chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Flushing, Malaise, Palpitations, Vital signs measurement
Clinical narrative: Pt received 2nd COVID vaccination at 1108. Pt reported feeling unwell, reporting that she felt her heart was racing, dry mouth, and that she was starting to see the room go dark) about 20 minutes after vaccination. Once in observation area, pt vitals were taken @1124 BP 155/89 HR 125 RR 20 O2 sat 97% on room air, pt was alert, color within normal limits, conversant and tolerating water well. @11:27 Vitals repeated, BP 145/86, HR 114 RR 18 O2 sat 97% room air.  Pt reported mild nausea and advised to no longer drink water and provided with alcohol swabs to smell.  After a few minutes pt stated she was feeling better and vitals were improving. @1133 Vitals repeated BP 126/65, HR 99, RR 17, O2 sat 98% and @11:42 128/79 HR 79 RR 16 O2 sat 99%. Pt initially declined calling ambulance transport for further evaluation; therefore, the importance of followup with PCP (message sent @11:29) and symptoms that would warrant a visit to ED were discussed and understanding verbalized.  While waiting for family to arrive to take pt home, her symptoms returned once again.  Pt stated that she felt a sensation of blood rushing from her legs, felt her face warm and flushed, her hands cold and that her heart was racing again. Chicago Medics called @11:51 to respond for patient evaluation and transport to hospital for further evaluation. Vitals @11:56 137/83 HR 109 RR 17 O2 sat 98% . Medics arrival (unit 69) @1200 and pt agreed/requested to be evaluated and transported to hospital. Pt first assisted to restroom via wheelchair and then taken to ambulance. Pt was able to use restroom without assistance or worsening of s/s. As per unit 69 medics, pt will be transported for further evaluation. Pt departed facility @12:08
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Wheelchair user
Clinical narrative: Pt received 2nd COVID vaccination at 1108. Pt reported feeling unwell, reporting that she felt her heart was racing, dry mouth, and that she was starting to see the room go dark) about 20 minutes after vaccination. Once in observation area, pt vitals were taken @1124 BP 155/89 HR 125 RR 20 O2 sat 97% on room air, pt was alert, color within normal limits, conversant and tolerating water well. @11:27 Vitals repeated, BP 145/86, HR 114 RR 18 O2 sat 97% room air.  Pt reported mild nausea and advised to no longer drink water and provided with alcohol swabs to smell.  After a few minutes pt stated she was feeling better and vitals were improving. @1133 Vitals repeated BP 126/65, HR 99, RR 17, O2 sat 98% and @11:42 128/79 HR 79 RR 16 O2 sat 99%. Pt initially declined calling ambulance transport for further evaluation; therefore, the importance of followup with PCP (message sent @11:29) and symptoms that would warrant a visit to ED were discussed and understanding verbalized.  While waiting for family to arrive to take pt home, her symptoms returned once again.  Pt stated that she felt a sensation of blood rushing from her legs, felt her face warm and flushed, her hands cold and that her heart was racing again. Chicago Medics called @11:51 to respond for patient evaluation and transport to hospital for further evaluation. Vitals @11:56 137/83 HR 109 RR 17 O2 sat 98% . Medics arrival (unit 69) @1200 and pt agreed/requested to be evaluated and transported to hospital. Pt first assisted to restroom via wheelchair and then taken to ambulance. Pt was able to use restroom without assistance or worsening of s/s. As per unit 69 medics, pt will be transported for further evaluation. Pt departed facility @12:08
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Pain reappeared at injection site about 10 days after injection.  Pain radiated upward towards neck and was red and hot and there was swelling in my neck area, as well for 2 full days.  Pain in neck area has since gone away, but there is still ongoing pain at the injection site.  Daily headaches, nausea and sever fatigue,  have been ongoing since the pain has come back.  These symptoms are still happening.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Skin warm, Swelling
Clinical narrative: Pain reappeared at injection site about 10 days after injection.  Pain radiated upward towards neck and was red and hot and there was swelling in my neck area, as well for 2 full days.  Pain in neck area has since gone away, but there is still ongoing pain at the injection site.  Daily headaches, nausea and sever fatigue,  have been ongoing since the pain has come back.  These symptoms are still happening.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cardiac failure, Deep vein thrombosis, Platelet count normal, Ultrasound Doppler normal
Clinical narrative: 80 yo male received J&J COVID-19 vaccination on 2/5/21.  Pt with history of bladder cancer (s/p TURBT 11/04/2020), COPD (quit smoking 1 month ago) on 2 L nocturnal O2, HTN, CAD, MI s/p CABG x3v, apical cardiac aneurysm s/p repair, recent hematuria requiring cessation of chronic warfarin therapy who presented on 2/14 as a direct admission for evaluation of NSTEMI and new LLE DVT. He was initially placed on heparin and was stopped due to anemia and hematuria. DVT at outside hospital, repeat dopplers negative at our institution. Acute R femoral DVT likely due to patient being taken off chronic anticoagulation with warfarin. Discussed case with heme and not needed for IVC filter......and even though cardiology would like him on long-term AC given high risk for LV thrombus, bleed risk outweigh benefit at this point. He was diagnosed with new HFrEF and NSTEMI. He will stay on hydralazine, imdur, lasix every other day, baby asa, and statin.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Fatigue, SARS-CoV-2 test positive
Clinical narrative: patient was vaccinated with second covid vaccine on 2/12/21. Patient was admitted to the hospital on 03/04/2021 with fatigue and diagnosed with COVID 19 (positive lab test on 2/26/21 and 3/4/21). Case expired on 3/8/21.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hypoaesthesia, Injection site haemorrhage, Pain
