chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Drug hypersensitivity, Hyperhidrosis, Hypoaesthesia
Clinical narrative: NAUSEA,DIAPHORESIS,FACIAL THINGLING, NUMBNESS IN LEFT LEG AND HAND Narrative: Summary by ED provider - 37 yo FEMALE with a history of depression, bipolar disorder, HLD, and H pylori presented to the ED after coronary destination with complaints of facial tingling and left hand and leg numbness. (Vaccine notes also indicated she had nausea, dizziness, and diaphoresis post vaccination) Patient received her first dose of Pfizer COVID vaccine this a.m. around 9:30 (3/24/2021) in the ambulatory clinic. A few minutes after that while in the waiting area, she started noticing tingling sensation in the face which progressively got worse and she also experienced numbness and tingling in the left hand and left leg. Due to concerns of possible stroke like symptoms she was sent to the ED. On the addition to the ED, she reports that she has had allergic reaction to several drugs in the past and had a similar episode like this when she received lidocaine for local anesthesia in the past. She never had an allergic severe enough that warranted hospital admission or intubation. Complete neurological examination done at bedside failed to reveal any sensory deficit, decreased strength or cranial nerve deficit. #Numbness and tingling -Symptoms are likely die to anxiety VS minor allergic reaction to drug. - Patient reports similar complaint in the pat and quick improvement with Benadryl. We will go the dose of IM Benadryl 25 mg in the ED. -We will observe the patient for a short while to rule out potentially worsening allergic reaction. No labs or imaging mandated this point.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neurological examination normal, Paraesthesia
Clinical narrative: NAUSEA,DIAPHORESIS,FACIAL THINGLING, NUMBNESS IN LEFT LEG AND HAND Narrative: Summary by ED provider - 37 yo FEMALE with a history of depression, bipolar disorder, HLD, and H pylori presented to the ED after coronary destination with complaints of facial tingling and left hand and leg numbness. (Vaccine notes also indicated she had nausea, dizziness, and diaphoresis post vaccination) Patient received her first dose of Pfizer COVID vaccine this a.m. around 9:30 (3/24/2021) in the ambulatory clinic. A few minutes after that while in the waiting area, she started noticing tingling sensation in the face which progressively got worse and she also experienced numbness and tingling in the left hand and left leg. Due to concerns of possible stroke like symptoms she was sent to the ED. On the addition to the ED, she reports that she has had allergic reaction to several drugs in the past and had a similar episode like this when she received lidocaine for local anesthesia in the past. She never had an allergic severe enough that warranted hospital admission or intubation. Complete neurological examination done at bedside failed to reveal any sensory deficit, decreased strength or cranial nerve deficit. #Numbness and tingling -Symptoms are likely die to anxiety VS minor allergic reaction to drug. - Patient reports similar complaint in the pat and quick improvement with Benadryl. We will go the dose of IM Benadryl 25 mg in the ED. -We will observe the patient for a short while to rule out potentially worsening allergic reaction. No labs or imaging mandated this point.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchospasm
Clinical narrative: bronchospasm Narrative:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac assistance device user, Fatigue, Headache, Implantable defibrillator insertion, Oropharyngeal pain
Clinical narrative: PREMATURE VENTRICULAR CONTRACTIONS (PACEMAKER),FATIGUE,HEADACHE,SORE THROAT Narrative: 60 yo male with no known problem list at the Facility, usually sees a non-facility provider reported fatigue, sore throat, headache, and PVC's (pt has a pacemaker/defibrillator) on 3/22/2021 (when he was getting his second dose of covid19 vaccine). Symptoms resolved after 2 days with no intervention.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: PREMATURE VENTRICULAR CONTRACTIONS (PACEMAKER),FATIGUE,HEADACHE,SORE THROAT Narrative: 60 yo male with no known problem list at the Facility, usually sees a non-facility provider reported fatigue, sore throat, headache, and PVC's (pt has a pacemaker/defibrillator) on 3/22/2021 (when he was getting his second dose of covid19 vaccine). Symptoms resolved after 2 days with no intervention.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Pyrexia, Vomiting, Vomiting projectile, Wheezing
Clinical narrative: WEAKNESS, FEVER, VOMITING Narrative: 69 yo male with PMH of CAD, OSA, hx of VTE, OA, obesity, HTN, HLP, lumbar radiculopathy, GERD called triage line on 3/18/2021 to report that he had to go to the local ED (non-Facility) on 3/17/2021 because he had wheezing, extreme weakness, fever, projectile vomiting. Pt said he was given fluids and SL zofran and symptoms improved. This occurred after his second dose of COVID19 vaccine on 3/16/2021. Pt received the first dose on 2/17/2021 with no complications. At the time that this was reported, we have no outside records to review.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Myalgia
Clinical narrative: fatigue Narrative: 48 yo male with PMH gout, plantar fasscitis, HLP, sleep apnea reported having HA, muscle pain, joint pain, fatigue after his first covid19 vaccine on 3/1/2021. Symptoms self-resolved. This was reported on 3/22/2021 when he returned for his second dose.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain, Ventricular extrasystoles
Clinical narrative: PREMATURE VENTRICULAR CONTRACTIONS (PACEMAKER),FATIGUE,HEADACHE, SORETHROAT Narrative:  60 yo male with no known problem list at the agency, usually sees a non-agency provider reported fatigue, sore throat, headache and PVC's (pt has a pacemaker/defibrillator) on 3/22/2021 (when he was getting his second dose of covid19 vaccine). Symptoms resolved after 2 days with no intervention.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: TOOTHACHE Narrative: 59 yo male with PMH of PTSD, memory loss, sleep apnea, low back pain reported a severe toothache in his Left Upper Molar area that lasted x3days, resolved with Amoxicillin and Ibuprofen post vaccination 3/1/2021 (first covid19 vaccine dose). This ADR was reported on 3/22/2021 when he returned for his second dose. Unsure of correlation.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Headache, Lymphadenopathy, Myalgia
Clinical narrative: Dizziness, Headache, Myalgia, Diarrhea, Pain, Swollen Axillary Lymph Nodes Narrative: Symptoms lasted approximately 3 days.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Dizziness, Headache, Myalgia, Diarrhea, Pain, Swollen Axillary Lymph Nodes Narrative: Symptoms lasted approximately 3 days.
