chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling cold, Hypoacusis, Vision blurred
Clinical narrative: Patient was waiting in the waiting area for 6 minutes after getting the pfizer covid vaccine when she started to feel like she was going to faint. Her mom was with her. Her mom had already given her a snack when I was notified. Pt stated her vision was blurry and her hearing was "like she was in a tunnel". She was feeling cold and was feeling scared of that feeling. I asked if I could apply a cold pack and asked her to rest the back of her head against the wall and to close her eyes. I applied the cold pack to her forehead and observed her. She started to sweat and was calmer. She was feeling better and her hearing and vision was back to normal. I had her wait for a total of 30 minutes and had my technician stay with her at that time. She was feeling better and I asked her mom to hang on to her while walking to their car. I followed up with the patient 4 hours later and she was doing well. She said she was feeling well and her arm was not even sore just some fatigue.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Discomfort, Flushing
Clinical narrative: Headache, facial flushing, severe hip and back pain, vaginal pain, 101 degree fever, chills, inability to get comfortable, nausea, inability to sleep for more than 90 minutes at a time
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Insomnia, Nausea, Pyrexia, Vulvovaginal pain
Clinical narrative: Headache, facial flushing, severe hip and back pain, vaginal pain, 101 degree fever, chills, inability to get comfortable, nausea, inability to sleep for more than 90 minutes at a time
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anger, Confusional state, Dysarthria, Hypoaesthesia, Pyrexia
Clinical narrative: Right side of body went numb  Slurred speech  Confusion  Anger  Vomiting  Fever
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Right side of body went numb  Slurred speech  Confusion  Anger  Vomiting  Fever
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Patient fainted, then threw up
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Product administered to patient of inappropriate age
Clinical narrative: dizziness
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris
Clinical narrative: Approximately one week after receiving the 2nd dose, I noticed an increase in the number of angina events I was experiencing, and a corresponding increase in usage of Nitrostat. One 0.4 mg dose of sublingual Nitrostat stopped the angina symptoms. I have not been able to determine any trigger event for the angina attacks.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to communicable disease, SARS-CoV-2 test positive
Clinical narrative: Contact w and exposure to both viral communicable diseases
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest pain, Dyspnoea, Electrocardiogram, Malaise
Clinical narrative: I felt really sick the following day! I had COVID-19 prior to this so it felt like that again... 48 hours after I had chest pain and shortness of breath! I went to the hospital and my blood pressure was 166 over 99... blood tests came back ok for now
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pain
Clinical narrative: headache, small rash inside of elbow left arm, fatigue, muscle pain, body aches, chills that lasted all night into the next morning, but all went away later in the morning (04/10/2021) except the fatigue, which lasted a full 6 days, and the rash which is still there.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: headache, small rash inside of elbow left arm, fatigue, muscle pain, body aches, chills that lasted all night into the next morning, but all went away later in the morning (04/10/2021) except the fatigue, which lasted a full 6 days, and the rash which is still there.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Apnoeic attack, Bradycardia, Electrocardiogram normal, Malaise
Clinical narrative: 17 year old patient with no known allergies who was given 1st dose of Pfizer vaccine at 1655. At 1700 during observation patient mentioned to the mother that she was not feeling well, was slumped over. The RN on observation noticed that she was apneic, whole body  was rigid. Vital signs at 1701: BP 153/88, HR: 64. Oxygen saturation 99%. After 5 minutes a recheck of the vital signs: BP 115/74, HR: 64. Oxygen 97%. Patient did state that she gets anxious when she gets shots.The paramedics were called. Vital signs on arrival: 117/83, HR: 58, Oxygen saturation 100%. Blood sugar 70. After a few minutes patient stated that she was feeling a little better. Patient was able to walk to the ambulance for them to perform an EKG: Results were  normal sinus bradycardia.(Patient is an athlete). Patient's mother declined further treated and signed AMA form.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle rigidity
Clinical narrative: 17 year old patient with no known allergies who was given 1st dose of Pfizer vaccine at 1655. At 1700 during observation patient mentioned to the mother that she was not feeling well, was slumped over. The RN on observation noticed that she was apneic, whole body  was rigid. Vital signs at 1701: BP 153/88, HR: 64. Oxygen saturation 99%. After 5 minutes a recheck of the vital signs: BP 115/74, HR: 64. Oxygen 97%. Patient did state that she gets anxious when she gets shots.The paramedics were called. Vital signs on arrival: 117/83, HR: 58, Oxygen saturation 100%. Blood sugar 70. After a few minutes patient stated that she was feeling a little better. Patient was able to walk to the ambulance for them to perform an EKG: Results were  normal sinus bradycardia.(Patient is an athlete). Patient's mother declined further treated and signed AMA form.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Coronary artery occlusion, Myocardial infarction, Stent placement
Clinical narrative: Received first vaccine 4/21/21. Within two days started having tightness in chest, but no other adverse reactions, happened a couple times a day. 5/13/21 received second vaccine....had tightness two more times, then 5/14:22 evening had a heart attack....ambulance to Hospital. 99% blockage in LAD. Hospital inserted stent. Spoke with all of the Cardiologists about my concerns as Heart problems ?Do not? run in my family. I have always had excellent blood pressure and low cholesterol....my father is 86 and was a smoker, and never been on blood pressure medication, same with my late Grandfather. I?ve ?never? had any type of chest pains in my life. Also, I am retired and have had numerous vaccines, with no issues. The hospital cardiologists said that I could report this, but they believe the Heart attack is due to the fact that I smoke....I just don?t believe that....the Heart Attack occurred 36 hours after my second vaccine!!!