Clinical narrative: Fever, severe body aches, chills and the injection site has spontaneously bled 3 times for upto 30 minutes.  Enough that soaked 2 sleeve blouses. Headache , shaking,  numbness in foot and hand
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Fever, severe body aches, chills and the injection site has spontaneously bled 3 times for upto 30 minutes.  Enough that soaked 2 sleeve blouses. Headache , shaking,  numbness in foot and hand
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Pain, Pain in extremity
Clinical narrative: Sore arm,  body/muscle pains, diarrhea, mild nausea. Had confirmed COVID-19 in Oct 2020 (positive PCR test and positive antibodies confirmed), and the vaccine side effects are far worse than the original illness, which produced only loss of taste and smell.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Inadvertently gave Pfizer COVID-19 mRNA vaccine when Moderna COVID-19 vaccine should have been given for the booster dose.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted and was lowered to the floor. He came around quickly and received water to drink and stayed until feeling better-about 30 minutes.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dysgeusia, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccine on 2/5/21, 2/26/21 Tested positive for COVID-19 by PCR on 4/21/21 Symptoms of cough, dysgeusia beginning 4/18/21.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, Nausea, Oesophagogastroduodenoscopy normal, Platelet count normal
Clinical narrative: 89 yo female received J&J COVID-19 vaccination on 3/9/21. Patient with history of SMA thrombosis presenting with 1 month history of abdominal pain, nausea, and vomiting, found to have SMA stent thrombosis.  Stopped antiplatelet therapy several months prior to admission without consulting vascular team. Admitted and stable on heparin drip. GI was consulted, as her symptoms are not a classic presentation of mesenteric ischemia.  On 4/21 she underwent EGD. EGD was read as normal stomach and duodenum, Schatzki ring (widely patent) and regular Z-line. After this patient was able to resume PO intake in increasing volumes without nausea, vomiting or abdominal pain. Pt discharged on 4/23 with prescription for apixaban.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 89 yo female received J&J COVID-19 vaccination on 3/9/21. Patient with history of SMA thrombosis presenting with 1 month history of abdominal pain, nausea, and vomiting, found to have SMA stent thrombosis.  Stopped antiplatelet therapy several months prior to admission without consulting vascular team. Admitted and stable on heparin drip. GI was consulted, as her symptoms are not a classic presentation of mesenteric ischemia.  On 4/21 she underwent EGD. EGD was read as normal stomach and duodenum, Schatzki ring (widely patent) and regular Z-line. After this patient was able to resume PO intake in increasing volumes without nausea, vomiting or abdominal pain. Pt discharged on 4/23 with prescription for apixaban.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Pruritus
Clinical narrative: On April 13, 2021, day 10 after injection, I developed itching on lower facial area (cheeks, around mouth and chin) Not bad or constant, but very noticeable and annoying . That lasted three days.  On April 16, 2021, day 14 after injection, I developed two oval itchy rash areas on arm at and below injection site (upper left arm). They were about 1 to 2 inches by 3 to 4 inches. They were also slightly swollen. These lasted a couple of days and faded away. BUT, along with these rash areas I also started to have pain in the injection area. The pain was not like sore muscle pain, more like needle pain. It just finally went away today. Today is day 21 after injection, day 7 after rash appeared.  Additional information for Item 18: No medical attention was necessary, I'm reporting this just so you can add it to your record of history of adverse effects from Covid vaccines. I've read that delayed reactions and "Covid Arm" was reported in 0.08% of participants of one particular study, but mine seemed to be much more delayed than those I read about. Just thought you'd like to know.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Lymphadenopathy, Malaise
Clinical narrative: Upon going to bed, I experienced severe chills and shaking for 5 hours.  Also severe headache, jaw, body and neck pain.  Lymphnodes were swollen.  Body aches; fever and nausea and fatigue.  This lasted until 8 pm the next day (4/22).  I am still experiences chills, fever, nausea, fatigue and general malaise as of 4/23/2021
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Pain, Pain in jaw, Pyrexia
Clinical narrative: Upon going to bed, I experienced severe chills and shaking for 5 hours.  Also severe headache, jaw, body and neck pain.  Lymphnodes were swollen.  Body aches; fever and nausea and fatigue.  This lasted until 8 pm the next day (4/22).  I am still experiences chills, fever, nausea, fatigue and general malaise as of 4/23/2021
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Upon going to bed, I experienced severe chills and shaking for 5 hours.  Also severe headache, jaw, body and neck pain.  Lymphnodes were swollen.  Body aches; fever and nausea and fatigue.  This lasted until 8 pm the next day (4/22).  I am still experiences chills, fever, nausea, fatigue and general malaise as of 4/23/2021
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 treatment, Chest X-ray abnormal, Cough, Dyspnoea, Feeling abnormal
Clinical narrative: Patient received the Johnson & Johnson COVID vaccine on 4/11/21 and developed dyspnea, fevers, and nonproductive cough about 2 days later. He continued to feel worse over time and presented to urgent care on 4/22/21. He had a chest X-ray done which showed bilateral infiltrates and he was found to be hypoxic, so he was sent to the ED.  Patient was then admitted to the hospital for COVID treatment since he required 4 L O2 in the ED.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung infiltration, Pyrexia
