chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Disorientation, Fall, Feeling abnormal, Head injury
Clinical narrative: 30 seconds after giving the immunization patient said her head started to feel funny. She then put her head in her hands and closed her eyes. I asked if she was all right and if she wanted me to get her some water. She asked if she could just sit there for awhile.  I stayed with her for about 3-4 minutes all the time asking how she was doing/feeling.  I said maybe I should help her move out to the waiting area since the immunization rooms air conditioning was not working and the cooler air might help her.( As a side note, she came in very apprehensive about receiving the vaccine.) She then got up and started walking to the door where I opened it for her .  Then as she walked through door, and with my hand helping guide her, she took about two and a half steps and passed out suddenly - falling away from me. There were about 5 other people in the waiting area the witnessed the fall and we all heard how when she went down she hit her head pretty hard on the floor. I immediately went down to see how she was (ie. conscious, bleeding, any swelling at impact site). She was then conscious again but disoriented. She answered questions I put to her but wanted to stay lying on the floor. A lady that was waiting asked if she should call 911, which I responded YES, thank you. Her husband was also called and came in.  Paramedics showed up about 10 minutes later and began monitoring and eventually did transport her to the hospital via ambulance.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: 30 seconds after giving the immunization patient said her head started to feel funny. She then put her head in her hands and closed her eyes. I asked if she was all right and if she wanted me to get her some water. She asked if she could just sit there for awhile.  I stayed with her for about 3-4 minutes all the time asking how she was doing/feeling.  I said maybe I should help her move out to the waiting area since the immunization rooms air conditioning was not working and the cooler air might help her.( As a side note, she came in very apprehensive about receiving the vaccine.) She then got up and started walking to the door where I opened it for her .  Then as she walked through door, and with my hand helping guide her, she took about two and a half steps and passed out suddenly - falling away from me. There were about 5 other people in the waiting area the witnessed the fall and we all heard how when she went down she hit her head pretty hard on the floor. I immediately went down to see how she was (ie. conscious, bleeding, any swelling at impact site). She was then conscious again but disoriented. She answered questions I put to her but wanted to stay lying on the floor. A lady that was waiting asked if she should call 911, which I responded YES, thank you. Her husband was also called and came in.  Paramedics showed up about 10 minutes later and began monitoring and eventually did transport her to the hospital via ambulance.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chest discomfort, Dizziness, Fall, Feeling hot
Clinical narrative: Patient got the 1st dose of Pfizer vaccine at 1:58 pm on 5/6/21. Patient felt slightly dizzy about 3 minutes after getting the vaccine. Then he passed out and fell on the floor with seizure for about 5 seconds. He regain conscious and said he didn't remember anything. He also said his stomach felt upset. Later he felt chest tightness and blurry vision. We called 911 at 2:02 pm. They came in at 2:07 pm. They checked the patient's blood pressure. Patient had low blood pressure. He was sweating and felt hot. He didn't eat or drink anything before getting the vaccine. They transferred him to the emergency room for further check-up.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypotension, Loss of consciousness, Memory impairment, Seizure
Clinical narrative: Patient got the 1st dose of Pfizer vaccine at 1:58 pm on 5/6/21. Patient felt slightly dizzy about 3 minutes after getting the vaccine. Then he passed out and fell on the floor with seizure for about 5 seconds. He regain conscious and said he didn't remember anything. He also said his stomach felt upset. Later he felt chest tightness and blurry vision. We called 911 at 2:02 pm. They came in at 2:07 pm. They checked the patient's blood pressure. Patient had low blood pressure. He was sweating and felt hot. He didn't eat or drink anything before getting the vaccine. They transferred him to the emergency room for further check-up.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Patient got the 1st dose of Pfizer vaccine at 1:58 pm on 5/6/21. Patient felt slightly dizzy about 3 minutes after getting the vaccine. Then he passed out and fell on the floor with seizure for about 5 seconds. He regain conscious and said he didn't remember anything. He also said his stomach felt upset. Later he felt chest tightness and blurry vision. We called 911 at 2:02 pm. They came in at 2:07 pm. They checked the patient's blood pressure. Patient had low blood pressure. He was sweating and felt hot. He didn't eat or drink anything before getting the vaccine. They transferred him to the emergency room for further check-up.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Electrocardiogram, Headache, Pain
Clinical narrative: Had raising heart beat and dizziness  the with the first shot in the evening of 3/12/2021 it happened about two times and it went away.  Second dose 4/2/2021 Heart palpitations started immediately after the second dose. Did not mention anything to the staff at the workplace vaccine event.  I kept having heart palpitations, on 4/13/2021 I had a sharp pain on the left side of my chest that radiated down my left arm.  I made an appointment for the next day. 4/14/2021 I left work at about 9:30 for dizziness, blurry vision, vomiting, and sharp left side head pain. I had a doctors appointment at 2:30 on 4/14 they did an EKG and it came out abnormal, blood pressure was borderline.   Was put on blood pressure medication for 3 months.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Vision blurred, Vomiting
