chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Visual impairment
Clinical narrative: Pt stopped responding and looked pale at first site. Patient was clammy, and shaking. Patient c/o nausea and feeling lethargic, visual changes- "everything is yellow".
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: vaccine was administered by RN, part of dose leaked due to faulty syringe
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Pain
Clinical narrative: severe chills, fever, body aches, headache, weakness, tiredness
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: severe chills, fever, body aches, headache, weakness, tiredness
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: Itchiness in injection site.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Small rash and itching on the arm that was injected
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Basophil count normal, Basophil percentage decreased, Blood calcium decreased, Blood chloride normal
Clinical narrative: 81 y/o otherwise healthy female on no prescription medications Received Moderna Covid 19 vaccine on 2/25/2021 at 11:30 am -- > no problems following administration of vaccine  About 15 hours later, on 2/26/2021 at around 2:30 am, pt went into the shower and suddenly felt acutely weak in lower extremities; unable to bear weight, so sat down on floor; no fall or injury; no focal neurologic sx at that time.   Patient was able to crawl out of bathtub and call family member - total time down about 3 hours.   Patient denied any associated fever, chest pain or upper body weakness.   Due to extreme lower extremity weakness, pt taken to ER -- > dx:  nontraumatic rhabdomylolysis She was treated with IVF, Tylenol and discharged home.   Since discharge, she has been steadily improving.   Three days after ER, pt is able to bear weight, ambulate but still with mild bilateral upper thigh pain and weakness (unable to get up from low seated position or squat).
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Blood creatinine normal, Blood glucose normal, Blood potassium decreased, Blood sodium normal
Clinical narrative: 81 y/o otherwise healthy female on no prescription medications Received Moderna Covid 19 vaccine on 2/25/2021 at 11:30 am -- > no problems following administration of vaccine  About 15 hours later, on 2/26/2021 at around 2:30 am, pt went into the shower and suddenly felt acutely weak in lower extremities; unable to bear weight, so sat down on floor; no fall or injury; no focal neurologic sx at that time.   Patient was able to crawl out of bathtub and call family member - total time down about 3 hours.   Patient denied any associated fever, chest pain or upper body weakness.   Due to extreme lower extremity weakness, pt taken to ER -- > dx:  nontraumatic rhabdomylolysis She was treated with IVF, Tylenol and discharged home.   Since discharge, she has been steadily improving.   Three days after ER, pt is able to bear weight, ambulate but still with mild bilateral upper thigh pain and weakness (unable to get up from low seated position or squat).
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea normal, Carbon dioxide normal, Electrocardiogram normal, Eosinophil count decreased, Eosinophil percentage decreased
Clinical narrative: 81 y/o otherwise healthy female on no prescription medications Received Moderna Covid 19 vaccine on 2/25/2021 at 11:30 am -- > no problems following administration of vaccine  About 15 hours later, on 2/26/2021 at around 2:30 am, pt went into the shower and suddenly felt acutely weak in lower extremities; unable to bear weight, so sat down on floor; no fall or injury; no focal neurologic sx at that time.   Patient was able to crawl out of bathtub and call family member - total time down about 3 hours.   Patient denied any associated fever, chest pain or upper body weakness.   Due to extreme lower extremity weakness, pt taken to ER -- > dx:  nontraumatic rhabdomylolysis She was treated with IVF, Tylenol and discharged home.   Since discharge, she has been steadily improving.   Three days after ER, pt is able to bear weight, ambulate but still with mild bilateral upper thigh pain and weakness (unable to get up from low seated position or squat).
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Haematocrit normal, Haemoglobin normal, Immature granulocyte count, Lymphocyte count decreased
Clinical narrative: 81 y/o otherwise healthy female on no prescription medications Received Moderna Covid 19 vaccine on 2/25/2021 at 11:30 am -- > no problems following administration of vaccine  About 15 hours later, on 2/26/2021 at around 2:30 am, pt went into the shower and suddenly felt acutely weak in lower extremities; unable to bear weight, so sat down on floor; no fall or injury; no focal neurologic sx at that time.   Patient was able to crawl out of bathtub and call family member - total time down about 3 hours.   Patient denied any associated fever, chest pain or upper body weakness.   Due to extreme lower extremity weakness, pt taken to ER -- > dx:  nontraumatic rhabdomylolysis She was treated with IVF, Tylenol and discharged home.   Since discharge, she has been steadily improving.   Three days after ER, pt is able to bear weight, ambulate but still with mild bilateral upper thigh pain and weakness (unable to get up from low seated position or squat).
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased, Monocyte count normal
Clinical narrative: 81 y/o otherwise healthy female on no prescription medications Received Moderna Covid 19 vaccine on 2/25/2021 at 11:30 am -- > no problems following administration of vaccine  About 15 hours later, on 2/26/2021 at around 2:30 am, pt went into the shower and suddenly felt acutely weak in lower extremities; unable to bear weight, so sat down on floor; no fall or injury; no focal neurologic sx at that time.   Patient was able to crawl out of bathtub and call family member - total time down about 3 hours.   Patient denied any associated fever, chest pain or upper body weakness.   Due to extreme lower extremity weakness, pt taken to ER -- > dx:  nontraumatic rhabdomylolysis She was treated with IVF, Tylenol and discharged home.   Since discharge, she has been steadily improving.   Three days after ER, pt is able to bear weight, ambulate but still with mild bilateral upper thigh pain and weakness (unable to get up from low seated position or squat).