Age: 28.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Soft tissue infection
Clinical narrative: Cellulitis Narrative:  Patient presented to the ED and reported right arm redness and swelling. This was attributed to the Pneumococcal PPSV23 vaccine. Patient received cephalexin 500for treatment of the non-purulent soft tissue infection and has since resolved.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal tenderness, Asthenia, Biopsy, Computerised tomogram abdomen abnormal
Clinical narrative: DEATH Narrative: Patient was a 73 year old gentleman presented to the ED with Worsening SOB, abdominal distention, leg swellings and generalized weakness. On physical exam he had abdomen tenderness, distension and BLE 4+ pitting edema. CT abdomen showed liver malignancy which on CT was found to be 6.4x 4 cm mass in caudate and R hepatic lobe obstructing R portal vein, main portal vein/splenic vein and IVC (likely tumor thrombus or blood clot). Labs suggested liver failure and renal failure was deteriorated 2/2 outflow obstruction. Providers discussed with vascular surgery and gastroenterology, they did not have any treatment options to offer. Palliative care was involved in his cares. After detailed discussions with family amd palliative care regarding guarded prognosis, his code status was switched DNR/DNI. we were looking into palliation options. Oncology was consulted, given that the imaging findings were not definitive for a diagnosis of hepatocellular carcinoma, they recommended biopsy of the caudate lobe mass to establish a tissue diagnosis to see if the tumor is radiation or chemosensitive. Vit K was being given to lower INR <1.3 to do a biopsy. However, patient decompensated rapidly in 1-2 days developing altered mental status from acute liver and renal failure. Providers discussed with radiation oncology to see if they would consider emergent radiation mainly for local tumor shrinkage/relief of IVC obstruction to relieve hepatic/ renal congestion: suggested they would not offer radiation in the setting of acute liver failure + acute renal failure; and radiation typically does not work/ not used for acute settings. Providers also discussed with interventional radiology, surgical oncology: they said has nothing to offer at this time given his large tumor burden and significant vascular involvement. Patient became unresponsive overnight, we offered and provided comfort/care to patient after discussion with daughters. Time of death 03:50AM on 02/23/2021.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, General physical health deterioration, Hepatic cancer, Hepatic failure
Clinical narrative: DEATH Narrative: Patient was a 73 year old gentleman presented to the ED with Worsening SOB, abdominal distention, leg swellings and generalized weakness. On physical exam he had abdomen tenderness, distension and BLE 4+ pitting edema. CT abdomen showed liver malignancy which on CT was found to be 6.4x 4 cm mass in caudate and R hepatic lobe obstructing R portal vein, main portal vein/splenic vein and IVC (likely tumor thrombus or blood clot). Labs suggested liver failure and renal failure was deteriorated 2/2 outflow obstruction. Providers discussed with vascular surgery and gastroenterology, they did not have any treatment options to offer. Palliative care was involved in his cares. After detailed discussions with family amd palliative care regarding guarded prognosis, his code status was switched DNR/DNI. we were looking into palliation options. Oncology was consulted, given that the imaging findings were not definitive for a diagnosis of hepatocellular carcinoma, they recommended biopsy of the caudate lobe mass to establish a tissue diagnosis to see if the tumor is radiation or chemosensitive. Vit K was being given to lower INR <1.3 to do a biopsy. However, patient decompensated rapidly in 1-2 days developing altered mental status from acute liver and renal failure. Providers discussed with radiation oncology to see if they would consider emergent radiation mainly for local tumor shrinkage/relief of IVC obstruction to relieve hepatic/ renal congestion: suggested they would not offer radiation in the setting of acute liver failure + acute renal failure; and radiation typically does not work/ not used for acute settings. Providers also discussed with interventional radiology, surgical oncology: they said has nothing to offer at this time given his large tumor burden and significant vascular involvement. Patient became unresponsive overnight, we offered and provided comfort/care to patient after discussion with daughters. Time of death 03:50AM on 02/23/2021.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: International normalised ratio increased, Mental status changes, Oedema peripheral, Peripheral swelling, Portal vein occlusion