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pain, Injection site warmth, Peripheral swelling
Clinical narrative: Arm swelling (4.5 cm), erythema, warmth, and tenderness at site of injection, No treatment, Symptoms starting this morning at 8 AM
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram head, Computerised tomogram neck, Dizziness, Feeling drunk
Clinical narrative: Clinical impression: Dizziness. ED Physician Note; Chief Complaint: Patient presents with Dizziness. History of Present Illness: Patient is a 69 y.o. male with hx of hypertension, anxiety, presenting to the ED with reports of dizziness which began upon waking up this morning.  Patient states that he was recently diagnosed with COVID-19 viral infection on 3/19/2021.  He states he was primarily tested secondary to a family member having confirmed infection.  He states he has not had any significant cough, shortness of breath, fevers, chest pain, or difficulty breathing over the past few days.  He additionally denies any dizziness or difficulty ambulating until this morning.  He states this morning when he woke up he felt as though he was having an unsteady gait, reports "feeling like I am drunk".  He denies any sided weakness, numbness/tingling, changes to his speech, or additional symptoms at this time.  He additionally is denying any urinary symptoms, changes to bowel movements, or black/bloody appearing stool.  He denies any prior history of vertigo or dizziness in the past. Exposure to COVID-19 virus.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Lung infiltration, SARS-CoV-2 test positive, Vertebral artery stenosis
Clinical narrative: Clinical impression: Dizziness. ED Physician Note; Chief Complaint: Patient presents with Dizziness. History of Present Illness: Patient is a 69 y.o. male with hx of hypertension, anxiety, presenting to the ED with reports of dizziness which began upon waking up this morning.  Patient states that he was recently diagnosed with COVID-19 viral infection on 3/19/2021.  He states he was primarily tested secondary to a family member having confirmed infection.  He states he has not had any significant cough, shortness of breath, fevers, chest pain, or difficulty breathing over the past few days.  He additionally denies any dizziness or difficulty ambulating until this morning.  He states this morning when he woke up he felt as though he was having an unsteady gait, reports "feeling like I am drunk".  He denies any sided weakness, numbness/tingling, changes to his speech, or additional symptoms at this time.  He additionally is denying any urinary symptoms, changes to bowel movements, or black/bloody appearing stool.  He denies any prior history of vertigo or dizziness in the past. Exposure to COVID-19 virus.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Renal pain
Clinical narrative: Right kidney hurts
Age: 68.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: No adverse event, Vaccination error
Clinical narrative: Patient was accidentally given Shingrix when she should have only gotten Moderna. No treatment has been required. Patient had no adverse reaction during waiting period after vaccine administration.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase increased, Chest X-ray, Computerised tomogram abdomen, Computerised tomogram neck, Computerised tomogram pelvis
Clinical narrative: Immediately after first dose of vaccine patient developed worsening fatigue, exertional dyspnea, fever, cough, body aches. These symptoms persistent with profound pleuritic chest pain and limited exercise tolerance from January-May 2021. She just now has started to clinically improve. Work-up with small pleural and pericardial effusion. Extensive evaluation without alternative cause for symptoms.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax, Cough, Dyspnoea exertional, Fatigue, Pain
Clinical narrative: Immediately after first dose of vaccine patient developed worsening fatigue, exertional dyspnea, fever, cough, body aches. These symptoms persistent with profound pleuritic chest pain and limited exercise tolerance from January-May 2021. She just now has started to clinically improve. Work-up with small pleural and pericardial effusion. Extensive evaluation without alternative cause for symptoms.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pericardial effusion, Platelet count increased, Pleuritic pain, Pyrexia
Clinical narrative: Immediately after first dose of vaccine patient developed worsening fatigue, exertional dyspnea, fever, cough, body aches. These symptoms persistent with profound pleuritic chest pain and limited exercise tolerance from January-May 2021. She just now has started to clinically improve. Work-up with small pleural and pericardial effusion. Extensive evaluation without alternative cause for symptoms.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Patient came in to get his second dose of Moderna. After the inoculation, he was assigned to wait in the post-vaccination chair for 15minutes. After 5 minutes in, he began to feel dizzied, chill, sweaty, stomach pain, and wanting to vomit. He gave us permission to call 911 for him. We gave him a cold compressed to put around his neck while he waited for paramedic to arrived. They came and took his vital signs and asked couple questions. His vital signs were good and they discovered that he did not have lunch, he only had breakfast for the day. He felt a lot better after 20 minutes so he got released by the paramedic to go home.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient felt tingling around tongue and mouth. Patient given oral Diphenhydramine 25 mg.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Intense itching of the arm and shoulder. Started approximately 40 minutes after injection. Patient was given Benadryl 50mg and observed for an additional 40 minutes. No trouble breathing and no swelling occurred. Patient is following up with PCP.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Unevaluable event