Clinical narrative: Patient received the Johnson & Johnson COVID vaccine on 4/11/21 and developed dyspnea, fevers, and nonproductive cough about 2 days later. He continued to feel worse over time and presented to urgent care on 4/22/21. He had a chest X-ray done which showed bilateral infiltrates and he was found to be hypoxic, so he was sent to the ED.  Patient was then admitted to the hospital for COVID treatment since he required 4 L O2 in the ED.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Dysarthria, Facial paralysis, Transient ischaemic attack
Clinical narrative: Hospitalized from 4/1/2021 to 4/3/2021 - insidious onset of speech irregularities and facila droop- family staates speech wesa slurred and had a droop - family brought her to ER  discharge diagnosis  - TIA
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present, Dysgeusia, Parosmia
Clinical narrative: Gross blood in urine lasting 2 weeks. Trace amounts of blood still present. Metallic taste and smell.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Heavy menstrual bleeding, Menstrual disorder, Menstruation delayed, Nausea
Clinical narrative: Onset of period was delayed by 8 days - this is highly unusual as periods are normally very regular. When period began, it was incredibly heavy and contained clots of blood. Accompanied by significant abdominal pain and cramping with nausea. Also, the blood was bright red (normally it is dark brownish red).
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Onset of period was delayed by 8 days - this is highly unusual as periods are normally very regular. When period began, it was incredibly heavy and contained clots of blood. Accompanied by significant abdominal pain and cramping with nausea. Also, the blood was bright red (normally it is dark brownish red).
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Malaise
Clinical narrative: Got sick from vaccine so blood sugar levels increase to upper 100s.  Was difficult to control blood sugars for about 3 days.  When illness subsided blood sugars returned to normal.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoacusis, Injection site discolouration, Injection site erythema, Injection site swelling
Clinical narrative: Felt fine the same day.  The next day:. Shoulder SEVERELY swollen with HUGE bump in and around lymph node, reddened, swelling, heat at inj. site, turned pink then purple then dark purple, throbbing in neck and head, severe headache plus migraine,  difficulty hearing, could not move arm/wrist/fingers/hand, unable to hold fork etc. This lasted for 10 days after onset.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Lymphadenopathy, Migraine, Mobility decreased, Musculoskeletal discomfort
Clinical narrative: Felt fine the same day.  The next day:. Shoulder SEVERELY swollen with HUGE bump in and around lymph node, reddened, swelling, heat at inj. site, turned pink then purple then dark purple, throbbing in neck and head, severe headache plus migraine,  difficulty hearing, could not move arm/wrist/fingers/hand, unable to hold fork etc. This lasted for 10 days after onset.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Felt fine the same day.  The next day:. Shoulder SEVERELY swollen with HUGE bump in and around lymph node, reddened, swelling, heat at inj. site, turned pink then purple then dark purple, throbbing in neck and head, severe headache plus migraine,  difficulty hearing, could not move arm/wrist/fingers/hand, unable to hold fork etc. This lasted for 10 days after onset.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Ear swelling, Electrocardiogram, Eye swelling, Headache
Clinical narrative: Pt. received her second Pfizer dose at 3pm. By 11:30pm she had significant swelling on both of her eyes, mouth, and the start of red splotchy skin on arms and legs. We took her to ER. They gave her 50mg of hydroxizine and sent us home. 5min after leaving the ER at 12:30am on 4/23 she felt a golf ball sized lump in her throat and was having difficulty breathing. We brought her back to the ER.  At this time they gave her an ekg, and at around 1:30am gave her an epi pin and an oral steroid. Within 5min of the oral steroid and epi pin she no longer had difficulty in breathing and the lump in her throat was gone as was the res splotches. By 5am the swelling in her face had reduced drastically to 90% normal in her left eye and 70% normal in her right eye and 70% normal in her lip. She was released from the ER at 5:45am and went home to sleep. At 11:30am on 4/23 her swelling in her face remains the same and she is complaining of a headache. She was given 50mg more of hydroxizine.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Mouth swelling, Rash macular, Sensation of foreign body, Swelling face
Clinical narrative: Pt. received her second Pfizer dose at 3pm. By 11:30pm she had significant swelling on both of her eyes, mouth, and the start of red splotchy skin on arms and legs. We took her to ER. They gave her 50mg of hydroxizine and sent us home. 5min after leaving the ER at 12:30am on 4/23 she felt a golf ball sized lump in her throat and was having difficulty breathing. We brought her back to the ER.  At this time they gave her an ekg, and at around 1:30am gave her an epi pin and an oral steroid. Within 5min of the oral steroid and epi pin she no longer had difficulty in breathing and the lump in her throat was gone as was the res splotches. By 5am the swelling in her face had reduced drastically to 90% normal in her left eye and 70% normal in her right eye and 70% normal in her lip. She was released from the ER at 5:45am and went home to sleep. At 11:30am on 4/23 her swelling in her face remains the same and she is complaining of a headache. She was given 50mg more of hydroxizine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: PASSED OUT IN THE OBSERVATION AREA ,DIZZY, SWEATY, PALE. BP72/48 LAYDOWN ,LEGS ELAVATED WITH MEDICS FOR 30 MINUTES. 9:50 AM FEELING BETTER ATE SOME FOOD AND DRINK WATER.. WENT HOME AND BP 116/72
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: Dizziness, vomiting. Vitals WNL. Given water, apple juice.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: I have no sense of smell, and taste.  I had a great sense of smell before the vaccine. Now I cannot smell anything
