chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test abnormal, Rash
Clinical narrative: I got my second vaccine on 4/7/2021, I saw my doctor on 5/12/2021 blood work was done because I was breaking out a rash on my face and my blood pressure was up for the first time ever, but I feel pretty fine, the doctor is trying to figure out why my bloodwork was off and to see what may be causing the rash. The dermatologist has no idea what it is, another specialist is working on it because they still do not know what it is or why my blood work is off. I have a follow up next month with the doctor.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Computerised tomogram head, Decreased appetite, Diarrhoea
Clinical narrative: following day after vaccine developed low grade fever, low PO2, diarhea  nausea, weakness sharp headaches, loss of appetite
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Neurological examination, Ophthalmological examination, PO2 decreased
Clinical narrative: following day after vaccine developed low grade fever, low PO2, diarhea  nausea, weakness sharp headaches, loss of appetite
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: following day after vaccine developed low grade fever, low PO2, diarhea  nausea, weakness sharp headaches, loss of appetite
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypersensitivity, Pruritus, Swelling
Clinical narrative: day after the first Pfizer vaccination (18 hours)  Pt is a 16 year old female with history of anaphylaxis and asthma who presents today with allergic reaction after receiving her Pfizer vaccine.  Patient states she had her first dose yesterday, but did not have any immediate reaction.  This morning when she was running at school she began to notice itching to her face and scalp as well as swelling to her nose and difficulty breathing.  Mother gave her EpiPen and Benadryl with significant improvement in her symptoms.  No report of nausea or vomiting.  No report of abdominal pain.  She denies any new foods or shampoos or perfumes.  Mom does report concerned that she has a history of rebound anaphylaxis generally 6 hours after the initial insult.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: received from mother: states daughter received shot at approximately 10:00 a.m. on 7/9/21. Daughter tensed up right before getting the shot. Daughter now has pain running down right arm and has numbness in fingers of right hand. No complaint of swelling or redness.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Laboratory test normal, Muscle spasms, Onychomadesis, Rash
Clinical narrative: I was exp. left really bad cramps especially in right leg. I did go to the doctor for blood clots (tests showed none). I have also exp. hair loss and 10 fingernails started to crush off like eggshells. Behind both ears I've exp. rash coming and going since vaccine.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness
Clinical narrative: PATIENT FELT FAINT AND WAS HAVING A REACTION 2 MINUTES AFTER GIVEN VACCINE
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood glucose, Electrocardiogram, Syncope
Clinical narrative: PATIENT FELT FAINT AND WAS HAVING A REACTION 2 MINUTES AFTER GIVEN VACCINE
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: presents for evaluation of tightness in her throat beginning approximately 20 minutes prior to arrival.  The patient states that approximately an hour ago she had her 1st COVID vaccine.  ED medications- famotidine (PEPCID) tablet 20 mg (20 mg Oral Given 5/7/21 1120)
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Feeling hot, Pallor, Somnolence
Clinical narrative: Patient had stated that he tended to pass out after giving blood.  After shot was given pharmacist stayed with patient in case something happened.  Patient almost immediately said he didn't feel right.  Patient started to lose color and was very hot. Pharmacist got up and stayed next to patient.  Patient slowly lowered  his head and started to breathe heavily.  Pharmacy technician then came over with a cool towel to place on patients head. The pharmacist couldn't tell if patient had in fact passed out because patients head was down and pharmacist was holding patient in place so he didn't fall.  The pharmacy tech was asked if patient passed out and she saw his eyes were open.  Patient then asked how long he was out for.  That was for a total of roughly 5 seconds.  Patient then stayed at pharmacy for around 45 minutes.  He regained his color and his body temp returned to normal.  He did say he was drowsy but felt he was fine to go home.  Patient was called later in the day and he said he was drowsy but feeling much better.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient had stated that he tended to pass out after giving blood.  After shot was given pharmacist stayed with patient in case something happened.  Patient almost immediately said he didn't feel right.  Patient started to lose color and was very hot. Pharmacist got up and stayed next to patient.  Patient slowly lowered  his head and started to breathe heavily.  Pharmacy technician then came over with a cool towel to place on patients head. The pharmacist couldn't tell if patient had in fact passed out because patients head was down and pharmacist was holding patient in place so he didn't fall.  The pharmacy tech was asked if patient passed out and she saw his eyes were open.  Patient then asked how long he was out for.  That was for a total of roughly 5 seconds.  Patient then stayed at pharmacy for around 45 minutes.  He regained his color and his body temp returned to normal.  He did say he was drowsy but felt he was fine to go home.  Patient was called later in the day and he said he was drowsy but feeling much better.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Chest X-ray normal, Computerised tomogram head normal, Confusional state, Dizziness