Clinical narrative: DEATH Narrative: Patient was a 73 year old gentleman presented to the ED with Worsening SOB, abdominal distention, leg swellings and generalized weakness. On physical exam he had abdomen tenderness, distension and BLE 4+ pitting edema. CT abdomen showed liver malignancy which on CT was found to be 6.4x 4 cm mass in caudate and R hepatic lobe obstructing R portal vein, main portal vein/splenic vein and IVC (likely tumor thrombus or blood clot). Labs suggested liver failure and renal failure was deteriorated 2/2 outflow obstruction. Providers discussed with vascular surgery and gastroenterology, they did not have any treatment options to offer. Palliative care was involved in his cares. After detailed discussions with family amd palliative care regarding guarded prognosis, his code status was switched DNR/DNI. we were looking into palliation options. Oncology was consulted, given that the imaging findings were not definitive for a diagnosis of hepatocellular carcinoma, they recommended biopsy of the caudate lobe mass to establish a tissue diagnosis to see if the tumor is radiation or chemosensitive. Vit K was being given to lower INR <1.3 to do a biopsy. However, patient decompensated rapidly in 1-2 days developing altered mental status from acute liver and renal failure. Providers discussed with radiation oncology to see if they would consider emergent radiation mainly for local tumor shrinkage/relief of IVC obstruction to relieve hepatic/ renal congestion: suggested they would not offer radiation in the setting of acute liver failure + acute renal failure; and radiation typically does not work/ not used for acute settings. Providers also discussed with interventional radiology, surgical oncology: they said has nothing to offer at this time given his large tumor burden and significant vascular involvement. Patient became unresponsive overnight, we offered and provided comfort/care to patient after discussion with daughters. Time of death 03:50AM on 02/23/2021.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Renal failure, Unresponsive to stimuli
Clinical narrative: DEATH Narrative: Patient was a 73 year old gentleman presented to the ED with Worsening SOB, abdominal distention, leg swellings and generalized weakness. On physical exam he had abdomen tenderness, distension and BLE 4+ pitting edema. CT abdomen showed liver malignancy which on CT was found to be 6.4x 4 cm mass in caudate and R hepatic lobe obstructing R portal vein, main portal vein/splenic vein and IVC (likely tumor thrombus or blood clot). Labs suggested liver failure and renal failure was deteriorated 2/2 outflow obstruction. Providers discussed with vascular surgery and gastroenterology, they did not have any treatment options to offer. Palliative care was involved in his cares. After detailed discussions with family amd palliative care regarding guarded prognosis, his code status was switched DNR/DNI. we were looking into palliation options. Oncology was consulted, given that the imaging findings were not definitive for a diagnosis of hepatocellular carcinoma, they recommended biopsy of the caudate lobe mass to establish a tissue diagnosis to see if the tumor is radiation or chemosensitive. Vit K was being given to lower INR <1.3 to do a biopsy. However, patient decompensated rapidly in 1-2 days developing altered mental status from acute liver and renal failure. Providers discussed with radiation oncology to see if they would consider emergent radiation mainly for local tumor shrinkage/relief of IVC obstruction to relieve hepatic/ renal congestion: suggested they would not offer radiation in the setting of acute liver failure + acute renal failure; and radiation typically does not work/ not used for acute settings. Providers also discussed with interventional radiology, surgical oncology: they said has nothing to offer at this time given his large tumor burden and significant vascular involvement. Patient became unresponsive overnight, we offered and provided comfort/care to patient after discussion with daughters. Time of death 03:50AM on 02/23/2021.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Paraesthesia, Rash macular
Clinical narrative: Paresthesia Narrative:  Patient is a 38 MALE patient with no PMH who on 3/26/21 received his 1st dose of Moderna mRNA COVID-19 vaccine. He was observed for first 15 minutes post vaccine. During this time, he began reporting tingling sensation in hands, headache, and "blotchy" rash of upper and lower extremities. He presented to Urgent Care. Continued to endorse tingling in finger tips but HA and rash resolved. T 97.7 F, P 61, BP 133/90, RR 18, SpO2 98% on RA. On exam had no discrete rash identified but some erythema was noted. No oral or facial edema and lungs clear without wheezing. He was discharged with oral prednisone 60 mg (2 doses) to use only in case of delayed allergic symptoms. Per ID Consult-Patient did not have an immediate allergic reaction to the Moderna mRNA vaccine, rather he likely had a sympathetic reaction if symptoms flare. No additional information in patients chart beyond 3/27/21 addressing this issue.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Narrative:  73 yo reported having a headache from his first dose of covid19 vaccine on 3/8/2021. Pt received his first dose on 2/15/2021, symptom self-resolved. Pt got his second dose on 3/8/2021.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Injection site pain, Injection site pruritus, Injection site reaction
