chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Cough, Dyspnoea, Pharyngeal swelling, Sneezing
Clinical narrative: Patient left clinic after receiving COVID vaccine and waiting 15 min. but started to sneeze and become short of breath in her so she came back to the clinic. This RN had her sit down and evaluated vital signs. Employee called 911 for the ambulance. It was obvious with her breathing and stridor that she needed epinephrine; her epi pen was in her purse so this RN administered that one in left thigh at          4:59pm since . B/P 144/100 at that time. Within 5 minutes her breathing improved and sneezing stopped. B/P 134/84, Clear breath sounds, and resp rate WNL. AMR arrived and evaluated client. O2 saturation 98% on RA. Replaced her epi pen with one from our clinic. She was taken to the hospital for evaluation.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Tongue discomfort
Clinical narrative: patient said  tongue felt odd and she started to feel funny and left quickly said she was going to er
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site swelling, Injection site warmth
Clinical narrative: Erythema, swelling and warmth at injection site. No apparent lymphadenopathy or lymphangitis was noted.  Possibly early cellulitis. Treated with Keflex 500 mg TID for 10 days.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Myalgia, Pyrexia, Sleep disorder
Clinical narrative: Injection site pain, arm tenderness, fever, muscle and joint aches, headache. Began quickly at onset, about 12 hours after vaccination. Was bothersome enough to prevent sleep. Began to diminish about 12 hours after onset, or about 24 hours after vaccination.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Dizziness
Clinical narrative: Pt experienced faintness and dizziness within 15 minute observation time after vaccination. Pt denied c/o difficulty breathing, swelling of tongue or throat, or other symptoms. No localized swelling or redness.  Pulse was 92 and blood pressure initially was 152/98. Pt seated and elevated feet. Provided with 2 bottles of water and monitored for 45 minutes. Dizziness resolved after 15 minutes. Blood pressure lowered to 138/98. Patient called girlfriend for ride home. Pt was complaining of back and chest pain during the event, which patient claimed was normal for him since surgery.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Pain in extremity
Clinical narrative: Severe left arm pain, ice pack applied. Five minutes later dizziness occured, BP 79/50. BP raised to 116/79 over next three minutes with giving juice.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Pain in extremity, Sleep disorder
Clinical narrative: I could actually feel the vaccine entering my blood stream above and below injection area.  I had sharp pain on right upper side of my chest that came and went for several hours along with dizziness.  Arm hurt so bad later that night from my elbow to my neck it woke me up and I took aspirin until pain died down some.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Peripheral swelling, Rash erythematous, Swelling face
Clinical narrative: Felt swelling in arm, third fourth and fifth finger on right arm became numb, tiny pinpoint red bumps appeared on arms and legs.  Right eyebrow and extending down to the right cheekbone feels "puffy"
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Feeling drunk
Clinical narrative: I felt light headedness right away. The night that I got the injection, I felt kind of drunk. I felt like I had too much alcohol. I am very sensitive to things. I felt silly - loose - tired.  In the night, I had aches and chills - no fever. The next day I felt achy and really really tired. I had a pain at the injection site. That evolved into a left side migraine (the achiness and fatigue and pain from shot) It created tension up my arm and up my neck - and I did get nausea with the headache - on Saturday. Sunday, I felt a little bit better but energy was still low - unusual tiredness; couldn't exercise as I felt a heavy fatigue. On Sunday, I went to a dance class but it was difficult as I was tired. On Monday, I felt a tiny bit better but still fatigued and did another dance class which went a little better. On Monday evening, I felt like I did the night of the injection - a little loopy and "drunk like." Monday night, I woke up with a Fiery, achy, itchy, burning rash on both of my arms and the tops of my legs. If I would itch it, it would exaggerate it. When I woke up the next day - the rash went everywhere in my body - it would come and go in different places - neck, face, down and up my legs and feet and on my butt. Pretty much every spot had the rash at one time or another. It was really bad on Tuesday morning, I called the doctor. Was treated with Benadryl and cortisone cream which helped with the symptoms. Tuesday night, it was excruciating - it was all up and down my legs, arms, neck and face and stomach and rear end and feet. It was very achy, burning and itchy - very intense. It would hurt if I scratched it. Accompanied with really intense fatigue. Wednesday, after taking Benadryl, I woke up and it was a tiny bit better. It was still on my legs, neck and face. Sometimes my arms would flare up and sometimes they wouldn't. Any kind of exertion - like my dance class - would trigger the rash - so I took a break from exercising that week.  It started getting incrementally better - very slowly. Still there on Thursday - still fatigued and I was still taking Benadryl. Friday, also. Saturday, it was pretty much gone but it would threaten to come back and I felt itchiness in my legs when I went for a walk. It still feels a little lingering - my legs are itchy. I'm still building back my energy. Incrementally my energy is increasing. Still not 100% there but it's getting better day by day.  Note: My history with my skin: I do get flare ups when I get bug bites and when I get poison ivy - I have very sensitive skin.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Migraine, Nausea, Pain
