chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Swelling, redness, and increased pain to injection site. Then started to have increased itching to bilateral arms and face Seen at medical facility and prescribed medrol dose pack.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Bradycardia, Cardiac ablation, Chest X-ray, Condition aggravated
Clinical narrative: I have a history of intermittent Atrial Fibrillation. I had an Ablation procedure in March of 2020. On 05/28/2021 I felt like I was having PACs more frequently and my heart rate dropped markedly. I went to the ER on 06/06/2021. I was diagnosed with Sinus Arrythmia which I have never had before. I also had Bradycardia and it is still happening after two months. I wore a monitor for two weeks and I had PACs and PVCs as well as the Bradycardia. I have had an issue with PACs for 3 months after a Flu Vaccine in the past. I had not had any problems immediately after the vaccine.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Electrocardiogram ambulatory abnormal, Sinus arrhythmia, Supraventricular extrasystoles, Ventricular extrasystoles
Clinical narrative: I have a history of intermittent Atrial Fibrillation. I had an Ablation procedure in March of 2020. On 05/28/2021 I felt like I was having PACs more frequently and my heart rate dropped markedly. I went to the ER on 06/06/2021. I was diagnosed with Sinus Arrythmia which I have never had before. I also had Bradycardia and it is still happening after two months. I wore a monitor for two weeks and I had PACs and PVCs as well as the Bradycardia. I have had an issue with PACs for 3 months after a Flu Vaccine in the past. I had not had any problems immediately after the vaccine.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenopia, Bradypnoea, Cold sweat, Confusional state
Clinical narrative: Adverse Effects- Muscle pain, Arm Pain, LICHEN PLANUS upper thigh area and other areas, stomach pain, tinnitus, headache, insomina, fever, cough, cold sweats, chills, runny nose, sneezing, sore throat, sleep apnea, bradypnea, strained eyes, itching, confusion, loss of appetite, flank pain, neck pain, neck spasms, upper leg spasms
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Feeling cold, Flank pain, Headache
Clinical narrative: Adverse Effects- Muscle pain, Arm Pain, LICHEN PLANUS upper thigh area and other areas, stomach pain, tinnitus, headache, insomina, fever, cough, cold sweats, chills, runny nose, sneezing, sore throat, sleep apnea, bradypnea, strained eyes, itching, confusion, loss of appetite, flank pain, neck pain, neck spasms, upper leg spasms
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Lichen planus, Muscle spasms, Myalgia, Neck pain
Clinical narrative: Adverse Effects- Muscle pain, Arm Pain, LICHEN PLANUS upper thigh area and other areas, stomach pain, tinnitus, headache, insomina, fever, cough, cold sweats, chills, runny nose, sneezing, sore throat, sleep apnea, bradypnea, strained eyes, itching, confusion, loss of appetite, flank pain, neck pain, neck spasms, upper leg spasms
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity, Pruritus, Pyrexia, Rhinorrhoea
Clinical narrative: Adverse Effects- Muscle pain, Arm Pain, LICHEN PLANUS upper thigh area and other areas, stomach pain, tinnitus, headache, insomina, fever, cough, cold sweats, chills, runny nose, sneezing, sore throat, sleep apnea, bradypnea, strained eyes, itching, confusion, loss of appetite, flank pain, neck pain, neck spasms, upper leg spasms
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep apnoea syndrome, Sneezing, Tinnitus
Clinical narrative: Adverse Effects- Muscle pain, Arm Pain, LICHEN PLANUS upper thigh area and other areas, stomach pain, tinnitus, headache, insomina, fever, cough, cold sweats, chills, runny nose, sneezing, sore throat, sleep apnea, bradypnea, strained eyes, itching, confusion, loss of appetite, flank pain, neck pain, neck spasms, upper leg spasms
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Impaired work ability, Loss of personal independence in daily activities, Malaise, Nausea
Clinical narrative: PATIENT REPORTED TODAY 8/24/21 THAT HE HAS EXPERIENCED LOSS OF APPETITE AND REGULAR NAUSEA SINCE VACCINATION ON 8/6/21. PATIENT HAS FELT GENERALLY ILL SINCE VACCINATION AND HAS PREVENTED HIM FROM COMPLETING DAILY WORK/ACTIVITIES.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test, Electrocardiogram, Panic attack
Clinical narrative: Symptoms of myocarditis which started July 1 2021 a couple weeks after receiving 2nd shot of vaccine. Currently been to the emergency room twice and have another follow-up with Dr. on Sept 2. Was placed on buspirone due to fact doctors thought it was anxiety or panic attacks.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Per documentation, this person received the Moderna vaccine 2/5/2021 and 3/13/21. This person has been admitted twice with COVID-19. 7/20/21 - 7/25/21 and 8/15/21 and 8/19/21
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The parent falsified the date of birth of the patient. On the vaccine consent form she stated the date of birth was 0/1/13/2003 making her 18 y.o. at the time of vaccination. I was told her real birthday is 01/13/2005
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Blood loss anaemia, COVID-19, Cerebrovascular accident, Death
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Patient received Pfizer-BioNTech COVID Vaccines on 1/20/2021 and 2/12/2021. Presented to ED on 8/9/21 from acute rehab with complaints of unresponsiveness at Rehab. PMH of CVA (2019). 2 weeks prior to admission patient with admitted to hospital and diagnosed with pontine stroke. Patient was scheduled for TEE and underwent routine COVID test and tested positive. Pt caregivers reported patient showed no respiratory symptoms prior to this admission. During this stay patient was treated with empiric antibiotics, Decadron for 10 days and Lovenox for treatment of a DVT and discharged to acute rehab. Upon arrival to ED pt was hypotensive, intubated and found to have a large retroperitoneal hematoma. Pt was also started on Cefepime, Vancomycin, and Doxycycline. Patient diagnosed with acute hemorrhagic shock and, acute blood loss anemia. Patient continued to decline and family decided to withdraw care and initiate comfort care. Patient expired on 8/10/2021.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Endotracheal intubation, General physical health deterioration, Hypotension, Retroperitoneal haematoma
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Patient received Pfizer-BioNTech COVID Vaccines on 1/20/2021 and 2/12/2021. Presented to ED on 8/9/21 from acute rehab with complaints of unresponsiveness at Rehab. PMH of CVA (2019). 2 weeks prior to admission patient with admitted to hospital and diagnosed with pontine stroke. Patient was scheduled for TEE and underwent routine COVID test and tested positive. Pt caregivers reported patient showed no respiratory symptoms prior to this admission. During this stay patient was treated with empiric antibiotics, Decadron for 10 days and Lovenox for treatment of a DVT and discharged to acute rehab. Upon arrival to ED pt was hypotensive, intubated and found to have a large retroperitoneal hematoma. Pt was also started on Cefepime, Vancomycin, and Doxycycline. Patient diagnosed with acute hemorrhagic shock and, acute blood loss anemia. Patient continued to decline and family decided to withdraw care and initiate comfort care. Patient expired on 8/10/2021.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Shock haemorrhagic, Unresponsive to stimuli
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Patient received Pfizer-BioNTech COVID Vaccines on 1/20/2021 and 2/12/2021. Presented to ED on 8/9/21 from acute rehab with complaints of unresponsiveness at Rehab. PMH of CVA (2019). 2 weeks prior to admission patient with admitted to hospital and diagnosed with pontine stroke. Patient was scheduled for TEE and underwent routine COVID test and tested positive. Pt caregivers reported patient showed no respiratory symptoms prior to this admission. During this stay patient was treated with empiric antibiotics, Decadron for 10 days and Lovenox for treatment of a DVT and discharged to acute rehab. Upon arrival to ED pt was hypotensive, intubated and found to have a large retroperitoneal hematoma. Pt was also started on Cefepime, Vancomycin, and Doxycycline. Patient diagnosed with acute hemorrhagic shock and, acute blood loss anemia. Patient continued to decline and family decided to withdraw care and initiate comfort care. Patient expired on 8/10/2021.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Atelectasis, COVID-19, COVID-19 pneumonia, Continuous positive airway pressure
Clinical narrative: headache  ? Sore Throat ? Fatigue ? Shortness of Breath  ? Cough  RN      8/24/21 8:42 AM Note    Wife reporting that patient tested + for covid; having hard time with o2_ 88-89%.   Patient is having DOE while walking. Pt reporting that his P/O was low this morning when he woke up despite being on cpap at night. (88%)   Pt with + wheezing that can be heard across the room while on the phone. Denies any chest pain.    + mild sob while up and moving and is winded very quickly while ambulating.    Advised ER, verbalized understanding and will take over for treatment. Verbalized understanding to call back if condition worsens.    Reason for Disposition ? Wheezing can be heard across the room  Answer Assessment - Initial Assessment Questions 1. RESPIRATORY STATUS: "Describe your breathing?" (e.g., wheezing, shortness of breath, unable to speak, severe coughing)      Wheezing, sob, doe, sever coughing 2. ONSET: "When did this breathing problem begin?"      2 days ago 3. PATTERN "Does the difficult breathing come and go, or has it been constant since it started?"      constant 4. SEVERITY: "How bad is your breathing?" (e.g., mild, moderate, severe)    - MILD: No SOB at rest, mild SOB with walking, speaks normally in sentences, can lay down, no retractions, pulse < 100.    - MODERATE: SOB at rest, SOB with minimal exertion and prefers to sit, cannot lie down flat, speaks in phrases, mild retractions, audible wheezing, pulse 100-120.    - SEVERE: Very SOB at rest, speaks in single words, struggling to breathe, sitting hunched forward, retractions, pulse > 120      modertae 5. RECURRENT SYMPTOM: "Have you had difficulty breathing before?" If so, ask: "When was the last time?" and "What happened that time?"      "not like this" 6. CARDIAC HISTORY: "Do you have any history of heart disease?" (e.g., heart attack, angina, bypass surgery, angioplasty)      Open heart 7. LUNG HISTORY: "Do you have any history of lung disease?"  (e.g., pulmonary embolus, asthma, emphysema)     copd 8. CAUSE: "What do you think is causing the breathing problem?"      covid 9. OTHER SYMPTOMS: "Do you have any other symptoms? (e.g., dizziness, runny nose, cough, chest pain, fever)     cough  Protocols used: BREATHING DIFFICULTY     ED Discharged   8/24/2021 (6 hours) Hospital ER  MD  Last attending ? Treatment team Pneumonia due to COVID-19 virus  Clinical impression Shortness of Breath   Chief complaint
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Dyspnoea exertional, Fibrin D dimer increased, Headache
Clinical narrative: headache  ? Sore Throat ? Fatigue ? Shortness of Breath  ? Cough  RN      8/24/21 8:42 AM Note    Wife reporting that patient tested + for covid; having hard time with o2_ 88-89%.   Patient is having DOE while walking. Pt reporting that his P/O was low this morning when he woke up despite being on cpap at night. (88%)   Pt with + wheezing that can be heard across the room while on the phone. Denies any chest pain.    + mild sob while up and moving and is winded very quickly while ambulating.    Advised ER, verbalized understanding and will take over for treatment. Verbalized understanding to call back if condition worsens.    Reason for Disposition ? Wheezing can be heard across the room  Answer Assessment - Initial Assessment Questions 1. RESPIRATORY STATUS: "Describe your breathing?" (e.g., wheezing, shortness of breath, unable to speak, severe coughing)      Wheezing, sob, doe, sever coughing 2. ONSET: "When did this breathing problem begin?"      2 days ago 3. PATTERN "Does the difficult breathing come and go, or has it been constant since it started?"      constant 4. SEVERITY: "How bad is your breathing?" (e.g., mild, moderate, severe)    - MILD: No SOB at rest, mild SOB with walking, speaks normally in sentences, can lay down, no retractions, pulse < 100.    - MODERATE: SOB at rest, SOB with minimal exertion and prefers to sit, cannot lie down flat, speaks in phrases, mild retractions, audible wheezing, pulse 100-120.    - SEVERE: Very SOB at rest, speaks in single words, struggling to breathe, sitting hunched forward, retractions, pulse > 120      modertae 5. RECURRENT SYMPTOM: "Have you had difficulty breathing before?" If so, ask: "When was the last time?" and "What happened that time?"      "not like this" 6. CARDIAC HISTORY: "Do you have any history of heart disease?" (e.g., heart attack, angina, bypass surgery, angioplasty)      Open heart 7. LUNG HISTORY: "Do you have any history of lung disease?"  (e.g., pulmonary embolus, asthma, emphysema)     copd 8. CAUSE: "What do you think is causing the breathing problem?"      covid 9. OTHER SYMPTOMS: "Do you have any other symptoms? (e.g., dizziness, runny nose, cough, chest pain, fever)     cough  Protocols used: BREATHING DIFFICULTY     ED Discharged   8/24/2021 (6 hours) Hospital ER  MD  Last attending ? Treatment team Pneumonia due to COVID-19 virus  Clinical impression Shortness of Breath   Chief complaint
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Oropharyngeal pain, Oxygen saturation decreased, Posture abnormal, Pulse abnormal
Clinical narrative: headache  ? Sore Throat ? Fatigue ? Shortness of Breath  ? Cough  RN      8/24/21 8:42 AM Note    Wife reporting that patient tested + for covid; having hard time with o2_ 88-89%.   Patient is having DOE while walking. Pt reporting that his P/O was low this morning when he woke up despite being on cpap at night. (88%)   Pt with + wheezing that can be heard across the room while on the phone. Denies any chest pain.    + mild sob while up and moving and is winded very quickly while ambulating.    Advised ER, verbalized understanding and will take over for treatment. Verbalized understanding to call back if condition worsens.    Reason for Disposition ? Wheezing can be heard across the room  Answer Assessment - Initial Assessment Questions 1. RESPIRATORY STATUS: "Describe your breathing?" (e.g., wheezing, shortness of breath, unable to speak, severe coughing)      Wheezing, sob, doe, sever coughing 2. ONSET: "When did this breathing problem begin?"      2 days ago 3. PATTERN "Does the difficult breathing come and go, or has it been constant since it started?"      constant 4. SEVERITY: "How bad is your breathing?" (e.g., mild, moderate, severe)    - MILD: No SOB at rest, mild SOB with walking, speaks normally in sentences, can lay down, no retractions, pulse < 100.    - MODERATE: SOB at rest, SOB with minimal exertion and prefers to sit, cannot lie down flat, speaks in phrases, mild retractions, audible wheezing, pulse 100-120.    - SEVERE: Very SOB at rest, speaks in single words, struggling to breathe, sitting hunched forward, retractions, pulse > 120      modertae 5. RECURRENT SYMPTOM: "Have you had difficulty breathing before?" If so, ask: "When was the last time?" and "What happened that time?"      "not like this" 6. CARDIAC HISTORY: "Do you have any history of heart disease?" (e.g., heart attack, angina, bypass surgery, angioplasty)      Open heart 7. LUNG HISTORY: "Do you have any history of lung disease?"  (e.g., pulmonary embolus, asthma, emphysema)     copd 8. CAUSE: "What do you think is causing the breathing problem?"      covid 9. OTHER SYMPTOMS: "Do you have any other symptoms? (e.g., dizziness, runny nose, cough, chest pain, fever)     cough  Protocols used: BREATHING DIFFICULTY     ED Discharged   8/24/2021 (6 hours) Hospital ER  MD  Last attending ? Treatment team Pneumonia due to COVID-19 virus  Clinical impression Shortness of Breath   Chief complaint
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Scan with contrast, Use of accessory respiratory muscles, Wheezing
Clinical narrative: headache  ? Sore Throat ? Fatigue ? Shortness of Breath  ? Cough  RN      8/24/21 8:42 AM Note    Wife reporting that patient tested + for covid; having hard time with o2_ 88-89%.   Patient is having DOE while walking. Pt reporting that his P/O was low this morning when he woke up despite being on cpap at night. (88%)   Pt with + wheezing that can be heard across the room while on the phone. Denies any chest pain.    + mild sob while up and moving and is winded very quickly while ambulating.    Advised ER, verbalized understanding and will take over for treatment. Verbalized understanding to call back if condition worsens.    Reason for Disposition ? Wheezing can be heard across the room  Answer Assessment - Initial Assessment Questions 1. RESPIRATORY STATUS: "Describe your breathing?" (e.g., wheezing, shortness of breath, unable to speak, severe coughing)      Wheezing, sob, doe, sever coughing 2. ONSET: "When did this breathing problem begin?"      2 days ago 3. PATTERN "Does the difficult breathing come and go, or has it been constant since it started?"      constant 4. SEVERITY: "How bad is your breathing?" (e.g., mild, moderate, severe)    - MILD: No SOB at rest, mild SOB with walking, speaks normally in sentences, can lay down, no retractions, pulse < 100.    - MODERATE: SOB at rest, SOB with minimal exertion and prefers to sit, cannot lie down flat, speaks in phrases, mild retractions, audible wheezing, pulse 100-120.    - SEVERE: Very SOB at rest, speaks in single words, struggling to breathe, sitting hunched forward, retractions, pulse > 120      modertae 5. RECURRENT SYMPTOM: "Have you had difficulty breathing before?" If so, ask: "When was the last time?" and "What happened that time?"      "not like this" 6. CARDIAC HISTORY: "Do you have any history of heart disease?" (e.g., heart attack, angina, bypass surgery, angioplasty)      Open heart 7. LUNG HISTORY: "Do you have any history of lung disease?"  (e.g., pulmonary embolus, asthma, emphysema)     copd 8. CAUSE: "What do you think is causing the breathing problem?"      covid 9. OTHER SYMPTOMS: "Do you have any other symptoms? (e.g., dizziness, runny nose, cough, chest pain, fever)     cough  Protocols used: BREATHING DIFFICULTY     ED Discharged   8/24/2021 (6 hours) Hospital ER  MD  Last attending ? Treatment team Pneumonia due to COVID-19 virus  Clinical impression Shortness of Breath   Chief complaint
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Parosmia, Taste disorder
Clinical narrative: A couple days after the shot my taste and smell was altered and since then I have not been able to taste and what I can taste only tastes like nickels
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Diarrhoea, Influenza like illness, Injection site erythema
Clinical narrative: I had COVID infection in April 2021. After the vaccine, 1st dose, around 1am (11 hours later), I started throwing up, diarrhea, chills, body aches and my arm was sore. My left arm was red and inflamed. The next day, I still had flu-like symptom and my arm was red, sore, warm, painful to the touch and itchy. Over the next several days, it started to get worse. It started to spread and move down to my elbow and bicep. It was red, raised, warm to the touch with a burning sensation. I continued to ice it. I saw my doctor on 8/14/2021 who advised that he would prescribed antibiotics if not cleared in a week. My left arm continued to get worse and I continue to ice it and not bother it or irritate it even further. It finally start to resolve around 8/21/2021. The soreness and redness was starting to improve and it no longer itched or burned.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site pruritus, Injection site warmth, Pain, Pain in extremity
Clinical narrative: I had COVID infection in April 2021. After the vaccine, 1st dose, around 1am (11 hours later), I started throwing up, diarrhea, chills, body aches and my arm was sore. My left arm was red and inflamed. The next day, I still had flu-like symptom and my arm was red, sore, warm, painful to the touch and itchy. Over the next several days, it started to get worse. It started to spread and move down to my elbow and bicep. It was red, raised, warm to the touch with a burning sensation. I continued to ice it. I saw my doctor on 8/14/2021 who advised that he would prescribed antibiotics if not cleared in a week. My left arm continued to get worse and I continue to ice it and not bother it or irritate it even further. It finally start to resolve around 8/21/2021. The soreness and redness was starting to improve and it no longer itched or burned.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I had COVID infection in April 2021. After the vaccine, 1st dose, around 1am (11 hours later), I started throwing up, diarrhea, chills, body aches and my arm was sore. My left arm was red and inflamed. The next day, I still had flu-like symptom and my arm was red, sore, warm, painful to the touch and itchy. Over the next several days, it started to get worse. It started to spread and move down to my elbow and bicep. It was red, raised, warm to the touch with a burning sensation. I continued to ice it. I saw my doctor on 8/14/2021 who advised that he would prescribed antibiotics if not cleared in a week. My left arm continued to get worse and I continue to ice it and not bother it or irritate it even further. It finally start to resolve around 8/21/2021. The soreness and redness was starting to improve and it no longer itched or burned.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Headache, Tongue pruritus
Clinical narrative: headache within 5 minutes, dryness of throat/claimed itch of tongue 5-10 minutes post vaccination, to which patient was given a chair to sit, a glass of water and 25mg of liquid diphenhydramine and observed for appx additional 15-20 minutes. Patient then claimed to be feeling better and she and her mother left pharmacy.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pruritus, Throat irritation
Clinical narrative: severe itching in throat and mouth  diphenhydramine 50mg   patient declined calling 911, mother picked patient up to take home for observation
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Chills, Pyrexia, Tinnitus
Clinical narrative: Loud ringing constantly in both ears. Diagnosed with Tinnitus by ENT. No prior history of tinnitus or hearing issues, no loud noise exposure that could have caused it. The symptoms started along with the typical vaccine side effects (fever, chills) but the ear ringing never stopped and is constant. I am a young healthy adult male with no medical issues, active in sports and have a healthy diet.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Palpitations
Clinical narrative: Patient complained of palpitation and hypertension ~20minutes post 2nd Pfizer COVID vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Decreased appetite, Diarrhoea
Clinical narrative: Patient received 2 doses of the Pfizer COVID19 vaccine, dose 1 on 1/26/21 and dose 2 on 2/16/21.  Patient traveled domestically by plane to another state and then by cruise ship and by plane again to return to home state (8/7/21 - 8/12/21) .  Patient then became symptomatic on 8/15/21 with shortness of breath, cough, diarrhea, nausea, anorexia, dizziness, chills, fever, headache, congestion, fatigue, and low O2 levels ~85% - 89%. Patient still symptomatic as of 8/24/21 and instructed to follow up with a provider ASAP for low oxygen levels below 90%.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Headache, Nasal congestion
Clinical narrative: Patient received 2 doses of the Pfizer COVID19 vaccine, dose 1 on 1/26/21 and dose 2 on 2/16/21.  Patient traveled domestically by plane to another state and then by cruise ship and by plane again to return to home state (8/7/21 - 8/12/21) .  Patient then became symptomatic on 8/15/21 with shortness of breath, cough, diarrhea, nausea, anorexia, dizziness, chills, fever, headache, congestion, fatigue, and low O2 levels ~85% - 89%. Patient still symptomatic as of 8/24/21 and instructed to follow up with a provider ASAP for low oxygen levels below 90%.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient received 2 doses of the Pfizer COVID19 vaccine, dose 1 on 1/26/21 and dose 2 on 2/16/21.  Patient traveled domestically by plane to another state and then by cruise ship and by plane again to return to home state (8/7/21 - 8/12/21) .  Patient then became symptomatic on 8/15/21 with shortness of breath, cough, diarrhea, nausea, anorexia, dizziness, chills, fever, headache, congestion, fatigue, and low O2 levels ~85% - 89%. Patient still symptomatic as of 8/24/21 and instructed to follow up with a provider ASAP for low oxygen levels below 90%.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: when reconciling doses in  noticed that patient had received a dose of Janssen vaccine from a pharmacy 5/8/2021. Unable to reach patient to verify as phone number is disconnected
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient contracted COVID-19 after being fully vaccinated
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Feeling hot, Pruritus, Vision blurred
Clinical narrative: Blurry Vision 5 minutes after shot administered. Warming sensation spread throughout my chest. It felt like a chain reaction within the muscle layer of my chest. It traveled outward and into my left arm and up towards my neck. Face  became a little itchy. The sensation last for about  1 to 2 minutes then it subsided. After and an additional 5 minutes the warming sensation began again from the same locations. A traveling warming sensation began to spread in my chest. At that point the decision was made to call 911 for further evaluation. The paramedics assessed that my blood pressure was elevated, abut that oxygen vitals were good. It was determined I would not need further intervention and to go home and rest and take some Benadryl as a precaution.  On the way home, I got the warming sensation again this time on my abdomen.  And it passed after a few minutes.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Syncope
Clinical narrative: Patient was seated for two minutes after the injection and fainted for several seconds. EMTs were called at the request of the mother. She had low blood pressure when they arrived but quickly recovered after laying with her feet elevated. The patient remained seated at the pharmacy for an additional 45 minutes before leaving under her own power.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Positive COVID unknown contact mild symptoms
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest discomfort, Disorientation, Fatigue, Feeling abnormal
Clinical narrative: Episodes of feeling really bad, chest having extreme tension, heart flutters, tiredness, complete disorientation within these episodes. Slight disorientation event around 8/12/2021. No major events since. Feeling Better.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Tension
Clinical narrative: Episodes of feeling really bad, chest having extreme tension, heart flutters, tiredness, complete disorientation within these episodes. Slight disorientation event around 8/12/2021. No major events since. Feeling Better.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Dizziness followed by Vertigo
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Patient presented to the Health Department for a J&J Janssen vaccine. An on-site nurse administer the vaccine and brought the patient to the waiting area for a 30 minute observation to monitor for side effects. After 25 minutes of sitting, the patient stated she was having substernal chest pain which had begun five minutes prior to notifying the paramedic. Patient denied any other symptoms. The patient stated her only medical history was rheumatoid arthritis and an allergy to penicillin. Patient stated she has never had chest pain before. Vital signs were stable. Patient was advised that this could be a serious problem and she should be transported to the ER by ambulance. Patient declined transport. Patient stated she would be taken to the ER by her husband.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I have had a gnarly rash for 3 months, it started about a week after the shot. I?ve had multiple antibiotics and multiple steroid creams prescribed and it hasn?t gotten any better. I?ve never had anything like this before
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Blood immunoglobulin G normal, Fatigue, Feeling abnormal
Clinical narrative: After the first dose I was very tired and I could not get out of bed the next morning. I did not have a fever but I was sweating a lot. I had joint pain but that lasted only for a day. Then, I got the second vaccine in the morning and at night I was very tired and I felt there was something weird in my body. I felt the same way as I did with the first dose. The only difference is that I still have joint pain and fatigue. I am very tired. I have low energy. I am a very active person but this is keeping me from doing my daily activities since it takes a lot of energy off me. On 08/11/2021 I went to the doctor and they did some tests, Sedimentation rate, PCP IGG ABS, vitamin D, lipid panel, CMP, RA test qualitative, ultra PSA third generation, complete blood count, and everything came back normal. When the doctor examined my joints it really hurt.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Lipids normal, Loss of personal independence in daily activities, Metabolic function test normal, Prostatic specific antigen normal
Clinical narrative: After the first dose I was very tired and I could not get out of bed the next morning. I did not have a fever but I was sweating a lot. I had joint pain but that lasted only for a day. Then, I got the second vaccine in the morning and at night I was very tired and I felt there was something weird in my body. I felt the same way as I did with the first dose. The only difference is that I still have joint pain and fatigue. I am very tired. I have low energy. I am a very active person but this is keeping me from doing my daily activities since it takes a lot of energy off me. On 08/11/2021 I went to the doctor and they did some tests, Sedimentation rate, PCP IGG ABS, vitamin D, lipid panel, CMP, RA test qualitative, ultra PSA third generation, complete blood count, and everything came back normal. When the doctor examined my joints it really hurt.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, Rheumatoid factor negative, Vitamin D
Clinical narrative: After the first dose I was very tired and I could not get out of bed the next morning. I did not have a fever but I was sweating a lot. I had joint pain but that lasted only for a day. Then, I got the second vaccine in the morning and at night I was very tired and I felt there was something weird in my body. I felt the same way as I did with the first dose. The only difference is that I still have joint pain and fatigue. I am very tired. I have low energy. I am a very active person but this is keeping me from doing my daily activities since it takes a lot of energy off me. On 08/11/2021 I went to the doctor and they did some tests, Sedimentation rate, PCP IGG ABS, vitamin D, lipid panel, CMP, RA test qualitative, ultra PSA third generation, complete blood count, and everything came back normal. When the doctor examined my joints it really hurt.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Heart rate decreased, Postural orthostatic tachycardia syndrome
Clinical narrative: patient felt like she was going to pass out and realized it was her blood pressure. pt recorded bp of 76/63 with hr of 140bpm the symptoms quickly resolved after a few minutes and hr decreased to 80bpm after she remained lying down flat. Pt continued to have POTS through out the day and was managed by lying down
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated
Clinical narrative: Pt c/o of anxiety 3 minutes after vaccination, encouraged to take full deep breaths, "gets anxiety everytime with vaccinations, just like recent flu shot, also going through alot" V/S 138/82, 71, 18, O2 stat-99% on RA. Obs pt til 5pm, stated "she feels much better" Educated pt to seek urgent care/ER if anything else arises post clearance.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Thrombosis, Ultrasound Doppler, X-ray
Clinical narrative: few days after taking the vaccine his foot started swelling, fingers started turning black and also from his ankle down it was turning black, went to ER had a lot of blood clots
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: Severe rash lasting for days on face neck and both arms
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Herpes zoster, Lymphadenopathy, Rash pruritic
Clinical narrative: Came down with shingles months after vaccine. Felt very fatigued and weak starting 7/30/21. Noticed itchy rash starting 8/6/21. More itching than pain. Very swollen lymph node in underarm. Went to clinic a week later
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Varicella virus test positive
Clinical narrative: Came down with shingles months after vaccine. Felt very fatigued and weak starting 7/30/21. Noticed itchy rash starting 8/6/21. More itching than pain. Very swollen lymph node in underarm. Went to clinic a week later
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Balance disorder, Fall, Head injury, Headache, Laboratory test normal
Clinical narrative: Client came out, sat in chair in clinic, Client stated she was fine. Staff, noted that she was unsteady in chair and went to get her water before leaving Client fell to her left, hit back of her head (heard by staff loud noise). Staff called to NP. Staff took Client's mask off and 2 staff members assisted her into a chair, very unsteady. Was given a cool pack and water. Client stated that she did eat prior getting a vaccine. NP stated she was pale in color. Gave her a drink of water. Staff assisted her in getting into the clinic and was shaky. Staff offered her a w/c, but Client declined. Client was unsteady and two RNs assisted her to lay on a clinic table. She ate half of a Kind bar and drink some water. Education provided to clinic room staff re: call  at soon as symptoms appear to call medical staff (RN or NP) to assess client. Client stated "I am fine," multiple times. Has an anxiety history. Her fiancee was contacted and came to pick her up. Directions to eat and drink. Had N/V and headache and agreed to seek medical attention if continues/worsens. TC yesterday, 8/23, at 1454 and left a msg to return call via Staff. Client returned staff's call and stated that she is feeling a little better and ate a grilled cheese. Continued to feel off balance every time she stands. Staff directed to seek further physician evaluation and verbalized that she will. Today, 08/24, at 0802, writer followed up with Client again. Client reports that she was advised to go to the ED per her PCP and multiple tests/scans were conducted while at the hospital and everything came back negative. Client informed writer that she feels better this morning.
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Nausea, Pallor, Tremor, Vomiting
Clinical narrative: Client came out, sat in chair in clinic, Client stated she was fine. Staff, noted that she was unsteady in chair and went to get her water before leaving Client fell to her left, hit back of her head (heard by staff loud noise). Staff called to NP. Staff took Client's mask off and 2 staff members assisted her into a chair, very unsteady. Was given a cool pack and water. Client stated that she did eat prior getting a vaccine. NP stated she was pale in color. Gave her a drink of water. Staff assisted her in getting into the clinic and was shaky. Staff offered her a w/c, but Client declined. Client was unsteady and two RNs assisted her to lay on a clinic table. She ate half of a Kind bar and drink some water. Education provided to clinic room staff re: call  at soon as symptoms appear to call medical staff (RN or NP) to assess client. Client stated "I am fine," multiple times. Has an anxiety history. Her fiancee was contacted and came to pick her up. Directions to eat and drink. Had N/V and headache and agreed to seek medical attention if continues/worsens. TC yesterday, 8/23, at 1454 and left a msg to return call via Staff. Client returned staff's call and stated that she is feeling a little better and ate a grilled cheese. Continued to feel off balance every time she stands. Staff directed to seek further physician evaluation and verbalized that she will. Today, 08/24, at 0802, writer followed up with Client again. Client reports that she was advised to go to the ED per her PCP and multiple tests/scans were conducted while at the hospital and everything came back negative. Client informed writer that she feels better this morning.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product substitution
Clinical narrative: No adverse event occurred, but there was an administration error.  This was the patient's second dose, and Moderna was supposed to be administered. The patient was given Pfizer by mistake.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram head, Electrocardiogram, Gait disturbance, Vertigo
Clinical narrative: I was diagnosed as Vertigo. I was dizzy. I could not walk straight. When my eye were open it felt like the room was spinning. I went to ER. They did head Ct scan, blood work, and EKG. They wanted to rule out a stroke.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Anticoagulant therapy, COVID-19, Chest X-ray
Clinical narrative: On approximately 8/17/21, after exposure to ill family members, the patient began to experience cold/flu symptoms including headache, congestion, and cough. Patient also experienced loss of taste and smell. On 8/23/21, the patient started to feel short of breath. On presentation to ED, the patient has an O2 sat of 90% and was started on 2L nasal canula with improvement to 95%. Patient BMI is 78.9. Patient was started on dexamethasone and a heparin drip (for subtherapeutic INR on 1.3). Patient will be admitted to the hospital.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Headache, Nasopharyngitis, Respiratory tract congestion
Clinical narrative: On approximately 8/17/21, after exposure to ill family members, the patient began to experience cold/flu symptoms including headache, congestion, and cough. Patient also experienced loss of taste and smell. On 8/23/21, the patient started to feel short of breath. On presentation to ED, the patient has an O2 sat of 90% and was started on 2L nasal canula with improvement to 95%. Patient BMI is 78.9. Patient was started on dexamethasone and a heparin drip (for subtherapeutic INR on 1.3). Patient will be admitted to the hospital.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sick relative
Clinical narrative: On approximately 8/17/21, after exposure to ill family members, the patient began to experience cold/flu symptoms including headache, congestion, and cough. Patient also experienced loss of taste and smell. On 8/23/21, the patient started to feel short of breath. On presentation to ED, the patient has an O2 sat of 90% and was started on 2L nasal canula with improvement to 95%. Patient BMI is 78.9. Patient was started on dexamethasone and a heparin drip (for subtherapeutic INR on 1.3). Patient will be admitted to the hospital.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Sleep disorder
Clinical narrative: A couple days after the first vaccine injection and persisting until about three weeks after the second injection, I started getting strange spasms that did not involve the entire muscle groups.  It was as if a strand of the muscle was spasming and this was odd because I usually only ever get muscle spasms in my legs after a hard workout.  The spasms started in my left pectoral muscle adjacent to the vaccine injection site in my shoulder.  Later they started in my left thigh, then my right thigh followed by my right pectoral muscle and finally in the muscles over my left and right should blades.  The spasms would persists for about 30 to 45 minutes then disappear several times a day and never in unison.  I did not seek medical advice because other than keeping me awake at night, the spasms did not bother me too much and I wanted to give them time to resolve and they did.  During this time I experienced trouble falling asleep and this persists mildly to this day but maybe once every couple weeks.  In the time when my muscles would spasm the symptom I'm about to describe was happening nightly and when I tried to take naps.  As I was falling off to sleep I start getting points of itching here and there on my body.  Maybe three to six places.  I scratch then continue to drift off until I'm jolted awake.  Its not too severe, my mind becomes more alert I relax again and drift off to sleep.  Again, this has mostly resolved but happens about once every couple of weeks still and sometimes I just get the itching without jolting awake.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Electrocardiogram normal, Injection site rash, Palpitations, Rash
Clinical narrative: Large splotchy itchy painful rash on arm that keeps getting bigger despite taking Benidril.. It is below the injection site and is not connected to the rash that developed around the injection site.   I have also been experiencing palpitations on and off over the last couple of days. I went to the ER and all the tests were normal.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Rash pruritic
Clinical narrative: Large splotchy itchy painful rash on arm that keeps getting bigger despite taking Benidril.. It is below the injection site and is not connected to the rash that developed around the injection site.   I have also been experiencing palpitations on and off over the last couple of days. I went to the ER and all the tests were normal.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Nausea, Pain
Clinical narrative: Heart beating hard, normal heart rate, just felt it was beating hard.(4 hrs after receiving shot). 16 hours after receiving 2nd vaccine shot: Fatigue  Severe headache  Fever Body aches Sore arm (left arm received vaccine in). Nausea  Loss of appetite
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Heart beating hard, normal heart rate, just felt it was beating hard.(4 hrs after receiving shot). 16 hours after receiving 2nd vaccine shot: Fatigue  Severe headache  Fever Body aches Sore arm (left arm received vaccine in). Nausea  Loss of appetite
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pruritus, Skin mass
Clinical narrative: On the 3rd day notice a lump the size of a hard boiled egg. Itched and was red .
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient vaccinated and developed covid infection
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Death, Endotracheal intubation
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/6/2021 and 4/1/2021.  Patient was diagnosed with COVID-19 infection on 07/16 and has been having intermittent fevers, fatigue, cough and was evaluated at Hospital on 7/16, 7/18, and 7/22.  Patient was discharged from the emergency room as he was nontoxic appearing, he was readmitted on 7/22 with hypoxia saturating 83% on 6 L, evidence of COVID pneumonia on CT.  Patient quickly escalated from nasal cannula to requiring high-flow oxygen and on 07/24 was also intubated.  Required norepinephrine for hemodynamic support. Completed remdesivir course and 9 days of Dexamethasone. Had worsening oxygenation and family decided to withdraw support and provide comfort care. He expired on 8/10/2021.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypoxia, Pyrexia
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/6/2021 and 4/1/2021.  Patient was diagnosed with COVID-19 infection on 07/16 and has been having intermittent fevers, fatigue, cough and was evaluated at Hospital on 7/16, 7/18, and 7/22.  Patient was discharged from the emergency room as he was nontoxic appearing, he was readmitted on 7/22 with hypoxia saturating 83% on 6 L, evidence of COVID pneumonia on CT.  Patient quickly escalated from nasal cannula to requiring high-flow oxygen and on 07/24 was also intubated.  Required norepinephrine for hemodynamic support. Completed remdesivir course and 9 days of Dexamethasone. Had worsening oxygenation and family decided to withdraw support and provide comfort care. He expired on 8/10/2021.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient is 16 years of age and was given the Moderna vaccine in error.  No adverse reaction.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased, Blood test, Colonoscopy, Fatigue, Glycosylated haemoglobin decreased
Clinical narrative: Five months after the second dose of the vaccine I experienced very low blood pressure and very low blood sugar. I had had a Colonoscopy prior to the episode, and I had lost some weight. My blood pressure and Diabetes medications have been adjusted. I am still very fatigued and tired after six weeks, and I am scheduled to see a Cardiologist again. I had seen him a month before. My A1C was very low but it has improved since then. My weight has stabilized. I am scheduled to have a Nuclear Stress Test in September of 2021.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Weight decreased
Clinical narrative: Five months after the second dose of the vaccine I experienced very low blood pressure and very low blood sugar. I had had a Colonoscopy prior to the episode, and I had lost some weight. My blood pressure and Diabetes medications have been adjusted. I am still very fatigued and tired after six weeks, and I am scheduled to see a Cardiologist again. I had seen him a month before. My A1C was very low but it has improved since then. My weight has stabilized. I am scheduled to have a Nuclear Stress Test in September of 2021.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Fluid overload, Pericardial effusion, Pleural effusion, Pre-eclampsia
Clinical narrative: Patient developed fluid overload in her heart and lungs that evening, as well as severe range blood pressures. Was diagnosed with preeclampsia with severe features
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient got her first vaccine on 8/05/2021 and it was not a minimum of 21 days between the 2 vaccines. Patient stayed for 30 minutes and also called patient that evening and no reaction or adverse effects.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling abnormal, Heart rate increased, Myalgia
Clinical narrative: severe joint and muscle pain lasting for months. significant fatigue.  brain fog.  elevated heart rate