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte percentage, Muscular weakness, Neutrophil count increased, Neutrophil percentage increased, Pain in extremity
Clinical narrative: 81 y/o otherwise healthy female on no prescription medications Received Moderna Covid 19 vaccine on 2/25/2021 at 11:30 am -- > no problems following administration of vaccine  About 15 hours later, on 2/26/2021 at around 2:30 am, pt went into the shower and suddenly felt acutely weak in lower extremities; unable to bear weight, so sat down on floor; no fall or injury; no focal neurologic sx at that time.   Patient was able to crawl out of bathtub and call family member - total time down about 3 hours.   Patient denied any associated fever, chest pain or upper body weakness.   Due to extreme lower extremity weakness, pt taken to ER -- > dx:  nontraumatic rhabdomylolysis She was treated with IVF, Tylenol and discharged home.   Since discharge, she has been steadily improving.   Three days after ER, pt is able to bear weight, ambulate but still with mild bilateral upper thigh pain and weakness (unable to get up from low seated position or squat).
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Red blood cell count decreased, Red blood cell sedimentation rate normal, Rhabdomyolysis, Weight bearing difficulty
Clinical narrative: 81 y/o otherwise healthy female on no prescription medications Received Moderna Covid 19 vaccine on 2/25/2021 at 11:30 am -- > no problems following administration of vaccine  About 15 hours later, on 2/26/2021 at around 2:30 am, pt went into the shower and suddenly felt acutely weak in lower extremities; unable to bear weight, so sat down on floor; no fall or injury; no focal neurologic sx at that time.   Patient was able to crawl out of bathtub and call family member - total time down about 3 hours.   Patient denied any associated fever, chest pain or upper body weakness.   Due to extreme lower extremity weakness, pt taken to ER -- > dx:  nontraumatic rhabdomylolysis She was treated with IVF, Tylenol and discharged home.   Since discharge, she has been steadily improving.   Three days after ER, pt is able to bear weight, ambulate but still with mild bilateral upper thigh pain and weakness (unable to get up from low seated position or squat).
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: 81 y/o otherwise healthy female on no prescription medications Received Moderna Covid 19 vaccine on 2/25/2021 at 11:30 am -- > no problems following administration of vaccine  About 15 hours later, on 2/26/2021 at around 2:30 am, pt went into the shower and suddenly felt acutely weak in lower extremities; unable to bear weight, so sat down on floor; no fall or injury; no focal neurologic sx at that time.   Patient was able to crawl out of bathtub and call family member - total time down about 3 hours.   Patient denied any associated fever, chest pain or upper body weakness.   Due to extreme lower extremity weakness, pt taken to ER -- > dx:  nontraumatic rhabdomylolysis She was treated with IVF, Tylenol and discharged home.   Since discharge, she has been steadily improving.   Three days after ER, pt is able to bear weight, ambulate but still with mild bilateral upper thigh pain and weakness (unable to get up from low seated position or squat).
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Confusional state, Headache, Hypoaesthesia, Limb discomfort
Clinical narrative: Blood pressure jumped to 172/110.  Immediate headache  Almost a numb or tingly feeling spread throughout my body  My chest, arms and legs felt heavy. It wasn?t hard to breathe exactly, but it just felt like it was hard to actually do it. If that makes sense   Then, the scary one. My brain and my mouth were saying two different things.  I became really pale (per medic) and I had a hard time figuring out how to say no. My mind just wouldn?t work correctly. And when I tried to speak, it was very confusing and I was told I wasn?t making sense by the medic. Then as quickly as it started, it stopped.   Periodically through out the day today, I have gotten more confused than normal about simple things.  Earlier I tried to say chicken. I said potato. I was thinking chicken but my stupid mouth said something different.   The medic compared my symptoms to a stroke. Which was terrifying
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Paraesthesia
Clinical narrative: Blood pressure jumped to 172/110.  Immediate headache  Almost a numb or tingly feeling spread throughout my body  My chest, arms and legs felt heavy. It wasn?t hard to breathe exactly, but it just felt like it was hard to actually do it. If that makes sense   Then, the scary one. My brain and my mouth were saying two different things.  I became really pale (per medic) and I had a hard time figuring out how to say no. My mind just wouldn?t work correctly. And when I tried to speak, it was very confusing and I was told I wasn?t making sense by the medic. Then as quickly as it started, it stopped.   Periodically through out the day today, I have gotten more confused than normal about simple things.  Earlier I tried to say chicken. I said potato. I was thinking chicken but my stupid mouth said something different.   The medic compared my symptoms to a stroke. Which was terrifying
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia areata
Clinical narrative: Alopecia Areata - first noticed nickel sized new onset bald spot on 2/5, later realized there was another spot in the back of head as well
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Somnolence
Clinical narrative: On 2/27/21 at 2 am started with the chills, by 6am body aches and very fatigued.  I just slept all day and by the following morning I was back to normal.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain
Clinical narrative: Woke up with body aches, head ache and slight nausea.  Symptoms lasted thru the day after the shot and into the following day.  Still a little tiredness in to the second day after the shot.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash maculo-papular
Clinical narrative: Patient presented in dermatology office on 2/24/2021 with a 24 hour history of a rapidly progressing, generalized pruritic maculopapular and confluent erythematous rash primarily over torso and proximal upper extremity. She was treated with oral fexofenadine, prednisone 5 mg bid for 6 days, cool compresses, and emollients. Follow up 3/1/2021 showed approximately 60% resolution of the rash.  Topical triamcinolone cream was added to therapy.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Product dose omission issue
Clinical narrative: Patient was admitted in observation after receiving her second dose vaccine at 11:20am, patient was standing up , and nurse went over to pt, pt complaint of chest tightness (mid sternum) at 11:34am. Patient denies pain, and sat back down, vital signs were taken, patient was alerted oriented x 4. Patient stated she did not take her 10 cardiac medications this morning in fear that her meds will interfere. Patient states pressure is lessening, states feels better, denies sternal pressure/ tightness. Patient was encouraged to take prescribed medications, asked to go to ER for EKG and cardiac enzymes. Patient states she would rather call the cardiologist and make an appointment. patient's friend was here, Vitals taken again, continued monitoring.Patient signed Against Medical Advice form. Patient felt better released with friend at 12:10pm, Patient did not want to give name of her friend. Patients states she has a cardiac workup needed for surgery.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death on 2-28-21.  Not felt by this provider to be likely related to vaccination.
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Peripheral swelling, Pruritus, Tenderness
Clinical narrative: Arm swelled was res like a sunburn, itched and was tender to,the touch
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Influenza like illness, Injection site erythema, Injection site indentation, Injection site swelling
Clinical narrative: The day after the shot: My arm was red, swollen and very hard at the injection site and hurt. I had fever all day from 98.9 to 100.8 at 11:00 pm. My body was very achy and felt like the flu. My lips developed fever blisters. Completely raw and peeling. Dry mouth and very thirsty.  Very very tired
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lip blister, Pain, Pyrexia
Clinical narrative: The day after the shot: My arm was red, swollen and very hard at the injection site and hurt. I had fever all day from 98.9 to 100.8 at 11:00 pm. My body was very achy and felt like the flu. My lips developed fever blisters. Completely raw and peeling. Dry mouth and very thirsty.  Very very tired
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Syncope
Clinical narrative: patient had swelling of arm and fainted. patient was provided a cold pack for their arm and head/neck.  symptoms resolved
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: Pt received first dose of Pfizer vaccine and was sitting in the observation area for about 5 minutes when she alerted staff that she was feeling numbness and tingling to lips that was moving up face and down to throat. Pt stated that she also had slight difficulty breathing which was relived when she took off her mask. She stated that she has allergies to papaya and cantaloupe and this reaction was similar. Pt was given 50mg Benadryl and stated that she was feeling much better about 15 minutes later. Vital signs WNL. Pt d/c home with instructions on when to seek medical care.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal hypoaesthesia, Pharyngeal paraesthesia
Clinical narrative: Pt received first dose of Pfizer vaccine and was sitting in the observation area for about 5 minutes when she alerted staff that she was feeling numbness and tingling to lips that was moving up face and down to throat. Pt stated that she also had slight difficulty breathing which was relived when she took off her mask. She stated that she has allergies to papaya and cantaloupe and this reaction was similar. Pt was given 50mg Benadryl and stated that she was feeling much better about 15 minutes later. Vital signs WNL. Pt d/c home with instructions on when to seek medical care.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Eye swelling, Pain of skin, Rash, Swelling face
Clinical narrative: RASH ON FACE AND NECK WITH BURNING AND STINGING.  SWELLING OF FACE AND EYES.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Neuralgia, Pain in extremity, Pyrexia
Clinical narrative: Patient has 2nd dose of vaccine at mass vaccination event at Arena. She developed fever to 103.7F, nausea, dizziness within a few hours. 6 days later she is still having dizziness/vertigo, nausea, vomiting and reports intermittent nerve pain up and down right arm.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Vertigo, Vomiting
Clinical narrative: Patient has 2nd dose of vaccine at mass vaccination event at Arena. She developed fever to 103.7F, nausea, dizziness within a few hours. 6 days later she is still having dizziness/vertigo, nausea, vomiting and reports intermittent nerve pain up and down right arm.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Pain
Clinical narrative: Chills,aches, headache, tiredness, loss of appetite
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Rash, Rash pruritic
Clinical narrative: Itchy, swollen rash/hives over entire body, not just "COVID arm."  Widespread on chest, legs, arm, wrists, back, face.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urticaria