Clinical narrative: Had raising heart beat and dizziness  the with the first shot in the evening of 3/12/2021 it happened about two times and it went away.  Second dose 4/2/2021 Heart palpitations started immediately after the second dose. Did not mention anything to the staff at the workplace vaccine event.  I kept having heart palpitations, on 4/13/2021 I had a sharp pain on the left side of my chest that radiated down my left arm.  I made an appointment for the next day. 4/14/2021 I left work at about 9:30 for dizziness, blurry vision, vomiting, and sharp left side head pain. I had a doctors appointment at 2:30 on 4/14 they did an EKG and it came out abnormal, blood pressure was borderline.   Was put on blood pressure medication for 3 months.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Dizziness, Malaise
Clinical narrative: Prior to vaccination patient experienced dizziness and feeling "sick". Denies symptoms of active illness. Blood glucose level 280. Patient stated he would be more cautious and take his prescribed medications.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: Pain and swelling at injection site.  Fever Body aches *diagnosed with shingles 1 week later Shingles symptoms started 2 days after vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Electrocardiogram, Nausea
Clinical narrative: Patient began feeling very dizzy and nauseous, then when she sat up after resting for 20 mins felt a sudden onset of chest pain. EKG and vitals looked normal. EMS was called and patient was transferred to hospital.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient first dose was with Phizer and got 2nd dose of vaccine with MODERNA  on day 05/06/2021
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: 2nd COVID19 (moderna) vaccine shot was administered in upper right arm. No major side effects within 12 hours except very mild soreness. After 12 hours, I experienced extreme fatigue, nausea, soreness at injection site.  18 hours after injection,  I began to experience red splotchiness/flushing of the skin around the injection site and further beyond that area all around my outer upper right arm, down to upper elbow region as well as significant swelling/edema of the upper arm. The skin was hot to the touch. I had significant pain, tenderness, stiffness, redness all around the injection site. The fatigue and nausea subsided after 2 days. These   symptoms of my upper arm (swelling, tenderness, pain, stiffness, red flushed skin, hot to the touch) all lasted several days and then slowly went away after 5 days.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Musculoskeletal stiffness, Nausea, Pain in extremity
Clinical narrative: 2nd COVID19 (moderna) vaccine shot was administered in upper right arm. No major side effects within 12 hours except very mild soreness. After 12 hours, I experienced extreme fatigue, nausea, soreness at injection site.  18 hours after injection,  I began to experience red splotchiness/flushing of the skin around the injection site and further beyond that area all around my outer upper right arm, down to upper elbow region as well as significant swelling/edema of the upper arm. The skin was hot to the touch. I had significant pain, tenderness, stiffness, redness all around the injection site. The fatigue and nausea subsided after 2 days. These   symptoms of my upper arm (swelling, tenderness, pain, stiffness, red flushed skin, hot to the touch) all lasted several days and then slowly went away after 5 days.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Panic attack
Clinical narrative: Pt. self identified panic attack post second pfizer vaccine. PT declined RN interventions, self managed symptoms. Pt. ambulated from clinic after describing improved symptoms
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Dizziness, Full blood count normal, High density lipoprotein, Metabolic function test
Clinical narrative: Lightheaded and dizziness that persisted for over a week.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Lightheaded and dizziness that persisted for over a week.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: This is a medication error.  Directed to complete VAERS.  Marcelina came in to get 2nd dose of Moderna vaccine. She accidently received the pfizer vaccine instead.  no adverse reaction at time of observation at covid clinic.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Pain
Clinical narrative: She got headache, upset stomach, and body pain 12 hours after getting the vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Chest pain, Death, Hyperkalaemia
Clinical narrative: This 79   year old  female received the Covid shot on  2/18   and went to the ED on  2/26  and was admitted  on 2/26 with chest pain and abdominal pain and again to the ED on 3/14 and admitted on 3/14 with hyperkalemia, acute renal injury, chest pain and died on 05/04/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient received one dose of Janssen on  April 8 and May 6.  Was asked three times if he had another Covid vaccine , he denied each time.  Signed consent and completed registration.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aspiration, Cough, Dyspnoea, Loss of consciousness, Vomiting
Clinical narrative: patient description of event was that he was going in and out of consciousness, and while unconscious vomited and inhaled vomit, woke up gasping for air and coughing up vomit.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Mobility decreased, Sleep paralysis