Clinical narrative: Patient received both doses of COVID Moderna vaccine (2/13/21 and 3/13/21).   She presented to the ER on 7/7/21 after a fall at home. She was noted to have altered mental status/confusion and claimed she was dizzy. CT brain was negative, as well as chest X-ray and pelvic X-rays (also negative). Pt was tested for COVID  per protocol, and was found to be positive on 7/7/21, despite being fully vaccinated and being asymptomatic.  Patient was admitted for Neuro work-up and was started on ceftriaxone for presumed UTI. COVID treatment has not bee started since pt is asymptomatic and is not hypoxic.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Mental status changes, SARS-CoV-2 test positive, Urinary tract infection, X-ray of pelvis and hip normal
Clinical narrative: Patient received both doses of COVID Moderna vaccine (2/13/21 and 3/13/21).   She presented to the ER on 7/7/21 after a fall at home. She was noted to have altered mental status/confusion and claimed she was dizzy. CT brain was negative, as well as chest X-ray and pelvic X-rays (also negative). Pt was tested for COVID  per protocol, and was found to be positive on 7/7/21, despite being fully vaccinated and being asymptomatic.  Patient was admitted for Neuro work-up and was started on ceftriaxone for presumed UTI. COVID treatment has not bee started since pt is asymptomatic and is not hypoxic.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient came in for covid vaccine. Before injecting I asked patient has she ever received any covid vaccinations and patient answered no. Patient was elderly and stated she was very nervous so I gave the injection before adding all info into the rover. After administering the vaccine and staring to input information I then noticed patient had previously been vaccinated in March . When the patient was asked about previous vaccination she denied ever being vaccinated. Patient sat for the required 15 min and an additional 15 min for a total of 30 mins and NP on site monitored patient and there was no reaction. Patient was discharged.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine increased, Blood creatine phosphokinase, Focal myositis, Oedema, Pain in extremity
Clinical narrative: Approximately 1 month (on 7/5/2021)following 2nd COVID-19 vaccination, patient developed acute focal myositis of left arm--swelling occurred in left forearm (proximal) but patient reported "soreness" along L/arm and forearm. Patient had significant elevation of creatine kinase enzyme. Edema and soreness have resolved and creatinine kinase is closer to normal by 7/9/2021.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Approximately 1 month (on 7/5/2021)following 2nd COVID-19 vaccination, patient developed acute focal myositis of left arm--swelling occurred in left forearm (proximal) but patient reported "soreness" along L/arm and forearm. Patient had significant elevation of creatine kinase enzyme. Edema and soreness have resolved and creatinine kinase is closer to normal by 7/9/2021.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hyperventilation, Hypotonia, Pallor
Clinical narrative: Approximatly 10min. after patient recieved her vaccine she was seen slumping over onto her mother and hyperventilating. RN was then notified and arrived to help coach patient to slow her breathing down and to take even breaths. Vitals were taken at 0950:BP-110/70,HR-90,RR-20. Skin was pale and diaphoretic. Patient then was given water and crackers and transferred to lay down in a non-stimulating environment. At about 1015 her vitals were retaken:BP-115/80,HR-100,RR-18. Skin was normal pallor and non-diaphoretic. After a few minutes in the sitting position, then standing and soon she was ready to leave. mother was advised on when to seek medical attention for signs and symptoms of anaphylaxis.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza, Lymph node pain, Lymphadenopathy, Mobility decreased, Skin mass
Clinical narrative: I experienced after my second dose knots under my skin, lymph nodes swelled under my arms to the point my doctor put me on antibiotics but my lymph nodes have not gone away. I also experienced a lymph node on my neck, left side and under my ear which also happened when I got my first dose. I had difficulty turning my neck to the sides. I went to talk to my my family nurse practitioner about my swollen lymph nodes. My lymph nodes are very painful to touch under my left arm. When I push my lymph node is so painful to touch and sore. My family nurse practitioner placed me antibiotics. To this day, I still have the lymph nodes which seem to be reoccurring. This second vaccine was really rough on me and stayed in bed for four days, felt also like I had the flu.  I am also a breast cancer survivor and I am concerned about my lymph nodes and I go back to see my family nurse practitioner on 07-15-2021.