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin warm, Swelling, Urticaria
Clinical narrative: Large fist size welt with lump. Red and hot to the touch
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was admitted to hospital on 3/18/2021, within 6 weeks of receiving COVID vaccination.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose was administered nine (9) days after the first dose.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Cooling therapy, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Immediately following the injection, pt  had syncopal episode with loss of consciousness for approximately 15-20 seconds. Pt lowered to floor and placed in trendelenburg. BP 100/43, HR 47 and O2 sats 100%.  BP then dropped as low as 56/32. Pt alert and  oriented and states that his hands felt tingly. and HR in 40's.  Cold compress applied as pt was pale and diaphoretic.  BP continued to be alert and oriented. BP increased to 103/50 within 5 minutes of lowest BP and HR of 70.  Pt states he is starting to feel better. Within 15 minutes of vaccine, BP increased back to 117/83. Pt sat up and BP 134/75. Pt up to chair and BP 139/71. Pt reports he is feeling much better now. Mother called and after approximately 1 hour drove patient home with patient back to baseline before leaving clinic.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Paraesthesia, Syncope
Clinical narrative: Immediately following the injection, pt  had syncopal episode with loss of consciousness for approximately 15-20 seconds. Pt lowered to floor and placed in trendelenburg. BP 100/43, HR 47 and O2 sats 100%.  BP then dropped as low as 56/32. Pt alert and  oriented and states that his hands felt tingly. and HR in 40's.  Cold compress applied as pt was pale and diaphoretic.  BP continued to be alert and oriented. BP increased to 103/50 within 5 minutes of lowest BP and HR of 70.  Pt states he is starting to feel better. Within 15 minutes of vaccine, BP increased back to 117/83. Pt sat up and BP 134/75. Pt up to chair and BP 139/71. Pt reports he is feeling much better now. Mother called and after approximately 1 hour drove patient home with patient back to baseline before leaving clinic.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Contraception, Dysmenorrhoea, Intermenstrual bleeding, Menstrual disorder
Clinical narrative: Menstrual cramping beginning about 4 days after vaccination at a time when normally would not cramp. Spotting about 10 days after vaccination. On birth control pills, takes regularly, has never had bleeding or cramping outside of normal period time.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash
Clinical narrative: rash and pain at and around vaccination site
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Chills, Fatigue, Headache
Clinical narrative: Fatigue, extremely achy, chills, felt like my bones were hurting, slight fever, joints hurt, headache, and still ongoing after 53 hours after my shot.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fatigue, extremely achy, chills, felt like my bones were hurting, slight fever, joints hurt, headache, and still ongoing after 53 hours after my shot.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pulse abnormal, Syncope
Clinical narrative: Received vaccine at approximately 1040am. Patient then moved out to the monitoring area where approximately 5 minutes later stated he felt dizzy and proceeded to syncopize.  Weak thready pulse. patient diaphoretic. Patient was transferred to the first aid area and vs obtained and revealed 82/40. He returned to baseline . He was monitored for an additional 30 minutes with no further incidence. He left clinic with wife at side.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Received Janssen vaccine on 3/4/21. Tested positive for COVID-19 by PCR on 4/21/21. Onset date 4/18/21 w/ cough.  Known exposure to COVID-19.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Aphthous ulcer, Chills, Oral pain, Pain, Swollen tongue
Clinical narrative: Mouth pain, enlarges tongue, tongue ulcer or canker sore, body aches, chills
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Tongue ulceration
Clinical narrative: Mouth pain, enlarges tongue, tongue ulcer or canker sore, body aches, chills
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Ear congestion, Erythema, Flushing, Hot flush
Clinical narrative: Pt c/o flushing, red skin, hot flashes, scratchy throat, congestion in ears at about 30 minutes post vaccine.  Pt had pre-medicated with 3 zyrtec per MD recommendation after 1st dose.  VS were stable and O2 sats 94-97% on RA.  Pt given 50 mg oral benedryl.  After 30 minutes, patient's voice became more hoarse and she felt a greater sensation of throat swelling.  Pt given epipen x 1 with immediate improvement in sx.  Pt sent to hospital for observation.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Throat irritation
Clinical narrative: Pt c/o flushing, red skin, hot flashes, scratchy throat, congestion in ears at about 30 minutes post vaccine.  Pt had pre-medicated with 3 zyrtec per MD recommendation after 1st dose.  VS were stable and O2 sats 94-97% on RA.  Pt given 50 mg oral benedryl.  After 30 minutes, patient's voice became more hoarse and she felt a greater sensation of throat swelling.  Pt given epipen x 1 with immediate improvement in sx.  Pt sent to hospital for observation.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: client was sitting in observation area,  and found onto floor, began to shake for about 3 seconds. client  was assessed BP within normal range 122/85, O2stat 99, HR 82, Resp. 18. client stated he did not eat or drink this morning and has a phobia of needles. client was provided with fluids and food.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Patient flinched and pulled away during injection causing a trickle of an unmeasurable amount of vaccine to run down her arm.  Per CDC and Department of Health guidelines she received a second dose in the opposite (right) arm.  Patient tolerated procedure well and was monitored closely post vaccinations.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives - very itcy Taking prednisone and cetrizine
