chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose of Moderna vaccine given too close to first dose - outside of recommended dosing spacing per CDC guidelines.  Gave a second dose vaccine to a patient who was only 3-weeks out from his first dose of Moderna.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: ?Vaccine arm? or ?Covid arm?  itchy red swollen area at injection site, about 2? diameter and looks like one big hive.  Appeared on day 8 after vaccine. Still red, swollen and itchy 10 hours later.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dry skin, Nausea, Skin warm
Clinical narrative: On Thursday, April 2, 2021 client DOB 8/3/1973 received her first dose of Pfizer COVID vaccine (LOT # EW0150, EXP 7/2021) at approximately 9:30am. During assessment of screening questions, client stated she has a history of severe allergic reaction to amoxicillin and was to be observed for 30 minutes in the Observation Area. At 10:00am, 30 minutes after vaccination, client approached EMT with chief complaint of "nausea and feeling light-headed". Vitals were taken on client at 10:08am: BP: 138/90, HR: 76 regular, strong, RR:14, O2 sat: 94%, A&O x4, pupils: PERRLA, skin: warm, pink and dry. Client requested to use the restroom and was accompanied to the restroom door by EMT. Lead was alerted and advised client when she returned to Observation Area to be observed for an additional 30 minutes. Client sat in the zero gravity chair while vitals were retaken. At 10:20am: BP: 142/94, HR: 70 regular and strong, RR: 13, O2 sat: 99%, A&O x4, pupils: PERRLA, skin: warm, pink and dry. Client stated to Lead RN & EMTs she has a history of high blood pressure which she takes medication for. Client also stated three weeks ago she went to the Urgent Care for vertigo. At 10:25am client stated her nausea had subsided and she was no longer feeling dizzy when standing up. Client stated she felt ok to drive herself home. Patient was alert and oriented x4 during entire interaction. No further interventions indicated. Client was educated by Lead RN & EMT on signs and symptoms of adverse reactions and when to go to the ED/call MD. Client was also encouraged to sign-up on v-safe. Client left vaccination site at approximately 10:50 with a steady gait.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest discomfort, Dizziness, Electrocardiogram, Fibrin D dimer normal
Clinical narrative: 30 min after the vaccine, she had tightness and numbness sensation in the R chest wall and R shoulder. felt dizzy.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Musculoskeletal discomfort, Troponin normal
Clinical narrative: 30 min after the vaccine, she had tightness and numbness sensation in the R chest wall and R shoulder. felt dizzy.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Blood test, Cerebrovascular accident, Computerised tomogram, Electrocardiogram
Clinical narrative: Heart Attack (NSTEMI) and 3 strokes
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Myocardial infarction
Clinical narrative: Heart Attack (NSTEMI) and 3 strokes
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pallor, Paraesthesia, Tinnitus
Clinical narrative: 1744 Patient received his 1st dose covid vaccine 1802  Patient notified PCT in waiting room that he was feeling lightheaded after he witnessed another patient have a syncopal event. Patient stated that he has passed out in the past during IV procedures.  Patient did become very pale and was staring off. He was able to verbally respond during the event with a few words. He reported that his hands were tingling and ears were ringing. Patient remained upright in a chair. He was given a cold paper towel and bottle of water to drink. He remained in the waiting  room until 1845. He ambulated around the clinic front. He left ambulatory in no distress. He stated he felt better.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Urticaria
Clinical narrative: Sore arm, large welt, hives on hands, mild fever, body aches
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present, Pyrexia
Clinical narrative: Blood in urine. Happened after both shots. Didn?t think much of it after the first dose, but definitely happened after the second. Also had a fever (peak at 102.2). Blood in the urine does happen for me occasionally when sick in the past.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vision blurred
Clinical narrative: First dose @ 2:08pm, complained of feeling "dizzy and everything is blurry" @ 2:11pm.  Vital signs stable and alert @ 2:18pm.  Observed and stated everything is clear, feeling better @ 2:54pm.  Client made aware to call primary care and follow up.  Discharged home with son @ 3pm.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: After second shot I have developed severe Tinnitas. Have just seen/confirm Tinnitas with ENT SPECIALIST.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Syncope
Clinical narrative: I did not vaccinate this patient, but I went out to the parking lot when a customer said someone fainted outside.  The patient was asked to wait 15 minutes in the store.  However his mom was with him and stated that he always faints after injections, so she wanted to put him in the car to lie down.  When I arrived the patient was awake and feeling warm. Sitting up
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Rash
Clinical narrative: extensive rash/hives to chest, arms and face with elevate pulse 103 - 109; bp 168/94 resp 16 spo2 98% on room air
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Feeling cold, Malaise, Slow speech