Age: 17.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Eye swelling, Rash
Clinical narrative: 7/6/21 4:43PM PATIENT PHONED CLINIC  STATING SHE RECEIVED VACCINES THIS MORNING. PATIENT HAVING FOLLOWING SYMPTOMS: EYES SWOLLEN AND FACE BREAKING OUTIN RASH AND STARTED A LITTLE WHILE AGO. ENCOURAGED PATIENT TO GO TO THE ER BECAUSE OF SWELLING OF EYES COULD CAUSE BREATHING PROBLEMS IF SWELLING PERSISTS. PT VERBALIZED UNDERSTANDING.  7/7/21 10:25AM PHONED PATINET TO F/U ON SYMPTOMS AND PT STATED SYMPTOMS OF SWOLLEN EYES AND RASH CLEARED UP WITHIN 30 MIN OF REPORTING SYMPTOMS YETERDAY. PATIENT REPORTS SORENESS TO SITE OF INJECTION. DR. UPDATED ON PATIENT STATUS.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: PT. ADMITTED TO HOSPITAL 7/8/2021 WITH SOB AND BACK PAIN HAD MODERNA VACCINE BUT DATE UNKNOWN
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Headache, Myalgia
Clinical narrative: Nausea, Headache and diarrhea that started after 2nd vaccine. Also has myalgias, fevers, and body aches on saturday after the shot. Temp up to 101. Took aspirin with improvement. concerned about wheezing, sob, and intermitten cough
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Wheezing
Clinical narrative: Nausea, Headache and diarrhea that started after 2nd vaccine. Also has myalgias, fevers, and body aches on saturday after the shot. Temp up to 101. Took aspirin with improvement. concerned about wheezing, sob, and intermitten cough
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Breast mass, Breast pain, Lymphadenopathy
Clinical narrative: I had soreness in my left breast and in my shoulder, I went to my PCP and they advised to get a routine mammogram.  They saw a mass on the mammogram.  They sent my PCP a recommendation to get an ultrasound.  They concluded after the ultrasound that it was a cluster of lymph nodes.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Heart rate irregular, Ventricular extrasystoles
Clinical narrative: heart rate irregular - fluttery. ER said it was PVCs
Age: 95.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Immediate post-injection reaction, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Patient flinched upon our graduate interns injection of vaccine (not at the insertion of the needle).  Immediately after and till evening pt had intense shoulder pain and loss of range of motion due to pain.  Injection was at approximately 2:15PM 6/28/21.  The patient came back to the pharmacy and I inspected her arm at 8PM 6/28/21.  She was in obvious pain and was told to follow up with me.  She was also told to contact MD if pain worsens or it doesn't get better after 2 to 3 days.  I inspected the injection site and there was no visible difference between the right and left arms.  No redness, swelling, ect.   Injection site hole wasn't located for certain but I think I found it.  It was high on the deltoid but not obviously at or directly under the acromion process.  I palpated either side of this point and it felt like muscle tissue.  This was her second Shingrix injection and she didn't experience this much pain with the first.  I called out graduate intern the next day to notify him and also talked about SIRVA.  I recommended finding the acromion process and injecting three fingers below it in the future.  Follow up 6/29/21 with arm being less sore but still present.  Follow up 7/2/21 less pain than 6/29/21 but still unable to lift comb to hair.  Patient was already scheduled to see MD 7/5/2021 so she brought it up.  MD did not treat condition and told pt it would likely heal over time..  Follow up with patient 7/5/2021 and she said everything is fine but still a little discomfort if lying down on her right side.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Condition aggravated, Neuralgia, Pre-existing disease
Clinical narrative: Severe nerve  pain below and left of right knee in area that already had nerve damage
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Infrequent bowel movements, X-ray gastrointestinal tract abnormal
Clinical narrative: I started having issues with not being able to not have a bowel movement. After about six days, I contacted doctor and he ordered an x-ray and my system was full of stool. He had me do a laxative clean out. He thought it was a fluke - as they didn't see any blockages. Six years ago - they removed part of my intestine because of a blockage. And then a few days later, it happened again and I did a full clean out again. And every since then I have been taking a laxatives and drinking prune juice until I can get in and get a procedure done - I have a consultation scheduled in middle of October (they are so behind). They'll see what needs to be done next to see what is causing this. My doctor thinks it's an narrowing due to an adhesion due to my intestinal surgery. In the meantime, I will go to ER if I get worse.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Developed SARS COV-19 disease.  Runny nose, headache, sore throat.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Because of a torn meniscus in my right knee I went to the Emergency Room. They did all kinds of test, including an ultrasound which showed 5 DVTs in right leg (3 in Femoral artery and 2 below the knee).