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Myocardial infarction
Clinical narrative: One week and 6 days after second vaccine fatal heart attack
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Breast pain, Condition aggravated, Fatigue, Headache
Clinical narrative: Started having muscle pain; I didn't have chills. I  was very fatigued - in bed all day. I had a headache and the muscle pains went into my left side and into my left lung and every time I breathed I would get a sharp pain. It went into both of my breasts but worse on left side of breast. This lasted about three or four days. I went to the doctor on Thursday, the 15th. But now everything is cleared up and I feel good. Yesterday, the 22nd I started feeling myself again. Except, I have a tremor that won't go away - I had a slight tremor before the vaccine but now after the tremor  it is much worse.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Painful respiration, Tremor, Urine analysis
Clinical narrative: Started having muscle pain; I didn't have chills. I  was very fatigued - in bed all day. I had a headache and the muscle pains went into my left side and into my left lung and every time I breathed I would get a sharp pain. It went into both of my breasts but worse on left side of breast. This lasted about three or four days. I went to the doctor on Thursday, the 15th. But now everything is cleared up and I feel good. Yesterday, the 22nd I started feeling myself again. Except, I have a tremor that won't go away - I had a slight tremor before the vaccine but now after the tremor  it is much worse.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Pain, Pyrexia
Clinical narrative: Within five hours of shot developed fever (100.5) which lasted more than 24 hours, chills, headache, very bad body aches, back pain & ringing in ears. All has resolved  except headache and ringing in ears as of 04/23/2021 4 pm
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Within five hours of shot developed fever (100.5) which lasted more than 24 hours, chills, headache, very bad body aches, back pain & ringing in ears. All has resolved  except headache and ringing in ears as of 04/23/2021 4 pm
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucination, Headache, Injection site erythema, Lymphadenopathy, Nausea
Clinical narrative: Fever 101.9°F, severe headache, severe body pains, hallucinations, nausea, redness in 3? diameter around injection site, swelling & pain in clavicle area on left side of neck
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever 101.9°F, severe headache, severe body pains, hallucinations, nausea, redness in 3? diameter around injection site, swelling & pain in clavicle area on left side of neck
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Influenza like illness
Clinical narrative: Achy joints, flue like symptoms, headache.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pruritus
Clinical narrative: ITCHY RIGHT HAND, NUMBNESS, POSSIBLE SWELLING
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypersensitivity, Lip swelling, Swollen tongue, Urticaria
Clinical narrative: allergic reaction. lips and tongue swelling. progressive hives on chest. .03ml epinephrine administered by fire department, ALS exam and transport via ALS to ER
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysphagia, Flushing, Lip swelling, Malaise
Clinical narrative: allergic reaction. lips and tongue swelling. progressive hives on chest. .03ml epinephrine administered by fire department, ALS exam and transport via ALS to ER
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ocular hyperaemia, Pharyngeal swelling, Pruritus, Rash, Swelling face
Clinical narrative: allergic reaction. lips and tongue swelling. progressive hives on chest. .03ml epinephrine administered by fire department, ALS exam and transport via ALS to ER
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling of eyelid, Swollen tongue, Vision blurred, Visual impairment
Clinical narrative: allergic reaction. lips and tongue swelling. progressive hives on chest. .03ml epinephrine administered by fire department, ALS exam and transport via ALS to ER
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Influenza like illness, Malaise, Tremor
Clinical narrative: Woke up about 7 hours after receiving vaccine with violent shaking or shivering almost like a seizure except was alert and oriented and could hold conversation. Every part of body was shaking so hard the whole bed was moving. Lasted about a full hour. Was ready to go to hospital when the shaking died down to flu-like shakes which lasted on and off for the next 24 hours. Felt incredibly sick and exhausted for next three days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dyspnoea, Erythema, Full blood count, Metabolic function test
Clinical narrative: Patient developed hives on their chest and bilateral arms and difficulty breathing with concerns for anaphylaxis. On examination in the ED, the patient was noted to have a urticarial rash, mild oropharyngeal swelling and erythema, inspiratory stridor. Patient was initiated on anaphylaxis therapy after RRT on arrival to resuscitation room, starting with 0.3 mg of IM epinephrine. Also provided 50 mg of Benadryl, 20 mg famotidine, 125 mg of Solu-Medrol. Lactated Ringer's infusion began, received 1L LR. Patient was discharged home after resolution of symptoms.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal swelling, Stridor, Urticaria
Clinical narrative: Patient developed hives on their chest and bilateral arms and difficulty breathing with concerns for anaphylaxis. On examination in the ED, the patient was noted to have a urticarial rash, mild oropharyngeal swelling and erythema, inspiratory stridor. Patient was initiated on anaphylaxis therapy after RRT on arrival to resuscitation room, starting with 0.3 mg of IM epinephrine. Also provided 50 mg of Benadryl, 20 mg famotidine, 125 mg of Solu-Medrol. Lactated Ringer's infusion began, received 1L LR. Patient was discharged home after resolution of symptoms.