Clinical narrative: patient description of event was that he was going in and out of consciousness, and while unconscious vomited and inhaled vomit, woke up gasping for air and coughing up vomit.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: patient description of event was that he was going in and out of consciousness, and while unconscious vomited and inhaled vomit, woke up gasping for air and coughing up vomit.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Muscle spasms, Pain, Pain in extremity
Clinical narrative: Started with headache... arm pain , sneezing and runny nose.  After work when I got home I started feeling achy and running a low grade fever.  Midnight the chills started and I couldn?t get warm. My fever has been up and down from 100 6 to 103.8.  Tylenol works to reduce it for about two hours and then it climbs back up and my body starts cramping in the joints and muscles.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, Sneezing
Clinical narrative: Started with headache... arm pain , sneezing and runny nose.  After work when I got home I started feeling achy and running a low grade fever.  Midnight the chills started and I couldn?t get warm. My fever has been up and down from 100 6 to 103.8.  Tylenol works to reduce it for about two hours and then it climbs back up and my body starts cramping in the joints and muscles.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Dysmenorrhoea
Clinical narrative: Moderna COVID?19 Vaccine EUA sharp sudden menstrual cramping, swollen breast and swollen nipples.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood pressure increased, Brain natriuretic peptide increased, Chest X-ray abnormal, Cough
Clinical narrative: Visited ER on 5/3/21 with symptoms of shortness of breath, cough, fatigue, oxygen sats 90-91% on room air, tachycardia (HR 114), BP 182/127
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Fibrin D dimer increased, Oxygen saturation decreased, Pneumonia
Clinical narrative: Visited ER on 5/3/21 with symptoms of shortness of breath, cough, fatigue, oxygen sats 90-91% on room air, tachycardia (HR 114), BP 182/127
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia, White blood cell count increased
Clinical narrative: Visited ER on 5/3/21 with symptoms of shortness of breath, cough, fatigue, oxygen sats 90-91% on room air, tachycardia (HR 114), BP 182/127
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Device connection issue, Incorrect dose administered
Clinical narrative: First attempt at administering the patient's second dose of the Moderna COVID-19 Vaccine led to detachment of the syringe barrel from the needle. Unclear whether any vaccine entered the patient's arm. Called  MD who advised that we administer a half dose (0.25 mL) of the vaccine to the patient, which we did immediately.
Age: 62.0
Sex: U
Vaccine: COVID19
Symptoms: Death
Clinical narrative: death
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pain in extremity, Paraesthesia
Clinical narrative: At 1:32pm Clinical Pharmacist alerted Nurse that patient verbalized that she was feeling dizzy, nauseous, "tingling on my face" and pain in the arm. RN responded and took the vitals signs recorded above. Patient reported last food eaten was at 10am. She came to the vaccine appointment from work. She reported she had not had much fluid to drink today. RN provided a cup of water (about 240mL). Patient has a history of anxiety and depression. Patient reports that she takes Hydroxyzine for anxiety in emergencies. She also takes Zoloft for depression. Patient denies any history of diabetes and heart conditions. Patient reports that she has an inhaler that she has not used recently. She reports she uses it for "when she overheats". Patient denies chest or throat tightness. Presented patient to NP. Agreed with plan for patient to wait in observation station until patient felt comfortable returning home. Coached patient in deep breathing exercises and advised patient on signs of more severe reactions and when to be seen at an Emergency room. Patient agreed to plan and verbalized a second time that she had no chest or throat tightness. Patient left at 2:02pm.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, aches for thirty-six hours. Much improved at forty-eight hrs. Took three rounds of Tylenol eight hours apart.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: About 2 hours after first pfizer shot, had a solid rash on chest, and red dots on stomach.  Took 50mg of benadryl and went to bed.  By 9pm, rash was gone, but later had itching in middle of night.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Hyperacusis, Impaired driving ability
Clinical narrative: Two hours after receiving the first doze, I started to get dizzy (the room started to spin). I contacted the pharmacy to ask if it was a common side effect, and the pharmacist told me to lie down on my side to see if the dizziness goes away in about 30 minutes. It didn't. I contacted the office of my primary care physician, and the nurse told me that it was not a common side effect, that I should go into the urgent care or ER. I did not take myself in, as I was feeling extremely dizzy. After 8 hours from getting the shot, I started to feel better and went to sleep. I felt better the next morning; however, I continued to have on and off dizziness/vertigo for the next 10 days, to the point that I chose not to drive my children around. In addition to dizziness/vertigo, during the first 10 days, I also experienced sensitivity to sounds and a feeling of a band around my head, squeezing. From day 11 to day 14, I experienced extreme fatigue. I was out of breath and my heart was racing from doing basic activities, such as cooking, cleaning the floor, and walking from one room to another.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Tension headache, Vertigo