Clinical narrative: Itchy, swollen rash/hives over entire body, not just "COVID arm."  Widespread on chest, legs, arm, wrists, back, face.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hypoaesthesia, Pain, Pyrexia
Clinical narrative: Chills, fever, body pain, numbness of face and hands. All started 17 hours after  injection
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Pyrexia
Clinical narrative: Weakness and fever to 101
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site haemorrhage, Pain in extremity
Clinical narrative: Injection site had a little blood at the site that I noticed the day after when I took off the bandage. After showering it was all gone and has not returned. The evening after the vaccine, I started to experience a little pain in the left arm, especially the shoulder joint area. It did not prevent me from sleeping but did wake me when I rolled onto my left side. The pain was more severe the next morning but started to decrease after lunch. At 8 pm the day after it is just a dull ache now.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Night sweats, Pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: Fever ranging from 99.0 to 103.7 for 5 days Aches and nausea  for 5 days Night sweets for 2 nights
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Flushing, Hyperhidrosis, Syncope
Clinical narrative: Dizziness, sweating, flushed followed by Syncopal episode, EMS called
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Hypoaesthesia oral, Throat irritation
Clinical narrative: Symptoms: tongue numbness, mild SOB, throat itching Treatment: Epi pen and EMS called Time: started about 30 min after injection lasted about 15-20 min after epi
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Dizziness, Headache, Hyperhidrosis
Clinical narrative: 13 min. after injection I had dizziness, feeling faint and sweating.  Clinic gave me water and cold rags.  Pharmacist let me stay until I felt I could drive.  I came home and took Tylenol for headache.  5 hrs later I felt extremely ill with joint pain , fever , dizziness.  Vomiting occured during the night along with fainting.  Next morning drank tea, no food. Slept all day until 5pm.  Slept through night.  Sun. still had extreme joint pain and headache.  Was able to eat a light meal. Today I ate normally, went to physical therapy with a reduced routine.  I still have a headache as of Mon. night. I know these seem like Normal side effects, but these were like having the worst Flu ever.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Malaise, Pyrexia, Somnolence, Syncope
Clinical narrative: 13 min. after injection I had dizziness, feeling faint and sweating.  Clinic gave me water and cold rags.  Pharmacist let me stay until I felt I could drive.  I came home and took Tylenol for headache.  5 hrs later I felt extremely ill with joint pain , fever , dizziness.  Vomiting occured during the night along with fainting.  Next morning drank tea, no food. Slept all day until 5pm.  Slept through night.  Sun. still had extreme joint pain and headache.  Was able to eat a light meal. Today I ate normally, went to physical therapy with a reduced routine.  I still have a headache as of Mon. night. I know these seem like Normal side effects, but these were like having the worst Flu ever.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 13 min. after injection I had dizziness, feeling faint and sweating.  Clinic gave me water and cold rags.  Pharmacist let me stay until I felt I could drive.  I came home and took Tylenol for headache.  5 hrs later I felt extremely ill with joint pain , fever , dizziness.  Vomiting occured during the night along with fainting.  Next morning drank tea, no food. Slept all day until 5pm.  Slept through night.  Sun. still had extreme joint pain and headache.  Was able to eat a light meal. Today I ate normally, went to physical therapy with a reduced routine.  I still have a headache as of Mon. night. I know these seem like Normal side effects, but these were like having the worst Flu ever.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Pain; swelling; redness; itching at injection site came back one week after vaccination. Rash appeared around injection site.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Ear pain, Facial pain, Feeling abnormal
Clinical narrative: ~approximately 30 min after vaccination received a funny feeling in my head not quite like a headache and pain around my nose and between my eyes which lasted about 5 minutes followed by ear popping which ceased after about 5 minutes followed by ear pain for about 15 minutes
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood chloride decreased, Blood creatine normal, Blood glucose normal, Blood sodium decreased
Clinical narrative: Reported via Nurse Triage / PCP:  Fainted earlier, eyes rolled back, mouth was drooping. Nausea, weakness, and chills. BP was 107/75, HR in the 70s. Currently alert and resting.  States that patient had his 2nd covid vaccine yesterday AM and then develop chills and clammy skin last night.  Symptoms worsened today and patient became weak and fainted.  Was unconscious for about 5 minutes and while unconscious, mouth was open and drooling and became incontinent and eyes rolled back in head.  Is awake and alert now, but still weak and only able to take 1 or 2 steps.  No chest pain or breathing difficulty and no fever.  Feeling very nauseous.  Caller requesting prescription for zofran.      Yesterday AM 2nd vaccine. Last night chills. This AM feeling weak. Today at 11am he felt weak with ambulation. He fainted. Was unconscious for 5 min. Had drooping of the face. He was unresponsive during this time. Had incontinence of urine. Then became awake but very weak still. Only able to walk a few steps. He is communicating. No chest pain. No current fever. No shortness of breath. BP 107/75 with HR 70. He has been very nauseated. He is drinking only small sips of water. Does not seem like a usually COVID-19 vaccine reaction. Given the LOC with urinary incontinence and sustained weakness, I advised ER evaluation to rule out neurological issues. Pt's daughter in agreement. They will go to ER.  