Clinical narrative: UNKNOWN
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hypoaesthesia, Tremor
Clinical narrative: One hour after the shot I felt numbness on my left cheek as if I had been to the dentist and received a novocaine shot and its beginning to wear off but still a bit numb. Within 6 hours of the shot I had severe chills to the point I was shaking. Today, 05/19/2021, the only remaining symptom is the numbness feeling is the same in my left cheek. My smile is correct and no sagging or swelling; just the numbness feeling.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Feeling hot, Hyperhidrosis, Wheezing
Clinical narrative: Patient experienced a severe episode of coughing a few minutes after receiving the vaccine.  Patient was nervous prior to receiving the vaccine.  Patient's blood pressure was 100/70 at 4:1. Patient said that she could not breathe and was hot and sweating. Observer noted wheezing and administer the EpiPen into the left thigh.  911 called. At 4:15, patient's blood pressure was 130/70, and at 4:22, it was 130/90. The patient settled down and composed herself. At 4:26 paramedics arrived and took her to a local hospital.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Computerised tomogram head, Full blood count
Clinical narrative: Developed Bell's Palsy on Saturday May 15, 2021.  Went to Hospital Emergency Room concerned that I was having a stroke.  After CT and Neurologist consult, determined the condition was Bell's Palsy.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Nausea, Rash erythematous, Rash pruritic
Clinical narrative: 5/16/2021:  3pm-5pm Extreme nausea, almost passed out several times within the course of 2 hours.  5/17/2021:  8:30am  red rash on front of thighs with extreme itchiness took Benadryl and symptom resolved in 30 minutes roughly.  7pm noticed 10+ bruise-like bruises on legs. Bruises are still visible
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity, Skin tightness, Skin warm
Clinical narrative: 1. Mild joint aches started shortly after receiving shot and occur off and on since then.  More common on left side.  More common in ankle but have also felt in wrist, shoulder, etc.  2. Mild pain started in upper inner part of left calf around 5/15.  Generally persistent.  Feels somewhat tight and warm sensation inside but not to touch.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling cold, Myalgia, Pyrexia
Clinical narrative: Freezing (no chills) literally woke up freezing and shaking bad trying to get warm, fever, bad muscle and joint pain and bad fatigue
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Freezing (no chills) literally woke up freezing and shaking bad trying to get warm, fever, bad muscle and joint pain and bad fatigue
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Bed rest, Blood iron decreased, Blood test, Cervical discharge, Exposure during pregnancy
Clinical narrative: I was 22 weeks pregnant when I received the first dose of the Pfizer vaccine.  Then, 2 weeks later when I was 24 weeks pregnant, I started having vaginal bleeding. I was in the hospital for 3 days as the doctors believed I may be going into very early labor.  They suspect a partial placenta abruption. As a result, my cervix was found to be short, also indicating potential early labor coming. I was put on bed rest. Two weeks after the bleeding started, I lost much of my mucus plug (at 26 weeks). When at hospital at 24 weeks, I was given  steroids to make my baby?s lungs develop faster just in case he?s born soon. I was also prescribed progesterone which I?ve been taking nightly. I?m now also taking magnesium supplements and drinking chamomile tea.  This may be unrelated, but I have also been found to be low in iron so now I?m taking iron supplements too.   Due date is Aug 2, 2021; I?m 31 years old; I am currently 29 weeks pregnant and still have not gone into labor; This is my second pregnancy, my first pregnancy was two years prior, and it was 100% healthy.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Gynaecological examination abnormal, Premature separation of placenta, Shortened cervix, Ultrasound antenatal screen, Vaginal haemorrhage
Clinical narrative: I was 22 weeks pregnant when I received the first dose of the Pfizer vaccine.  Then, 2 weeks later when I was 24 weeks pregnant, I started having vaginal bleeding. I was in the hospital for 3 days as the doctors believed I may be going into very early labor.  They suspect a partial placenta abruption. As a result, my cervix was found to be short, also indicating potential early labor coming. I was put on bed rest. Two weeks after the bleeding started, I lost much of my mucus plug (at 26 weeks). When at hospital at 24 weeks, I was given  steroids to make my baby?s lungs develop faster just in case he?s born soon. I was also prescribed progesterone which I?ve been taking nightly. I?m now also taking magnesium supplements and drinking chamomile tea.  This may be unrelated, but I have also been found to be low in iron so now I?m taking iron supplements too.   Due date is Aug 2, 2021; I?m 31 years old; I am currently 29 weeks pregnant and still have not gone into labor; This is my second pregnancy, my first pregnancy was two years prior, and it was 100% healthy.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Vomiting