Clinical narrative: I felt light headedness right away. The night that I got the injection, I felt kind of drunk. I felt like I had too much alcohol. I am very sensitive to things. I felt silly - loose - tired.  In the night, I had aches and chills - no fever. The next day I felt achy and really really tired. I had a pain at the injection site. That evolved into a left side migraine (the achiness and fatigue and pain from shot) It created tension up my arm and up my neck - and I did get nausea with the headache - on Saturday. Sunday, I felt a little bit better but energy was still low - unusual tiredness; couldn't exercise as I felt a heavy fatigue. On Sunday, I went to a dance class but it was difficult as I was tired. On Monday, I felt a tiny bit better but still fatigued and did another dance class which went a little better. On Monday evening, I felt like I did the night of the injection - a little loopy and "drunk like." Monday night, I woke up with a Fiery, achy, itchy, burning rash on both of my arms and the tops of my legs. If I would itch it, it would exaggerate it. When I woke up the next day - the rash went everywhere in my body - it would come and go in different places - neck, face, down and up my legs and feet and on my butt. Pretty much every spot had the rash at one time or another. It was really bad on Tuesday morning, I called the doctor. Was treated with Benadryl and cortisone cream which helped with the symptoms. Tuesday night, it was excruciating - it was all up and down my legs, arms, neck and face and stomach and rear end and feet. It was very achy, burning and itchy - very intense. It would hurt if I scratched it. Accompanied with really intense fatigue. Wednesday, after taking Benadryl, I woke up and it was a tiny bit better. It was still on my legs, neck and face. Sometimes my arms would flare up and sometimes they wouldn't. Any kind of exertion - like my dance class - would trigger the rash - so I took a break from exercising that week.  It started getting incrementally better - very slowly. Still there on Thursday - still fatigued and I was still taking Benadryl. Friday, also. Saturday, it was pretty much gone but it would threaten to come back and I felt itchiness in my legs when I went for a walk. It still feels a little lingering - my legs are itchy. I'm still building back my energy. Incrementally my energy is increasing. Still not 100% there but it's getting better day by day.  Note: My history with my skin: I do get flare ups when I get bug bites and when I get poison ivy - I have very sensitive skin.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Tension
Clinical narrative: I felt light headedness right away. The night that I got the injection, I felt kind of drunk. I felt like I had too much alcohol. I am very sensitive to things. I felt silly - loose - tired.  In the night, I had aches and chills - no fever. The next day I felt achy and really really tired. I had a pain at the injection site. That evolved into a left side migraine (the achiness and fatigue and pain from shot) It created tension up my arm and up my neck - and I did get nausea with the headache - on Saturday. Sunday, I felt a little bit better but energy was still low - unusual tiredness; couldn't exercise as I felt a heavy fatigue. On Sunday, I went to a dance class but it was difficult as I was tired. On Monday, I felt a tiny bit better but still fatigued and did another dance class which went a little better. On Monday evening, I felt like I did the night of the injection - a little loopy and "drunk like." Monday night, I woke up with a Fiery, achy, itchy, burning rash on both of my arms and the tops of my legs. If I would itch it, it would exaggerate it. When I woke up the next day - the rash went everywhere in my body - it would come and go in different places - neck, face, down and up my legs and feet and on my butt. Pretty much every spot had the rash at one time or another. It was really bad on Tuesday morning, I called the doctor. Was treated with Benadryl and cortisone cream which helped with the symptoms. Tuesday night, it was excruciating - it was all up and down my legs, arms, neck and face and stomach and rear end and feet. It was very achy, burning and itchy - very intense. It would hurt if I scratched it. Accompanied with really intense fatigue. Wednesday, after taking Benadryl, I woke up and it was a tiny bit better. It was still on my legs, neck and face. Sometimes my arms would flare up and sometimes they wouldn't. Any kind of exertion - like my dance class - would trigger the rash - so I took a break from exercising that week.  It started getting incrementally better - very slowly. Still there on Thursday - still fatigued and I was still taking Benadryl. Friday, also. Saturday, it was pretty much gone but it would threaten to come back and I felt itchiness in my legs when I went for a walk. It still feels a little lingering - my legs are itchy. I'm still building back my energy. Incrementally my energy is increasing. Still not 100% there but it's getting better day by day.  Note: My history with my skin: I do get flare ups when I get bug bites and when I get poison ivy - I have very sensitive skin.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Patient developed chest pains shortly after vaccination.  Aspirin was given and patient was transported to ER via EMS.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 17 year old female received the Moderna Vaccine. Patient turns 18 on 4/21/21.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: Terrible taste in my mouth with certain foods. Toothpaste, meat, veggie chips, coffee and other things all taste like an ashtray smells.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Loss of personal independence in daily activities, Mobility decreased, Pain in extremity, Sleep disorder