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Swelling
Clinical narrative: I had a rash in the area of my rectum that was bleeding red blood. It lasted maybe 2-3 days. I did not have the same thing happen when I had the second shot. I was not having trouble with bowels or anything. My arm hurt really bad as well. I had a fever for about 3 hours and then it was done. I had surgery on the 16th and could not get control of the swelling no matter what I tried. I told the doctor's office what was going on. Since I am allergic to NSAIDs and that being the best for swelling, I wasn't able to take anything. I was in a lot of pain and the swelling would not go away. I went back to see the doctor on 4/26, that is when they took the cast off. I started going to therapy right away. I was so frustrated with the swelling I went to the doctor and got a new cast. Nothing changed. After all that I started full therapy. The therapy is helping.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: I had a bloody nose and that lasted for two days.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chills, Condition aggravated, Fatigue, Headache
Clinical narrative: Pt. states after receiving Moderna 1st dose 06/28/2021 started experiencing HBP, wheezing, 170/30 BP, fever. Chills, anxiety attack, headaches, nauseous, fatigue, high heart rate, Primary will not see pt. without being fully vaccinated.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypertension, Nausea, Pyrexia, Wheezing
Clinical narrative: Pt. states after receiving Moderna 1st dose 06/28/2021 started experiencing HBP, wheezing, 170/30 BP, fever. Chills, anxiety attack, headaches, nauseous, fatigue, high heart rate, Primary will not see pt. without being fully vaccinated.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pharmacy technician called the patient at home and reported that the pharmacist on duty, had given the patient a Covid-19 vaccine on 07/05/2021 from a vial that was punctured on 07/03/2021 at approximately 11:30. The punctured vial was stored in the refrigerator for the entire time after puncture however it does not meet the CDC temperature storage guidelines of discarding any unused vaccine after 12 hours of puncture.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Asymptomatic COVID-19, Bladder catheterisation, Chest X-ray normal
Clinical narrative: Patient presented to the ER on 7/7/21 with hematuria and was found to have acute kidney injury.  Patient was recently diagnosed with a PE and bilateral DVT 4 weeks PTA and was on Eliquis for these.  Patient also has a history of lung cancer and COPD and is chronically on 4L O2 at home. A foley was placed by Urology in the ER and Eliquis was held due hematuria and changed to heparin drip upon admission.  In the ER, patient was tested for COVID per policy, and was found to be positive on 7/7/21 despite being fully vaccinated (1/24/21 and 2/14/21). Patient was admitted for further work-up and has not been started on COVID treatment due to patient being asymptomatic for COVID.  Pt's chest X-ray was negative for pneumonia.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Haematuria, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ER on 7/7/21 with hematuria and was found to have acute kidney injury.  Patient was recently diagnosed with a PE and bilateral DVT 4 weeks PTA and was on Eliquis for these.  Patient also has a history of lung cancer and COPD and is chronically on 4L O2 at home. A foley was placed by Urology in the ER and Eliquis was held due hematuria and changed to heparin drip upon admission.  In the ER, patient was tested for COVID per policy, and was found to be positive on 7/7/21 despite being fully vaccinated (1/24/21 and 2/14/21). Patient was admitted for further work-up and has not been started on COVID treatment due to patient being asymptomatic for COVID.  Pt's chest X-ray was negative for pneumonia.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: Very tired and achy- took ibuprofen at night before bef
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Moderna COVID 19 vaccine administered to patient under 18 years of age.  No adverse reaction reported.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Lymph node pain, Lymphadenopathy, Skin induration
Clinical narrative: left axillary 1.5cm lymph node area tender to palpation very red  and indurated.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Atrial fibrillation, Fatigue, Haemorrhage, Platelet count decreased
Clinical narrative: Patient received Moderna COVID-19 vaccine Dose #1 on 3/15 and Dose #2 on 4/12, unsure where patient received vaccine. Admitted to hospital for syncopal episode at a store on 7/8. The ED provider note does mention that the patient reports increased weakness and fatigue over the last month with heart rates in the 40-50s. She had bleeding head laceration on admission. New Afib noted this admission. Platelets low on admission (9) with no prior CBC's in the chart. Three units of platelets were ordered to be transfused. Low platelets are an incidental finding.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin laceration, Syncope
Clinical narrative: Patient received Moderna COVID-19 vaccine Dose #1 on 3/15 and Dose #2 on 4/12, unsure where patient received vaccine. Admitted to hospital for syncopal episode at a store on 7/8. The ED provider note does mention that the patient reports increased weakness and fatigue over the last month with heart rates in the 40-50s. She had bleeding head laceration on admission. New Afib noted this admission. Platelets low on admission (9) with no prior CBC's in the chart. Three units of platelets were ordered to be transfused. Low platelets are an incidental finding.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pallor, Vomiting
Clinical narrative: Within minutes after administration the patient reported feeling sick to his stomach.  He looked extremely pale and soon after began vomiting.  He vomited 3 times in the span of about 2 minutes then reported feeling better.  Ten to fifteen minutes later the patient stated he was feeling well enough to leave the store.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oxygen consumption increased, Palpitations