Clinical narrative: INJECTION SITE PAIN, FATIGUE, BODY ACHES, ITCHING AT INJECTION SITE Narrative:  65 yo female with PMH sleep apnea, depression, GERD called triage line on 3/24/2021 to report flu-like symptoms (fatigue, body aches, and injection pain site with her second dose of covid19 vaccine. Pt received her COVID19 vaccine on 3/19/2021. Pt stated that symptoms started on 3/20/2021. Tylenol OTC helped with her symptoms. She described injection site as painful, itchy and feels that it's not getting better. Pt was followed up with a provider via phone and was given prednisone 40mg x 2 days, 30mg x2 days, then 20mg x 2 days, then 10mg x2 days since the the location rxn did not resolve on its own and it's been 4 days since she first saw the reaction (per progress notes). Other symptoms have resolved. Per patient, she experienced similar symptoms with the first Moderna vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: INJECTION SITE PAIN, FATIGUE, BODY ACHES, ITCHING AT INJECTION SITE Narrative:  65 yo female with PMH sleep apnea, depression, GERD called triage line on 3/24/2021 to report flu-like symptoms (fatigue, body aches, and injection pain site with her second dose of covid19 vaccine. Pt received her COVID19 vaccine on 3/19/2021. Pt stated that symptoms started on 3/20/2021. Tylenol OTC helped with her symptoms. She described injection site as painful, itchy and feels that it's not getting better. Pt was followed up with a provider via phone and was given prednisone 40mg x 2 days, 30mg x2 days, then 20mg x 2 days, then 10mg x2 days since the the location rxn did not resolve on its own and it's been 4 days since she first saw the reaction (per progress notes). Other symptoms have resolved. Per patient, she experienced similar symptoms with the first Moderna vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Injection site pain, Injection site pruritus, Pain
Clinical narrative: BODY ACHES, FATIGUE, INJECTION SITE PAIN, ITCHING AT INJECTION SITE Narrative:  65 yo female with PMH sleep apnea, depression, GERD called triage line on 3/24/2021 to report flu-like symptoms (fatigue, body aches, and injection pain site with her second dose of covid19 vaccine. It was noted that she also had similar symptoms to the first COVID19 VACCINE that was administered on 02/19/2021 (hence this report with the first covid19 vaccine). Pt with her first covid19 vaccine, symptoms started the day after. The only difference is with COVID19 VACCINE second dose, the itching at the injection site did not resolve.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia
Clinical narrative: insomnia Narrative:
Age: 0.08
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Myalgia, Pain
Clinical narrative: soreness, fatigue, muscle aches, headache, diarrhea Narrative:  Other Relevant History:
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: fatigue Narrative:
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: Sweating Narrative:
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Acute stress disorder, Anxiety, Dizziness, Feeling hot, Flushing
Clinical narrative: diaphoresis Narrative:  He reported increased feelings of anxiousness, dizziness, and flushing about 30 seconds after receiving the vaccination. He was brought into an examination room for further evaluation. Patient c/o increased feeling of warmth, headache at temples, diaphoresis, dizziness, and likened the feelings to what he normally gets during an episode of a panic attack. He denied swelling, pruritus, urticaria, flushing, disorientation, weakness, SOB/stridor, and nausea/abdominal cramping. He had eaten and hydrated prior to the appointment. Notes that he has felt ill with past vaccinations and typically avoids them. O: T 98.2F BP 123/75 HR 96 RR 12-15 SpO2 96% on RA Gen: non-toxic, initially appearing in mild distress - which quickly dissipated, answering questions appropriately, pleasant HEENT: atraumatic/normocephalic, PERRL, nares patent, no swelling Neck: no swelling CV: regular rate and rhythm, normal S1/S2, no murmurs Pulm: clear to auscultation bilaterally with no wheezes/rales/rhonci Ext: moves all 4 spontaneously, no edema, able to ambulate with single point cane Skin: no lesions or rashes, healed tattoos Neuro: CN II-XII grossly intact, 5/5 strength UE and LE Psych: appropriate, thoughts linear and non-tangential A/P: 45 yo patient here at vaccination clinic with stress/anxiety response to injection. Sx resolved w/in 3 minutes other than mild HA at temples. Response not concerning sx of immediate allergic reaction, angioedema, or anaphylaxis at this time. Patient was able to consume an entire bottle of water w/o difficulty during the interview, which also a/w resolution of the sx. Reaction to vaccination normalized and reassurance provided. Plan at this time: *Common adverse effects of vaccination reviewed and when to seek care *Specifically reviewed s/sx concerning for an immediate allergic reaction/anaphylaxis + 4 hour post-vaccination timeframe reviewed with ER precautions discussed *Advice for next vaccination also reviewed (eg eat/drink prior to appt, consider bringign a driver if feasible, try to have an easy/low stress day after the vaccination). Also offered that next vaccination can be administered laying down, which was politely declined
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: General physical condition abnormal, Headache, Hyperhidrosis, Immediate post-injection reaction, Immunisation stress-related response