From Emergency Department:  Patient presenting with chief complaint of syncopal episode which was witnessed by his wife.  He reported the got dizzy and lightheaded and then passed out while seated.  The reported duration of his loss of consciousness was somewhat inconsistent, unclear how long he passed out for, there was however no postictal state.  He was not noted have any shaking or seizure activity, he did have an episode of urinary incontinence.  He has not been feeling well ever since receiving his 2nd COVID-19 vaccine.  By the time of my exam patient states that he is completely asymptomatic, he states he is feeling much better after receiving IV fluids.  His lab work is remarkable for a slightly low sodium, compared to his previous levels which were many months ago.  Unclear of the acuity of this, although upon further discussion with the patient he has been drinking large amounts of water since his vaccine trying to stay hydrated.  I advised him to substitute to some electrolyte balanced fluids and to have his sodium rechecked by his PCP to ensure that this is transient.  With negative testing and resolution of his symptoms he is stable for discharge home.  Close return precautions were given.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Dizziness, Drooling, Eye movement disorder
Clinical narrative: Reported via Nurse Triage / PCP:  Fainted earlier, eyes rolled back, mouth was drooping. Nausea, weakness, and chills. BP was 107/75, HR in the 70s. Currently alert and resting.  States that patient had his 2nd covid vaccine yesterday AM and then develop chills and clammy skin last night.  Symptoms worsened today and patient became weak and fainted.  Was unconscious for about 5 minutes and while unconscious, mouth was open and drooling and became incontinent and eyes rolled back in head.  Is awake and alert now, but still weak and only able to take 1 or 2 steps.  No chest pain or breathing difficulty and no fever.  Feeling very nauseous.  Caller requesting prescription for zofran.      Yesterday AM 2nd vaccine. Last night chills. This AM feeling weak. Today at 11am he felt weak with ambulation. He fainted. Was unconscious for 5 min. Had drooping of the face. He was unresponsive during this time. Had incontinence of urine. Then became awake but very weak still. Only able to walk a few steps. He is communicating. No chest pain. No current fever. No shortness of breath. BP 107/75 with HR 70. He has been very nauseated. He is drinking only small sips of water. Does not seem like a usually COVID-19 vaccine reaction. Given the LOC with urinary incontinence and sustained weakness, I advised ER evaluation to rule out neurological issues. Pt's daughter in agreement. They will go to ER.  From Emergency Department:  Patient presenting with chief complaint of syncopal episode which was witnessed by his wife.  He reported the got dizzy and lightheaded and then passed out while seated.  The reported duration of his loss of consciousness was somewhat inconsistent, unclear how long he passed out for, there was however no postictal state.  He was not noted have any shaking or seizure activity, he did have an episode of urinary incontinence.  He has not been feeling well ever since receiving his 2nd COVID-19 vaccine.  By the time of my exam patient states that he is completely asymptomatic, he states he is feeling much better after receiving IV fluids.  His lab work is remarkable for a slightly low sodium, compared to his previous levels which were many months ago.  Unclear of the acuity of this, although upon further discussion with the patient he has been drinking large amounts of water since his vaccine trying to stay hydrated.  I advised him to substitute to some electrolyte balanced fluids and to have his sodium rechecked by his PCP to ensure that this is transient.  With negative testing and resolution of his symptoms he is stable for discharge home.  Close return precautions were given.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Gait disturbance, Haemoglobin decreased, Loss of consciousness, Malaise
Clinical narrative: Reported via Nurse Triage / PCP:  Fainted earlier, eyes rolled back, mouth was drooping. Nausea, weakness, and chills. BP was 107/75, HR in the 70s. Currently alert and resting.  States that patient had his 2nd covid vaccine yesterday AM and then develop chills and clammy skin last night.  Symptoms worsened today and patient became weak and fainted.  Was unconscious for about 5 minutes and while unconscious, mouth was open and drooling and became incontinent and eyes rolled back in head.  Is awake and alert now, but still weak and only able to take 1 or 2 steps.  No chest pain or breathing difficulty and no fever.  Feeling very nauseous.  Caller requesting prescription for zofran.      Yesterday AM 2nd vaccine. Last night chills. This AM feeling weak. Today at 11am he felt weak with ambulation. He fainted. Was unconscious for 5 min. Had drooping of the face. He was unresponsive during this time. Had incontinence of urine. Then became awake but very weak still. Only able to walk a few steps. He is communicating. No chest pain. No current fever. No shortness of breath. BP 107/75 with HR 70. He has been very nauseated. He is drinking only small sips of water. Does not seem like a usually COVID-19 vaccine reaction. Given the LOC with urinary incontinence and sustained weakness, I advised ER evaluation to rule out neurological issues. Pt's daughter in agreement. They will go to ER.  From Emergency Department:  Patient presenting with chief complaint of syncopal episode which was witnessed by his wife.  