Clinical narrative: Severe Heart beating palpitation  Nausea High oxygen level
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Headache, Hypoaesthesia eye, Muscle spasms, Scan brain
Clinical narrative: 6 days after she had eye numbness , had to wear a patch , headaches, body spasms, needed rehab for a couple of months , currently using a walker.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Walking aid user
Clinical narrative: 6 days after she had eye numbness , had to wear a patch , headaches, body spasms, needed rehab for a couple of months , currently using a walker.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pharmacy technician called the RXM at home and reported that the pharmacist on duty had given the patient a Covid-19 vaccine on 07/05/2021 from a vial that was punctured on 07/03/2021 at approximately 11:30. The punctured vial was stored in the refrigerator for the entire time after puncture however it does not meet the CDC temperature storage guidelines of discarding any unused vaccine after 12 hours of puncture.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Hyperglycaemia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: VACCINATION DATE NOT DOCUMENTED ADMITTED TO HOSPITAL 7/7/2021 WITH CONGESTION AND COUGH AND HYPERGLYCEMIA  TYPE 2 DIABETES
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Type 2 diabetes mellitus
Clinical narrative: VACCINATION DATE NOT DOCUMENTED ADMITTED TO HOSPITAL 7/7/2021 WITH CONGESTION AND COUGH AND HYPERGLYCEMIA  TYPE 2 DIABETES
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anion gap normal, Blood bicarbonate decreased, Blood gases, Blood glucose increased, Blood ketone body
Clinical narrative: VACCINATION DATE NOT DOCUMENTED ADMITTED TO HOSPITAL 7/7/2021 WITH CONGESTION AND COUGH AND HYPERGLYCEMIA  TYPE 2 DIABETES
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid, Blood pH normal, COVID-19, Chest X-ray normal, Condition aggravated
Clinical narrative: VACCINATION DATE NOT DOCUMENTED ADMITTED TO HOSPITAL 7/7/2021 WITH CONGESTION AND COUGH AND HYPERGLYCEMIA  TYPE 2 DIABETES
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Diabetes mellitus inadequate control, Diabetic ketoacidosis, Dysuria, Ear infection
Clinical narrative: VACCINATION DATE NOT DOCUMENTED ADMITTED TO HOSPITAL 7/7/2021 WITH CONGESTION AND COUGH AND HYPERGLYCEMIA  TYPE 2 DIABETES
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Hyperglycaemia, Insulin therapy, Intensive care, PCO2 increased
Clinical narrative: VACCINATION DATE NOT DOCUMENTED ADMITTED TO HOSPITAL 7/7/2021 WITH CONGESTION AND COUGH AND HYPERGLYCEMIA  TYPE 2 DIABETES
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: PO2 normal, Pollakiuria, Respiratory tract congestion, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: VACCINATION DATE NOT DOCUMENTED ADMITTED TO HOSPITAL 7/7/2021 WITH CONGESTION AND COUGH AND HYPERGLYCEMIA  TYPE 2 DIABETES
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alcohol, Blood glucose normal, Chest X-ray, Computerised tomogram head, Differential white blood cell count
Clinical narrative: hypotension, EKG changes with ST elevation, altered mental status, near syncope
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ST segment elevation, Full blood count, Glycosylated haemoglobin, Hypotension, International normalised ratio
Clinical narrative: hypotension, EKG changes with ST elevation, altered mental status, near syncope
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic function test, Presyncope, Stool analysis, Troponin
Clinical narrative: hypotension, EKG changes with ST elevation, altered mental status, near syncope
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: hypotension, EKG changes with ST elevation, altered mental status, near syncope
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient presented for first COVID-19 vaccine. Requested the Pfizer vaccine. Inadvertently received the J&J vaccine. Patient informed. Management contacted and discussed event with patient. Apologized to patient, provided information on the vaccination he was given (including EUA patient fact sheet for Janssen vaccination), and provided patient with the phone number for patient experience as he requested to file a complaint. J&J vaccine was in the room from a previous patient no show. Both Pfizer and J&J vaccine were sitting next to each other. The J&J vaccine should have been removed from the room prior to the next patient. Usual primary system build to catch wrong drug error is barcode scanning prior to...
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Joint range of motion decreased, Neck pain
Clinical narrative: I experienced inability to do range of motion in my left arm and shoulder, pain at the injection site (whole deltoid muscle was extremely sore), neck pain, and headaches. I was seen at my doctor's office by his assistant who examined me, saw that I had range of motion issues with my left arm, pain in my neck and he scheduled physical therapy.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Interchange of vaccine products, No adverse event
Clinical narrative: Patient was scheduled in the COVID Vaccine Clinic on 6/11/21. Per report, patient requested to be given Pfizer vaccine, however was mistakenly given the Johnson and Johnson/JANSSEN vaccine. Scheduling notes show that patient is to receive the Pfizer vaccine. Of note, patient is pregnant--approximately 28 weeks and 2 days at time of vaccine. Current workflow for this institution's COVID vaccine distribution from pharmacy mimics flu vaccine distribution, in which pharmacy does not receive a patient-specific order for verification. With COVID vaccines, the pharmacy receives a request for preparation without a patient name or awareness of the encounter assigned to the patient. The primary system build to catch wrong drug error is barcode scanning prior to administration. Followed up with patient to provide support. Patient understanding and doing well. No current adverse impact. Request made to include two additional checkpoints prior to administration. First checkpoint will occur during the .phrase order process to pharmacy. Person ordering vaccine will confirm with patient the requested vaccine. Second checkpoint will be prior to administration. Nurse administering vaccine will confirm again the requested vaccine.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Posture abnormal, Tremor