Clinical narrative: My left arm is in excruciating pain I cannot use nor could I sleep first night. Arm is almost dead in some ways. I cannot life past my mouth as cannot even extend very well.  Severe pain, aching also pain down shoulder into right hand. I have tried icing, heat, applied Cold spray. It is slightly painful 2 days later but still lots of pain. I cannot use arm to do chores. Even brushing teeth was hard. Arm was fine till 10 hours later then became worse and worse. Plus have little strength in arm. I cannot use arm to dry myself after shower.  Arm continues to be painful, aspirin does nothing to alleviate pain.  I regret getting vaccine and have doubts to complete series as I heard second shot worse.  I have not sought treatment yet but may go see my PCP this week.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Hypertension
Clinical narrative: Rapid pulse, sudden sever headache, high blood pressure.  Sent to the ER.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: 03/07/2021 at 9:38 am Patient complained of having nausea and felt light headed and dizzy. Got patient water and snacks bar and had her to lay down fer close observation. V/S BP 109/80 (lying down)  and HR 68. After patient sat fer additional for 20 minutes at 10:00 am patient felt good enough to depart.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain in extremity, Pyrexia
Clinical narrative: 2 hours after the injection:  Sore Arm 9 hours after the injection:  Chills and fever 24 hours after the injection:  Same as before and extremely painful headache started 36 hours after the injection: Took Tylenol 40 hours after the injection: The fever broke and I started to feel better 72 hours after the injection: Felt better and went to work, arm was still sore for another day.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram ST segment elevation, Hypokinesia
Clinical narrative: Chest Pressure developed 2 days post-vaccine. Admitted for elevated troponins, myopericarditis. Improved on NSAIDs, colchicine.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Troponin increased
Clinical narrative: Chest Pressure developed 2 days post-vaccine. Admitted for elevated troponins, myopericarditis. Improved on NSAIDs, colchicine.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: redness, warmth at injection site
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Vomited 20 minutes after vaccine
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Contusion, Mobility decreased, Pain in extremity
Clinical narrative: PER PT, they have a bruised muscle due to the covid19 vaccine. they've visited the dr numerous times and the md has confirmed that it is bruised. ever since the shot, pt cannot lift or move arm like before and is in pain.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site inflammation, Injection site movement impairment, Injection site pain, Muscle spasms, Paraesthesia
Clinical narrative: PER PT, they have a bruised muscle due to the covid19 vaccine. they've visited the dr numerous times and the md has confirmed that it is bruised. ever since the shot, pt cannot lift or move arm like before and is in pain.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swollen tongue
Clinical narrative: Pt complains of itching/tongue swelling. MD on site assessed pt, advised pt to take 50mg Benadryl. Pt monitored for additional 30 minutes, swelling improved, vitals stable, lung sounds clear. MD released pt to home
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety
Clinical narrative: Client verbalized feeling anxious after receiving the vaccine.  Client was evaluated by onsite Paramedics.  Client was evaluated for additional 15 mins.  Per Paramedics, client symptoms resolved and released to go home at 9:02 am.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dehydration, Diarrhoea, Exposure during pregnancy, Gastrointestinal examination
Clinical narrative: I was 34 weeks at the time of vaccination. Initially, I only had pain at the injection site. I woke up the next day with diarrhea that lasted about 6 days. I had no other symptoms besides dehydration and back pain. On Day 3, I was instructed to take Imodium, which I took for about 2 days, but it didn't help. Around Day 5, I was given fluids, my urine was tested and multiple GI tests were run. I was placed on antibiotics for a UTI. PVCs were also discovered at visit, but it's not connected to the vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Urinary tract infection, Urine analysis
Clinical narrative: I was 34 weeks at the time of vaccination. Initially, I only had pain at the injection site. I woke up the next day with diarrhea that lasted about 6 days. I had no other symptoms besides dehydration and back pain. On Day 3, I was instructed to take Imodium, which I took for about 2 days, but it didn't help. Around Day 5, I was given fluids, my urine was tested and multiple GI tests were run. I was placed on antibiotics for a UTI. PVCs were also discovered at visit, but it's not connected to the vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Paraesthesia, Pharyngeal paraesthesia
