chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Nephrolithiasis, Phlebolith, Platelet count normal, Protein total normal, Red blood cell count normal
Clinical narrative: 3/9/21 ER HPI Patient is a 71 y.o. female who presents with complaint of elevated blood pressure systolic of over 200 since last night.  Patient said that she has taken her blood pressure medications without much improvement.  The elevated blood pressure is associated with frontal headache.  No nausea vomiting, no dizziness, no chest pain, no cough or shortness of breath.  No fever or chills
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Red cell distribution width normal, Troponin I normal, White blood cell count normal, X-ray abnormal
Clinical narrative: 3/9/21 ER HPI Patient is a 71 y.o. female who presents with complaint of elevated blood pressure systolic of over 200 since last night.  Patient said that she has taken her blood pressure medications without much improvement.  The elevated blood pressure is associated with frontal headache.  No nausea vomiting, no dizziness, no chest pain, no cough or shortness of breath.  No fever or chills
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Migraine, Nausea, Pain in extremity
Clinical narrative: Slight sore arm for two days, fatigue for 4 days, migraine headache for 5 days, extreme chills for 1.5 days, nausea for 4 days, fever 100.4 for 1 day, vaginal bleeding on day 3 for 1.5 days
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Ultrasound scan normal, Vaginal haemorrhage
Clinical narrative: Slight sore arm for two days, fatigue for 4 days, migraine headache for 5 days, extreme chills for 1.5 days, nausea for 4 days, fever 100.4 for 1 day, vaginal bleeding on day 3 for 1.5 days
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Mobility decreased, Tremor
Clinical narrative: 11 hours after the injection I developed sever, uncontrollable shaking.  Walking was very difficult.  It was almost impossible to do anything with my hands.  The shaking lasted 1 hour.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Somnolence
Clinical narrative: 99.9 temperature and sleepy all day and night
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: At the injection site I had a brief pain from the needle and was fine for a week. on 03/05 It started to itch and it was red and swollen about 4 inches by 2 inches. warm to the touch.I had cortisone shots in my knee that day and I am not sure if that was the cause or if it was the covid shot.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Pyrexia
Clinical narrative: FEVER/CHILLS/NO APPETITE
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Dysgeusia, Fatigue, Headache
Clinical narrative: fatigue, intestional issues, chills, headaches, bitter taste
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Irritable bowel syndrome
Clinical narrative: fatigue, intestional issues, chills, headaches, bitter taste
Sex: U
Vaccine: UNK
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine vial diluted with an additional 1.8 mL NS of diluent after proper dilution of 1.8 mL NS.  To maintain proper 30mcg dosage, 0.6mL doses were administered x6 versus the normal dilution ratio of 30mcg per 0.3mL.  Recipients' vaccine cards annotated as receiving 30mcg versus 0.3mL.  Involved recipients unknown.  No issues observed with administration of the 0.6mL/30mcg.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Headache
Clinical narrative: Light-headed; "foggy brain"; fatigue; headache
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Hypoaesthesia, Paraesthesia
Clinical narrative: Pt states that her arms and legs started to tingle and become numb.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: death
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Flushing, Swelling face
Clinical narrative: Pfizer COVID vaccine was administered at about 12:30 PM. Patient called staff over around 12:35 PM due to facial swelling, flushing and voice change.  Benadryl was administered at 12:40 PM via IM in the Right Deltoid. At 12:45 PM pulse was 78, Respirations were 20, and BP was 118/84. At 12:50 PM pulse was 76, Respirations were 21 and BP was 140/90. At 12:55PM pulse was 72, Respirations were 19 and BP was 132/82.  Patient denied ambulance services. Stated that she felt better at this time. Monitored patient for a total of 30 minutes and stated she felt fine at that point. Patient was followed up with the next day. She stated that no more Benadryl was needed at home. She slept a few hours after and continued to have slight facial swelling that lasted for a couple of days. Patient is unsure if she wanted to get the 2nd dose, but wanted to keep her appointment for it still. Her doctor recommends getting the second vaccine dose and told her to just take Benadryl and Pepcid before the vaccine. We educated her about the possibility of getting that second dose at her doctor's office or at Hospital in order for her to have more immediate access to emergency care.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: Patient is a 63 y.o. female who received the Janssen COVID Lot#: 1805020 on 3/12/2021. The patient experienced the following reaction(s) during the immediate 15 of observation: "tingling around lips and left arm" Patient was treated/managed as follows:   1120: BP: 162/80 HR:65 RR: 18 O2: 99%  1130: BP: 160/90 HR: 69 RR:18 O2: 98%  Pt reports tingling has completely stopped and feels fine.  Patient given educational material regarding vaccine and advised to continue to self-monitor per the CDC guidance. Pt escorted to door by RN.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Vomiting
Clinical narrative: Pounding headache started around 845 am and suddenly nauseated and vomited at 945am. Feeling chills and aches all over the body since then. Placed call to primary doctor's office, the nurse said all of the side effects reported so far were normal for up to  48 hours, push fluids, and to call back if starting to have an allergic reaction