Clinical narrative: Two hours after receiving the first doze, I started to get dizzy (the room started to spin). I contacted the pharmacy to ask if it was a common side effect, and the pharmacist told me to lie down on my side to see if the dizziness goes away in about 30 minutes. It didn't. I contacted the office of my primary care physician, and the nurse told me that it was not a common side effect, that I should go into the urgent care or ER. I did not take myself in, as I was feeling extremely dizzy. After 8 hours from getting the shot, I started to feel better and went to sleep. I felt better the next morning; however, I continued to have on and off dizziness/vertigo for the next 10 days, to the point that I chose not to drive my children around. In addition to dizziness/vertigo, during the first 10 days, I also experienced sensitivity to sounds and a feeling of a band around my head, squeezing. From day 11 to day 14, I experienced extreme fatigue. I was out of breath and my heart was racing from doing basic activities, such as cooking, cleaning the floor, and walking from one room to another.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Went to ER  with swelling, redness, itching, and extreme heat coming from injection site. Was prescribed Clindamycin and the site proceeded to get better after first dose.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Hospitalized at Hospital.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Blood thyroid stimulating hormone, Cellulitis, Condition aggravated, Full blood count normal
Clinical narrative: Pt experienced severe muscle pain and nausea following second vaccination. Also had an episode of cellulitis to hand requiring antibiotic treatment. Basic lab testing revealed new diagnosis of Lupus.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Myalgia, Nausea, Red blood cell sedimentation rate increased, Systemic lupus erythematosus
Clinical narrative: Pt experienced severe muscle pain and nausea following second vaccination. Also had an episode of cellulitis to hand requiring antibiotic treatment. Basic lab testing revealed new diagnosis of Lupus.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Balance disorder, Chest pain, Dizziness, Dysstasia
Clinical narrative: Patient experienced sudden dizziness and nausea within 5 minutes of receiving Janssen COVID-19 immunization. Gave her water, crackers and cold/wet rags for her forehead as she felt hot. Took her temperature, returned normal. Gave her a trash can to keep near. Kept an eye on the patient and realized she was getting red in the face and more dizzy than she had been. Went out and stood next to patient, with her mom on her other side. Began to experience light sensitivity, feeling like the room was spinning. Patient almost fell out of the chair while sitting still. Mom used a personal pulse oximeter on patient, all results normal. Asked the patient about other symptoms, such as chest/abdominal/leg pain, headache, shortness of breath. Patient reported a headache, dizziness, nausea and leg numbness roughly 30 minutes following the vaccine. I recommended going to the ER, mom believed it would pass with time, but insisted she never responds this way to immunizations. Patient began to experience stabbing chest and abdominal pain around 45 minutes. Patient's mom was still hesitant to take her to the ER immediately on her own and asked us to call her PCP. He wanted the patient to go to the ER. Patient believed she would fall if she stood, offered to get a motorized cart, wheelchair or call an ambulance to transport her. Both patient and mom requested the ambulance. Asked a technician to check patient medications and allergies for EMTs, retook the patient's temperature which was normal again. Stayed with patient until EMTs arrived, reported all symptoms patient was experiencing.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Hypoaesthesia, Nausea, Photophobia
Clinical narrative: Patient experienced sudden dizziness and nausea within 5 minutes of receiving Janssen COVID-19 immunization. Gave her water, crackers and cold/wet rags for her forehead as she felt hot. Took her temperature, returned normal. Gave her a trash can to keep near. Kept an eye on the patient and realized she was getting red in the face and more dizzy than she had been. Went out and stood next to patient, with her mom on her other side. Began to experience light sensitivity, feeling like the room was spinning. Patient almost fell out of the chair while sitting still. Mom used a personal pulse oximeter on patient, all results normal. Asked the patient about other symptoms, such as chest/abdominal/leg pain, headache, shortness of breath. Patient reported a headache, dizziness, nausea and leg numbness roughly 30 minutes following the vaccine. I recommended going to the ER, mom believed it would pass with time, but insisted she never responds this way to immunizations. Patient began to experience stabbing chest and abdominal pain around 45 minutes. Patient's mom was still hesitant to take her to the ER immediately on her own and asked us to call her PCP. He wanted the patient to go to the ER. Patient believed she would fall if she stood, offered to get a motorized cart, wheelchair or call an ambulance to transport her. Both patient and mom requested the ambulance. Asked a technician to check patient medications and allergies for EMTs, retook the patient's temperature which was normal again. Stayed with patient until EMTs arrived, reported all symptoms patient was experiencing.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Vertigo