Age: 0.5
Sex: M
Vaccine: HPV9
Symptoms: No adverse event
Clinical narrative: Child vaccinated with HPV vaccine in office, no immediate adverse event, parent continues to deny adverse events.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue, Underdose
Clinical narrative: No AE, however, the syringe was faulty and the dose leaked down the patient's Left arm when the RN administered it which the patient and RN both observed.  I discussed this with our RN supervisor and called his boss.  Considering that there was no way to determine if he got the full dose our RN supervisor consulted his boss to see how they have handled this at our main campus at the medical center and she mentioned that they have given another dose which I had the RN give him another dose in the R arm.  The patient preferred this and was on board with this plan.  I was also ok with this plan as I wanted to ensure that patient that he received the second dose and is fully vaccinated.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash
Clinical narrative: Rather large rash extended from injection site in deltoid down the arm for a few days but eventually cleared up.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itching all over. Given Benadryl 25 mg PO.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Computerised tomogram abdomen abnormal, Computerised tomogram pelvis abnormal, Diarrhoea
Clinical narrative: Patient states he was doing well until 419 when he had abdominal pain.  Patient says abdominal pain started in the middle of his belly and radiated to his back.  Pain is worse when he tries to eat and 8 out of 10.  Pain is sharp.  Patient has not had pain like this before.  Pain improved when not eating.  Patient has had watery non-bloody diarrhea for the past 2 days.  Patient denies any fevers or chills.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Peripheral vein thrombus extension, Portal vein dilatation, Small intestinal obstruction
Clinical narrative: Patient states he was doing well until 419 when he had abdominal pain.  Patient says abdominal pain started in the middle of his belly and radiated to his back.  Pain is worse when he tries to eat and 8 out of 10.  Pain is sharp.  Patient has not had pain like this before.  Pain improved when not eating.  Patient has had watery non-bloody diarrhea for the past 2 days.  Patient denies any fevers or chills.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Venous thrombosis
Clinical narrative: Patient states he was doing well until 419 when he had abdominal pain.  Patient says abdominal pain started in the middle of his belly and radiated to his back.  Pain is worse when he tries to eat and 8 out of 10.  Pain is sharp.  Patient has not had pain like this before.  Pain improved when not eating.  Patient has had watery non-bloody diarrhea for the past 2 days.  Patient denies any fevers or chills.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, X-ray
Clinical narrative: Lower back cramping night off vaccine. Back continued hurting for 12 days so went to Orthopedic doctor.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitis. Persistent in right ear, less obvious in left ear. Has not abated in 3+ weeks.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fall, Head injury, Headache, Syncope
Clinical narrative: Called to evaluate patient in COVID-19 vaccination clinic area after witnessed "fainting" at ~12:30 PM.  Briefly this is a 23 yo female with unremarkable PMHx; Meds- OCPs; Allergies- PCN and Gluten. Pt received the first dose of Moderna COVID-19 vaccine at 12:25 PM with RN. Per RN report the patient informed her that she had a remote history of "passing out" after a vaccine as a child, but it had not happened recently.  The RN observed the patient at her vaccine station for 3 min then accompanied her to the observation area.  Per report of COVID-19 Patient Observer, pt was seen falling out of her chair in a seated position and it was unclear if she hit her head.  Per a witness, pt hit her head on the computer cart that was nearby.  The COVID-19 Patient Observer called for assistance and 911 was called.  She was immediately evaluated by COVID-19 Patient observer and RN and noted to be unresponsive initially.  The RN reported that she opened her eyes and became verbally responsive to verbal stimuli and touch.  Upon my arrival, pt was noted to be responsive and lying on floor on her abdomen.  She initially denied pain, but later complained of pain at crown of her head to touch.  Pt denied CP, HA, SOB, difficulty breathing, pruritis, rash, nausea, or visual disturbances.  Orthostatics were obtained (lying- 124/90-102; sitting- 137/81-115; Standing 123/87 - 96).  Patient maintained her O2 sat at 98% throughout the evaluation.  She was assisted to wheelchair and reported feeling better.   PE: A&O x 3 HEENT: Normocephalic, tenderness to palpation at crown of head, no lacerations or bruising noted, pupils equal CV: Tachycardic, regular rhythm, no M/R/G Resp: CTA B no W/R Ext: No UE or LE pain to palpation or edema noted  A/P: 23 yo s/p COVID-19 vaccine with likely vasovagal reaction and head trauma.    1. Vasovagal Reaction/Head Trauma - Pt transported by EMS to local hospital for evaluation  - Telemedicine visit with COVID-19 vaccine clinic on Monday 4/26/2021  2. COVID-19 Vaccine - VAERS report to be filled by Dr.  - FU for COVID-19 vaccine in 4 weeks  - Pt to receive vaccine in supine position and be observed for min 30 min - Recommend pt to be accompanied by friend/family member at next visit