He reported the got dizzy and lightheaded and then passed out while seated.  The reported duration of his loss of consciousness was somewhat inconsistent, unclear how long he passed out for, there was however no postictal state.  He was not noted have any shaking or seizure activity, he did have an episode of urinary incontinence.  He has not been feeling well ever since receiving his 2nd COVID-19 vaccine.  By the time of my exam patient states that he is completely asymptomatic, he states he is feeling much better after receiving IV fluids.  His lab work is remarkable for a slightly low sodium, compared to his previous levels which were many months ago.  Unclear of the acuity of this, although upon further discussion with the patient he has been drinking large amounts of water since his vaccine trying to stay hydrated.  I advised him to substitute to some electrolyte balanced fluids and to have his sodium rechecked by his PCP to ensure that this is transient.  With negative testing and resolution of his symptoms he is stable for discharge home.  Close return precautions were given.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Syncope, Unresponsive to stimuli, Urinary incontinence
Clinical narrative: Reported via Nurse Triage / PCP:  Fainted earlier, eyes rolled back, mouth was drooping. Nausea, weakness, and chills. BP was 107/75, HR in the 70s. Currently alert and resting.  States that patient had his 2nd covid vaccine yesterday AM and then develop chills and clammy skin last night.  Symptoms worsened today and patient became weak and fainted.  Was unconscious for about 5 minutes and while unconscious, mouth was open and drooling and became incontinent and eyes rolled back in head.  Is awake and alert now, but still weak and only able to take 1 or 2 steps.  No chest pain or breathing difficulty and no fever.  Feeling very nauseous.  Caller requesting prescription for zofran.      Yesterday AM 2nd vaccine. Last night chills. This AM feeling weak. Today at 11am he felt weak with ambulation. He fainted. Was unconscious for 5 min. Had drooping of the face. He was unresponsive during this time. Had incontinence of urine. Then became awake but very weak still. Only able to walk a few steps. He is communicating. No chest pain. No current fever. No shortness of breath. BP 107/75 with HR 70. He has been very nauseated. He is drinking only small sips of water. Does not seem like a usually COVID-19 vaccine reaction. Given the LOC with urinary incontinence and sustained weakness, I advised ER evaluation to rule out neurological issues. Pt's daughter in agreement. They will go to ER.  From Emergency Department:  Patient presenting with chief complaint of syncopal episode which was witnessed by his wife.  He reported the got dizzy and lightheaded and then passed out while seated.  The reported duration of his loss of consciousness was somewhat inconsistent, unclear how long he passed out for, there was however no postictal state.  He was not noted have any shaking or seizure activity, he did have an episode of urinary incontinence.  He has not been feeling well ever since receiving his 2nd COVID-19 vaccine.  By the time of my exam patient states that he is completely asymptomatic, he states he is feeling much better after receiving IV fluids.  His lab work is remarkable for a slightly low sodium, compared to his previous levels which were many months ago.  Unclear of the acuity of this, although upon further discussion with the patient he has been drinking large amounts of water since his vaccine trying to stay hydrated.  I advised him to substitute to some electrolyte balanced fluids and to have his sodium rechecked by his PCP to ensure that this is transient.  With negative testing and resolution of his symptoms he is stable for discharge home.  Close return precautions were given.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Dizziness, Fall, Feeling abnormal
Clinical narrative: Moderna COVID-19 Vaccine 15 hours after I received the vaccination (3 AM of the morning of February 24) I went to the bathroom to take two Tylenol for a headache. I then used the toilet and started walking back to bed (less than 20 feet away). About halfway there, I I realized something was wrong. The next thing I knew I was lying on the ground right next to my bed. On the way down I think I heard crashing into wood furniture. I don?t know how long I was blacked out; it might have been 10 minutes. I managed to get up onto the bed and felt something wet on my pillow case. It was blood coming from a deep laceration on my chin. My doctor told me to go to urgent care. They sent me to the emergency room. I was kept overnight for observation and give three stitches in my chin. I have felt woozy ever since, but all the tests administered in the hospital showed no damage.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of consciousness, Skin laceration, Ultrasound scan
Clinical narrative: Moderna COVID-19 Vaccine 15 hours after I received the vaccination (3 AM of the morning of February 24) I went to the bathroom to take two Tylenol for a headache. I then used the toilet and started walking back to bed (less than 20 feet away). About halfway there, I I realized something was wrong. The next thing I knew I was lying on the ground right next to my bed. On the way down I think I heard crashing into wood furniture. I don?t know how long I was blacked out; it might have been 10 minutes. I managed to get up onto the bed and felt something wet on my pillow case. It was blood coming from a deep laceration on my chin. My doctor told me to go to urgent care. They sent me to the emergency room. I was kept overnight for observation and give three stitches in my chin. I have felt woozy ever since, but all the tests administered in the hospital showed no damage.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood pressure increased, Catheterisation cardiac normal, Chest discomfort, Echocardiogram normal