Clinical narrative: Patient experienced sudden dizziness and nausea within 5 minutes of receiving Janssen COVID-19 immunization. Gave her water, crackers and cold/wet rags for her forehead as she felt hot. Took her temperature, returned normal. Gave her a trash can to keep near. Kept an eye on the patient and realized she was getting red in the face and more dizzy than she had been. Went out and stood next to patient, with her mom on her other side. Began to experience light sensitivity, feeling like the room was spinning. Patient almost fell out of the chair while sitting still. Mom used a personal pulse oximeter on patient, all results normal. Asked the patient about other symptoms, such as chest/abdominal/leg pain, headache, shortness of breath. Patient reported a headache, dizziness, nausea and leg numbness roughly 30 minutes following the vaccine. I recommended going to the ER, mom believed it would pass with time, but insisted she never responds this way to immunizations. Patient began to experience stabbing chest and abdominal pain around 45 minutes. Patient's mom was still hesitant to take her to the ER immediately on her own and asked us to call her PCP. He wanted the patient to go to the ER. Patient believed she would fall if she stood, offered to get a motorized cart, wheelchair or call an ambulance to transport her. Both patient and mom requested the ambulance. Asked a technician to check patient medications and allergies for EMTs, retook the patient's temperature which was normal again. Stayed with patient until EMTs arrived, reported all symptoms patient was experiencing.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chest pain, Dizziness, Dysphonia
Clinical narrative: 3/21/21 - SOB, some wheezing, and dizziness  Over the following week: local injection site pain and rash; pain in chest exacerbated by deep breaths; other musculoskeletal pain - knee pain; L ear pain; R hand/wrist forearm shooting pain; pain in R axilla (prior h/o LAD there, possibly worse after the vaccine)  - Prednisone for msk pain (increased from 3 to 6 mg - at 6 mg for a couple of days) - Flovent HFA 110 2-4 puffs/day may have helped but s/e hoarseness  4/1 to 4/2/21 Patient updated me and I recommended: Flovent Diskus instead of HFA to see if it is tolerated better (less hoarseness / dysphonia) Discussed options for pain control Ordered SARS-CoV-2 spike Ab to help provide guidance about antibody response with one dose (caveat: normal values are unknown) - she plans to get it next week  Large local reaction has resolved (was present for about one week). Today, she still has SOB and pain in her rib cage; pain between shoulder blades. She also feels somewhat fatigued. Feels better if she can take a deep breath. These symptoms wax and wane.  Better somewhat with Flovent Diskus 1 puff BID, acupuncture, pain relievers, lidocaine patches, and muscle relaxant.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Ear pain, Fatigue, Injection site pain, Injection site rash
Clinical narrative: 3/21/21 - SOB, some wheezing, and dizziness  Over the following week: local injection site pain and rash; pain in chest exacerbated by deep breaths; other musculoskeletal pain - knee pain; L ear pain; R hand/wrist forearm shooting pain; pain in R axilla (prior h/o LAD there, possibly worse after the vaccine)  - Prednisone for msk pain (increased from 3 to 6 mg - at 6 mg for a couple of days) - Flovent HFA 110 2-4 puffs/day may have helped but s/e hoarseness  4/1 to 4/2/21 Patient updated me and I recommended: Flovent Diskus instead of HFA to see if it is tolerated better (less hoarseness / dysphonia) Discussed options for pain control Ordered SARS-CoV-2 spike Ab to help provide guidance about antibody response with one dose (caveat: normal values are unknown) - she plans to get it next week  Large local reaction has resolved (was present for about one week). Today, she still has SOB and pain in her rib cage; pain between shoulder blades. She also feels somewhat fatigued. Feels better if she can take a deep breath. These symptoms wax and wane.  Better somewhat with Flovent Diskus 1 puff BID, acupuncture, pain relievers, lidocaine patches, and muscle relaxant.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Pain, Pain in extremity, Wheezing
Clinical narrative: 3/21/21 - SOB, some wheezing, and dizziness  Over the following week: local injection site pain and rash; pain in chest exacerbated by deep breaths; other musculoskeletal pain - knee pain; L ear pain; R hand/wrist forearm shooting pain; pain in R axilla (prior h/o LAD there, possibly worse after the vaccine)  - Prednisone for msk pain (increased from 3 to 6 mg - at 6 mg for a couple of days) - Flovent HFA 110 2-4 puffs/day may have helped but s/e hoarseness  4/1 to 4/2/21 Patient updated me and I recommended: Flovent Diskus instead of HFA to see if it is tolerated better (less hoarseness / dysphonia) Discussed options for pain control Ordered SARS-CoV-2 spike Ab to help provide guidance about antibody response with one dose (caveat: normal values are unknown) - she plans to get it next week  Large local reaction has resolved (was present for about one week). Today, she still has SOB and pain in her rib cage; pain between shoulder blades. She also feels somewhat fatigued. Feels better if she can take a deep breath. These symptoms wax and wane.  Better somewhat with Flovent Diskus 1 puff BID, acupuncture, pain relievers, lidocaine patches, and muscle relaxant.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: This patient received both doses of vaccine. The reaction started 2 days after the first vaccine but was not reported to us until after 5/6/2021. The patient received dose number 1 on 3/26/21. 2 days later she had itchy sores on her scalp. These never resolved. She received dose number 2 on 4/24/2021. I asked the patient if the reaction flared or got worse after the second dose. The patient said it stayed exactly the same. The reaction did not stop (or get worse) as of 5/4/21 so the patient sought medical care. She was prescribed clobetasol 0.05% to apply topically to the scalp twice daily for 2 weeks. She returned to our pharmacy on 5/6/21 to pick up the medicine, and it was at the counseling touchpoint that she told us about her reaction.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Contusion, Erythema, Rash, Vasculitis