Clinical narrative: 04/02/21 12:45 pm ? At approximately 12:45 pm I was called to vaccine tent #1 after reports from staff that a patient was feeling sick after receiving her Janssen injection. I discovered the patient slumped in her chair, head back with eyes closed, skin clammy and cool. Alert and oriented x3, speaking slowly but clearly. Per vaccine nurse, she administered the Janssen injection to patient at 12:41 pm  (Lot 1805020, exp 5/25/2021, Left Deltoid) and a few minutes later the patient started to close her eyes and leaned back in chair requiring assistance to sit up.  Nurse was able to stabilize patient in chair and then called for help and that is when I came to assist. Patient remained in this state for several more minutes. Activated EMS for further evaluation as patient did not stabilize immediately. Measured vital signs ? Blood Pressure 98/62, O2SAT 97, Pulse 68.  I continued to monitor the patient until EMS arrived. EMS evaluated patient and cleared but advised to continue to monitor for an additional 15 minutes before leaving the site. Patient verbalized understanding and agreed with plan. Patient remained in observation for an additional 15 minutes with no incident.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: the pt received a dose that was not diluted properly.  The vial was diluted with 0.18 ml instead of 1.8ml.   The dilution error was discovered shortly after administration and a call was made to the patient immediately.  The patient was asked to return to the pharmacy for observation. The patient wouldn't agree to return and chose to self monitor along with his parents who were present with him at the time.   The patient did not indicate or state any adverse reaction had occurred.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Injection site pain, Pyrexia
Clinical narrative: Tiredness: started from 4pm 4/1;  sore at the injection site, fever about 100 F: started from 10pm 4/1 till 2pm 4/2; sore in lower back and finger joints: 4/2  No treatment.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: For at least the past two weeks I have developed constant pulsalatile tinnitus, mainly in my left ear, possibly in the right but not sure. Definitely all the time in my left. Didn?t have this before the vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Injection site pain, Pyrexia
Clinical narrative: Pain at injection site,  chills. Fever, fatigue, brain fog
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dyspnoea, Fatigue, Gaze palsy
Clinical narrative: Shortness of breath, body ache, headache, diarrhea, runny nose,chills , fatigue
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea
Clinical narrative: Shortness of breath, body ache, headache, diarrhea, runny nose,chills , fatigue
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: I had the shot in my left arm. My Arm was stiff, painful( pain thought out the left arm). The arm upper  area was a huge bump for about 6 days. Now as of today still having pain and have tenderness in the left arm/ shoulder. The pain at times is about a 7  from 1 - 10 scale  at some times. I have been taking pain killers, helps , but can't keep taking pain killers.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Chest discomfort, Hyperhidrosis, Irritability, Paraesthesia
Clinical narrative: My skin has been itchy in various places since the first dose. My stomachs (upper and lower), My chest especially in-between my boobs and under them and my chest has broken out into red bumps when I itch it. I have a sensation of lactation in my breath even though I haven't been pregnant since 2017. My breaststroke feel cystic and swollen but my period isn't due. Lots of extra sensation in my chest. I feel more irritable. The itching has been every since my first Pfizer shot. I am sweating abnormally in my chest area. Daily. Since first dose. Arm had more tenderness with the first dose than the second.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Tenderness
Clinical narrative: My skin has been itchy in various places since the first dose. My stomachs (upper and lower), My chest especially in-between my boobs and under them and my chest has broken out into red bumps when I itch it. I have a sensation of lactation in my breath even though I haven't been pregnant since 2017. My breaststroke feel cystic and swollen but my period isn't due. Lots of extra sensation in my chest. I feel more irritable. The itching has been every since my first Pfizer shot. I am sweating abnormally in my chest area. Daily. Since first dose. Arm had more tenderness with the first dose than the second.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Full blood count, Metabolic function test, Pyrexia, Tachycardia
Clinical narrative: Tachycardia and low grade fever
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate, Heart rate increased
Clinical narrative: Tachycardia and low grade fever
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Blood glucose increased
Clinical narrative: Six hours after receiving my 2nd Moderna vaccine, my blood glucose (BG) levels began rise more than usual. Since I'd just eaten dinner, I did not immediately deliver extra insulin. However, before going to bed, my BG level was even higher, so I delivered a corrective bolus using my Tandem insulin pump. I also use the Dexcom Continuous Glucose Monitoring System. Overnight, every time I woke up & checked my BG level, it was rising & rising, & so I continued to deliver corrective boluses. At 4:30 am this morning, I awoke, checked my BG level, & it was off the top of the graph on my pump; I used a fingerstick glucometer, & found that my level was 449, a dangerously high level. I delivered another corrective bolus, but my BG level would just not go down. I emailed my doctor, who instructed me to change my pump infusion site (I had actually done that about 5 hours following receiving the vaccine, but changed it again), delivered a 5-unit corrective bolus via syringe (shot) & checked my ketone level, finding that my ketones were extremely large, >160. I contacted the doctor's office again, & was instructed to consume a LOT of water, watch my BG level & check my ketones & inject 2- to 3-unit doses every hour. I did this all day today. By noon, my ketones had fallen to "negative" & my BG level had fallen to 169. It has continued to be a MAJOR struggle to keep my ketones in the negative range & my BG level anywhere near where it was prior to the Moderna vaccine. I don't know how long this will last, & I am AFRAID.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash erythematous, Skin warm