Clinical narrative: At approximately 1520, patient slumped over in observation chair. EMT supported patient in chair and observed minimal shaking. EMT activated EMS. Patient's mother and patient's boyfriend called out patient's name. Patient remained slumped over in chair for approximately 6 seconds. Patient aroused via verbal stimulation. Patient opened eyes and lead nurse assessed patient. Patient refused EMS. Patient stated she "needs time to breathe". Patient alert and oriented to person, place, time and situation. Patient given water. Patient able to drink water. Patient reported aversion to needles and history of fainting with previous vaccinations. At 1528, EMT assessed patient vital signs: blood pressure 122/78 mmHg and pulse 51 beats/minute. At 1542, EMT  reassessed patient vital signs: blood pressure 126/74 mmHg and pulse 53 beats/minute. At 1555, EMT  reassessed patient vital signs: blood pressure 128/76 mmHg and pulse 58 beats/minute. Patient reported she was "feeling good". Lead nurse educated patient on signs/symptoms of when to seek emergency care, to sign up on v-safe and to follow up with primary care provider. At approximately 1600, patient left facility with unlabored respirations and steady gait, accompanied by mother.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Chest X-ray, Echocardiogram, Full blood count, Metabolic function test
Clinical narrative: Had an unclear cardiac event 36 hours after her first pfizer vaccine. ER records indicate atrial fibrillation.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: Had an unclear cardiac event 36 hours after her first pfizer vaccine. ER records indicate atrial fibrillation.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac murmur, Chills, Condition aggravated, Fatigue, Headache
Clinical narrative: Very fatigued...low heart rate (55) in the middle of the day...murmur...chills..headache..nauseous.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Very fatigued...low heart rate (55) in the middle of the day...murmur...chills..headache..nauseous.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Feeling hot, Hypersensitivity, Lip pain, Lip swelling
Clinical narrative: One month after vaccine was received, an allergic reaction began on 4/27/2021. Symptoms included swollen lips and mouth area, blistering and peeling of the skin on and around the mouth, pain and heat in the agitated areas. The symptoms appeared to be trigged by the use of a Chapstick with SPF but continued for 4 weeks after the initial response.  A clean diet, OTC Zyrtec allergy medication in addition to a prescribed Anti-Inflammatory Montelukast prescribed for 4 weeks.  A follow up is recommended once the medication regimen is complete and/or if additional symptoms appear.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth swelling, Oral mucosal blistering, Oral pain, Skin exfoliation
Clinical narrative: One month after vaccine was received, an allergic reaction began on 4/27/2021. Symptoms included swollen lips and mouth area, blistering and peeling of the skin on and around the mouth, pain and heat in the agitated areas. The symptoms appeared to be trigged by the use of a Chapstick with SPF but continued for 4 weeks after the initial response.  A clean diet, OTC Zyrtec allergy medication in addition to a prescribed Anti-Inflammatory Montelukast prescribed for 4 weeks.  A follow up is recommended once the medication regimen is complete and/or if additional symptoms appear.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Migraine with aura
Clinical narrative: Migraines with aura, 1-2x weekly
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Dizziness, Dysgeusia, Eye contusion, Fall
Clinical narrative: On 6/27 I was playing in the backyard with my puppy in a grassy area. As I was playing with the dog I got a feeling of nausea and lightheaded and dizziness which I had been feeling since the 1st vaccine. I felt myself begin to fall and I was able to manipulate the fall so I didn't fall on my puppy. I fell on my right side. I thought I had fallen and gotten up quickly but I actually had fallen and was knocked unconscious. My family attempted to wake me for about 20 minutes. They thought I fell out due to heat exhaustion so they attempted to give me water and I choked so they stopped. I then woke up and jumped up as explained by my family which I remembered. By that time it was too late to go see my doctor. I felt really tired and went to sleep for the rest of the night. I noticed the injuries on my body when I woke up and went to work and called my primary doctor. I was wearing glasses and they hit my eye when I fell which caused a huge bruise I felt as though I fractured my arm. My doctor told me to come in. He checked me and felt a knot on the back of my head he asked if I smelt anything metallic which I did he then advised me to go to the ER and I told him I would go if it got worse. By Friday my head was on fire and the metallic taste got worse. I went to the ER and they completed an x-ray and CT scan and everything came back normal.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Loss of consciousness, Nausea, Nodule, Upper limb fracture