Clinical narrative: Started breaking out in a rash on feet and lower legs and developed bruising.  Red spots went to upper thigh and lower back.  A few spots on both arms.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram thorax abnormal, Intracardiac thrombus, Magnetic resonance imaging abnormal, Magnetic resonance imaging heart
Clinical narrative: Feet turned black blood thinner  3 blood clots in lungs 1 clot in heart
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary thrombosis, Skin discolouration, Thrombosis
Clinical narrative: Feet turned black blood thinner  3 blood clots in lungs 1 clot in heart
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Headache, Herpes zoster, Pruritus, Rash
Clinical narrative: Got shot Thurs. 4/8/21 and  had daily weird side effects until 4-16-21 when I Woke up with severe headache,  after several days of pain that traveled from big toe up leg over buttocks where a rash broke out on my   back right hip at bikini line area. It was painful, itchy and  some blisters appeared the following day. I went to a walk in clinic and was diagnosed with shingles and given medicine for 7 days. I completed the medicine and blisters have dried up.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Ataxia, Diarrhoea, Myalgia, Pyrexia, Vomiting
Clinical narrative: fever,ataxia,vomiting , diarrhea,  muscle aches,
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness
Clinical narrative: 20% loss of hearing in 6 weeks as documented by audiologist
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Erythema, Pruritus
Clinical narrative: Patient complained of itching and redness at LAC site. She believed it may be from the blouse she is wearing. Her blood pressure was slightly elevated. Heart rate, oxygen saturation, and temperature were normal. Patient reported improvement with clothing sensitivity. No medications given. Patient drank two 8 fluid ounces of water.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyskinesia, Hyperhidrosis, Musculoskeletal stiffness, Pallor
Clinical narrative: Accompany minor with dad received vaccine for first time.  Pt complain of dizziness, diaphoretic, pale to face, body stiffness and started jerking once on floor.  Pt placed to floor for safety precautions.  V/s obtained w/ b/p 80/54, HR 92 O2 98%. Jerking stopped with v/s obtained again w/ b/p 82/56 HR 95 O2 99%.  EMS arrived and taken over care. Pt was more a/ox3.  Taken to hospital  via EMS.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Pt reported mild chest tightness, but states she did not take medications for BP this morning 0953: BP 127/66, HR 65; O2 96%, Temp 36.5C; Denied need for higher level of care Reports she will take BP meds with hydration once she leaves hospital vaccine clinic Left @1020 from hospital symptom free
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rash
Clinical narrative: An 18 year old female, with no reported history of allergies,  presented to store on May 3, 2021 for her second COVID-19 vaccine. Approximately 24 hours after vaccination, she developed a headache. Approximately 48 hours after vaccination, she developed a rash that  spread from the neck to the legs. She went to Hospital Emergency Room. In the ER she was given Banophen (Benadryl) and famotidine. Later that same day, the symptoms resolved. At approximately 9am on May 5, 2021, the rash returned and spread to the palms of the hands and the face. At approximately 11:20 am, the patient took Banophen and famotidine. She called the pharmacy around noon for advise, as the rash was still present. Patient was advised to call her primary care physician.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Inappropriate schedule of product administration
Clinical narrative: medication given too early in series
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted, had him sit down, drink water and a piece of candy. pt reported feeling much better
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia, Syncope
Clinical narrative: Intense pain with tingling and numbness through left arm and hand immediately upon administration. I immediately told the administrator who informed me that happens sometimes and suggested I move my arm around. Three minutes later, I experienced a vasovagal syncope without losing consciousness and received medical attention from on-site paramedics. The paramedics monitored me and I left the event approximately 25 minutes later. The arm pain subsided after a few minutes and my blood pressure and heart rate had returned to normal about twenty minutes later. I did not receive further medical attention.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypoacusis, Tinnitus, Visual field defect
Clinical narrative: Started with full body sweats and dizziness, lost peripheral vision, extreme tinnitus but what I could hear was muffled like I had a pillow over my head. Almost lost consciousness. First to subside was the dizziness and loss of peripheral vision, muffled hearing after, tinnitus subsided around the same time of the body sweats. Only lasted 5 minutes, but was followed by a less extreme version of all the same symptoms an hour to two hours later. No episodes since.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Joint and muscle pain, headache, chills, fever, fatigue, nausea.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Joint and muscle pain, headache, chills, fever, fatigue, nausea.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Balance disorder, Body temperature increased, Injection site pain
Clinical narrative: Muscle and Joint aches, upset stomach, mild loss of balance, temperature 102.4, Pain at injection site. Lasted for 48hrs
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Muscle and Joint aches, upset stomach, mild loss of balance, temperature 102.4, Pain at injection site. Lasted for 48hrs
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Myalgia
Clinical narrative: States felt fine until that evening and then developed muscle aches and felt somewhat short of breath. Thought these were both side effects so went to bed. The muscle aches have resolved but is still short of breath, reports hard to take a deep breath today although he sounds fine on the phone as he speaks calmly and in complete sentences. He has no mouth swelling, there has been no rash or hives at all. He has no hx of asthma and doesn't believe anxiety is playing a role.  Pt concerned he may have gotten COVID from the vaccine.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Rash erythematous
Clinical narrative: Two large (approximately 8cm diameter) bright red patches on chest with vesicles and bullae (looks like severe sun burn)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Rash/Hives all over body starting on the torso.  Over the days and weeks it has spread to legs arms and back to torso
Age: 5.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Left Arm red, hot to touch, itching, pain and swelling.  5.5 inches x 6.0 inches Ibuprofen given at lunch time05/05/2021, given Benadryl at bedtime on 05/05/2021, decreased swelling
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient received the wrong second dose of the Covid-19 vaccine. First vaccine was Pfizer on 4/15/21 and second was Moderna at our location on 5/6/21. Patient had no adverse events and was monitored before departing from our facility.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Gastrointestinal haemorrhage, SARS-CoV-2 test positive
Clinical narrative: Tested covid+ 4/29/21 when Hospitalized for GI bleed
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Syncope, Vomiting
Clinical narrative: Syncope reaction, loss of consciousness for approximately 5 seconds. Nausea and vomited 5 minutes after event. Patient advised to elevate feet, remain seated, drink water, and rest in the store for 15 minutes. Patient felt well and left afterwards.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Lightheaded  BP 93/52, 118/68 rechecked  HR 65 Sp02: 99%  Seen and cleared by EMS
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Rash, Skin warm
Clinical narrative: Patient felt warm, slight redness/rash on the face. He was transferred to med ops for observation. Rash only seen on forehead/face. No visible swelling to throat or tongue.  25mg oral benadryl given x1 at 5:27.  Patient observed for 20 min post benadryl dose. No adverse reactions occurred.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Unevaluable event
Clinical narrative: Client received Janssen COVID vaccine at age 17
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pain, Pain, Pyrexia
Clinical narrative: day after vaccine patient c/o pain/ soreness at injection site as well as erythema. C/o bodyaches, fever and fatigue.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Covid arm - warm itchy rash on my left around near the injection site. About 5 inches in length
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Axillary pain, Myalgia, Pain in extremity
Clinical narrative: Continuous muscle pain in shoudler area which became worse after second dose.  Pain area has now spread to elbow and armpit.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Coordination abnormal, Feeling abnormal
Clinical narrative: The first 3 days after the vaccination, I didn't feel safe driving, my coordination was impacted, I was not able to think straight (heavy brain fog).   I was hoping this would subside, but here I am a month later, not being able to remember my own friends names, not able to do simply Math, I feel as if the vaccine may have caused some brain swelling.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Memory impairment
Clinical narrative: The first 3 days after the vaccination, I didn't feel safe driving, my coordination was impacted, I was not able to think straight (heavy brain fog).   I was hoping this would subside, but here I am a month later, not being able to remember my own friends names, not able to do simply Math, I feel as if the vaccine may have caused some brain swelling.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Impaired work ability, Inflammation, Loss of personal independence in daily activities, Magnetic resonance imaging
Clinical narrative: After receiving the vaccine 2/26 around 3/1/2021 I had a reaction,  my fingers and wrist was hurting, after 2nd dose on 3/19  the pain got really bad and progressively worse with inflammation and it was unbearable pain. Some days I'm unable to move and cannot live a normal life at all, sometimes I cannot brush my hair or teeth because I'm in so much pain. I'm on leave because of the reaction, I saw my PCP, the rheumatologist and orthopedic doctor.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, X-ray
Clinical narrative: After receiving the vaccine 2/26 around 3/1/2021 I had a reaction,  my fingers and wrist was hurting, after 2nd dose on 3/19  the pain got really bad and progressively worse with inflammation and it was unbearable pain. Some days I'm unable to move and cannot live a normal life at all, sometimes I cannot brush my hair or teeth because I'm in so much pain. I'm on leave because of the reaction, I saw my PCP, the rheumatologist and orthopedic doctor.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Unevaluable event, X-ray
Clinical narrative: Every symptom started & progressed (except never had a fever).