Clinical narrative: COVID arm: My arm is warm to the touch and has a raised red rash about 2.5 inches x 2 inches.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscular weakness, Pain in extremity, Paraesthesia oral
Clinical narrative: Arm soreness around 5:00 pm on day of vaccination Lips began tingling at 7:54 pm on day of vaccination Facial numbness and mild muscular weakness by 8:15pm
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error, Syringe issue
Clinical narrative: When it was time to mix the diluent with the pfizer vaccine, I was reading through the instructions and draw up the diluent. She drew up the correct amount of 1.8 ml and I checked it. As she was putting the diluent into the pfizer vaccine, a very small amount of the diluent spilled from the syringe and at the top of the needle. She put in the rest of the diluent and then we took the rest of what was left of the diluent and put it inside the the vaccine. When it was all mixed, it looked like we would have the correct amount. We withdrew 1 dose at a time with the correct amount. When we withdrew the the 4th dose, there was only a little bit left on the vial but not enough to give the 5th dose. I really thought there would be enough for 6 doses since we took the rest of the diluent that was left over and put it inside the vial which was 0.2 ml. I should of stopped what I was doing and called for help. I will take this as a learning lesson and will be more diligent in the future.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Nasopharyngitis
Clinical narrative: Received first dose at 10am, complained of feeling dizzy and "can't feel anything" @ 10:03am.  Blood pressure 88/58, alert and oriented.  Client place in a zero gravity chair.  Client continued to feel dizzy and cold @ 10:10am, blood pressure 110/70.  Symptoms improved, drinking water by 10:25am.  Client states "I feel good" @10:40 am, instructed to follow up with primary care.  Discharged home with friend @1050.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Gastrointestinal disorder, Heart rate increased, Nausea
Clinical narrative: Time of onset I felt very nauseated  2 hrs later felt HR elevated and checked, 108 and fluctuated between 103-126 Flush BP elevated to 176/93...normal range 120?s-135/70?s-85 Gastrointestinal issues Lasted approximately 5 hours with exception of gastrointestinal issues lasting about 24 hrs.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Chills, body aches, headache, fatigue, thirts, low grade fever
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst
Clinical narrative: Chills, body aches, headache, fatigue, thirts, low grade fever
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Fall, Muscle spasms, Pallor, Pyrexia, Seizure
Clinical narrative: Shot was given at 10:15 at on 3/16. That night around 1:40 am my son suffered a fever above 101. He started having spasms and collapsed to the floor. He started convulsing uncontrollably for over 5 minutes ( had a seizure) head to toe convulsing and turning pale. EMS was called and he was taken to ER. They gave Tylenol and monitored for a few hours. Continued alternating Tylenol and motrin for 5 days until the fever broke. Contacted pediatrician and met in person regarding the sever adverse reaction and was given a medical exemption. He is going to follow up with an allergist and neurologist due to this reaction.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Exposure during pregnancy, Fatigue, Headache
Clinical narrative: I received the vaccine on 4/1/21 around 8:35 am and was 26 weeks pregnant with estimated due date of 7/5/21. Had a sore arm for a couple hours right after vaccination which did go away and didn't return. Around 3:15 pm the same day, I started to feel rundown - fatigued and slight elevated temperature. Around 2 hours later, I started feeling feverish and my temperature was around 99 degrees F. I took a tylenol which helped bring my temperature down temporarily, but around 9 pm it was a lot worse and I was feeling chills as well. I took my temperature and it was 102 degrees F. I took more tylenol and this helped bring my temperature down again. I went to bed and started feeling chills again around 3 am so I took another tylenol and when I woke up again around 8 am, I did not feel feverish anymore, but had a headache and still felt rundown and fatigued. On 4/2 (day after vaccine), I started feeling better as the day went on and fever did not return.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Second trimester pregnancy