Clinical narrative: Nausea and fatigue. Vomiting frequently,unable to consume solid food.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Malaise, Pyrexia, Throat irritation
Clinical narrative: Swollen Lymph Nodes, 16 hours after injection, Rest, Fluids, Benedryl 10 mg - Symptom persists Itchy Throat, 8  hours after injection, Rest, Fluids, Benedryl 10 mg - Symptom persists Low-Grade Fever, 30  hours after injection, One dose of Tylenol - Symptom persists Malaise, 8  hours after injection, Rest and Fluids - Symptom persists
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted while waiting in the waiting area after being vaccinated.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dizziness, Head injury, Heavy menstrual bleeding, Injection site pruritus
Clinical narrative: Patient fainted while waiting in the waiting area after being vaccinated.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Malaise, Menstruation irregular, Nasal injury, Tinnitus
Clinical narrative: Patient fainted while waiting in the waiting area after being vaccinated.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tunnel vision
Clinical narrative: Patient fainted while waiting in the waiting area after being vaccinated.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Hyperhidrosis, Nausea, Pallor
Clinical narrative: patient was extremely pale, dizzy, heavy breathing, nausea, sweating
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Dysphagia, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: Office Visit 3/30/2021 WellSpan Family Medicine Family Medicine Pharyngitis, unspecified etiology +3 more Dx Sore Throat  Reason for Visit Progress Notes Family Medicine ? ? Encounter Date: 3/30/2021 ? ? Signed    Assessment/Plan      Diagnosis Plan 1. Pharyngitis, unspecified etiology    2. Sore throat  POCT rapid strep A   COVID-19 PCR 3. Tenderness of neck  COVID-19 PCR 4. Exposure to COVID-19 virus  COVID-19 PCR   Looks have viral pharyngitis.  On exam looks mild.  Rapid strep negative.  Did send out for confirmatory strep testing.  Also Covid PCR sent will need note to return to work once Covid test resulted.  In the meantime just symptomatic care only: rest, fluids, vitamin C/zinc, Motrin or Tylenol as needed for pain.    Subjective    Chief Complaint Patient presents with ? Sore Throat     Patient presents in the office sore throat since Monday.     Sore throat is constant and severe.  Not taking any medication for it.  Does not want to eat because of it.   Above documentation is a combination of history taken by me and my clinican.  I agree with what is documented.    Review of Systems  Constitutional: Negative for chills and fever.  Respiratory: Negative for cough and shortness of breath.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive, Viral pharyngitis
Clinical narrative: Office Visit 3/30/2021 WellSpan Family Medicine Family Medicine Pharyngitis, unspecified etiology +3 more Dx Sore Throat  Reason for Visit Progress Notes Family Medicine ? ? Encounter Date: 3/30/2021 ? ? Signed    Assessment/Plan      Diagnosis Plan 1. Pharyngitis, unspecified etiology    2. Sore throat  POCT rapid strep A   COVID-19 PCR 3. Tenderness of neck  COVID-19 PCR 4. Exposure to COVID-19 virus  COVID-19 PCR   Looks have viral pharyngitis.  On exam looks mild.  Rapid strep negative.  Did send out for confirmatory strep testing.  Also Covid PCR sent will need note to return to work once Covid test resulted.  In the meantime just symptomatic care only: rest, fluids, vitamin C/zinc, Motrin or Tylenol as needed for pain.    Subjective    Chief Complaint Patient presents with ? Sore Throat     Patient presents in the office sore throat since Monday.     Sore throat is constant and severe.  Not taking any medication for it.  Does not want to eat because of it.   Above documentation is a combination of history taken by me and my clinican.  I agree with what is documented.    Review of Systems  Constitutional: Negative for chills and fever.  Respiratory: Negative for cough and shortness of breath.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Injection site pain, Laboratory test
Clinical narrative: On Saturday may 15 2021 I noticed a small cluster of bumps close to the site but I don?t think it was exactly at the site. Today may 19, I Went to dermatologist because the bumps got red, the site was sore, and dermatologist said I had shingles. Possibly brought on by stress.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Dysarthria
Clinical narrative: I lost the ability to talk - my speech became slurred - for twenty minutes. No such problem ever before or since. No other problems in the four months since.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash papular, Urticaria
Clinical narrative: 48-hours after second vaccination, papular rash formed on right forearm (along ulnar nerve distribution). Diagnosed and treated as shingles. One week after, I developed a diffuse rash and hives all over my body (including eyelids) requiring IV steroids and diphenhydramine.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac function test, Computerised tomogram, Dizziness, Dysstasia
Clinical narrative: Wasn?t able to stand up at all... nausea fainting dizziness etc... had to take rescue twice within 5 days... was in the ICCU unit at one point.. diagnosed with orthostatic hypotension
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Nausea, Orthostatic hypotension, Syncope
Clinical narrative: Wasn?t able to stand up at all... nausea fainting dizziness etc... had to take rescue twice within 5 days... was in the ICCU unit at one point.. diagnosed with orthostatic hypotension
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Ear discomfort, Headache, Pain, Tinnitus