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Unresponsive to stimuli
Clinical narrative: Called to evaluate patient in COVID-19 vaccination clinic area after witnessed "fainting" at ~12:30 PM.  Briefly this is a 23 yo female with unremarkable PMHx; Meds- OCPs; Allergies- PCN and Gluten. Pt received the first dose of Moderna COVID-19 vaccine at 12:25 PM with RN. Per RN report the patient informed her that she had a remote history of "passing out" after a vaccine as a child, but it had not happened recently.  The RN observed the patient at her vaccine station for 3 min then accompanied her to the observation area.  Per report of COVID-19 Patient Observer, pt was seen falling out of her chair in a seated position and it was unclear if she hit her head.  Per a witness, pt hit her head on the computer cart that was nearby.  The COVID-19 Patient Observer called for assistance and 911 was called.  She was immediately evaluated by COVID-19 Patient observer and RN and noted to be unresponsive initially.  The RN reported that she opened her eyes and became verbally responsive to verbal stimuli and touch.  Upon my arrival, pt was noted to be responsive and lying on floor on her abdomen.  She initially denied pain, but later complained of pain at crown of her head to touch.  Pt denied CP, HA, SOB, difficulty breathing, pruritis, rash, nausea, or visual disturbances.  Orthostatics were obtained (lying- 124/90-102; sitting- 137/81-115; Standing 123/87 - 96).  Patient maintained her O2 sat at 98% throughout the evaluation.  She was assisted to wheelchair and reported feeling better.   PE: A&O x 3 HEENT: Normocephalic, tenderness to palpation at crown of head, no lacerations or bruising noted, pupils equal CV: Tachycardic, regular rhythm, no M/R/G Resp: CTA B no W/R Ext: No UE or LE pain to palpation or edema noted  A/P: 23 yo s/p COVID-19 vaccine with likely vasovagal reaction and head trauma.    1. Vasovagal Reaction/Head Trauma - Pt transported by EMS to local hospital for evaluation  - Telemedicine visit with COVID-19 vaccine clinic on Monday 4/26/2021  2. COVID-19 Vaccine - VAERS report to be filled by Dr.  - FU for COVID-19 vaccine in 4 weeks  - Pt to receive vaccine in supine position and be observed for min 30 min - Recommend pt to be accompanied by friend/family member at next visit
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Furuncle
Clinical narrative: On the day after the injection, a boil appeared on my elbow.  The boil was like a blister without any pain, no redness, nothing.  Just like a big (20 cc) ball of lymph (I suppose it is lymph). I am a long-term survivor of COVID19.  I believe (have no proof) that I got it last January at the Chinese New Year Party.  I felt sick some 10 or 15 days later.  At the time, I thought that my vertebrae have unfused and barely could move.  Little by little improved, but then lymph accumulated in my body. The lymph would go into the muscles and make every move to be painful. My health degenerated until July 31st. I gained weight. At the time, doctors knew nothing and my self-diagnosis was that I could have blood clots. On July 31st, I changed the diagnosis for generalized inflammation.  I treated the generalized inflammation with exercise considering that the inflation was proportional to the fat in my body.  It worked. I am now 21 lbs lighter and better. That is when I received this new vaccine.  The boil is not unexpected, considering the history.
Age: 0.5
Sex: F
Vaccine: MMRV
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: There were no reactions or adverse effects. This vaccine was given to a 6 month old who did not need the vaccine until she was 12 months of age.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Headache
Clinical narrative: Received Pfizer vaccines on 1/5/21, 1/26/21 Tested positive for COVID by PCR on 4/22/21 Onset date of symptoms 4/21/21 w/ mild SOB, cough, chills, myalgias, sore throat, H/A, rhinorrhea/congestion Possible household exposure to COVID
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on 1/5/21, 1/26/21 Tested positive for COVID by PCR on 4/22/21 Onset date of symptoms 4/21/21 w/ mild SOB, cough, chills, myalgias, sore throat, H/A, rhinorrhea/congestion Possible household exposure to COVID
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site abscess, Injection site pain, Injection site swelling, Rash erythematous, Rash macular
Clinical narrative: Raised, red, blotchy rash around injection site from shoulder to elbow. Mild to moderate pain that resolves temporarily with ice. Has worsened since onset (currently 48h post-Injection).