Clinical narrative: Shortly after vaccination patient reported feeling hot and dizzy with tingling in throat and legs.  IV was started and patient was given Solumedrol and Benedryl before being taken to ER by EMS.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Recipient was given Janssen Covid 19 Vaccine.  Nurse was not aware that recipient had already received first dose of Moderna vaccine on 2/25/21 as client was not able to relay this information.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Itching, rash and redness at injection site 1 week after injection received.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: ER VISIT X 2  diagnosed with Shingles
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Swelling face
Clinical narrative: Facial swelling and redness around left ear.  Sent to urgent care facility per supervisor. Supervisor stated symptoms improved.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: noticed  rash on entire body  3/22/2021 around 6pm , non pruritic, called pharmacist he recommend taking Benadryl 50mg every 6 hours as needed , rash has improved some , not completely gone away
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Mobility decreased, Myalgia
Clinical narrative: Very bad muscle and joint pain in my hips, groins, and knees. My shoulders were much sorer than normal as well as I have had soreness in both shoulders which has been ongoing. My symptoms continue. My walking, sitting, and standing up, all are affected.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea, Feeling abnormal, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: I have not had a period for over 6 months, I overlap my birth control to not have a period.  Since the vaccine I have started bleeding and the bleeding has gotten worse each day.  Along with the period I am now getting cramps that I have never had in the past. Also feel very foggy in the head.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Heavy menstrual bleeding, Lymphadenopathy, Menstrual disorder
Clinical narrative: I have not had a period for over 6 months, I overlap my birth control to not have a period.  Since the vaccine I have started bleeding and the bleeding has gotten worse each day.  Along with the period I am now getting cramps that I have never had in the past. Also feel very foggy in the head.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Thrombosis
Clinical narrative: Well he got the shot at 9 in the morning and by 4 in the a.m he had a stoke and it took him 5 hrs to get to his phone for help and called my mother
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Herpes zoster, Neuralgia, Polymerase chain reaction positive
Clinical narrative: I noticed nerve pain(left side back to front), pain on my back right below scapula. On 3/17 I was diagnosed with Shingles prescribed Antiviral, Lidocaine patches and Ibuprofen.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Death
Clinical narrative: Patient suffered AMI within 24 hours after dose was administered.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Hyperhidrosis, Migraine
Clinical narrative: Wednesday night I felt tired and cold. Woke up Thursday morning and couldn't lift up my head. Migraine was in all of top teeth, ears, behind eyes, all over head. Pain was so extreme I fainted in bed. Came to and pain was a bit better but quickly came back full force. Woke up at 1am Friday morning drenched from sweat through to the mattress but migraine was better. Ran fever up to 102 and down and up all day Friday. Saturday fever was only 100 but came back after each sweat. Sunday I had almost no fever and just a regular head ache. Monday exhausted but okay.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pyrexia, Syncope
Clinical narrative: Wednesday night I felt tired and cold. Woke up Thursday morning and couldn't lift up my head. Migraine was in all of top teeth, ears, behind eyes, all over head. Pain was so extreme I fainted in bed. Came to and pain was a bit better but quickly came back full force. Woke up at 1am Friday morning drenched from sweat through to the mattress but migraine was better. Ran fever up to 102 and down and up all day Friday. Saturday fever was only 100 but came back after each sweat. Sunday I had almost no fever and just a regular head ache. Monday exhausted but okay.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: A week after vaccine started dizziness, lightheadedness, vertigo. This is day 3 of symptoms
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Nausea, Vomiting
Clinical narrative: Nausea and vomiting continuously for three hours that afternoon of receiving the vaccine. Felt bad the next day but nothing horrible. A week later experienced what they call Covid arm. So far that has lasted about four days but it is better.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: Low grade fever, cold chills, sever headache and body ache.  Flu like symptoms.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Paraesthesia
Clinical narrative: Peripheral neuropathy and/or paresthesia in hands, feet and (occasionally) face.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Dizziness, Nervousness, Throat tightness, Tremor
Clinical narrative: Patient received COVID19 vaccine @ 1411. Pt was waiting in biosafety area when she began complaining of discomfort. Pt. felt "nervous, dizzy, and shaky".  Pt. could neither confirm nor deny difficulty breathing, but expressed a tightness in the throat. Epinephrine IM was administered at 1433. 911 was called. Pt remained responsive. BP 186/98, 99% on RA, RR increased, EMS assumed care of pt who remained conversational and was transported w/ family (sister) present.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Syncope
Clinical narrative: Patient fainted shortly after vaccination (within 15 minutes) and had low BP.  Patient refused transport to ER and was released to home.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood creatinine increased, Blood culture positive, Blood glucose increased, Chills