Clinical narrative: I received the vaccine on 4/1/21 around 8:35 am and was 26 weeks pregnant with estimated due date of 7/5/21. Had a sore arm for a couple hours right after vaccination which did go away and didn't return. Around 3:15 pm the same day, I started to feel rundown - fatigued and slight elevated temperature. Around 2 hours later, I started feeling feverish and my temperature was around 99 degrees F. I took a tylenol which helped bring my temperature down temporarily, but around 9 pm it was a lot worse and I was feeling chills as well. I took my temperature and it was 102 degrees F. I took more tylenol and this helped bring my temperature down again. I went to bed and started feeling chills again around 3 am so I took another tylenol and when I woke up again around 8 am, I did not feel feverish anymore, but had a headache and still felt rundown and fatigued. On 4/2 (day after vaccine), I started feeling better as the day went on and fever did not return.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: When it was time to mix the diluent with the pfizer vaccine, I was reading through the instructions and I had an associate draw up the diluent. She drew up the correct amount of 1.8 ml and I checked it. As she was putting the diluent into the pfizer vaccine, a very small amount of the diluent spilled from the syringe and at the top of the needle. She put in the rest of the diluent and then we took the rest of what was left of the diluent and put it inside the the vaccine. When it was all mixed, it looked like we would have the correct amount. We withdrew 1 dose at a time with the correct amount. When we withdrew the the 4th dose, there was only a little bit left on the vial but not enough to give the 5th dose. I really thought there would be enough for 6 doses since we took the rest of the diluent that was left over and put it inside the vial which was 0.2 ml. I should of stopped what I was doing and called another associate for help. I will take this as a learning lesson and will be more diligent in the future.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Low frequency tinnitus in the right ear
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cold sweat, Erythema, Eye pruritus
Clinical narrative: few hours after vaccine had headache, very mild sore arm that lasted an hour and red, itchy jaw, chin neck for a couple hours, The evening after the vaccine was given I had chills, sweats, body aches, fever of 100, the next morning headache, body aches all day and the 2nd day after vaccine I had chills, cold sweats (mainly at night ) but body aches all day, both days very tried and weak. Then after those two days i was back to normal. Same thing happened with my 2nd shot and same timing. i did have covid in the past in august 2020
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hyperhidrosis, Pain, Pain in extremity
Clinical narrative: few hours after vaccine had headache, very mild sore arm that lasted an hour and red, itchy jaw, chin neck for a couple hours, The evening after the vaccine was given I had chills, sweats, body aches, fever of 100, the next morning headache, body aches all day and the 2nd day after vaccine I had chills, cold sweats (mainly at night ) but body aches all day, both days very tried and weak. Then after those two days i was back to normal. Same thing happened with my 2nd shot and same timing. i did have covid in the past in august 2020
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: few hours after vaccine had headache, very mild sore arm that lasted an hour and red, itchy jaw, chin neck for a couple hours, The evening after the vaccine was given I had chills, sweats, body aches, fever of 100, the next morning headache, body aches all day and the 2nd day after vaccine I had chills, cold sweats (mainly at night ) but body aches all day, both days very tried and weak. Then after those two days i was back to normal. Same thing happened with my 2nd shot and same timing. i did have covid in the past in august 2020
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Headache, Hypoaesthesia, Lip swelling
Clinical narrative: 103F fever lasting 72 hours, chills, vomiting, headache, muscle stiffness, facial numbness, lip tingling, lip swelling. All symptoms lasted 72 hours with headache, brain fog, muscle stiffness still present at 72 hour mark
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Paraesthesia oral, Pyrexia, Vomiting
Clinical narrative: 103F fever lasting 72 hours, chills, vomiting, headache, muscle stiffness, facial numbness, lip tingling, lip swelling. All symptoms lasted 72 hours with headache, brain fog, muscle stiffness still present at 72 hour mark
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Syncope
Clinical narrative: Low blood pressure, brief (5 minute) fainting and dizziness spell
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: When it was time to mix the diluent with the pfizer vaccine, I was reading through the instructions and I had someone draw up the diluent. She drew up the correct amount of 1.8 ml and I checked it. As she was putting the diluent into the pfizer vaccine, a very small amount of the diluent spilled from the syringe and at the top of the needle. She put in the rest of the diluent and then we took the rest of what was left of the diluent and put it inside the the vaccine. When it was all mixed, it looked like we would have the correct amount. We withdrew 1 dose at a time with the correct amount. When we withdrew the the 4th dose, there was only a little bit left on the vial but not enough to give the 5th dose. I really thought there would be enough for 6 doses since we took the rest of the diluent that was left over and put it inside the vial which was 0.2 ml. I should of stopped what I was doing and called someone for help. I will take this as a learning lesson and will be more diligent in the future.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Palpitations
Clinical narrative: Asthma and heart palpitations
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Disturbance in attention, Fatigue, Hypersomnia, Paraesthesia