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Oropharyngeal pain, Pain
Clinical narrative: Given possible very mild allergic reaction to first shot, nurses were informed of that condition and I was monitored for 45 minutes. 15 minutes post-injection: very mild scalp itch, less than first shot.  Gone in 1 hour. 20 minutes post-injection: very mild itch on forearms, less than first shot.  Gone in 1 hour. 5 hours post-injection: slight fatigue. 10 hours post-injection: fatigue, body aches, slight chills, slight sore throat, headache.  Body aches, chills, sore throat, headache gone in 24 hours.  Fatigue persisted and was gone in 48 hours. 3 days-post injection: a few hives on legs after shaving. 4 days post-injection: developed exercise-induced hives on arms, legs, and stomach, not a condition present before 2nd shot, after 30 minute vigorous bike ride.  Condition repeated 8 days post-injection under similar conditions and every bike ride after that.  Longer bike rides result in more widespread hives.  Hives disappear after about an hour after exercise ceases. 12 days post-injection: developed hives on legs after exposure to sea water.  Hives disappeared after about an hour after rinsing legs off with fresh water.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Given possible very mild allergic reaction to first shot, nurses were informed of that condition and I was monitored for 45 minutes. 15 minutes post-injection: very mild scalp itch, less than first shot.  Gone in 1 hour. 20 minutes post-injection: very mild itch on forearms, less than first shot.  Gone in 1 hour. 5 hours post-injection: slight fatigue. 10 hours post-injection: fatigue, body aches, slight chills, slight sore throat, headache.  Body aches, chills, sore throat, headache gone in 24 hours.  Fatigue persisted and was gone in 48 hours. 3 days-post injection: a few hives on legs after shaving. 4 days post-injection: developed exercise-induced hives on arms, legs, and stomach, not a condition present before 2nd shot, after 30 minute vigorous bike ride.  Condition repeated 8 days post-injection under similar conditions and every bike ride after that.  Longer bike rides result in more widespread hives.  Hives disappear after about an hour after exercise ceases. 12 days post-injection: developed hives on legs after exposure to sea water.  Hives disappeared after about an hour after rinsing legs off with fresh water.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: itching on left arm, left leg, stomach, back
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram thorax, Pulmonary embolism
Clinical narrative: Submassive High Risk Pulmonary Embolism
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: VACCINE ADMINISTERED 6 DAYS BEFORE SCHEDULED DATE
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Superficial vein prominence, Tenderness, Varicose vein, Vein disorder
Clinical narrative: 4 days after vaccination patient developed increased prominence and tenderness of varicose veins in both legs with significant hardness of the veins
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Joint range of motion decreased, Pain, Pain in extremity
Clinical narrative: Pt reported that pt started having ADEs on 4/16/2021 ~2pm with a headache and body ache. Today (4/17/2021) the headache and body is a little more intense than the day before, along with sore left arm (cannot lift arm) and chills.  Pt (pt's sister-in-law, per pt does not speak English) reported that the pt to 1 tablet of Advil this morning. **NOTE** Recommend that pt can take either Ibuprofen or Tylenol PRN, consume adequate meals, stay hydrated and rest. Advised ADEs usually occurs within 1-3 days post vaccination but should subside in a couple of days after. Recommend if symptoms does not get better to contact MD.  4/19-Placed follow up call on 4/19/2021 at 16:58: Pt reported that pt felt much better on 4/18/2021. Pt switched from taking Tylenol to Ibuprofen, and followed recommendations from the inital call and that helped. As of today, all ADEs went away and pt is back to her normal self.   **NOTE** Advised Pt if pt experience any ADEs from 2nd dose to please call back to report.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pruritus, Eye swelling, Fatigue, Pain
Clinical narrative: PATIENT COMPLAINED OF SWELLING/ITCHINESS AROUND HIS RIGHT EYE STARTING ABOUT 4 HOURS AFTER HIS VACCINATION. HE CALLE DOUT OF WORK THE NEXT DAY THEN REPORTED  IT HERE TODAY. HIS EYE LID STILL SEEMED PUFFY BUT THE PATIENT SAID IT HAD GOTTEN A LOT BETTER. IT ALSO ITCHED SOMEWHAT.  I COUNCELLED HIM TO TRY SOME OTC EYE ITCH DROPS AND TO TELL ME IF ANYTHING GOT WORSE. PATIENT HAD NO OTHER COMPLAINTS OTHER THAN USUAL VACCINE REACTIONS (SORENESS, FATIGUE ETC)
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Product administered to patient of inappropriate age
Clinical narrative: Inital COVID-19 doses amdinistered at 17 years of age on 03/25/2021. Second dose administered at 17 years of age on 04/20/2021.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives broke out around an hour and a half after vaccine. Only on abdomen and lower back. When woke up the next morning, they were gone.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Wheezing
Clinical narrative: SOB, wheezing started 4/20/2021
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to ED on 3/12/21. On 3/15/21 he presented to the ED again and was admitted. He also had an ED visit on 3/26/21.