Clinical narrative: admitted to the ICU with acute respiratory failure.  h/o DM and HL, prior h/o smoking and EtOH and opium abuse (none x 28 yrs, per family). Received second dose of the Pfizer COVID vaccine in AM of 3/16, having had severe adverse reactions (fever up to 104, n/v) to the first dose three weeks earlier. Experienced recurrent fevers (up to 103) beginning by the evening of 3/16, for which he took acetaminophen.   Awoke at 3 AM w/ recurrent fevers, for which he took ibuprofen. Felt better in AM, had breakfast, and retired back to bed. Awoke shortly after noon w/ severe n/v and AMS. Was brought to the ED by the EMS. Febrile (T 39.6) w/ rigors, tachycardic, tachypneic, and poorly responsive on arrival. Continued to experience episodes of emesis, and was felt to have possibly had a seizure episode ("looked to the side and was shaking"; no clear tonic-clonic movements noted). Was thus intubated for airway protection. Initial laboratory w/u revealed presence of mild leukocytosis (WBC 12.6, 47p49L0Eo), lactic acidosis (LA 5.2), hyperglycemia (glu 297), elevated lipase level (161) renal insufficiency (Cr 1.23). extubated on 3/19.  received antibiotics for positive blood culture (streptococcus parasanguinis).   diagnosis: ADVERSE EFFECT OF CORONAVIRUS COVID-19 VACCINE
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Endotracheal intubation, Hyperglycaemia, Intensive care, Lactic acidosis
Clinical narrative: admitted to the ICU with acute respiratory failure.  h/o DM and HL, prior h/o smoking and EtOH and opium abuse (none x 28 yrs, per family). Received second dose of the Pfizer COVID vaccine in AM of 3/16, having had severe adverse reactions (fever up to 104, n/v) to the first dose three weeks earlier. Experienced recurrent fevers (up to 103) beginning by the evening of 3/16, for which he took acetaminophen.   Awoke at 3 AM w/ recurrent fevers, for which he took ibuprofen. Felt better in AM, had breakfast, and retired back to bed. Awoke shortly after noon w/ severe n/v and AMS. Was brought to the ED by the EMS. Febrile (T 39.6) w/ rigors, tachycardic, tachypneic, and poorly responsive on arrival. Continued to experience episodes of emesis, and was felt to have possibly had a seizure episode ("looked to the side and was shaking"; no clear tonic-clonic movements noted). Was thus intubated for airway protection. Initial laboratory w/u revealed presence of mild leukocytosis (WBC 12.6, 47p49L0Eo), lactic acidosis (LA 5.2), hyperglycemia (glu 297), elevated lipase level (161) renal insufficiency (Cr 1.23). extubated on 3/19.  received antibiotics for positive blood culture (streptococcus parasanguinis).   diagnosis: ADVERSE EFFECT OF CORONAVIRUS COVID-19 VACCINE
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Leukocytosis, Lipase increased, Nausea, Pyrexia, Renal failure
Clinical narrative: admitted to the ICU with acute respiratory failure.  h/o DM and HL, prior h/o smoking and EtOH and opium abuse (none x 28 yrs, per family). Received second dose of the Pfizer COVID vaccine in AM of 3/16, having had severe adverse reactions (fever up to 104, n/v) to the first dose three weeks earlier. Experienced recurrent fevers (up to 103) beginning by the evening of 3/16, for which he took acetaminophen.   Awoke at 3 AM w/ recurrent fevers, for which he took ibuprofen. Felt better in AM, had breakfast, and retired back to bed. Awoke shortly after noon w/ severe n/v and AMS. Was brought to the ED by the EMS. Febrile (T 39.6) w/ rigors, tachycardic, tachypneic, and poorly responsive on arrival. Continued to experience episodes of emesis, and was felt to have possibly had a seizure episode ("looked to the side and was shaking"; no clear tonic-clonic movements noted). Was thus intubated for airway protection. Initial laboratory w/u revealed presence of mild leukocytosis (WBC 12.6, 47p49L0Eo), lactic acidosis (LA 5.2), hyperglycemia (glu 297), elevated lipase level (161) renal insufficiency (Cr 1.23). extubated on 3/19.  received antibiotics for positive blood culture (streptococcus parasanguinis).   diagnosis: ADVERSE EFFECT OF CORONAVIRUS COVID-19 VACCINE
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Streptococcal infection, Streptococcus test positive, Tachycardia, Tachypnoea, Tremor
Clinical narrative: admitted to the ICU with acute respiratory failure.  h/o DM and HL, prior h/o smoking and EtOH and opium abuse (none x 28 yrs, per family). Received second dose of the Pfizer COVID vaccine in AM of 3/16, having had severe adverse reactions (fever up to 104, n/v) to the first dose three weeks earlier. Experienced recurrent fevers (up to 103) beginning by the evening of 3/16, for which he took acetaminophen.   Awoke at 3 AM w/ recurrent fevers, for which he took ibuprofen. Felt better in AM, had breakfast, and retired back to bed. Awoke shortly after noon w/ severe n/v and AMS. Was brought to the ED by the EMS. Febrile (T 39.6) w/ rigors, tachycardic, tachypneic, and poorly responsive on arrival. Continued to experience episodes of emesis, and was felt to have possibly had a seizure episode ("looked to the side and was shaking"; no clear tonic-clonic movements noted). Was thus intubated for airway protection. Initial laboratory w/u revealed presence of mild leukocytosis (WBC 12.6, 47p49L0Eo), lactic acidosis (LA 5.2), hyperglycemia (glu 297), elevated lipase level (161) renal insufficiency (Cr 1.23). extubated on 3/19.  received antibiotics for positive blood culture (streptococcus parasanguinis).   diagnosis: ADVERSE EFFECT OF CORONAVIRUS COVID-19 VACCINE
