110 bpm (mine is normally around 73). It took 2 days for my heart rate to return to normal. All other symptoms resolved after about a day.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Flushing, Pruritus
Clinical narrative: flushing/itching/head felt like it was on fire
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Pt called covid hotline after getting her 2nd  vaccine at vaccination site on 4/10/2021. She reports the following day 4/11/2021 around 3 pm she starting having chest tightness. Pt reports she is familiar with this feeling because she has asthma. Pt reports taking her rescue inhaler and feeling better. Then today the chest tightness began again. She used her rescue inhaler but didn't have lasting relief after taking it.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Injection site vesicles, Pyrexia
Clinical narrative: injection site swollen, large rash sprending down from injection site measuring 3 1/2 inches wide to 4 inches long swelling  with blisters, had a fever at the site..  per the doctor cold pack increase my allergy medication  and I am not  use the Moderna vaccine. this lasted a week.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Feeling abnormal, Injection site pain
Clinical narrative: Within an hour or so, became severely congested; was like sinuses filled with cement. Could only breathe through mouth, and felt short of breath as result. Later developed cough which lasted for several days. Felt as though my seasonal allergies had been turbo-charged. Some fatigue. The next night had low fever (99F; but I usually run a little over 97F).  Injection site hurt upon movement for 48 hours. Resolved, but several nights later (day 4 or 5) had tingly pain at injection site that woke me from sleep, and persisted into next day.