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Head discomfort, Hypoaesthesia, Injection site hypoaesthesia
Clinical narrative: Patient received Moderan dose 1 vaccine and felt lightheaded, presyncopal and then reported numbness and tingling to the shoulder and trapezius muscle on the left, ipsilateral to the injection site.  She felt better after 30 minutes and proceeded to go eat in her bedroom.  She was nervous and anxious prior to the vaccine and states that she thought that had something to do with it.  She then experienced a 10 second bout of muscle tension in her face and jaw which caused her to be unable to talk or speak for a few seconds.  She was brought back down to the hall for evaluation.  She felt as if she was having a stroke and that got her more worked up.  She denies lower body weakness.  She states that her head feels heavy and she complains of general fatigue.  No n/v.  No headache or blurry vision.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site paraesthesia, Muscle tension dysphonia, Paraesthesia, Presyncope
Clinical narrative: Patient received Moderan dose 1 vaccine and felt lightheaded, presyncopal and then reported numbness and tingling to the shoulder and trapezius muscle on the left, ipsilateral to the injection site.  She felt better after 30 minutes and proceeded to go eat in her bedroom.  She was nervous and anxious prior to the vaccine and states that she thought that had something to do with it.  She then experienced a 10 second bout of muscle tension in her face and jaw which caused her to be unable to talk or speak for a few seconds.  She was brought back down to the hall for evaluation.  She felt as if she was having a stroke and that got her more worked up.  She denies lower body weakness.  She states that her head feels heavy and she complains of general fatigue.  No n/v.  No headache or blurry vision.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Visual field defect
Clinical narrative: Jansen COVID-19 Vaccine EUA After waiting 15 min post vaccination, I got in my car to drive home. I started to see arcs of color in the peripheral vision of my left eye. Later this became more prominent. Overnight, I developed a headache and saw wavy colored/blurred lines in my left eye for about 10 min that obstructed my vision. I saw an ophthalmologist as I was very concerned. They suggested that as my eyes looked healthy under examination that it might be an ocular migraine. I still have a painful headache 26 hrs post vaccination. I?ve never had an ocular migraine previously.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy lymph gland, Computerised tomogram abnormal, Lymphadenopathy
Clinical narrative: After my second dose I started to feel under my right arm pain and my lymph nodes got swollen. I went to see my PCP and a CT scan of the right upper extremity was ordered. My CT scan diagnosis was lymphadenopathy. They then performed an U/S guided biopsy of my right upper extremity which was inconclusive. Since my report was  inconclusive, I now have to get a repeat biopsy and I am scheduled for 04-01-2021.  On 03-31-2021, I was also be going in for a marker place to demonstrate area concern for further diagnosis.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given a Moderna vaccine. Due to age of patient they should have been given a Pfizer vaccine
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse events so far , However Ciyan was only 17 years old
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site inflammation, Injection site pruritus
Clinical narrative: The site of the injection is inflamed (red and warm), hard, and itchy, 13 days after the injection.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: death
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Tremor
Clinical narrative: 6:20pm Chills with uncontrollable shaking, headache, muscle aches. Took 2 ibuprophen. Went to bed. Headache continued. 9:30pm Started having chills again along with headache and muscle aches. Took 2 Tylenol. Fell asleep. Woke around 11:30pm with a pulse of 112bpm (which normally would have been 58bpm) and a headache. Fell asleep. Woke around 6am with a headache. Got up around 11am. Still feel tired.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: this client received 1st dose Moderna on 1/21/2021 and then received Pfizer as a second dose 2/11/2021.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness
Clinical narrative: Dizziness and loss of equilibrium
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Pain, Pyrexia
Clinical narrative: Experienced fever, chills, body aches, headache, cough
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Medical Hypodermic Needle-Pro Syringe and Needle 22G 1 1/2in  Needle came off of syringe in the patients arm.  We were able to pull needle out of her arm, successfully, with out incidence.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Nasal congestion, Oropharyngeal pain
Clinical narrative: 2nd dose of Pfizer COVID-19 vaccine given 1/20/2021.  On 2/17/2021 developed nasal congestion, fatigue, sore threat, fever, shortness of breath.  5 week pregnant at this time.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 2nd dose of Pfizer COVID-19 vaccine given 1/20/2021.  On 2/17/2021 developed nasal congestion, fatigue, sore threat, fever, shortness of breath.  5 week pregnant at this time.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Hyporesponsive to stimuli, Loss of consciousness