Clinical narrative: Headache, joint pain, body aches, clogged ears, ringing ears
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder
Clinical narrative: For both vaccine doses, does one given 4/12/2021 and does 2 given 5/10/2021 I had a change to my menstrual cycle. Does one on 4/12/2021 caused a period 10 days after administration when the normal cycle should if I stayed on track should have been 20 days later instead.  Dose 2 also caused an abnormal/early period 10 days after administration when the normal cycle track should have been 26 days after administration.  I do not typically have issues with my menstrual cycle, in fact, they are usually on time within 1 day and have been my entire life.  I do not take birth control or have any other issue that I am aware of that would cause this.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Magnetic resonance imaging, Sudden hearing loss
Clinical narrative: Sudden hearing loss
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site reaction, Pyrexia
Clinical narrative: With hours pain, raised rash at injection site, itch 101.7 fever lasted 24 hrs
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Pain in extremity
Clinical narrative: Patient stopped by Pharmacy consultation window on 05/19/2021 and asked if arm and shoulder pain could have been associated with the covid vaccine he received. He received his Pfizer covid vaccine on 05/05/2021 in his right arm.  He stated that after the vaccine he had a sore arm for a few days and then the bilateral shoulder pain and increased pain in the right arm started a few days after that. He also has arthritis and asked if that could be his arthritis flaring up.  He also mentioned he gets cortisone shots in his arms. He wanted to know if he should get his second dose (which would be due in a week) in his left arm instead.  I informed him that it's hard to tell  and I could not rule out either if it's the vaccine or the arthritis since the pain is in both shoulders and he stated he has a history of arthritis. I encouraged him to check with his physician to rule out arthritis and to determine if it is the vaccine and whether he should receive the second dose.  He said he would consult with his physician before his second dose vaccine date.  I asked him to let us know what his Physician says and he said he would.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Injection site pruritus, Injection site vesicles
Clinical narrative: On 5/18/2021, client  received her first dose of the Pfizer Covid-19 Vaccine (lot #EW0182, expiration 08/2021)  on 5.13.21 and her second dose due on 6.3.21. Using interpreter for this Spanish speaking client who came today with a chief complaint of a very tiny red blister on the left injection site on her deltoid and she said it itches on the injection site and spreading to her chest/around her neck area which started on day two after first dose of Pfizer injection. Lead nurse observed no bumps or blisters on the chest and neck area. Client declined any allergies except allergic to Bacon and declined any chronic illnesses. Client also said that someone told her that the injection site location was not on the right spot. Lead nurse consulted about client's chief complaints with clinical operation lead who told to tell client that the injection site is still within the deltoid area and the red tiny blister is not harmful. Referred client to primary care provider (PCP) to check on her injection site blister and her itchiness on the injection site/around her neck area and to discuss if her PCP recommends her second dose of Pfizer on 6.3.21. Client was provided with all vaccine related information and co-lead nurse educated client about adverse reactions to observe at home and instructed to seek emergency care or medical attention if condition becomes severe after leaving vaccination site. Client verbalized understanding and said will see her PCP before her second Pfizer vaccination. Client left site in no apparent distress.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dyspnoea, Heart rate increased, Inflammation
Clinical narrative: Approximately 4.5 hours after injection my upper body around my ribs and back felt as if there was a band tightening. There was a lot of stress and pressure and inflammation in my upper body especially near the base of my heart. My heart beat was rapid and I was short of breath. The event lasted approximately 25 minutes.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dyspnoea, Heart rate, Heart rate increased, Inflammation
Clinical narrative: Approximately 4.5 hours after injection my upper body around my ribs and back felt as if there was a band tightening. There was a lot of stress and pressure and inflammation in my upper body especially near the base of my heart. My heart beat was rapid and I was short of breath. The event lasted approximately 25 minutes.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myocardial infarction
Clinical narrative: Approximately 4.5 hours after injection my upper body around my ribs and back felt as if there was a band tightening. There was a lot of stress and pressure and inflammation in my upper body especially near the base of my heart. My heart beat was rapid and I was short of breath. The event lasted approximately 25 minutes.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Head discomfort, Hyperhidrosis, Insomnia, Malaise
Clinical narrative: Hot, sweating, clammy.  Feeling unwell!  Can't sleep for days!  Sinus and brain pressure pain!
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Skin warm
Clinical narrative: Hot, sweating, clammy.  Feeling unwell!  Can't sleep for days!  Sinus and brain pressure pain!