Clinical narrative: 2/21/21 had  slight chest pressure radiating to shoulder blades. Rested for half hour. Didn?t go away. Went to Hospital. Normal ekg. Normal bp. E.R. Determined elevated Troponin level of  .10, admitted inpatient for observation, Troponin level went up to 6.3 within hours and 10.9 a day later.  Was given heparin iv drip. Cardiac cath  w dye done. No blockages found.  Several more normal ekg?s done. Normal echocardiogram.  Level of heart damage unknown because cardiac mri was not available for use (fully booked). Discharged home.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Pain, Troponin increased
Clinical narrative: 2/21/21 had  slight chest pressure radiating to shoulder blades. Rested for half hour. Didn?t go away. Went to Hospital. Normal ekg. Normal bp. E.R. Determined elevated Troponin level of  .10, admitted inpatient for observation, Troponin level went up to 6.3 within hours and 10.9 a day later.  Was given heparin iv drip. Cardiac cath  w dye done. No blockages found.  Several more normal ekg?s done. Normal echocardiogram.  Level of heart damage unknown because cardiac mri was not available for use (fully booked). Discharged home.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Headache, Injection site induration
Clinical narrative: Headache started night of vaccine, continue for next two days. Had chill that night only. Nauseous x1.  Stuffy nose x 2 days. Feeling cold and fatigue for 3 days. Injection site was firm and slight raised.  Rash started next day, it was red and spread medically, still continue on day 5.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Nasal congestion, Nausea, Rash erythematous
Clinical narrative: Headache started night of vaccine, continue for next two days. Had chill that night only. Nauseous x1.  Stuffy nose x 2 days. Feeling cold and fatigue for 3 days. Injection site was firm and slight raised.  Rash started next day, it was red and spread medically, still continue on day 5.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Arthritis, Condition aggravated, Magnetic resonance imaging joint, Osteoarthritis
Clinical narrative: A few weeks after the vaccine, in late February I noticed trouble with my right hip and was no longer able to sit in a chair.  Previously my arthritis was very intermittent and since the onset of the difficulty sitting, my hip was in continual pain and I was unable to sit in a normal chair or automobile seat.  The arthritis now appears to be monoarthritis of the right hip, although my doctors insist it is osteoarthritis.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Sitting disability, X-ray of pelvis and hip
Clinical narrative: A few weeks after the vaccine, in late February I noticed trouble with my right hip and was no longer able to sit in a chair.  Previously my arthritis was very intermittent and since the onset of the difficulty sitting, my hip was in continual pain and I was unable to sit in a normal chair or automobile seat.  The arthritis now appears to be monoarthritis of the right hip, although my doctors insist it is osteoarthritis.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Chills, Culture, Dizziness
Clinical narrative: 2/27/21 First few minutes:  Throat tightness Nausea Dizziness  15+ minutes/day of:  Hives on arms Itching Flushing face Facial swelling Low blood pressure 96/46) Headache Chills  Next day 2/28/21:  Bilateral Kidney pain  Muscle aches/joint pain Facial swelling low-grade fever  (99-100) Chills  2 Days 3/1/21: Worsened kidney pain Chills Nausea Swelling around eyes Facial flushing Abdominal Pain Headache
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Headache, Hypotension, Myalgia, Nausea
Clinical narrative: 2/27/21 First few minutes:  Throat tightness Nausea Dizziness  15+ minutes/day of:  Hives on arms Itching Flushing face Facial swelling Low blood pressure 96/46) Headache Chills  Next day 2/28/21:  Bilateral Kidney pain  Muscle aches/joint pain Facial swelling low-grade fever  (99-100) Chills  2 Days 3/1/21: Worsened kidney pain Chills Nausea Swelling around eyes Facial flushing Abdominal Pain Headache
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Renal pain, Swelling face, Urticaria
Clinical narrative: 2/27/21 First few minutes:  Throat tightness Nausea Dizziness  15+ minutes/day of:  Hives on arms Itching Flushing face Facial swelling Low blood pressure 96/46) Headache Chills  Next day 2/28/21:  Bilateral Kidney pain  Muscle aches/joint pain Facial swelling low-grade fever  (99-100) Chills  2 Days 3/1/21: Worsened kidney pain Chills Nausea Swelling around eyes Facial flushing Abdominal Pain Headache
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Malaise, Mental impairment, Pain in extremity, Vomiting
Clinical narrative: Two: 1.  Extreme extreme pain in r arm from injection.   Pt could not function.   Had to cancel work for rest of week.  2.  Became sick from vaccine.  Vomited a series of six times after a few sips of tea.   Later a few other sips of tea and vomited 9 times.  Could not retain fluids.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site induration, Injection site mass, Injection site pain
Clinical narrative: Symptoms: an hour after the initial second dose injection I began to have a severe migraine. Later in the evening, I had chills, aches, same severe migraine, and my arm began to ache. Noticed a red lump the size of a silver dollar around 7:30 in the evening, it was hard, warm to the touch, and swollen at the injection site. I slept on an ice pack to see if it would bring the swelling down. The next morning (March 1st) it was still hard, warm to the touch, swollen, and very tender. I noticed it had also grown in size. It is now the size of a fist. I took measurements it was 1 1/2 inches across and 2 inches in height.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Migraine, Pain, Pain in extremity