Clinical narrative: diaphoresis Narrative:  He reported increased feelings of anxiousness, dizziness, and flushing about 30 seconds after receiving the vaccination. He was brought into an examination room for further evaluation. Patient c/o increased feeling of warmth, headache at temples, diaphoresis, dizziness, and likened the feelings to what he normally gets during an episode of a panic attack. He denied swelling, pruritus, urticaria, flushing, disorientation, weakness, SOB/stridor, and nausea/abdominal cramping. He had eaten and hydrated prior to the appointment. Notes that he has felt ill with past vaccinations and typically avoids them. O: T 98.2F BP 123/75 HR 96 RR 12-15 SpO2 96% on RA Gen: non-toxic, initially appearing in mild distress - which quickly dissipated, answering questions appropriately, pleasant HEENT: atraumatic/normocephalic, PERRL, nares patent, no swelling Neck: no swelling CV: regular rate and rhythm, normal S1/S2, no murmurs Pulm: clear to auscultation bilaterally with no wheezes/rales/rhonci Ext: moves all 4 spontaneously, no edema, able to ambulate with single point cane Skin: no lesions or rashes, healed tattoos Neuro: CN II-XII grossly intact, 5/5 strength UE and LE Psych: appropriate, thoughts linear and non-tangential A/P: 45 yo patient here at vaccination clinic with stress/anxiety response to injection. Sx resolved w/in 3 minutes other than mild HA at temples. Response not concerning sx of immediate allergic reaction, angioedema, or anaphylaxis at this time. Patient was able to consume an entire bottle of water w/o difficulty during the interview, which also a/w resolution of the sx. Reaction to vaccination normalized and reassurance provided. Plan at this time: *Common adverse effects of vaccination reviewed and when to seek care *Specifically reviewed s/sx concerning for an immediate allergic reaction/anaphylaxis + 4 hour post-vaccination timeframe reviewed with ER precautions discussed *Advice for next vaccination also reviewed (eg eat/drink prior to appt, consider bringign a driver if feasible, try to have an easy/low stress day after the vaccination). Also offered that next vaccination can be administered laying down, which was politely declined
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dyspnoea, Fatigue, Pain
Clinical narrative: chills, fatigue, shortness of breath Narrative:  75 yo male received first dose of covid19 pfizer vaccine on 2/24/2021. he reported having vomiting and SOB on day of vaccine along with chills, joint pain, body aches, fatigue. Pt did not seek care. Symptoms self-resolve. Pt reported this ADR on 3/17/2021 when he returned for his second dose of pfizer vaccine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: chills, fatigue, shortness of breath Narrative:  75 yo male received first dose of covid19 pfizer vaccine on 2/24/2021. he reported having vomiting and SOB on day of vaccine along with chills, joint pain, body aches, fatigue. Pt did not seek care. Symptoms self-resolve. Pt reported this ADR on 3/17/2021 when he returned for his second dose of pfizer vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia
Clinical narrative: Myalgia, fatigue in legs and upper back Narrative:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lacrimation increased, Nasal congestion
Clinical narrative: nasal congestion and watery eyes directly after second dose Narrative: During COVID vaccination clinic appointment symptoms arose and was treated with cetirizine
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Gait disturbance, Haematuria, Intensive care, Mechanical ventilation
Clinical narrative: None reported Narrative:  An 86yo male with history of Arthralgia of Pelvic region and Hip, Aortic Valve Insufficiency, Hyperlipidemia, Hypertension, GERD, Chronic A-Fib, Mild Cognitive Impairment, BPH, Cardiorenal Syndrome and Allergic Rhinitis Per Nursing documentation he received first Covid- 19 vaccine on January 14, 2021 and the second shot on February 4, 2021 without complications and per policy /protocol He had bladder issues and was scheduled for a procedure on February16, 2021 but prior to that on February 8, 2021 His daughter reported he developed Hematuria and pain, was seen at medical facility, she picked him up upon discharge, he got home, stepped into the house with difficulty and collapsed. He was take to Hospital with EMS, got admitted to ICU, was on a ventilator and passed away on February 17, 2021
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Syncope
Clinical narrative: None reported Narrative:  An 86yo male with history of Arthralgia of Pelvic region and Hip, Aortic Valve Insufficiency, Hyperlipidemia, Hypertension, GERD, Chronic A-Fib, Mild Cognitive Impairment, BPH, Cardiorenal Syndrome and Allergic Rhinitis Per Nursing documentation he received first Covid- 19 vaccine on January 14, 2021 and the second shot on February 4, 2021 without complications and per policy /protocol He had bladder issues and was scheduled for a procedure on February16, 2021 but prior to that on February 8, 2021 His daughter reported he developed Hematuria and pain, was seen at medical facility, she picked him up upon discharge, he got home, stepped into the house with difficulty and collapsed. He was take to Hospital with EMS, got admitted to ICU, was on a ventilator and passed away on February 17, 2021
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache Narrative: At time of second COVID vaccine employee reported that she had a headache since dose 1. She took Advil on the 3rd and 4th day and it was gone. Reported HA was nagging in nature, tolerable and was back again. Reported that she had the headache before the second shot and is not new .