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Vaccination complication, Vomiting, White blood cell count increased
Clinical narrative: admitted to the ICU with acute respiratory failure.  h/o DM and HL, prior h/o smoking and EtOH and opium abuse (none x 28 yrs, per family). Received second dose of the Pfizer COVID vaccine in AM of 3/16, having had severe adverse reactions (fever up to 104, n/v) to the first dose three weeks earlier. Experienced recurrent fevers (up to 103) beginning by the evening of 3/16, for which he took acetaminophen.   Awoke at 3 AM w/ recurrent fevers, for which he took ibuprofen. Felt better in AM, had breakfast, and retired back to bed. Awoke shortly after noon w/ severe n/v and AMS. Was brought to the ED by the EMS. Febrile (T 39.6) w/ rigors, tachycardic, tachypneic, and poorly responsive on arrival. Continued to experience episodes of emesis, and was felt to have possibly had a seizure episode ("looked to the side and was shaking"; no clear tonic-clonic movements noted). Was thus intubated for airway protection. Initial laboratory w/u revealed presence of mild leukocytosis (WBC 12.6, 47p49L0Eo), lactic acidosis (LA 5.2), hyperglycemia (glu 297), elevated lipase level (161) renal insufficiency (Cr 1.23). extubated on 3/19.  received antibiotics for positive blood culture (streptococcus parasanguinis).   diagnosis: ADVERSE EFFECT OF CORONAVIRUS COVID-19 VACCINE
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Ear pain, Eye pain, Headache, Pain in jaw
Clinical narrative: Severe headache, earaches, tinnitus, jaw pain, eye pain started 2/27/2021. Started taking 300 ml of ibuprofen & 500 ml acetaminophen 3 times daily. Went to PC doctor, on 3/3/2021 who prescribed antibiotics and later a CT sinus scan.   Went to ER  on 3/22/2021 where was given CT brain scan, injection of ketorolac and 60 mg prednisone for 6 days. Finished prednisone and symptoms returned. Again taking ibuprofen and acetaminophen for pain.  Symptoms are still on a daily basis and did not go to receive the next vaccination.  Have follow up with ENT doctor on 3/25/2021 and neurologist on 4/23/2021.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Severe headache, earaches, tinnitus, jaw pain, eye pain started 2/27/2021. Started taking 300 ml of ibuprofen & 500 ml acetaminophen 3 times daily. Went to PC doctor, on 3/3/2021 who prescribed antibiotics and later a CT sinus scan.   Went to ER  on 3/22/2021 where was given CT brain scan, injection of ketorolac and 60 mg prednisone for 6 days. Finished prednisone and symptoms returned. Again taking ibuprofen and acetaminophen for pain.  Symptoms are still on a daily basis and did not go to receive the next vaccination.  Have follow up with ENT doctor on 3/25/2021 and neurologist on 4/23/2021.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Blood test normal, Cardiac monitoring, Computerised tomogram normal, Hypoaesthesia
Clinical narrative: After vaccination my right arm went numb, then my leg, face and speech. I was taken by ambulance to hospital where they ran test and gave me magnesium and potassium and kept me overnight, they sent me home with a heart monitor and I still have it.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, X-ray normal
Clinical narrative: After vaccination my right arm went numb, then my leg, face and speech. I was taken by ambulance to hospital where they ran test and gave me magnesium and potassium and kept me overnight, they sent me home with a heart monitor and I still have it.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus
Clinical narrative: Just a very sore arm, and itchiness at the injection site on March 23.  I hope within a few days it will go away.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Paraesthesia, Paraesthesia oral, Rash
Clinical narrative: 5 min after vaccine administration the entire right arm tingled.  That faded within 2 min, at which point the tongue started tingling on both sides.  At 18 min post-vaccine, patient spoke to pharmacist and was advised the tongue tingling was not an expected or documented side effect; the pharmacist requested that the patient stay an additional 5 min for monitoring.  During that 5 min, a mild rash appeared on both forearms and tops of both hands.  Pharmacist advised patient to take bendaryl and monitor for any further adverse symptoms.  When patient reached vehicle, she noticed that her face was bright red and rash had appeared on part of neck and chest.  Benadryl was taken at roughly 55 min post-vaccine. 1.5 hrs post vaccine, patient noted some of the rash had disappeared, the face tingling had stopped, and the tongue was less tingly.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Persistent Left arm pain
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Rash, Rash macular
Clinical narrative: Patient fell a day prior to receiving the vaccine on 3/18/21. Patient takes  Eliquis daily. About one or two days after receiving the vaccination, the patient's skin became a blotchy red all over.  His legs had a "honeycomb" like appearance. His mental status was altered slightly. Patient was admitted to the hospital 3/23/21.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient received first dose of covid vaccine on 2/26/21 with Pfizer manufacturer.  At visit for second dose on 3/22/2021 patient received Moderna manufacturer as her second dose in error. No adverse reaction was reported from the vaccine, only reporting incorrect manufacturer received.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Eight days after receiving my first Moderna vaccine, my right arm developed a red, circular rash. It is slightly warm to the touch, sore but not painful, red and itchy.  As of today, the redness has slightly faded and the other symptoms are improving..