Clinical narrative: Around 10 minutes after vaccine patient reported feeling dizzy, tired and weak.  Patient was still responsive, stated she had eaten breakfast.  She then was given water.  She then became unresponsive, eyes closed, snoring with head slumped down while sitting.  After we realized patient could not be awoken, property manager called 911.  While ambulance was on thier way, patient "woke up" but was drowsy and could barely communicate.  No epinephrine or diphenhydramine was administered.  BP was 130/100.  After EMS arrived, patient's partner came in from the car and reported this has happened multiple times at doctor appointments/procedures.  Patient was unconscious for around 5minutes.  Patient reported she went to the ED but was discharged after a short visit.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Posture abnormal, Snoring, Somnolence, Unresponsive to stimuli
Clinical narrative: Around 10 minutes after vaccine patient reported feeling dizzy, tired and weak.  Patient was still responsive, stated she had eaten breakfast.  She then was given water.  She then became unresponsive, eyes closed, snoring with head slumped down while sitting.  After we realized patient could not be awoken, property manager called 911.  While ambulance was on thier way, patient "woke up" but was drowsy and could barely communicate.  No epinephrine or diphenhydramine was administered.  BP was 130/100.  After EMS arrived, patient's partner came in from the car and reported this has happened multiple times at doctor appointments/procedures.  Patient was unconscious for around 5minutes.  Patient reported she went to the ED but was discharged after a short visit.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash over the face and upper body and a spot on right leg.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Asthenia, Death, Dyspnoea, General physical health deterioration
Clinical narrative: patient status started to decline within a few hours of receiving her covid vaccine she was weak, developed increased shortness of breath and went to the emergency room were she was diagnosed with STEMI and within 2 days expired.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Feeling hot, Headache
Clinical narrative: Fever 102, Severe Chills, Feeling hot,  Aches & Pains, Extreme Tiredness (thursday 3/11), Sore Arm where it was difficult to lift (only lasted 4 hours), Extremely weak unable to reach for my cell phone, Headache, Very bad neck pain,  Feeling like I had the flu, Sweating, nauseous and couldn't eat. Did not sleep at all Wednesday 3/10 night  due to the aches and pains, could not get comfortable.  Couldn't lie down or sit up comfortably and barely able to stand. I slept most of the day on Thursday 3/11 and was so tired I would fall asleep in mid sentence. Took ibuprofen 200mg and helped SLIGHTLY and wore off very quickly. Couldn't wait to get to the four hour mark to take more. I was so sick my husband wanted to take me to the ER.  I woke up on Friday 3/12 feeling back to myself.  I was told by my Rheumatologist to stop take HP Acthar Gel and Xeljanz for one week after the vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Influenza like illness, Loss of personal independence in daily activities, Mobility decreased, Nausea
Clinical narrative: Fever 102, Severe Chills, Feeling hot,  Aches & Pains, Extreme Tiredness (thursday 3/11), Sore Arm where it was difficult to lift (only lasted 4 hours), Extremely weak unable to reach for my cell phone, Headache, Very bad neck pain,  Feeling like I had the flu, Sweating, nauseous and couldn't eat. Did not sleep at all Wednesday 3/10 night  due to the aches and pains, could not get comfortable.  Couldn't lie down or sit up comfortably and barely able to stand. I slept most of the day on Thursday 3/11 and was so tired I would fall asleep in mid sentence. Took ibuprofen 200mg and helped SLIGHTLY and wore off very quickly. Couldn't wait to get to the four hour mark to take more. I was so sick my husband wanted to take me to the ER.  I woke up on Friday 3/12 feeling back to myself.  I was told by my Rheumatologist to stop take HP Acthar Gel and Xeljanz for one week after the vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pain in extremity, Pyrexia, Sleep disorder
Clinical narrative: Fever 102, Severe Chills, Feeling hot,  Aches & Pains, Extreme Tiredness (thursday 3/11), Sore Arm where it was difficult to lift (only lasted 4 hours), Extremely weak unable to reach for my cell phone, Headache, Very bad neck pain,  Feeling like I had the flu, Sweating, nauseous and couldn't eat. Did not sleep at all Wednesday 3/10 night  due to the aches and pains, could not get comfortable.  Couldn't lie down or sit up comfortably and barely able to stand. I slept most of the day on Thursday 3/11 and was so tired I would fall asleep in mid sentence. Took ibuprofen 200mg and helped SLIGHTLY and wore off very quickly. Couldn't wait to get to the four hour mark to take more. I was so sick my husband wanted to take me to the ER.  I woke up on Friday 3/12 feeling back to myself.  I was told by my Rheumatologist to stop take HP Acthar Gel and Xeljanz for one week after the vaccine.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient has an injection site reaction. Arm is noticeably red and swollen around the site of injection. Patient also reports that the spot is itchy. Patient contacted her PCP shortly after noticing the reaction who told her to use hydrocortisone cream.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dysstasia, Incontinence, Pain in extremity, Somnolence
Clinical narrative: Fever of 101.5 Soreness in arm Slept throughout day Had trouble standing. Slid off couch and couldn?t get up. Had to get help getting up. Happened only once.. Was incontinent many times.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cardiac arrest, Death
Clinical narrative: Cardiac arrest  Acute respiratory failure with hypoxia Death
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Blood sodium decreased, Cerebrovascular accident, Fatigue, Hyponatraemia
Clinical narrative: The patient presented to the ED on 3/11/2021 with fatigue for a few weeks, and recent abdomen pain. The patient was found to be hyponatremic and there was also evidence of a CVA on MRI findings.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal
Clinical narrative: The patient presented to the ED on 3/11/2021 with fatigue for a few weeks, and recent abdomen pain. The patient was found to be hyponatremic and there was also evidence of a CVA on MRI findings.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Hypoaesthesia
Clinical narrative: Numbness in both feet for three days starting the night of my shot (March 4th).   I had severe back pain  for three days, which started on Friday, the 5th. Left foot is still completely numb 8 days later.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: redness and swelling , knot  at injection site; hot to touch at injection site
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells Palsy
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Nervousness
Clinical narrative: 1447: Post vaccination approximately 20 minutes.  Patient had c/o dizziness, feeling shaky, nauseated, and light headed.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Blood sodium decreased, Blood test normal, Chest pain, Cough
Clinical narrative: I started having chest pains and rib soreness. I woke up feeling like I got hit by a truck. I started taking ibuprophen thinking I may have pulled something but the soreness never subsided. It hurts to move, when I cough, sneeze, etc. I went to the Urgent Care/ ER last night because I wanted to see if something major was wrong, They did blood work and ran a couple of tests but everything came back fine. I didn't mention to them that I received the first dose of vaccine because I didn't think I could get a side effect a week later until I looked on the  website today. I'm still in pain and I have no idea what could have caused this other then the vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Malaise, Musculoskeletal chest pain, Pain, X-ray
Clinical narrative: I started having chest pains and rib soreness. I woke up feeling like I got hit by a truck. I started taking ibuprophen thinking I may have pulled something but the soreness never subsided. It hurts to move, when I cough, sneeze, etc. I went to the Urgent Care/ ER last night because I wanted to see if something major was wrong, They did blood work and ran a couple of tests but everything came back fine. I didn't mention to them that I received the first dose of vaccine because I didn't think I could get a side effect a week later until I looked on the  website today. I'm still in pain and I have no idea what could have caused this other then the vaccine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Large 'bullseye' welted outer circle with slightly ecchymotic center on bilateral hips, 1/2 of described rash in 'c' shape on front of (L) thigh; large welts on back from bra line to panty line and on bilateral lower legs.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: "Pfizer-BioNTech COVID-19 Vaccine EUA" Patient was discovered deceased this morning by her family members.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Nausea, Paraesthesia
Clinical narrative: she receieved the moderna covid vaccine 1st dose, she waited in the chair and about 15 minutes then she came and said her left arm from hand up to elbow was numb and tingling. no pain at injection site. she also said she felt a little nauseated, she got something to drink and then said she was feeling better. A couple hours later she called the pharmacy saying her arm was still numb (just from had to elbow). She said thee no pain or numbness in upper part of arm where she gto the shot.
Age: 19.0
Sex: M
Vaccine: HEPA, IPV, TYP
Symptoms: Blindness, Deafness, Paralysis
Clinical narrative: Patient became deaf, lost vision, and became paralyzed within minutes of receiving vaccinations.  No loss of consciousness.  Patient declined emergency treatment, recovered from symptoms and walked out of store.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Nasal congestion
Clinical narrative: Very sore upper arm at and around injection site.  Chills Extremely tired night of vaccination only.  Mild/dull head ache  Stuffy nose
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: Today, three days after the injection, I began to feel tingling in my upper lip and in my toes.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Throat irritation, Throat tightness
Clinical narrative: Shortly after receiving vaccine, patient began to experience shortness of breath and throat itching/tightness.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dizziness, Fatigue, Headache
Clinical narrative: Whole body aches, fever, headache, extreme chills, fatigue, dizziness,  sore throat, not hungry
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Whole body aches, fever, headache, extreme chills, fatigue, dizziness,  sore throat, not hungry
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dizziness, Eye swelling, Injection site induration, Injection site mass
Clinical narrative: Anaphylaxis - Throat swelled almost completely closed, wheezing, lightheadedness (nearly passed out), throat/neck and injection site were very itchy and swollen, face/eyes swelled up, turned very pale all over, heart palpitations, etc. The next day - severe, horribly painful burning sensation all throughout my body.  Even clothing lightly touching my skin felt like hot razors cutting in to me. Residual swelling of the face/ arm. Migraine. For two weeks after - Very large, hard lump under my skin at the injection site. It was about the size of my hand and was very painful. After a few weeks it went away.  Treatment- large amounts of benadryl. The pharmacist wanted to use an epipen and send me to the hospital, but I refused because I could still get some air in (doctor later told me that my reaction was so severe I should have gone to the hospital). I had to keep taking large amounts of benadryl for the next few days to keep the reaction down a bit.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Migraine, Pain of skin
Clinical narrative: Anaphylaxis - Throat swelled almost completely closed, wheezing, lightheadedness (nearly passed out), throat/neck and injection site were very itchy and swollen, face/eyes swelled up, turned very pale all over, heart palpitations, etc. The next day - severe, horribly painful burning sensation all throughout my body.  Even clothing lightly touching my skin felt like hot razors cutting in to me. Residual swelling of the face/ arm. Migraine. For two weeks after - Very large, hard lump under my skin at the injection site. It was about the size of my hand and was very painful. After a few weeks it went away.  Treatment- large amounts of benadryl. The pharmacist wanted to use an epipen and send me to the hospital, but I refused because I could still get some air in (doctor later told me that my reaction was so severe I should have gone to the hospital). I had to keep taking large amounts of benadryl for the next few days to keep the reaction down a bit.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Palpitations, Peripheral swelling, Pharyngeal swelling, Presyncope
Clinical narrative: Anaphylaxis - Throat swelled almost completely closed, wheezing, lightheadedness (nearly passed out), throat/neck and injection site were very itchy and swollen, face/eyes swelled up, turned very pale all over, heart palpitations, etc. The next day - severe, horribly painful burning sensation all throughout my body.  Even clothing lightly touching my skin felt like hot razors cutting in to me. Residual swelling of the face/ arm. Migraine. For two weeks after - Very large, hard lump under my skin at the injection site. It was about the size of my hand and was very painful. After a few weeks it went away.  Treatment- large amounts of benadryl. The pharmacist wanted to use an epipen and send me to the hospital, but I refused because I could still get some air in (doctor later told me that my reaction was so severe I should have gone to the hospital). I had to keep taking large amounts of benadryl for the next few days to keep the reaction down a bit.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Skin burning sensation, Swelling, Swelling face, Throat irritation, Wheezing
Clinical narrative: Anaphylaxis - Throat swelled almost completely closed, wheezing, lightheadedness (nearly passed out), throat/neck and injection site were very itchy and swollen, face/eyes swelled up, turned very pale all over, heart palpitations, etc. The next day - severe, horribly painful burning sensation all throughout my body.  Even clothing lightly touching my skin felt like hot razors cutting in to me. Residual swelling of the face/ arm. Migraine. For two weeks after - Very large, hard lump under my skin at the injection site. It was about the size of my hand and was very painful. After a few weeks it went away.  Treatment- large amounts of benadryl. The pharmacist wanted to use an epipen and send me to the hospital, but I refused because I could still get some air in (doctor later told me that my reaction was so severe I should have gone to the hospital). I had to keep taking large amounts of benadryl for the next few days to keep the reaction down a bit.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pain, Rash, Sleep disorder
Clinical narrative: Patient presents today with complaints of probably shingles under her right axilla area extending inward over the right breast somewhat as well as around to the upper portion of the back along the bra line.  She started with pain in the area about 3 days after receiving her 2nd Covid Vaccine and the rash developed a few days after that. Terribly painful and she is finding it hard to be comfortable.  She is having issues sleeping due to the discomfort.   She has no fever. No other symptoms.  Wounds do not appear infected.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Loss of consciousness
Clinical narrative: Patient was advised to wait in store for 15 minutes after receiving vaccine.  She walked from the pharmacy to the meat department and fainted in front of the meat department.  The store staff came to get the pharmacy staff and called 911.  Patient was laying on the floor and reported she was "just having a hot flash".  She was conscious and aware with no difficulty breathing.  EMS arrived on the scene and patient refused service.  An EpiPen was not administered
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: THIS CLIENT RECEIVED MODERNA ON 12/26/20 AND PFIZER ON 2/11/2021.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio, Albumin globulin ratio normal, Aspartate aminotransferase normal, Basophil count decreased
Clinical narrative: 3/7/21 ER to inpatient Admission   (covid positive 3/7/21) 3/11/21 Transferred to higher level of care  Date of Service: 3/8/2021            Chief complaint:  Chest congestion   HPI:  Patient is a 78 y.o. male with PMH significant for hypertension, obesity, coronary artery disease and CKD admitted to acute care from ED peR Dr with pneumonia due to COVID-19.  Patient presented to ER brought in by EMS from local residence.  Was complaining of chest congestion.  Patient had been seen in ER earlier same morning complaining of cough.  Was afebrile at that time.  Oximetry 95%.  Rapid COVID positive.  Patient given Decadron 6 mg IV, albuterol inhaler, zinc and BAM(bamlarnivimab 700 mg) IV x1.  Patient discharged home.  Return later that evening per EMS with shortness of breath.  Complaining that congestion was getting worse.  Was now febrile & had fallen trying to get out of recliner.  Vitals upon arrival-temp 102.8° pulse 87 respirations 24 blood pressure 169/71 oximetry 99% on 2 L. patient given Rocephin 1 g IV piggyback, azithromycin 500 mg IV piggyback, normal saline bolus 1 L & acetaminophen  1000 mg IV in ER.  Labs revealed mild leukocytosis white blood cell count 12.5.  Glucose elevated to a 9 but patient had received Decadron previously.  BUN 32 creatinine 1.8.  D-dimer 1240.  No CT chest obtained due to patient's renal status.  Patient subsequently admitted to acute care for further evaluation and treatment to include IV antibiotics supplemental oxygen pulmonary hygiene.  Patient has received 1st COVID vaccine and due to have 2nd vaccine on March 20.   Upon admission patient was continued on Rocephin and azithromycin IV piggyback & Decadron 6 mg IVPB.  Continued hydration fluids normal saline at 100 cc/hour.  Started on IV Remdesivir with loading dose.  DuoNeb nebulizers q.6 hours.  Patient continued on home regimen less Plavix.  Was started on Lovenox 40 mg subcu daily for DVT prevention.  Patient maintaining oxygenation on 2-3 L.  Had initially been on 2.  Was increased to 3 this morning due to decrease in oximetry down to 92%.  Patient continues with exertional dyspnea.  Does have loose nonproductive cough.  Is complaining of pain to the left lower chest wall with cough.  Describes as sharp.  Denies any actual chest pain.  No nausea vomiting.  Last BM yesterday described as normal.  Blood cultures pending no growth at present.  Is currently resting in bed. Is in negative air pressure room.  COVID precautions observed. CASE DISCUSSED WITH DR
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Basophil count normal, Basophil percentage decreased, Bilirubin urine, Blood albumin decreased, Blood alkaline phosphatase normal
Clinical narrative: 3/7/21 ER to inpatient Admission   (covid positive 3/7/21) 3/11/21 Transferred to higher level of care  Date of Service: 3/8/2021            Chief complaint:  Chest congestion   HPI:  Patient is a 78 y.o. male with PMH significant for hypertension, obesity, coronary artery disease and CKD admitted to acute care from ED peR Dr with pneumonia due to COVID-19.  Patient presented to ER brought in by EMS from local residence.  Was complaining of chest congestion.  Patient had been seen in ER earlier same morning complaining of cough.  Was afebrile at that time.  Oximetry 95%.  Rapid COVID positive.  Patient given Decadron 6 mg IV, albuterol inhaler, zinc and BAM(bamlarnivimab 700 mg) IV x1.  Patient discharged home.  Return later that evening per EMS with shortness of breath.  Complaining that congestion was getting worse.  Was now febrile & had fallen trying to get out of recliner.  Vitals upon arrival-temp 102.8° pulse 87 respirations 24 blood pressure 169/71 oximetry 99% on 2 L. patient given Rocephin 1 g IV piggyback, azithromycin 500 mg IV piggyback, normal saline bolus 1 L & acetaminophen  1000 mg IV in ER.  Labs revealed mild leukocytosis white blood cell count 12.5.  Glucose elevated to a 9 but patient had received Decadron previously.  BUN 32 creatinine 1.8.  D-dimer 1240.  No CT chest obtained due to patient's renal status.  Patient subsequently admitted to acute care for further evaluation and treatment to include IV antibiotics supplemental oxygen pulmonary hygiene.  Patient has received 1st COVID vaccine and due to have 2nd vaccine on March 20.   Upon admission patient was continued on Rocephin and azithromycin IV piggyback & Decadron 6 mg IVPB.  Continued hydration fluids normal saline at 100 cc/hour.  Started on IV Remdesivir with loading dose.  DuoNeb nebulizers q.6 hours.  Patient continued on home regimen less Plavix.  Was started on Lovenox 40 mg subcu daily for DVT prevention.  Patient maintaining oxygenation on 2-3 L.  Had initially been on 2.  Was increased to 3 this morning due to decrease in oximetry down to 92%.  Patient continues with exertional dyspnea.  Does have loose nonproductive cough.  Is complaining of pain to the left lower chest wall with cough.  Describes as sharp.  Denies any actual chest pain.  No nausea vomiting.  Last BM yesterday described as normal.  Blood cultures pending no growth at present.  Is currently resting in bed. Is in negative air pressure room.  COVID precautions observed. CASE DISCUSSED WITH DR
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium decreased, Blood chloride normal, Blood creatinine increased, Blood culture negative
Clinical narrative: 3/7/21 ER to inpatient Admission   (covid positive 3/7/21) 3/11/21 Transferred to higher level of care  Date of Service: 3/8/2021            Chief complaint:  Chest congestion   HPI:  Patient is a 78 y.o. male with PMH significant for hypertension, obesity, coronary artery disease and CKD admitted to acute care from ED peR Dr with pneumonia due to COVID-19.  Patient presented to ER brought in by EMS from local residence.  Was complaining of chest congestion.  Patient had been seen in ER earlier same morning complaining of cough.  Was afebrile at that time.  Oximetry 95%.  Rapid COVID positive.  Patient given Decadron 6 mg IV, albuterol inhaler, zinc and BAM(bamlarnivimab 700 mg) IV x1.  Patient discharged home.  Return later that evening per EMS with shortness of breath.  Complaining that congestion was getting worse.  Was now febrile & had fallen trying to get out of recliner.  Vitals upon arrival-temp 102.8° pulse 87 respirations 24 blood pressure 169/71 oximetry 99% on 2 L. patient given Rocephin 1 g IV piggyback, azithromycin 500 mg IV piggyback, normal saline bolus 1 L & acetaminophen  1000 mg IV in ER.  Labs revealed mild leukocytosis white blood cell count 12.5.  Glucose elevated to a 9 but patient had received Decadron previously.  BUN 32 creatinine 1.8.  D-dimer 1240.  No CT chest obtained due to patient's renal status.  Patient subsequently admitted to acute care for further evaluation and treatment to include IV antibiotics supplemental oxygen pulmonary hygiene.  Patient has received 1st COVID vaccine and due to have 2nd vaccine on March 20.   Upon admission patient was continued on Rocephin and azithromycin IV piggyback & Decadron 6 mg IVPB.  Continued hydration fluids normal saline at 100 cc/hour.  Started on IV Remdesivir with loading dose.  DuoNeb nebulizers q.6 hours.  Patient continued on home regimen less Plavix.  Was started on Lovenox 40 mg subcu daily for DVT prevention.  Patient maintaining oxygenation on 2-3 L.  Had initially been on 2.  Was increased to 3 this morning due to decrease in oximetry down to 92%.  Patient continues with exertional dyspnea.  Does have loose nonproductive cough.  Is complaining of pain to the left lower chest wall with cough.  Describes as sharp.  Denies any actual chest pain.  No nausea vomiting.  Last BM yesterday described as normal.  Blood cultures pending no growth at present.  Is currently resting in bed. Is in negative air pressure room.  COVID precautions observed. CASE DISCUSSED WITH DR
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood lactic acid, Blood lactic acid normal, Blood potassium normal, Blood sodium normal
Clinical narrative: 3/7/21 ER to inpatient Admission   (covid positive 3/7/21) 3/11/21 Transferred to higher level of care  Date of Service: 3/8/2021            Chief complaint:  Chest congestion   HPI:  Patient is a 78 y.o. male with PMH significant for hypertension, obesity, coronary artery disease and CKD admitted to acute care from ED peR Dr with pneumonia due to COVID-19.  Patient presented to ER brought in by EMS from local residence.  Was complaining of chest congestion.  Patient had been seen in ER earlier same morning complaining of cough.  Was afebrile at that time.  Oximetry 95%.  Rapid COVID positive.  Patient given Decadron 6 mg IV, albuterol inhaler, zinc and BAM(bamlarnivimab 700 mg) IV x1.  Patient discharged home.  Return later that evening per EMS with shortness of breath.  Complaining that congestion was getting worse.  Was now febrile & had fallen trying to get out of recliner.  Vitals upon arrival-temp 102.8° pulse 87 respirations 24 blood pressure 169/71 oximetry 99% on 2 L. patient given Rocephin 1 g IV piggyback, azithromycin 500 mg IV piggyback, normal saline bolus 1 L & acetaminophen  1000 mg IV in ER.  Labs revealed mild leukocytosis white blood cell count 12.5.  Glucose elevated to a 9 but patient had received Decadron previously.  BUN 32 creatinine 1.8.  D-dimer 1240.  No CT chest obtained due to patient's renal status.  Patient subsequently admitted to acute care for further evaluation and treatment to include IV antibiotics supplemental oxygen pulmonary hygiene.  Patient has received 1st COVID vaccine and due to have 2nd vaccine on March 20.   Upon admission patient was continued on Rocephin and azithromycin IV piggyback & Decadron 6 mg IVPB.  Continued hydration fluids normal saline at 100 cc/hour.  Started on IV Remdesivir with loading dose.  DuoNeb nebulizers q.6 hours.  Patient continued on home regimen less Plavix.  Was started on Lovenox 40 mg subcu daily for DVT prevention.  Patient maintaining oxygenation on 2-3 L.  Had initially been on 2.  Was increased to 3 this morning due to decrease in oximetry down to 92%.  Patient continues with exertional dyspnea.  Does have loose nonproductive cough.  Is complaining of pain to the left lower chest wall with cough.  Describes as sharp.  Denies any actual chest pain.  No nausea vomiting.  Last BM yesterday described as normal.  Blood cultures pending no growth at present.  Is currently resting in bed. Is in negative air pressure room.  COVID precautions observed. CASE DISCUSSED WITH DR
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, Blood urine absent, Body temperature increased, COVID-19, COVID-19 pneumonia
Clinical narrative: 3/7/21 ER to inpatient Admission   (covid positive 3/7/21) 3/11/21 Transferred to higher level of care  Date of Service: 3/8/2021            Chief complaint:  Chest congestion   HPI:  Patient is a 78 y.o. male with PMH significant for hypertension, obesity, coronary artery disease and CKD admitted to acute care from ED peR Dr with pneumonia due to COVID-19.  Patient presented to ER brought in by EMS from local residence.  Was complaining of chest congestion.  Patient had been seen in ER earlier same morning complaining of cough.  Was afebrile at that time.  Oximetry 95%.  Rapid COVID positive.  Patient given Decadron 6 mg IV, albuterol inhaler, zinc and BAM(bamlarnivimab 700 mg) IV x1.  Patient discharged home.  Return later that evening per EMS with shortness of breath.  Complaining that congestion was getting worse.  Was now febrile & had fallen trying to get out of recliner.  Vitals upon arrival-temp 102.8° pulse 87 respirations 24 blood pressure 169/71 oximetry 99% on 2 L. patient given Rocephin 1 g IV piggyback, azithromycin 500 mg IV piggyback, normal saline bolus 1 L & acetaminophen  1000 mg IV in ER.  Labs revealed mild leukocytosis white blood cell count 12.5.  Glucose elevated to a 9 but patient had received Decadron previously.  BUN 32 creatinine 1.8.  D-dimer 1240.  No CT chest obtained due to patient's renal status.  Patient subsequently admitted to acute care for further evaluation and treatment to include IV antibiotics supplemental oxygen pulmonary hygiene.  Patient has received 1st COVID vaccine and due to have 2nd vaccine on March 20.   Upon admission patient was continued on Rocephin and azithromycin IV piggyback & Decadron 6 mg IVPB.  Continued hydration fluids normal saline at 100 cc/hour.  Started on IV Remdesivir with loading dose.  DuoNeb nebulizers q.6 hours.  Patient continued on home regimen less Plavix.  Was started on Lovenox 40 mg subcu daily for DVT prevention.  Patient maintaining oxygenation on 2-3 L.  Had initially been on 2.  Was increased to 3 this morning due to decrease in oximetry down to 92%.  Patient continues with exertional dyspnea.  Does have loose nonproductive cough.  Is complaining of pain to the left lower chest wall with cough.  Describes as sharp.  Denies any actual chest pain.  No nausea vomiting.  Last BM yesterday described as normal.  Blood cultures pending no growth at present.  Is currently resting in bed. Is in negative air pressure room.  COVID precautions observed. CASE DISCUSSED WITH DR
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest X-ray abnormal, Cough, Culture urine negative, Differential white blood cell count abnormal
Clinical narrative: 3/7/21 ER to inpatient Admission   (covid positive 3/7/21) 3/11/21 Transferred to higher level of care  Date of Service: 3/8/2021            Chief complaint:  Chest congestion   HPI:  Patient is a 78 y.o. male with PMH significant for hypertension, obesity, coronary artery disease and CKD admitted to acute care from ED peR Dr with pneumonia due to COVID-19.  Patient presented to ER brought in by EMS from local residence.  Was complaining of chest congestion.  Patient had been seen in ER earlier same morning complaining of cough.  Was afebrile at that time.  Oximetry 95%.  Rapid COVID positive.  Patient given Decadron 6 mg IV, albuterol inhaler, zinc and BAM(bamlarnivimab 700 mg) IV x1.  Patient discharged home.  Return later that evening per EMS with shortness of breath.  Complaining that congestion was getting worse.  Was now febrile & had fallen trying to get out of recliner.  Vitals upon arrival-temp 102.8° pulse 87 respirations 24 blood pressure 169/71 oximetry 99% on 2 L. patient given Rocephin 1 g IV piggyback, azithromycin 500 mg IV piggyback, normal saline bolus 1 L & acetaminophen  1000 mg IV in ER.  Labs revealed mild leukocytosis white blood cell count 12.5.  Glucose elevated to a 9 but patient had received Decadron previously.  BUN 32 creatinine 1.8.  D-dimer 1240.  No CT chest obtained due to patient's renal status.  Patient subsequently admitted to acute care for further evaluation and treatment to include IV antibiotics supplemental oxygen pulmonary hygiene.  Patient has received 1st COVID vaccine and due to have 2nd vaccine on March 20.   Upon admission patient was continued on Rocephin and azithromycin IV piggyback & Decadron 6 mg IVPB.  Continued hydration fluids normal saline at 100 cc/hour.  Started on IV Remdesivir with loading dose.  DuoNeb nebulizers q.6 hours.  Patient continued on home regimen less Plavix.  Was started on Lovenox 40 mg subcu daily for DVT prevention.  Patient maintaining oxygenation on 2-3 L.  Had initially been on 2.  Was increased to 3 this morning due to decrease in oximetry down to 92%.  Patient continues with exertional dyspnea.  Does have loose nonproductive cough.  Is complaining of pain to the left lower chest wall with cough.  Describes as sharp.  Denies any actual chest pain.  No nausea vomiting.  Last BM yesterday described as normal.  Blood cultures pending no growth at present.  Is currently resting in bed. Is in negative air pressure room.  COVID precautions observed. CASE DISCUSSED WITH DR
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Electrocardiogram, Eosinophil count decreased, Eosinophil count normal
Clinical narrative: 3/7/21 ER to inpatient Admission   (covid positive 3/7/21) 3/11/21 Transferred to higher level of care  Date of Service: 3/8/2021            Chief complaint:  Chest congestion   HPI:  Patient is a 78 y.o. male with PMH significant for hypertension, obesity, coronary artery disease and CKD admitted to acute care from ED peR Dr with pneumonia due to COVID-19.  Patient presented to ER brought in by EMS from local residence.  Was complaining of chest congestion.  Patient had been seen in ER earlier same morning complaining of cough.  Was afebrile at that time.  Oximetry 95%.  Rapid COVID positive.  Patient given Decadron 6 mg IV, albuterol inhaler, zinc and BAM(bamlarnivimab 700 mg) IV x1.  Patient discharged home.  Return later that evening per EMS with shortness of breath.  Complaining that congestion was getting worse.  Was now febrile & had fallen trying to get out of recliner.  Vitals upon arrival-temp 102.8° pulse 87 respirations 24 blood pressure 169/71 oximetry 99% on 2 L. patient given Rocephin 1 g IV piggyback, azithromycin 500 mg IV piggyback, normal saline bolus 1 L & acetaminophen  1000 mg IV in ER.  Labs revealed mild leukocytosis white blood cell count 12.5.  Glucose elevated to a 9 but patient had received Decadron previously.  BUN 32 creatinine 1.8.  D-dimer 1240.  No CT chest obtained due to patient's renal status.  Patient subsequently admitted to acute care for further evaluation and treatment to include IV antibiotics supplemental oxygen pulmonary hygiene.  Patient has received 1st COVID vaccine and due to have 2nd vaccine on March 20.   Upon admission patient was continued on Rocephin and azithromycin IV piggyback & Decadron 6 mg IVPB.  Continued hydration fluids normal saline at 100 cc/hour.  Started on IV Remdesivir with loading dose.  DuoNeb nebulizers q.6 hours.  Patient continued on home regimen less Plavix.  Was started on Lovenox 40 mg subcu daily for DVT prevention.  Patient maintaining oxygenation on 2-3 L.  Had initially been on 2.  Was increased to 3 this morning due to decrease in oximetry down to 92%.  Patient continues with exertional dyspnea.  Does have loose nonproductive cough.  Is complaining of pain to the left lower chest wall with cough.  Describes as sharp.  Denies any actual chest pain.  No nausea vomiting.  Last BM yesterday described as normal.  Blood cultures pending no growth at present.  Is currently resting in bed. Is in negative air pressure room.  COVID precautions observed. CASE DISCUSSED WITH DR