Clinical narrative: Severe fatigue, grogginess, prickly sensation on skin (but no fever); inabi;ity to focus; no appetite.  Slept for probably 20 of 24 hours.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Severe fatigue, grogginess, prickly sensation on skin (but no fever); inabi;ity to focus; no appetite.  Slept for probably 20 of 24 hours.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site indentation, Pruritus
Clinical narrative: Itching, redness and hardness in the are of vaccine shot
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Injection site pruritus, Nausea, Pain
Clinical narrative: High fever (103F), body aches, chills, headache, tiredness, arm soreness/swelling/redness/itchiness at injection site, nausea
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Swelling
Clinical narrative: High fever (103F), body aches, chills, headache, tiredness, arm soreness/swelling/redness/itchiness at injection site, nausea
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Burning sensation, Chest pain, Grip strength decreased, Hemiparesis
Clinical narrative: Day 0 day of vaccine tingling hand post injection  Day 1 sore arm 24 hrs Day 2 nothing  Day 3 tingling lips, hand, middle finger pain Day 4 middle finger pain, tingling/burning spot on leg Day 5 nothing  Day 6 leg pain, numb, tingly, burning sensation  Day 7-8 finger pain, decreased sensation to left side  Day 9-10 finger pain, chest pain  Day 11 tingling left shoulder  Day 12 decreased sensation left side  Day 13 weakness with left side and grip strength  Day 14 sharp shooting pain left back
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Pain, Pain in extremity, Paraesthesia, Paraesthesia oral
Clinical narrative: Day 0 day of vaccine tingling hand post injection  Day 1 sore arm 24 hrs Day 2 nothing  Day 3 tingling lips, hand, middle finger pain Day 4 middle finger pain, tingling/burning spot on leg Day 5 nothing  Day 6 leg pain, numb, tingly, burning sensation  Day 7-8 finger pain, decreased sensation to left side  Day 9-10 finger pain, chest pain  Day 11 tingling left shoulder  Day 12 decreased sensation left side  Day 13 weakness with left side and grip strength  Day 14 sharp shooting pain left back
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Back pain, Burning sensation, Chest pain, Hypoaesthesia
Clinical narrative: Day 0 day of vaccine tingling hand post injection  Day 1 sore arm 24 hrs Day 2 nothing  Day 3 tingling lips, hand, middle finger pain Day 4 middle finger pain, tingling/burning spot on leg Day 5 nothing  Day 6 leg pain, numb, tingly, burning sensation  Day 7-8 finger pain, decreased sensation to left side  Day 9-10 finger pain, chest pain  Day 11 tingling left shoulder  Day 12 decreased sensation left side  Day 13 weakness with left side and grip strength  Day 14 sharp shooting pain left back
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia, Paraesthesia oral, Sensitisation
Clinical narrative: Day 0 day of vaccine tingling hand post injection  Day 1 sore arm 24 hrs Day 2 nothing  Day 3 tingling lips, hand, middle finger pain Day 4 middle finger pain, tingling/burning spot on leg Day 5 nothing  Day 6 leg pain, numb, tingly, burning sensation  Day 7-8 finger pain, decreased sensation to left side  Day 9-10 finger pain, chest pain  Day 11 tingling left shoulder  Day 12 decreased sensation left side  Day 13 weakness with left side and grip strength  Day 14 sharp shooting pain left back
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: On the one-week date after shot, injection site on left arm started to feel hard. As day progressed, continued to harden, swell, and get very itchy
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: syncope about 3 minutes after dose administered.  Patient was in reclined chair and recovered quickly.  Paramedics were called and they assessed her in the store.  Patient declined further treatment, walked out of the store on her own, and a relative drove her home.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain, Productive cough, Pyrexia, Throat irritation
Clinical narrative: Fever, head ache, body ache, fatigue between hours 24 and 48, some phlegm in throat started at at 48 hour mark
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Pyrexia, Visual impairment
Clinical narrative: High Fever, fast hart rate, shills and disturbed vision (vision got double)
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Ear discomfort, Hypoacusis, Tinnitus
Clinical narrative: Woke up with ear fullness, diminished hearing, and bad tinnitus.  Began improving after 3-4 hours, recovered mostly within two days.    Hearing test showed diminish hearing.  Will revisit to see if hearing has recovered completely in a few weeks.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Night sweats
Clinical narrative: Chills, night sweats, headache. All symptoms at night when trying to sleep.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: When it was time to mix the diluent with the pfizer vaccine, I was reading through the instructions and I had girl 1 draw up the diluent. She drew up the correct amount of 1.8 ml and I checked it. As she was putting the diluent into the pfizer vaccine, a very small amount of the diluent spilled from the syringe and at the top of the needle. She put in the rest of the diluent and then we took the rest of what was left of the diluent and put it inside the the vaccine. When it was all mixed, it looked like we would have the correct amount. We withdrew 1 dose at a time with the correct amount. When we withdrew the the 4th dose, there was only a little bit left on the vial but not enough to give the 5th dose. I really thought there would be enough for 6 doses since we took the rest of the diluent that was left over and put it inside the vial which was 0.2 ml. I should of stopped what I was doing and called someone for help. I will take this as a learning lesson and will be more diligent in the future.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain, Pain in extremity