Clinical narrative: Symptoms: an hour after the initial second dose injection I began to have a severe migraine. Later in the evening, I had chills, aches, same severe migraine, and my arm began to ache. Noticed a red lump the size of a silver dollar around 7:30 in the evening, it was hard, warm to the touch, and swollen at the injection site. I slept on an ice pack to see if it would bring the swelling down. The next morning (March 1st) it was still hard, warm to the touch, swollen, and very tender. I noticed it had also grown in size. It is now the size of a fist. I took measurements it was 1 1/2 inches across and 2 inches in height.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Induration, Pruritus, Swelling
Clinical narrative: Red itchy arm..slightly raised and firm
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sluggishness, Somnolence, Thirst
Clinical narrative: Sore arm. Feeling drowsy and sluggish. Sleepy. Not interested in eating large meals. Desire lots of liquids and small bites of food.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: headache, fever (99-101), aches, chills for 48 hours, treated with Tylenol, headache remains 72 hours after-- still treating with ibuprofen
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Per RN documentation below:  Patient states "I don't do good with needles"/ C/o dizziness, nausea, placed head down leaning forward. Helped patient down to lie flat, patient diaphoretic, VS 96/69, HR 59, 98% on room air. RR is 15.  Patient sat up, BP 86/62 Patient had cup of water.  Up in gurney HOB , BP 91/67.  Patient able to eat cookies/drinking water.  Denies dizziness while walking outside, picked up by mother.  Total  monitor time 40 min in recovery.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Erythema, Feeling abnormal, Incontinence, Seizure
Clinical narrative: Next day  unstable 1/26-1/27-1/28 Seizures  1/26- 1/27 -1/28 Behaviors 1/26-1/27-1/28 Total  incontinence 1/26-1/27-1/28 Eye swelling 1/28-1/29 Red bicep 2/8 - 2/12
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Next day  unstable 1/26-1/27-1/28 Seizures  1/26- 1/27 -1/28 Behaviors 1/26-1/27-1/28 Total  incontinence 1/26-1/27-1/28 Eye swelling 1/28-1/29 Red bicep 2/8 - 2/12
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Eye pruritus, Pain of skin, Rash erythematous, Swelling
Clinical narrative: Large red area, sensitive to touch, extremely sensitive and  itchy and swollen.  At day 10 after vaccine ,large red area turned into a red rash.  Swelling went down at day 17, after vaccine.  Applied ice to area  to help relieve swelling an itching.  At day 19 symptoms subsided.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Myalgia
Clinical narrative: Felt fine for 2  1/2 or 3 days.  Then2-3 days...extreme fatigue...total loss of appetite......some fairly severe muscle aches.....no fever (possibly less than 1degree one night)....
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash papular
Clinical narrative: Rash noted on Left arm about 4 days after vaccine. Raised rash has now spread to chest. Temperature currently 37.5. Contacted PCP today via telehealth.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pain in extremity, Swelling
Clinical narrative: Baseball size red circle , raised and very painful
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Gait disturbance
Clinical narrative: difficulty walking, falling multiple times, swollen hands, upper extremity weakness, back pain
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Balance disorder, Body temperature increased, Dizziness, Dizziness postural
Clinical narrative: Following my second dose of Moderna Covid 19 vaccine on 2/13/21 I experienced a significant reaction to the second dose: My temperature rose to 102 with headache and arthralgia throughout body that prevented sleep. I was in bed for more than 24 hours due to lightheaded/dizzy/nausea when standing. I fell once when getting back into bed due to loss of balance. Severe symptoms started 15 hours after receiving the dose and lasted approximately 36 hours post dose when my temperature then returned to normal. The next 1-2 days, while I no longer had a fever and symptoms were improved. I was still fatigued and did not feel fully recovered. Treatment during the severe symptoms included rest, icepack to head, Tylenol or Ibuprofen slightly decreased temperature for a brief periods. I informed my physician's office Dr, of the above reaction and was told to file a VAERS report.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fatigue, Headache, Insomnia, Nausea
Clinical narrative: Following my second dose of Moderna Covid 19 vaccine on 2/13/21 I experienced a significant reaction to the second dose: My temperature rose to 102 with headache and arthralgia throughout body that prevented sleep. I was in bed for more than 24 hours due to lightheaded/dizzy/nausea when standing. I fell once when getting back into bed due to loss of balance. Severe symptoms started 15 hours after receiving the dose and lasted approximately 36 hours post dose when my temperature then returned to normal. The next 1-2 days, while I no longer had a fever and symptoms were improved. I was still fatigued and did not feel fully recovered. Treatment during the severe symptoms included rest, icepack to head, Tylenol or Ibuprofen slightly decreased temperature for a brief periods. I informed my physician's office Dr, of the above reaction and was told to file a VAERS report.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Flushing, Myalgia
Clinical narrative: Flushing at 1130, fatigue during first day, extreme joint and muscle pain second day