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis
Clinical narrative: One week after receiving my first dose, I had appendicitis and had to have emergency surgery to remove my appendix.    According to the website, appendicitis was listed as a "serious adverse event for 12 participants, 8 of which were vaccine recipients and 4 were placebo".
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: Rash/redness came and left within 4 days initial (imz given 4/28), then recurred 5/5 with worsening/spreading by 5/6. Rash is red, bumpy, warm to touch, and itches.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth, Rash, Swelling of eyelid
Clinical narrative: Swollen left eye and rash on right face the evening of vaccination. Took allergy meds and was gone by morning. Four days after the vaccine, I got a hot rash, which was incredibly itchy, on my upper left arm, where I was vaccinated, every evening for about two weeks.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: nausea, vomiting, headache
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Mass, Tenderness
Clinical narrative: I developed an inflamed lump in the front upper part of my arm that was tender to the touch (a bit larger than the size of a quarter). It formed the day after my second dose and although it felt better over time, the lump remained for 5 more weeks (today) and is still a bit tender to the touch.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Retinal detachment, Vision blurred, Vitrectomy
Clinical narrative: As per patient 2 days post vaccination he develop blurry vision in his left eye, he went to local ER but they said they could not find anything wrong so they refer him to clinic for further evaluation. Their Doctor diagnose him with Retinal Detachment, left eye (Dx: H33.022). on 04/29/2021 pt had Pars plana vitrectomy, air-fluid exchange with internal drainage retinotomy.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor, Syncope
Clinical narrative: patient started feeling light headed in the chair after the vaccination, then he started to faint and fall out of the chair. our cashier caught him, we then got him onto the ground. he was very pale, sweaty, nauseous, and dizzy. he fainted a second time while sitting on the floor. we got him a garbage can in case he got sick, and an ice pack and bottle of water to help cool him down. after 10 minutes he stated he felt much better, and he went back into the chair. we asked him to wait another 15 minutes to make sure he was okay because he had to drive himself home. after that period of time i took his blood pressure and it was normal. he said he was going to go get something to eat here in the store before driving and he would come back to let us know if he started feeling sick again.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Nausea, Taste disorder
Clinical narrative: Headache, nausea, tired/no energy, taste is off
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia
Clinical narrative: Insomnia night after second shot Covid arm day after second shot. Covid arm one week after first shot
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy bone marrow abnormal, Chemotherapy, Haemophagocytic lymphohistiocytosis, Leukocytosis, Myocarditis
Clinical narrative: Developed hemophagocytosis syndrome (hemophagocytic lymphohistiocytosis) resulting in hospitalization
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Developed hemophagocytosis syndrome (hemophagocytic lymphohistiocytosis) resulting in hospitalization
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Injury associated with device, Needle issue
Clinical narrative: Experienced vaccinator Dr, MD was vaccinating the VR and during the attempt to deploy the syringe, the needle separated from the syringe.  Dr, MD was certain that the needle separated prior to the actual deployment of the syringe.  The Vaccinator wasted the dose and removed the needle from the VRs arm and administered a new dose.  The Vaccinator discussed the situation with staff who then discussed the incident with the VR and the VRs mother.  Both the VR and mother demonstrated understanding of the situation.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Patient called and stated that he had been having a shooting pain from his neck all the way down the arm of the arm he was vaccinated in. He said that he did not have anything like this previously and was that normal. I told him that it was not and to report it to the CDC v-safe program, I also notified my manager, district manager and clinical market manager to confirm that they hadn't heard of anything like this. I asked for him to follow back up with us & for him to let us know if it resolves itself.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pain in extremity, Rash erythematous, Rash pruritic
Clinical narrative: Sore arm and Covid arm - red itchy rash near injection site about 5 inches long.