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: After receiving 1st dose of covid vaccine (by pfiser), patient was asked to sit down in the waiting area. Patient hit the floor because she passed out/fainted for a moment. Patient was conscious. We asked if patient is able to breathe and would want medical help and call 911. She stayed seated for a while and didn't seek further help.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Electrocardiogram normal, Feeling of body temperature change
Clinical narrative: Office Visit 3/17/2021 Urgent Care; PA-C Family Medicine Upper respiratory tract infection, unspecified type +1 more Dx Cough ? Nasal Congestion  Reason for Visit MDM:   Vital signs reviewed. Medications and allergy list reviewed. Pt is a 69 y.o. female presenting to the Urgent Care today for URI symptoms x 3-4 days. No evidence of bacterial infection on exam. She had first COVID-19 vaccine yesterday. COVID-19 PCR testing performed today, we will call with results. Discussed pros and cons of further workup today such as EKG and CXR however she declines, prefers to wait for COVID-19 results. Pt will treat symptomatically/conservatively at this time. See HPI, physical exam and patient instructions for other pertinent information.   Addendum: Pt returned to the office this evening with her husband stating that she felt unwell ~ 20-30 min ago. She says that she felt hot and chilled and felt tightness in her anterior neck. She says that these symptoms have all resolved but they concerned her, so she returned. She still has URI symptoms as noted below in HPI but says that she has not experienced any further SOB. No new symptoms since she was here earlier today. No dizziness, cp, palpitations, jaw/arm pain, diaphoresis. Vitals rechecked here now. EKG done now (declined earlier today) - shows sinus rhythm. Due to the neck tightness, I did advise patient to seek ER care now for further evaluation and management, however, she refuses. I discussed the risks of not going to the ER now, but she still refuses to go. Since she is feeling better, she prefers to go home at this time. She will take a dose of Benadryl when she gets home (incase of any allergic reaction). I again have advised her to seek ER care with any worsening or changing symptoms. Otherwise, follow up with PCP ASAP. Return here as needed.  Assessment/Plan      Diagnoses and all orders for this visit:   Upper respiratory tract infection, unspecified type -     COVID-19 PCR; Future -     COVID-19 (SARS CoV-2,RNA Molecular Amplification) -     ECG 12-lead: URGENT CARE (Here and Now)   Encounter for screening for COVID-19 -     COVID-19 PCR; Future -     COVID-19 (SARS CoV-2,RNA Molecular Amplification) -     ECG 12-lead: URGENT CARE (Here and Now)         Chief Complaint Patient presents with ? Cough ? Nasal Congestion     Pt states she got 1st shot of COVID vaccine yesterday.  Pt states she had cough and nasal congestion a couple of days prior, pt today is experiencing some overall body warmth and some shortness of breath feeling when she walked outside.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Muscle tightness, SARS-CoV-2 test positive, Upper respiratory tract congestion, Upper respiratory tract infection
Clinical narrative: Office Visit 3/17/2021 Urgent Care; PA-C Family Medicine Upper respiratory tract infection, unspecified type +1 more Dx Cough ? Nasal Congestion  Reason for Visit MDM:   Vital signs reviewed. Medications and allergy list reviewed. Pt is a 69 y.o. female presenting to the Urgent Care today for URI symptoms x 3-4 days. No evidence of bacterial infection on exam. She had first COVID-19 vaccine yesterday. COVID-19 PCR testing performed today, we will call with results. Discussed pros and cons of further workup today such as EKG and CXR however she declines, prefers to wait for COVID-19 results. Pt will treat symptomatically/conservatively at this time. See HPI, physical exam and patient instructions for other pertinent information.   Addendum: Pt returned to the office this evening with her husband stating that she felt unwell ~ 20-30 min ago. She says that she felt hot and chilled and felt tightness in her anterior neck. She says that these symptoms have all resolved but they concerned her, so she returned. She still has URI symptoms as noted below in HPI but says that she has not experienced any further SOB. No new symptoms since she was here earlier today. No dizziness, cp, palpitations, jaw/arm pain, diaphoresis. Vitals rechecked here now. EKG done now (declined earlier today) - shows sinus rhythm. Due to the neck tightness, I did advise patient to seek ER care now for further evaluation and management, however, she refuses. I discussed the risks of not going to the ER now, but she still refuses to go. Since she is feeling better, she prefers to go home at this time. She will take a dose of Benadryl when she gets home (incase of any allergic reaction). I again have advised her to seek ER care with any worsening or changing symptoms. Otherwise, follow up with PCP ASAP. Return here as needed.  Assessment/Plan      Diagnoses and all orders for this visit:   Upper respiratory tract infection, unspecified type -     COVID-19 PCR; Future -     COVID-19 (SARS CoV-2,RNA Molecular Amplification) -     ECG 12-lead: URGENT CARE (Here and Now)   Encounter for screening for COVID-19 -     COVID-19 PCR; Future -     COVID-19 (SARS CoV-2,RNA Molecular Amplification) -     ECG 12-lead: URGENT CARE (Here and Now)         Chief Complaint Patient presents with ? Cough ? Nasal Congestion     Pt states she got 1st shot of COVID vaccine yesterday.  Pt states she had cough and nasal congestion a couple of days prior, pt today is experiencing some overall body warmth and some shortness of breath feeling when she walked outside.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: 48 hours of severe chills, rigors, fevers, severe headache, severe joint pains in all joints, full body muscle aches, nausea, loss of appetite, severe fatigue. Tylenol and Advil prn. (Note: I had monoclonal antibody IV 2/5/21, was told to wait 90 days which I did. These symptoms are exactly why I got those antibodies. I am a retired Nurse Practitioner in Internal Medicine. Why is the CDC and government official NO recognizing and giving credit for natural antibodies. I've had covid 19, monoclonal antibodies, there is herd immunity, and yet you want EVERYONE to get vaccinated. Very poor judgement for the cdc and government official.  You wonder why people don't trust both of them? What if I had died or had resulting health conditions because of what I just went thru?  I will never trust either again and will recommend others NOT get the vaccine. We  don't even know what permanent disability or damage may come from this.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea
Clinical narrative: 48 hours of severe chills, rigors, fevers, severe headache, severe joint pains in all joints, full body muscle aches, nausea, loss of appetite, severe fatigue. Tylenol and Advil prn. (Note: I had monoclonal antibody IV 2/5/21, was told to wait 90 days which I did. These symptoms are exactly why I got those antibodies. I am a retired Nurse Practitioner in Internal Medicine. Why is the CDC and government official NO recognizing and giving credit for natural antibodies. I've had covid 19, monoclonal antibodies, there is herd immunity, and yet you want EVERYONE to get vaccinated. Very poor judgement for the cdc and government official.  You wonder why people don't trust both of them? What if I had died or had resulting health conditions because of what I just went thru?  I will never trust either again and will recommend others NOT get the vaccine. We  don't even know what permanent disability or damage may come from this.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed, Pregnancy test negative
Clinical narrative: Delayed menstrual cycle. 62 days so far.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Seizure
Clinical narrative: After leaving pharmacy, patient experienced a seizure while riding as a passenger in a vehicle.  Patient was hospitalized and diagnosed with a "Brain Bleed" according to mother.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pigmentation disorder, Rash, Skin exfoliation
Clinical narrative: Severe rashes and pigmented skin started peeling off around the spot where injections were given
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: complained of feeling  "not right".  exhibited pallor.  I laid him on the floor and raised his legs.  He never lost consciousness.  He sat back up and continued to wait.  He left on his own without any intervention.  He was alert , well and in good spirits when he left me.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Fatigue, Headache, Nasopharyngitis, Nodule
Clinical narrative: Sick with both shots. But 2nd shot I got a big knot on my collar bone hurts bad,my head hurts really bad every since & behind my ears hurt when I wear my glasses  cant sleep comfortably arm hurts its been five days now,my first was just fatigue & common cold.I was told it normal just report it to you.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Erythema, Flushing
Clinical narrative: Client received 2nd COVID vaccine of Pfizer (Lot# EW0185 expiration 05/23/2021). RN noticed Client turn red and become flushed to the skin. RN provided supplemental nutrition and fluids. Client accepted. At 1740 RN and PHN responded to this event. At 1741, vital signs are blood pressure 150/90, heart rate 100, oxygen saturation 96%. Client reports anxiety, no dizziness, no headache, no blurred vision, no chest pain. Client reports history of hypertension, takes blood pressure medication every morning (today's morning dose was administered via self at home), takes over the counter aspirin as needed, and no known allergies. At 1745, vital signs are blood pressure 144/88, heart rate 101, oxygen saturation 95%. Client reports no complaints with the 1st dose. Per Client had a very stressful day. The flush reaction of the face happened within 2 minutes of administration. RN educated Client in regards to ED precautions and common adverse effects of COVID vaccine. At 1750, vital signs are blood pressure 140/88, heart rate 90, oxygen saturation 98. Client reports symptoms have resolved and skin tone returned to appropriate coloration to ethnicity. At 1800, vita signs are blood pressure 130/88, heart rate 92, oxygen saturation 97%. At 1801, Client stood up with no complaints. At 1802, Client walked out of facility with a steady gait.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: during 15 minute observation period after the vaccine, patient passed out briefly.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Cellulitis, Diarrhoea, Nausea, Pyrexia
Clinical narrative: Fever102.2. Nausea,diarrhea, severe lower back pain.  All lasting approx. 14 hours.  Left arm cellulitis from injection site to elbow, on going.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Pain and swelling in the injection area. Entire arm had a lot of aches for entire day after. Took Advil for relief. Have a lump in the area. Pain went away for the rest of week, however came back one week after injection  with a lot of redness and hard lump. Burning and aching as well as itching.   First day after injection was very tired and dizzy.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pain
Clinical narrative: Pain and swelling in the injection area. Entire arm had a lot of aches for entire day after. Took Advil for relief. Have a lump in the area. Pain went away for the rest of week, however came back one week after injection  with a lot of redness and hard lump. Burning and aching as well as itching.   First day after injection was very tired and dizzy.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Ear swelling, Erythema, Pruritus, Rash, Rash papular