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Myalgia, Fever, chills Narrative:  Other Relevant History:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness Narrative:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Impaired work ability, Injection site pain, Injection site warmth, Nausea
Clinical narrative: NauseaVomiting, Palpitations, pain and heat at injection site Narrative:  Arrived to vaccine clinic observation area after receiving second COVID vaccine dose. Per vaccination RN needed to be 30 min observation due to anaphylaxis history and had strong reaction after 1st COVID dose of left sided pain, weakness (unable to walk fully 24 hours post dose #1). After dose #2 had initial complaints of nausea and sensation of heart fluttering, pain and heat at injection site on left deltoid. She was given water and white flower smelling oil/balm. Vitals were 140/71, HR 97, Tem; 96.8, 99% on RA, RR 24. At 2:30pm She was given zyrtec 10mg tab and ice pack to left arm and neck. At 2:40pm nausea and heart flutter resolved and she was was able to return to work. Employee was contacted on 1/30 and she had complaints of sore arm and body aches on 1/28 as well and had to call off work.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations, Vomiting
Clinical narrative: NauseaVomiting, Palpitations, pain and heat at injection site Narrative:  Arrived to vaccine clinic observation area after receiving second COVID vaccine dose. Per vaccination RN needed to be 30 min observation due to anaphylaxis history and had strong reaction after 1st COVID dose of left sided pain, weakness (unable to walk fully 24 hours post dose #1). After dose #2 had initial complaints of nausea and sensation of heart fluttering, pain and heat at injection site on left deltoid. She was given water and white flower smelling oil/balm. Vitals were 140/71, HR 97, Tem; 96.8, 99% on RA, RR 24. At 2:30pm She was given zyrtec 10mg tab and ice pack to left arm and neck. At 2:40pm nausea and heart flutter resolved and she was was able to return to work. Employee was contacted on 1/30 and she had complaints of sore arm and body aches on 1/28 as well and had to call off work.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: No ADR, timing ERROR, 2nd dose given 58 days after 1st  Narrative: Timing ERROR only
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: intermittent numbness to Left hand/wrist  Narrative: Pt in vaccine clinic observation area with complaints of intermittent numbness to Lt hand/wrist. No treatment given and symptoms resolved after 20 minutes.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: lightheadedness Narrative: Was seen in vaccine observation area at 10am with c/o lightheadedness; BP 97/60, HR 88. At 10:25am lightheadedness improved but upon standing she felt lightheaded again and was assisted to cart and placed in trendelenberg position. Ice pack was applied. At 11:30 vitals were 111/58, HR 75 and she was escorted per w/c back to lab to work. States that she is sitting all day and will be closer to her physician at Facility versus at home. Co workers stated that they will also look out for her is she needs assistance.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Dizziness, Fatigue, Headache, Hypoaesthesia
Clinical narrative: BlurredVision, Dizziness, Headache, pt reported bruising on right UE and left wrist and rt ant chest  Narrative: In vaccination clinic observation area 10-15 minutes after vaccine #2 pt reported bruising on right UE and left wrist and rt ant chest, dizziness, headache and blurry vision right eye. Pt noted improvement in symptoms 30 minutes post-vaccination and no treatment was needed. pt contacted on 3/10 for f/u after side effects from vaccine; Pt reported dizziness, fatigue, numbness/tingling in left hand  and right arm painful to touch at injection site. Pt stated no change in symptoms since yesterday. Pt also reported he has a small amount of redness at the right deltoid injection site. Denied any swelling or discharge. Pt encouraged to take some Tylenol as needed and may apple some ice to right arm injection site if needed. Pt denied any chest pain or dyspnea.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Paraesthesia, Vision blurred
Clinical narrative: BlurredVision, Dizziness, Headache, pt reported bruising on right UE and left wrist and rt ant chest  Narrative: In vaccination clinic observation area 10-15 minutes after vaccine #2 pt reported bruising on right UE and left wrist and rt ant chest, dizziness, headache and blurry vision right eye. Pt noted improvement in symptoms 30 minutes post-vaccination and no treatment was needed. pt contacted on 3/10 for f/u after side effects from vaccine; Pt reported dizziness, fatigue, numbness/tingling in left hand  and right arm painful to touch at injection site. Pt stated no change in symptoms since yesterday. Pt also reported he has a small amount of redness at the right deltoid injection site. Denied any swelling or discharge. Pt encouraged to take some Tylenol as needed and may apple some ice to right arm injection site if needed. Pt denied any chest pain or dyspnea.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: none Narrative: Patient presented to vaccine clinic seeking 2nd dose, 1st dose had been administered at other facility, after vaccine administration it was discovered her initial vaccine was Pfizer and not MOderna. patient has experienced no ADRs at this time.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: No ADR, timing ERROR, 2nd dose given 55 days after 1st  Narrative:  Timing ERROR only
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Induration, Pain, Palpitations, Papule, Pruritus
Clinical narrative: SWELLING, PAPULES Narrative:  acute visit related to left arm swelling and diffuse maculopapular rash to recent COVID-19 vaccine, Moderna vaccine. One week after injection into left deltoid of COVID-19 vaccine, patient developed onset of diffuse swelling, erythematous skin, indurated lateral arm, and papules which have subsequently spread to the right upper arm, abdomen, groin. There is pain with deep palpation, but mainly itchy. No new medications otherwise, no new detergents or fragrance. Cortisone cream makes it feel better but rash has not improved.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Rash erythematous, Swelling
Clinical narrative: SWELLING, PAPULES Narrative:  acute visit related to left arm swelling and diffuse maculopapular rash to recent COVID-19 vaccine, Moderna vaccine. One week after injection into left deltoid of COVID-19 vaccine, patient developed onset of diffuse swelling, erythematous skin, indurated lateral arm, and papules which have subsequently spread to the right upper arm, abdomen, groin. There is pain with deep palpation, but mainly itchy. No new medications otherwise, no new detergents or fragrance. Cortisone cream makes it feel better but rash has not improved.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dissociation, Feeling abnormal