Clinical narrative: On 6/27 I was playing in the backyard with my puppy in a grassy area. As I was playing with the dog I got a feeling of nausea and lightheaded and dizziness which I had been feeling since the 1st vaccine. I felt myself begin to fall and I was able to manipulate the fall so I didn't fall on my puppy. I fell on my right side. I thought I had fallen and gotten up quickly but I actually had fallen and was knocked unconscious. My family attempted to wake me for about 20 minutes. They thought I fell out due to heat exhaustion so they attempted to give me water and I choked so they stopped. I then woke up and jumped up as explained by my family which I remembered. By that time it was too late to go see my doctor. I felt really tired and went to sleep for the rest of the night. I noticed the injuries on my body when I woke up and went to work and called my primary doctor. I was wearing glasses and they hit my eye when I fell which caused a huge bruise I felt as though I fractured my arm. My doctor told me to come in. He checked me and felt a knot on the back of my head he asked if I smelt anything metallic which I did he then advised me to go to the ER and I told him I would go if it got worse. By Friday my head was on fire and the metallic taste got worse. I went to the ER and they completed an x-ray and CT scan and everything came back normal.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: On 6/27 I was playing in the backyard with my puppy in a grassy area. As I was playing with the dog I got a feeling of nausea and lightheaded and dizziness which I had been feeling since the 1st vaccine. I felt myself begin to fall and I was able to manipulate the fall so I didn't fall on my puppy. I fell on my right side. I thought I had fallen and gotten up quickly but I actually had fallen and was knocked unconscious. My family attempted to wake me for about 20 minutes. They thought I fell out due to heat exhaustion so they attempted to give me water and I choked so they stopped. I then woke up and jumped up as explained by my family which I remembered. By that time it was too late to go see my doctor. I felt really tired and went to sleep for the rest of the night. I noticed the injuries on my body when I woke up and went to work and called my primary doctor. I was wearing glasses and they hit my eye when I fell which caused a huge bruise I felt as though I fractured my arm. My doctor told me to come in. He checked me and felt a knot on the back of my head he asked if I smelt anything metallic which I did he then advised me to go to the ER and I told him I would go if it got worse. By Friday my head was on fire and the metallic taste got worse. I went to the ER and they completed an x-ray and CT scan and everything came back normal.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Heart rate increased, Post-acute COVID-19 syndrome, Pruritus
Clinical narrative: I had COVID arm eight days after my first vaccine. I still had COVID arm when I received my second vaccine, on my right arm. About 8-9 days later I broke out in a rash. In the middle of might, burning and itching on my arm, seemed I developed auto-immune disorder, I also developed a skin liken sclerosis, never had that before, think it is related to the T-cells. on my neck. At the same time, I developed two different symptoms, liken sclerosis which I have never had before and also my breaking out in rash on my neck and it is right above my thyroidectomy scar. I have this redness around my neck and have not been on the sun. I still have the rash and still dealing with the COVID arm. I also experienced a fever and had rapid heartbeats. My T-cells went crazy and I am concerned what is going on with me. I also have some auto immune disease. I still have the rash and still dealing with the COVID arm.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: I had COVID arm eight days after my first vaccine. I still had COVID arm when I received my second vaccine, on my right arm. About 8-9 days later I broke out in a rash. In the middle of might, burning and itching on my arm, seemed I developed auto-immune disorder, I also developed a skin liken sclerosis, never had that before, think it is related to the T-cells. on my neck. At the same time, I developed two different symptoms, liken sclerosis which I have never had before and also my breaking out in rash on my neck and it is right above my thyroidectomy scar. I have this redness around my neck and have not been on the sun. I still have the rash and still dealing with the COVID arm. I also experienced a fever and had rapid heartbeats. My T-cells went crazy and I am concerned what is going on with me. I also have some auto immune disease. I still have the rash and still dealing with the COVID arm.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling abnormal, Musculoskeletal discomfort
Clinical narrative: Pt states shoulder looks/feels like an apple.  started late day two. It is now day three.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Hydrosalpinx, Laboratory test normal, Nausea, Ovarian cyst
Clinical narrative: I had pretty extreme abdominal pain with vomiting. They did a pelvic ultrasound at ER - complex ovarian cyst and fluid in Fallopian tube. Zofran for nausea and two weeks of Doxycycline. And they had me follow up with OB/GYN which I did yesterday. The vomiting has resolved. I still have abdominal pain - but it's not as severe as it was on the 3rd of July.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Ovarian mass, Ultrasound pelvis abnormal, Urine analysis, Vomiting
Clinical narrative: I had pretty extreme abdominal pain with vomiting. They did a pelvic ultrasound at ER - complex ovarian cyst and fluid in Fallopian tube. Zofran for nausea and two weeks of Doxycycline. And they had me follow up with OB/GYN which I did yesterday. The vomiting has resolved. I still have abdominal pain - but it's not as severe as it was on the 3rd of July.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Seizure, Swollen tongue
Clinical narrative: Within a few minutes of receiving the vaccine the patient started convulsing and her tongue began to protrude from her mouth and was visibly swollen and she was struggling to breathe. Administered epinephrine and benadryl per standard anaphylaxis protocol and symptoms started to resolve but then resumed, repeated dose approx 5 minutes later and EMS system activated. Pt transported to the hospital and was monitored for approx 2 hours and given lorazepam and discharged home.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: PATIENT CALLED ON  07092021 TO REPORT SWOLLEN AND SORE ARM NEAR INJECTION SITE
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Cough, Feeling hot, Hyperhidrosis