Clinical narrative: Swollen eyelids, swollen ears, swollen face, rash in neck, back and chest.  Red and very itchy  papules distributed all over the neck and trunk.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Swelling face, Swelling of eyelid
Clinical narrative: Swollen eyelids, swollen ears, swollen face, rash in neck, back and chest.  Red and very itchy  papules distributed all over the neck and trunk.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dysmenorrhoea, Hot flush, Pyrexia
Clinical narrative: severe menstrual cramps, fever, disorientation, hot flashes
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Chills  Fever Tried  Headache
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pruritus, Rash pruritic
Clinical narrative: 2 days after vaccination patient experienced a severe generalized pruritic rash from the shoulders to the feet.  He also felt terrible for the next 10 days with severe general malaise. He continues to have a residual rash over his back and abdomen with persistent itching. The patient felt so terrible that he is reluctant to get the second dose.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Foaming at mouth, Hyperhidrosis, Hypotension
Clinical narrative: Around 4:20pm patient's husband informed the pharmacy that his wife was feeling lightheaded and said she feels like passing out. The pharmacist and I walked over to the patient to ese how she was doing. The pharmacist checked her blood pressure and it was in the 50s. I called 911 as patient was experiencing concerning symptoms (lightheaded, dizzy, sweating, low blood pressure, pale, losing conscious, cold to touch, and foaming in the mouth). Fire department arrived and assessed the patient. They monitored patient until her blood pressure was elevated to the 100s. During this time they also advised her husband to buy Gatorade so they can replete her fluids. Once patient was able to sit up and stand the fire department and her husband escorted her to their vehicle. She was advised to go home, rest, drink fluids, and contact the emergency department if she isn't feeling well again.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor
Clinical narrative: Around 4:20pm patient's husband informed the pharmacy that his wife was feeling lightheaded and said she feels like passing out. The pharmacist and I walked over to the patient to ese how she was doing. The pharmacist checked her blood pressure and it was in the 50s. I called 911 as patient was experiencing concerning symptoms (lightheaded, dizzy, sweating, low blood pressure, pale, losing conscious, cold to touch, and foaming in the mouth). Fire department arrived and assessed the patient. They monitored patient until her blood pressure was elevated to the 100s. During this time they also advised her husband to buy Gatorade so they can replete her fluids. Once patient was able to sit up and stand the fire department and her husband escorted her to their vehicle. She was advised to go home, rest, drink fluids, and contact the emergency department if she isn't feeling well again.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Oropharyngeal pain, Throat irritation
Clinical narrative: Pt received shot at 10:49 am. She had warned us of a history to anaphylaxis with penicillin and cephalosporins and we counseled her to be observed for 30 minutes at the pharmacy. Between 10 and 15 minutes after her immunization she had a panicked look on her face and said her throat felt extremely dry and scratchy. We immediately called 911 due to the history of anaphylaxis and they instructed us to not let her have any water to drink.  She continued to be alert and breathing/talking through the entire episode and never had any other complaints besides extremely dry mouth, sore throat, and scratchy voice. The paramedics arrived approximately 20-25 minutes after the immunization and observed her in the pharmacy for approximately 5 minutes. They then walked with her to the ambulance where she just sat and talked to them for another 10 minutes and they cleared her to drive home. No medications were administered. A couple hours later I spoke to the patient and she said her throat was still a little sore and dry but nothing else had happened.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Pain in extremity
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Chills roughly 12 hours after administration. Resolved by the next morning Headache began 15May21 resolved 16May21 Left Hip pain from 16May21-17May21 Pain in outer left thigh 19May21 - ongoing (no redness or swelling) Fatigue: 14May-15May21
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctival haemorrhage, Fatigue, Pain in extremity, Swelling, Thirst
Clinical narrative: Entire left arm sore, fatigued,, Slight swelling in all body, increased thirst, Left eye experiencing subconjunctive hemorrage, taking ibuprofen and Benadryl, low discomfort
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in sexual arousal, Fatigue, Myalgia, Nasopharyngitis, Pyrexia
Clinical narrative: I wanted to report an adverse event that I did not include in my vsafe questionnaire due to embarrassment at the time.   Around 8PM on the night of my second Pfizer-BioNTech vaccine, I started to notice increased sexual sensitivity in my clitoris just sitting on a chair using my computer.  I had started to already feel some side effects, such as fatigue, light muscle pain, and cold.  Those symptoms continually got worse and I also ended up having a fever later on starting around 10PM.  The fever went up to 102F that night, and I had increasing muscle pain.   I continued to feel the increased sensitivity in my clitoris during that time.  After finally being able to get some sleep later that night, I woke up and the sensitivity was gone.  I continued to have a low fever (101F), fatigue, muscle pain, and cold that day, however.  Those subsided that night.  All symptoms other than the increased clitoral sensitivity were reported via vsafe when they occurred.