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse.   NO ADVERSE REACTION, just reporting medication error.  Our Vaccine Task Force, after speaking with CDC and PA DOH, decided to offer the employee an additional COVID-19 vaccine dose. Thanks.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: Patient has had continuous pain in her injected arm.  She states that she can not lift her arm above her head.  She spoke with a Tele Doc and then made an appointment with a provider
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Sleep disorder
Clinical narrative: 1.  Two hour naps needed for 10 days after shot, now down to an hour. 2.   Extremely out of breath - from day of shot and continues.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: When patient came to get her 2nd dose on 3/17/21, she reported that after getting the first dose, she had a reaction to it. The night of vaccination and the following day, she apparently had a swelling in the left side of her face including her lips and ears all the way including her head. She took Tylenol and was ok later the next day. She did not seek medical care for this. Discussed these with the MD who determined that she is not a candidate for the 2nd dose due to the allergic reaction. Explained to her and no 2nd dose given on 3/17/21.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Seizure
Clinical narrative: 3 to 5 minutes after vaccination patient had nausea and then had a seizure that lasted about 30 seconds.  Patient was transported to ER via EMS.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Electrocardiogram, Heart rate irregular
Clinical narrative: Triggered atrial fibrillation within 4 hours after receiving 2nd dose. Double-loading Amiodarone for one week after speaking with doctor's office on 3/10/21 (3/10/21 - 3/16/21) and for another week (3/16/21 - 3/22/21) did not convert my heart back to normal sinus rhythm.   During Kardia readings (taken 2-3 times per day), heart beat jumps back and forth repeatedly in the range of 92 to 110+.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Fatigue, Pain in extremity, Sinus rhythm
Clinical narrative: Triggered atrial fibrillation within 4 hours after receiving 2nd dose. Double-loading Amiodarone for one week after speaking with doctor's office on 3/10/21 (3/10/21 - 3/16/21) and for another week (3/16/21 - 3/22/21) did not convert my heart back to normal sinus rhythm.   During Kardia readings (taken 2-3 times per day), heart beat jumps back and forth repeatedly in the range of 92 to 110+.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dizziness postural
Clinical narrative: 1130: Patient c/o dizziness approximately 15 minutes post vaccine. Patient stood up dizziness increased.  PMHx: Epstien Barr, Bradycardia, Tachycardia Stage II Renal Disease Patient A & O x4, skin pink, warm and dry, PERRLA ~3mm Speech clear and appropriate. EMS and Physician on duty at bedside assessing patient.   VS:1127:156/106-b/p, 60-hr, SaO2 96% on RA,  1141 VS: 154/104, Repeat 146/98 58-HR, SaO2 98% on RA EKG, VS as above. Patient advised to be evaluated in ED. Patient refused ambulance transport. Symptoms subsided, minimal at the time of departure ~1210. Patient taken to care via wheelchair. Daughter to transport to ED by Patient's own vehicle.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood lactate dehydrogenase increased, C-reactive protein increased, COVID-19, Chest pain
Clinical narrative: vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with " right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath."  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dyspnoea, Electrocardiogram normal, Exposure to SARS-CoV-2
Clinical narrative: vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with " right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath."  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Headache, Hyperhidrosis, Intensive care, Laboratory test
Clinical narrative: vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with " right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath."  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Productive cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with " right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath."  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and mild swelling around injection site - approx 2 inches in diameter.  Noticed approximately 8 days after injection.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Pain in extremity, Pyrexia
Clinical narrative: Headache same day (Tylenol). Next day headache, fever and chills, dizziness, sore arm (Tylenol)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse.   NO ADVERSE REACTION, just reporting medication error.   Our Vaccine Task Force, after speaking with CDC, decided to offer the employee an additional COVID-19 vaccine dose. Thanks.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Severe itching throughout body and mild rash throughout.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypoaesthesia, Paraesthesia
Clinical narrative: tingling on face, with numbness and increased heart rate for 5 minutes
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Pain
Clinical narrative: Day 2 after the vaccine i continued to experience body aches; in the morning i woke up with shortness of breath and headache
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Physical examination, Skin lesion
Clinical narrative: Adverse effect of vaccine, initial encounter The left elbow skin lesion which appeared immediately after her vaccination has suspicious timing, and we discussed with her that we will report this to the vaccine reporting system.  The lesion almost appears to resemble psoriasis.  In any case it is improving, and she can use the over-the-counter ointment that she has had on an as-needed basis.  No further treatment needed.
Age: 69.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Blood glucose increased, Chills, Dizziness, Dyspnoea, Headache
Clinical narrative: PT WITH PREVIOUS KNOWN REACTION FROM 1ST DOSE COVID-19 VACCINE. PT CONSULTED WITH HER PHYSICAIN WHO ADVISED TO RECIEVE 2ND DOSE. STAFF AND EMS AWARE OF PT'S HISTORY. PT PRE-MEDICATED WITH 1/2 TABLET OF 25MG OF BENADRYL. PT VACCINATED 20 MINUTES POST ADMINISTRATION OF BENADRYL. DIZZINESS/SOB REPORTED BY PT 30 MINUTES POST VACCINE. EMS EVALUATED PATIENT. VITALS TAKEN. PATIENT OFFERED SUPPLEMENTAL OXYGEN FOR EASE OF BREATHING. 2L NC GIVEN. PT COMPLAINTS OF CHILLS, HEADACHE, CONTINUED SOB, SORE THROAT. OXYGEN INCREASED UP TO 6L NC. DISCUSSED PT BEING TRANSPORTED FOR EVALUATION. LUNGS CLEAR. PT STATED FEELING BETTER. OXYGEN DECREASED DOWN TO 4L NC. PT OBSERVED FOR 2 HOURS POST VACCINATION.
Age: 69.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: PT WITH PREVIOUS KNOWN REACTION FROM 1ST DOSE COVID-19 VACCINE. PT CONSULTED WITH HER PHYSICAIN WHO ADVISED TO RECIEVE 2ND DOSE. STAFF AND EMS AWARE OF PT'S HISTORY. PT PRE-MEDICATED WITH 1/2 TABLET OF 25MG OF BENADRYL. PT VACCINATED 20 MINUTES POST ADMINISTRATION OF BENADRYL. DIZZINESS/SOB REPORTED BY PT 30 MINUTES POST VACCINE. EMS EVALUATED PATIENT. VITALS TAKEN. PATIENT OFFERED SUPPLEMENTAL OXYGEN FOR EASE OF BREATHING. 2L NC GIVEN. PT COMPLAINTS OF CHILLS, HEADACHE, CONTINUED SOB, SORE THROAT. OXYGEN INCREASED UP TO 6L NC. DISCUSSED PT BEING TRANSPORTED FOR EVALUATION. LUNGS CLEAR. PT STATED FEELING BETTER. OXYGEN DECREASED DOWN TO 4L NC. PT OBSERVED FOR 2 HOURS POST VACCINATION.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: I had typical vaccine side effects. I went in for a regular check up and had an ultrasound on 02/07/2021 that showed a low heart beat at 107 which is slightly low for 7 weeks gestation.  On 03/05/2021 we repeated the ultrasound and had no heart beat.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Productive cough, SARS-CoV-2 test positive
Clinical narrative: 12-27-2020 Injection; Volunteered for automated test for nasopharyngeal swab for Covid-19 Antigen on 1-7-2021.  No symptoms.  Nasal swab had some blood on it because of friable nasal mucosa.  The Test (SCV2-SPX-EP molecular test by the lab) was reported positive on 1-10-21.  Symptoms then were mild to moderate fatigue, occasional partially productive cough without respiratory distress (SpO2's on room air always > 94%), headache - mild and episodic,  dulled sensorium (clouded thinking at times)
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Thinking abnormal
Clinical narrative: 12-27-2020 Injection; Volunteered for automated test for nasopharyngeal swab for Covid-19 Antigen on 1-7-2021.  No symptoms.  Nasal swab had some blood on it because of friable nasal mucosa.  The Test (SCV2-SPX-EP molecular test by the lab) was reported positive on 1-10-21.  Symptoms then were mild to moderate fatigue, occasional partially productive cough without respiratory distress (SpO2's on room air always > 94%), headache - mild and episodic,  dulled sensorium (clouded thinking at times)
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest discomfort
Clinical narrative: After waiting  20 minutes, noted some back pain,  tightness; on oxygen at home; cannister almost empty. VSS ; uncertain after  called about whether to be evaluated/go home; refused ED at that time.  Decided if could get in car comfortably would go home, if not, to ED for evaluation. More chest tightness as tried to get in car, decided to go to ED for evaluation; again called.