Clinical narrative: brain fog Narrative: He reports having developed a feeling of dissociation, which has typically been described as "brain fog" that started about a day after the initial vaccination and persisted for 2x days prior to resolving on its own. No therapies were tried or applied and he does not remember if he had other common adverse effects (AEs) to the vaccine. Normalization of adverse effect reviewed and general recommendations provided if this were to return. RN provided education on common AEs and when to seek care.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blister rupture, Erythema, Pruritus, Pustule, Rash
Clinical narrative: Narrative: He reports having developed a rash after the initial vaccine. In brief: *He received the first vaccination in his left deltoid. *About 3 days afterwards, he noticed scatter erythematous pustules over his right forearm. These would errupt and then crust over. These were a/w mild occasional pruritus, but no pain or warmth. Once crusted, they have remained as hyperpigmented and non-blanching spots. *Since the concern began, these have spread to his right hand, then left upperarm and forearm. *He denies rash at any other locations. *No recent changes to detergents or environmental exposure(s). *He denies recent new rx or OTC medications or changes in dosing. *No contacts have a similar rash. *He has applied OTC low dose topical hydrocortisone to the rashes, which have minimally a/w the erythema and occasional itching. On examination - he has diffuse/scattered non-blanching/erythematous small areas of rash over b/l arms in various stages of healing. All lesions are crusted over at this time. All are non-tender to palpation.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Scab, Skin hyperpigmentation, Skin lesion
Clinical narrative: Narrative: He reports having developed a rash after the initial vaccine. In brief: *He received the first vaccination in his left deltoid. *About 3 days afterwards, he noticed scatter erythematous pustules over his right forearm. These would errupt and then crust over. These were a/w mild occasional pruritus, but no pain or warmth. Once crusted, they have remained as hyperpigmented and non-blanching spots. *Since the concern began, these have spread to his right hand, then left upperarm and forearm. *He denies rash at any other locations. *No recent changes to detergents or environmental exposure(s). *He denies recent new rx or OTC medications or changes in dosing. *No contacts have a similar rash. *He has applied OTC low dose topical hydrocortisone to the rashes, which have minimally a/w the erythema and occasional itching. On examination - he has diffuse/scattered non-blanching/erythematous small areas of rash over b/l arms in various stages of healing. All lesions are crusted over at this time. All are non-tender to palpation.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swollen lymph nodes Narrative:
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass
Clinical narrative: pea-sized lumps in armpit are (injected arm)  Narrative: 70 yo male called triage line on 3/29/2021 to report that he found pea-sized lumps in his armpit on the arm that he had the covid-19 moderna vaccine. Pt received his second moderna dose on 3/13/2021. First dose was administered on 2/13/2021 without complications. Per triage note, patient described them as "pimples", "peasized", and that he had 6 to 8 bumps. On the same day, the team nurse tried to call patient back to schedule a same day appt but patient did not pick up. No other information found in chart regarding patient's reaction.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute sinusitis, Dyspnoea exertional, Eye discharge, Eyelid margin crusting, Headache
Clinical narrative: fatigue, body aches, chills, severe camping in calves, eye and nose drainage, sinusitis Narrative: 79 yo male with PMH CKD stage 2, s/p CABG, chronic back pain, hypothyrodism, DM, HTN was seen on hypothyrodism, DM, HTN was seen on 3/19/2021 due to adverse reactions for J&J vaccine, which patient received on 3/13/2021. Pt reported having eye and nose drainage, SOB with walking (pt has ongoing SOB, on MDI inhaler, ,muscle cramps, pain, headaches, he had mattering from his eyes that his eyes stuck together upon awakening. Pt was evaluated and dx'd with acute sinusitis and was given gentamicin eye drops, amoxicillin and prednisone.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Pain, Rhinorrhoea
Clinical narrative: fatigue, body aches, chills, severe camping in calves, eye and nose drainage, sinusitis Narrative: 79 yo male with PMH CKD stage 2, s/p CABG, chronic back pain, hypothyrodism, DM, HTN was seen on hypothyrodism, DM, HTN was seen on 3/19/2021 due to adverse reactions for J&J vaccine, which patient received on 3/13/2021. Pt reported having eye and nose drainage, SOB with walking (pt has ongoing SOB, on MDI inhaler, ,muscle cramps, pain, headaches, he had mattering from his eyes that his eyes stuck together upon awakening. Pt was evaluated and dx'd with acute sinusitis and was given gentamicin eye drops, amoxicillin and prednisone.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Rhinitis allergic, Sensation of foreign body
Clinical narrative: Patient stated she had  brief tingling in lips and then a small lump in throat which she has with allergic rhinitis which she has been currently experiencing Narrative:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Injection site pain, Pain
Clinical narrative: BODY ACHES, HEAD ACHE AND SWEATING RESOLVED 3/5. SORE /PAIN IN INJECTION SITE RESOLVED 3/5 Narrative:
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No ADR, timing ERROR, 2nd dose given 58 days after 1st Narrative: Timing ERROR only
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No ADR,  timing ERROR, 2nd dose given 55 days after 1st Narrative: Timing ERROR only
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No ADR, timing ERROR, 2nd dose given 56 days after 1st Narrative: Timing ERROR only
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No ADR, timing ERROR, 2nd dose given 56 days after 1st Narrative: Timing ERROR only
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: No ADR, timing ERROR, 2nd dose given 56 days from the 1st Narrative: Timing ERROR only
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No ADR, timing ERROR, 2nd dose given 66 days after 1st Narrative: Timing ERROR only
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: Headache, Myalgia, fatigue Narrative:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Headache, Moderate to severe headache and fatigue that lasted 2 weeks. Narrative:
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: Headache, Body Aches, Chills, Soreness Narrative:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, fatigue, pain at injection site Narrative:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, fatigue, pain at injection site Narrative:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, General symptom, Myalgia, Pyrexia
Clinical narrative: Fever, General symptoms: Fever, joint pains, muscle pains. Narrative:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Migraine, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: Myalgia, Arthralgia, Fever, migraine, sore thorat Narrative:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Influenza like illness, Malaise, Pain
Clinical narrative: Myalgia, flu-like symptoms Narrative: Per nursing report: "Called to report had 2nd dose of Moderna yesterday [3/31] due to not feeling well this morning. C/o feeling slowed down with achingness and feeling flu-like symptoms."