Clinical narrative: NKDA PMH: Positive TB test, Depression, Abnormal Pap Smear in 2001, Severe Cervical Dysplasia 2003 Unknown current medication list  Approximately ten minutes after administration of COVID vaccine dose 1 Moderna, pt was noted to be coughing and appeared to be in distress.  Pt brught back to observation room. Obvious language barrier so a translator was utilized during all interactions with patient and family.    Patient appeared to be diaphoretic and reported she felt warm. Mild chest discomfort was also reported (medial chest with no radiation). Patient reported "throat itching" with mild swelling midline along trachea. LSCTA. HRR. VSS, but elevated BP. Patient did not appear to be in immediate respiratory distress with oxygen saturations constant above 95%, but her cough persisted.    Patient reported no relevant medical history, with her most recent physical exam at medical center in November of 2020. Pt reports maternal history of HTN.   1624 Pt given 25mg Benadryl  PO.   Shortly after administration of PO Benadryl, pt reported improvement in symptoms. Pt continued to cough.    1640 Pt given second administration of PO Benadryl 25 mg.   Approximately 20 minutes after administration of second Benadryl, pt reported less symptoms. Patient appears stable at this time.    Patient's BP remained elevated during duration of visit. The following Bps were recording during this time   1615 172/101 HR 86 RR 18 O2 98-100% 1621 168/113 1629 158/100 1632 138/98 1646 164/100 1654 160/108  Due to the constant elevation of BP it was recommended at this time that pt F/U with urgent care. Appointment scheduled for 7/10/21 @ 1414 EVC UCC    VS at time of discharge @17:30 as follows: 154/95 99% on RA, HR 73, RR 16.    Patient educated on future vaccination administration. Patient to receive J&J for second vaccine in approximately 28 days. Patient verbalized understanding and voiced no further concerns or questions at this time. Patient stable at time of discharge and agreeable to plan of care. Patient given written discharge instructions which were language appropriate with appointment time for UCC, pt spouse informed of all interactions during visit. He voiced no further questions or concerns at this time and verbalized understanding of plan of care.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Respiratory distress, Throat irritation
Clinical narrative: NKDA PMH: Positive TB test, Depression, Abnormal Pap Smear in 2001, Severe Cervical Dysplasia 2003 Unknown current medication list  Approximately ten minutes after administration of COVID vaccine dose 1 Moderna, pt was noted to be coughing and appeared to be in distress.  Pt brught back to observation room. Obvious language barrier so a translator was utilized during all interactions with patient and family.    Patient appeared to be diaphoretic and reported she felt warm. Mild chest discomfort was also reported (medial chest with no radiation). Patient reported "throat itching" with mild swelling midline along trachea. LSCTA. HRR. VSS, but elevated BP. Patient did not appear to be in immediate respiratory distress with oxygen saturations constant above 95%, but her cough persisted.    Patient reported no relevant medical history, with her most recent physical exam at medical center in November of 2020. Pt reports maternal history of HTN.   1624 Pt given 25mg Benadryl  PO.   Shortly after administration of PO Benadryl, pt reported improvement in symptoms. Pt continued to cough.    1640 Pt given second administration of PO Benadryl 25 mg.   Approximately 20 minutes after administration of second Benadryl, pt reported less symptoms. Patient appears stable at this time.    Patient's BP remained elevated during duration of visit. The following Bps were recording during this time   1615 172/101 HR 86 RR 18 O2 98-100% 1621 168/113 1629 158/100 1632 138/98 1646 164/100 1654 160/108  Due to the constant elevation of BP it was recommended at this time that pt F/U with urgent care. Appointment scheduled for 7/10/21 @ 1414 EVC UCC    VS at time of discharge @17:30 as follows: 154/95 99% on RA, HR 73, RR 16.    Patient educated on future vaccination administration. Patient to receive J&J for second vaccine in approximately 28 days. Patient verbalized understanding and voiced no further concerns or questions at this time. Patient stable at time of discharge and agreeable to plan of care. Patient given written discharge instructions which were language appropriate with appointment time for UCC, pt spouse informed of all interactions during visit. He voiced no further questions or concerns at this time and verbalized understanding of plan of care.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was administered first dose Moderna Covid-19 Vaccine on 5/20/21 at Pharmacy .  Returning for second dose on 7/9/21.  This goes beyond the recommended time period between vaccinations and so it is being considered an adverse event.
Age: 81.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, Nausea, Pulmonary hypertension, SARS-CoV-2 test positive, Vomiting
Clinical narrative: NAME/DATE OF COVID-19 VACCINATION NOT DOCUMENTED PT ADMITTED TO HOSPITAL 7/9/2021 ADMITTED TO HOSPITAL 7/9/2021 WITH SEVERE PULMONARY HYPERTENSION, N/V
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Groin pain, Pain in extremity, Spinal stenosis
Clinical narrative: Pain in my toes. Thigh pain. Lower back pain. Hip & groin pain. Diagnosed with spinal stenosis & perhaps arthritis. My condition is improving with medication, but I still have not fully recovered.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Pain in my toes. Thigh pain. Lower back pain. Hip & groin pain. Diagnosed with spinal stenosis & perhaps arthritis. My condition is improving with medication, but I still have not fully recovered.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, C-reactive protein increased, Chest pain, Computerised tomogram thorax, Pericarditis
Clinical narrative: Prolonged fevers, chest pains for 2-3 months post vaccine. Imaging suggested pericarditis.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rheumatoid factor negative
Clinical narrative: Prolonged fevers, chest pains for 2-3 months post vaccine. Imaging suggested pericarditis.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Dizziness, Feeling drunk, Head discomfort, Headache
Clinical narrative: Has had persistent headaches since the vaccine. feels like a pressure on the top of her head. has presisted for 8 days. Also c/o dizzienss, sensation like drunk. has not had any syncope, fever, blurred or double vision. has had recent stress this past week. sleep has been choppy.