Clinical narrative: Injection site swollen protruding red and hot having trouble with left arm and hand pain throbbing
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Headache, Hot flush
Clinical narrative: Following the injection, I had a low grade fever. I experienced chills and hot flashes. Later that night I felt sick to my stomach and experienced diarrhea. The next day I was nauseous and began vomiting for two days with continuous chills, hot flashes, diarrhea and headaches. The following day I stopped vomiting but continued to have chills, hot flashes and diarrhea. A week after the injection, I am finally feeling some relief.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Following the injection, I had a low grade fever. I experienced chills and hot flashes. Later that night I felt sick to my stomach and experienced diarrhea. The next day I was nauseous and began vomiting for two days with continuous chills, hot flashes, diarrhea and headaches. The following day I stopped vomiting but continued to have chills, hot flashes and diarrhea. A week after the injection, I am finally feeling some relief.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Continued pain at injection site for at least 1 week, developed warmth and itching at injection site along with painful underarm lymph nodes on injected arm.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Decreased appetite, Headache, Lymphadenopathy
Clinical narrative: Shaking, chills, fever, severe muscle ache, headache, very painful swollen lymph node in armpit, nausea, apetite loss
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Shaking, chills, fever, severe muscle ache, headache, very painful swollen lymph node in armpit, nausea, apetite loss
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Asthenia, Bladder dysfunction, Chills, Disturbance in attention
Clinical narrative: The 2-3 days after the shot my mom got a fever (over 100 degrees) and the chills which we were able to control with Tylenol for the most part. However, over the next 4 weeks, my mom gradually lost the ability to control her bladder function, and her ability to transition between sitting, standing and lying down w/o help. She also exhibited even more difficulty with walking than she did before (shuffling). My mother experienced pain all throughout her body, and the pain became as bad as an 8-9 in a range of 1-10. She struggled to raise her arms, reach her arms out, or grasp objects. She lacked energy, she would sleep for 10 hours every night, and she had difficulty concentrating and remembering what she was reading,
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Grip strength decreased, Mobility decreased, Pain, Pyrexia
Clinical narrative: The 2-3 days after the shot my mom got a fever (over 100 degrees) and the chills which we were able to control with Tylenol for the most part. However, over the next 4 weeks, my mom gradually lost the ability to control her bladder function, and her ability to transition between sitting, standing and lying down w/o help. She also exhibited even more difficulty with walking than she did before (shuffling). My mother experienced pain all throughout her body, and the pain became as bad as an 8-9 in a range of 1-10. She struggled to raise her arms, reach her arms out, or grasp objects. She lacked energy, she would sleep for 10 hours every night, and she had difficulty concentrating and remembering what she was reading,
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Herpes zoster, Pyrexia
Clinical narrative: I have shingles blisters on my right ear, down to my neck and back of head with fever and chills in the first 2 days.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Lymphadenopathy, Muscle spasms, Nausea
Clinical narrative: My Husband has a swollen lymph node on his left armpit the size of a golf ball or larger. He is experiencing cramping all over his body but especially his legs. He has a terrible headache, feels nautious  and dizzy. Today has been the worst. This is day 3 after the  Pfizer shot.  The internet says it is normal for the lymph node in about 14% of patients. Your flyer handed out at injection day didn't mention all of this.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Hot flush
Clinical narrative: Extreme soreness and sensitivity to touch at injection site, slight headache, slight nausea, extreme fatigue, mental fog, unusually strong appetite, chills, mild fever, hot flashes. I took ibuprofen for fever and headache. I slept as much as possible. I didn?t miss work but I wished I had taken Thursday off. I was most miserable that day.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Increased appetite, Injection site pain, Nausea, Pyrexia
Clinical narrative: Extreme soreness and sensitivity to touch at injection site, slight headache, slight nausea, extreme fatigue, mental fog, unusually strong appetite, chills, mild fever, hot flashes. I took ibuprofen for fever and headache. I slept as much as possible. I didn?t miss work but I wished I had taken Thursday off. I was most miserable that day.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Heart rate increased, Pyrexia, Rhinorrhoea
Clinical narrative: 1. High heart rate - resting rate :100-112 BPM and walking (inside house) rate -120BPM- lasted 2.5 days  2. Fever and chills- lasted 2.5 days 3. Runny nose and sneezing within 30 minutes of vaccine- lasted 2.5 days
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: 1. High heart rate - resting rate :100-112 BPM and walking (inside house) rate -120BPM- lasted 2.5 days  2. Fever and chills- lasted 2.5 days 3. Runny nose and sneezing within 30 minutes of vaccine- lasted 2.5 days
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site indentation, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: On the right forearm, just distal from the elbow on the  prone side there is a purple-brown discoloration that is approx 4 cm by 15 cm.   The area does not blanch when touched and is not swollen or painful.     This is not a typical bruising or discoloration pattern for her.       At the right deltoid injection site there is a 3 cm round induration which is slightly red, warm and painful to touch.   There is swelling around the red spot which is approx 8 cm in diameter.     We are treating the injection site with Tylenol and cold compress.    The discoloration on the lower arm we are watching.    We will pre medicate with Benadryl and Tylenol prior to next dose.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: On the right forearm, just distal from the elbow on the  prone side there is a purple-brown discoloration that is approx 4 cm by 15 cm.   The area does not blanch when touched and is not swollen or painful.     This is not a typical bruising or discoloration pattern for her.       At the right deltoid injection site there is a 3 cm round induration which is slightly red, warm and painful to touch.   There is swelling around the red spot which is approx 8 cm in diameter.     We are treating the injection site with Tylenol and cold compress.    The discoloration on the lower arm we are watching.    We will pre medicate with Benadryl and Tylenol prior to next dose.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Myalgia, Pain
Clinical narrative: Pain at injection site/sore arm with an hour of injection. Approx 12 hours later (3:30am) had chill and muscle pain throughout my body. Woke up around 9am with low grade fever, headache, and body aches. Fever peaked at 101.4,  took Tylenol around noon and temperature lowered within an hour. Low grade fever returned around 6pm with worsening headache,  but body aches improved throughout the day.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Pain at injection site/sore arm with an hour of injection. Approx 12 hours later (3:30am) had chill and muscle pain throughout my body. Woke up around 9am with low grade fever, headache, and body aches. Fever peaked at 101.4,  took Tylenol around noon and temperature lowered within an hour. Low grade fever returned around 6pm with worsening headache,  but body aches improved throughout the day.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Hypoaesthesia, Syncope
Clinical narrative: Patient complained feeling faint and felt like she was going to pass out. Patient was observed to have heavier breathing than normal. She also complained of numbness in her left arm. EMS was activated immediately. Patient's blood pressure was 51/38 mmHg . Oxygen was measured at 99 % Sp O2, PRbpm 45. Emergency contact for patient was notified. EMS arrived and took over. Patient returned hours later to pharmacy to informed us she was okay. She was told she had experienced vasovagal syncope.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Cold sweat, Ear discomfort, Fall, Loss of consciousness
Clinical narrative: On Friday, April 4, 2021 client  (DOB 5/3/1996) received his first dose of Pfizer COVID vaccine (LOT # EW0150, EXP 7/2021) at approximately 12:56pm. Per EMT report: at 1:06pm, client fell out of chair, landed on his left knee and regained consciousness immediately. Upon assessment, client stated his left knee pain was a 3 out of 10 scale. At 1:07pm, client was sat in the zero-gravity chair in supine position and given a bottle of water. Client stated he "felt pressure in ears-mainly right ear." EMT  & 2nd EMT coached client to breathe normally. At 1:09pm vitals were taken: BP: 120/70, HR: 52, RR: 10, O2 sat: 95%, skin: pale, moist, cool, eyes: PERRLA, LOC: A&O x4. Lead RN was notified and advised vitals be taken every 5 minutes for an additional 30 minutes. At 1:13pm vitals were retaken: BP: 120/70, HR: 69, RR: 12, O2 sat: 94%, eyes: PERRLA, skin, pale, moist, cool, LOC: A&O x4. On assessment, client stated he has no history of fainting, no allergies, and not taking any medication. Client stated he had a small amount of food and water intake and was not currently experiencing nausea. At 1:20pm, client stated the pressure in his ear subsided and was experiencing no headache, light-headedness or dizziness. At 1:25pm vitals were retaken: BP: 120/70, HR: 69, O2: 98%, skin: warm, pink, dry, LOC: A&Ox4. At 1:35pm, vitals: BP: 120/78, HR: 72, RR: 12, O2: 96%. Client was lowered to sitting position in gravity chair. No changes in vital signs were assessed by EMTs. At 1:40pm one final set of vitals were taken: BP: 120/76, HR: 66, RR: 13, O2 sat: 97%, eyes: PERRLA, A&O x4, skin: pink, warm & dry. At 2:15pm, client was able to safely stand up. No further interventions indicated. Client was educated by Lead RN & EMT on signs and symptoms of adverse reactions and when to go to the ED/call MD. Client was also encouraged to sign-up. Client left vaccination site at approximately 2:15pm with a steady gait. A family member was able to pick him up and drive him home.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: On Friday, April 4, 2021 client  (DOB 5/3/1996) received his first dose of Pfizer COVID vaccine (LOT # EW0150, EXP 7/2021) at approximately 12:56pm. Per EMT report: at 1:06pm, client fell out of chair, landed on his left knee and regained consciousness immediately. Upon assessment, client stated his left knee pain was a 3 out of 10 scale. At 1:07pm, client was sat in the zero-gravity chair in supine position and given a bottle of water. Client stated he "felt pressure in ears-mainly right ear." EMT  & 2nd EMT coached client to breathe normally. At 1:09pm vitals were taken: BP: 120/70, HR: 52, RR: 10, O2 sat: 95%, skin: pale, moist, cool, eyes: PERRLA, LOC: A&O x4. Lead RN was notified and advised vitals be taken every 5 minutes for an additional 30 minutes. At 1:13pm vitals were retaken: BP: 120/70, HR: 69, RR: 12, O2 sat: 94%, eyes: PERRLA, skin, pale, moist, cool, LOC: A&O x4. On assessment, client stated he has no history of fainting, no allergies, and not taking any medication. Client stated he had a small amount of food and water intake and was not currently experiencing nausea. At 1:20pm, client stated the pressure in his ear subsided and was experiencing no headache, light-headedness or dizziness. At 1:25pm vitals were retaken: BP: 120/70, HR: 69, O2: 98%, skin: warm, pink, dry, LOC: A&Ox4. At 1:35pm, vitals: BP: 120/78, HR: 72, RR: 12, O2: 96%. Client was lowered to sitting position in gravity chair. No changes in vital signs were assessed by EMTs. At 1:40pm one final set of vitals were taken: BP: 120/76, HR: 66, RR: 13, O2 sat: 97%, eyes: PERRLA, A&O x4, skin: pink, warm & dry. At 2:15pm, client was able to safely stand up. No further interventions indicated. Client was educated by Lead RN & EMT on signs and symptoms of adverse reactions and when to go to the ED/call MD. Client was also encouraged to sign-up. Client left vaccination site at approximately 2:15pm with a steady gait. A family member was able to pick him up and drive him home.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Mouth ulceration, Myalgia
Clinical narrative: Chills within 8 hours. 18 hrs later on Wednesday the 30th muscle aches, extreme fatigue, slept all day Wednesday the 30th.  Left arm developed large red swollen area that as of today, April 2 at 11 pm is still getting  a little worse. 2 ulcers have formed in my mouth. Still tired and achy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling
Clinical narrative: Chills within 8 hours. 18 hrs later on Wednesday the 30th muscle aches, extreme fatigue, slept all day Wednesday the 30th.  Left arm developed large red swollen area that as of today, April 2 at 11 pm is still getting  a little worse. 2 ulcers have formed in my mouth. Still tired and achy.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Chills/fever, headache, achiness, pain for about 24 hours  Redness, swelling, and itchiness at injection site appearing 36 hours after injection and persisting
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Chills/fever, headache, achiness, pain for about 24 hours  Redness, swelling, and itchiness at injection site appearing 36 hours after injection and persisting
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Red, itchy raised, hot area around vaccine injection site approximately 3 inches in diameter with irregular edges. Area was red for 4 days and is bruised still today, 4/2/2021.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Musculoskeletal stiffness, Pain
Clinical narrative: Body aches, stiffness. weakness
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Leg fatigue (felt like I had run a half marathon) first in the evening. Severe headache began overnight and lasted until 24 hours from injection. Treated with Tylenol, 2 pills, every 6 hours
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Dizziness, Ear discomfort, Feeling hot, Rash
Clinical narrative: After about 7-10 minutes I began to feel warm. The nurse asked me to remove my mask and I had a rash and hives on my neck, face and chest. I was taken to a room and given Benadryl and ice packs while my vitals were monitored. My ear turned bright read and burned so badly that they had to get ice for my ears as well. I was shaking and felt dizzy. After 15 minutes I was feeling worse and my ears were on fire. After listening to my chest the nurse called for an ambulance in case she needed to administer an epi pen. The ambulance arrived and I was taken out to be evaluated. This was around 40 minutes after being given Benadryl and it began to work. I was advised that being seen at the hospital would be a good idea but that all my vitals were back to normal but the rash and hives were still there. I decided not to go to the hospital and to see if the Benadryl continue to work. After about 1.5 hours after Benadryl my hives and rash have gone away mostly.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor, Urticaria
Clinical narrative: After about 7-10 minutes I began to feel warm. The nurse asked me to remove my mask and I had a rash and hives on my neck, face and chest. I was taken to a room and given Benadryl and ice packs while my vitals were monitored. My ear turned bright read and burned so badly that they had to get ice for my ears as well. I was shaking and felt dizzy. After 15 minutes I was feeling worse and my ears were on fire. After listening to my chest the nurse called for an ambulance in case she needed to administer an epi pen. The ambulance arrived and I was taken out to be evaluated. This was around 40 minutes after being given Benadryl and it began to work. I was advised that being seen at the hospital would be a good idea but that all my vitals were back to normal but the rash and hives were still there. I decided not to go to the hospital and to see if the Benadryl continue to work. After about 1.5 hours after Benadryl my hives and rash have gone away mostly.