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Fever chills Narrative: Per supervisor report: "took 2nd COVID injection on 3/30/2021. Symptoms fever, chills."  Other Relevant History:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Myalgia
Clinical narrative: Myalgia arm and shoulder stiffness Narrative:  Other Relevant History:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fatigue, Injection site pain, Lethargy
Clinical narrative: Headache, Fever, chills, lethargy, fatigue Narrative: Dose #2, Day #1 moderate arm soreness where injection was given (lasted one day), fever 100 degrees and chills (lasted 12 hours), migraine (lasted two days, is prone to migraines, post vaccine more severe than normal), lethargy and fatigue that I could barely get out of bed (lasted two days); states Dose #1 Day#1 mild arm soreness.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Mobility decreased, Pyrexia
Clinical narrative: Headache, Fever, chills, lethargy, fatigue Narrative: Dose #2, Day #1 moderate arm soreness where injection was given (lasted one day), fever 100 degrees and chills (lasted 12 hours), migraine (lasted two days, is prone to migraines, post vaccine more severe than normal), lethargy and fatigue that I could barely get out of bed (lasted two days); states Dose #1 Day#1 mild arm soreness.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Pyrexia
Clinical narrative: Headache, Fever & Diarrhea Narrative:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Hypervolaemia, Impaired work ability, Injection site swelling
Clinical narrative: CHEST PAIN, ERYTHEMA, SWELLING AT INJECTION SITE Narrative: CHEST PAIN, "FLUID BUILD-UP" - "STILL RETAINING TOO MUCH FLUID",ARM ERYTHEMA/SWELLING AT INJECTION SITE; EMPLOYEE ISSED 1 DAY OF WORK; REPORTS A "HX REACTION WITH 1ST DOSE, WAS REQUIRED TO PROVIDE PHYSICIAN RELEASE PRIOR TO RECEIVING 2ND DOSE"; 1ST DOSE 12/29/20
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Lymphadenopathy, Pain in extremity
Clinical narrative: Headache Narrative: Dose #2, Day #1 localized injection site soreness; Day#2 entire R arm was swollen and sore, swollen gland R side of neck, headache entire head, fatigue
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Headache Narrative: Dose #2, Day #1 localized injection site soreness; Day#2 entire R arm was swollen and sore, swollen gland R side of neck, headache entire head, fatigue
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Paraesthesia oral
Clinical narrative: SEE ADR NARRATIVIE Narrative: IMMEDIATE MOUTH TINGLING; DIPHENHYDRAMINE 25 MG PO LIQUID WAS GIVEN FROM EMERGENT  MEDS PACK
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety disorder, Tremor
Clinical narrative: patient shaking (anxiety disorder diagnosis) Narrative:
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pyrexia
Clinical narrative: FEVER, PAIN AT INJECTION SITE, HEADACHE Narrative:  FEVER 101; SYMPTOMS LASTED X 2 DAYS  Other Relevant History:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Eye irritation, Headache, Injection site pain, Injection site swelling
Clinical narrative: HOT, SWOLLEN, SORE AT INJECTION SITE, HEADACHE, FEVER, MYALGIA Narrative:  UNABLE TO FOCUS, EYES BURN, DISEQUILIBRIUM; SOME SYMPTOMS LASTED X 4 DAYS  Other Relevant History:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Myalgia, Pyrexia, Vision blurred
Clinical narrative: HOT, SWOLLEN, SORE AT INJECTION SITE, HEADACHE, FEVER, MYALGIA Narrative:  UNABLE TO FOCUS, EYES BURN, DISEQUILIBRIUM; SOME SYMPTOMS LASTED X 4 DAYS  Other Relevant History:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Somnolence
Clinical narrative: SLEEPY, FATIGUE, HEADACHE Narrative: SYMPTOMS LASTED X 3 DAYS  Other Relevant History:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, Diarrhea, NauseaVomiting, Fatigue, Chills Narrative:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, Diarrhea, NauseaVomiting, Fatigue, Chills Narrative: