chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Product storage error
Clinical narrative: No additional AE,; temperature excursion, caller disclosed that multiple doses of MMRlI were administered to multiple patients; This spontaneous report as received from an office administrator refers to a 12-month-old male patient. The patient's pertinent medical history, drug reactions, allergies and concomitant medication were not reported.    On 08-NOV-2020, the patient was vaccinated with improperly stored dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) (albumin status rHA) 0.5 ml injection,"once", lot # S012944 was confirmed to be valid, expiration date 28-APR-2021 (route and site of administration were not reported) for prophylaxis. There were previous excursions reported. The digital data logger was involved. No additional adverse events were reported.  This is one of the several reports from the same reporter.; Sender's Comments:  US-009507513-2101USA000852: US-009507513-2012USA012763: US-009507513-2101USA000854:
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Product storage error
Clinical narrative: No additional AE,; temperature excursion, caller disclosed that multiple doses of MMRlI were administered to multiple patients; This spontaneous report as received from an office administrator refers to a 12-month-old male patient. The patient's pertinent medical history, drug reactions, allergies and concomitant medication were not reported.    On 08-NOV-2020, the patient was vaccinated with improperly stored dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) (albumin status rHA) 0.5 ml injection,"once", lot # S012944 was confirmed to be valid, expiration date 28-APR-2021 (route and site of administration were not reported) for prophylaxis. There were previous excursions reported. The digital data logger was involved. No additional adverse events were reported.  This is one of the several reports from the same reporter.; Sender's Comments:  US-009507513-2101USA000853: US-009507513-2012USA012763: US-009507513-2101USA000852:
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Herpes zoster, Inappropriate schedule of product administration, Vaccination failure
Clinical narrative: Suspected vaccination failure; 10 weeks after second dose developed a mild case of shingles; received the first dose on 11/8/2019 second dose on 5/27/2020; This case was reported by a consumer via call center representative and described the occurrence of suspected vaccination failure in a 66-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included Herpes zoster (Shingrix) for prophylaxis.   On 27th May 2020, the patient received the 2nd dose of Shingrix. On 8th November 2019, the patient received the 1st dose of Shingrix. On 27th May 2020, unknown after receiving Shingrix and not applicable after receiving Shingrix, the patient experienced drug dose administration interval too long. In August 2020, the patient experienced vaccination failure (serious criteria GSK medically significant) and shingles. On an unknown date, the outcome of the vaccination failure and drug dose administration interval too long were unknown and the outcome of the shingles was recovered/resolved.   It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingrix and Shingrix.  Additional details were provided as follows: The patient reported for herself. The patient received 1st dose of Shingrix vaccine on 8th November 2019 (for tolerance of 1st dose, refer case US2020254965) and 2nd dose on 27th May 2020, which led to lengthening of vaccination schedule. The patient experienced a mild case of shingles. This case was considered as suspected vaccination failure as details of laboratory confirmation test was unknown at the time of reporting. The reporter did not have lot number or expiration date information to provide.  The reporter consented to follow up with HCP.; Sender's Comments:  US-GLAXOSMITHKLINE-US2020254965:same reporter, 1st dose
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Hypoaesthesia oral, Paraesthesia oral, Prophylaxis
Clinical narrative: Suspected vaccination failure; 10 weeks after second dose developed a mild case of shingles; received the first dose on 11/8/2019 second dose on 5/27/2020; This case was reported by a consumer via call center representative and described the occurrence of suspected vaccination failure in a 66-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included Herpes zoster (Shingrix) for prophylaxis.   On 27th May 2020, the patient received the 2nd dose of Shingrix. On 8th November 2019, the patient received the 1st dose of Shingrix. On 27th May 2020, unknown after receiving Shingrix and not applicable after receiving Shingrix, the patient experienced drug dose administration interval too long. In August 2020, the patient experienced vaccination failure (serious criteria GSK medically significant) and shingles. On an unknown date, the outcome of the vaccination failure and drug dose administration interval too long were unknown and the outcome of the shingles was recovered/resolved.   It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingrix and Shingrix.  Additional details were provided as follows: The patient reported for herself. The patient received 1st dose of Shingrix vaccine on 8th November 2019 (for tolerance of 1st dose, refer case US2020254965) and 2nd dose on 27th May 2020, which led to lengthening of vaccination schedule. The patient experienced a mild case of shingles. This case was considered as suspected vaccination failure as details of laboratory confirmation test was unknown at the time of reporting. The reporter did not have lot number or expiration date information to provide.  The reporter consented to follow up with HCP.; Sender's Comments:  US-GLAXOSMITHKLINE-US2020254965:same reporter, 1st dose
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Anterior interosseous syndrome, Burning sensation, Injection site pain, Limb discomfort, Mobility decreased
Clinical narrative: severe pain on whole / (right) arm/painful arm/achy arm; right arm was tingly; heavy arm; right arm was / with zingers (zaps) of burning sensation.; cannot bend her right thumb; Anterior interosseous nerve syndrome; pain at the injection site; This case was reported by a consumer via call center representative and described the occurrence of anterior interosseous syndrome in a 56-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 1st November 2020, the patient received the 1st dose of Shingrix (intramuscular). On 2nd November 2020, 1 days after receiving Shingrix, the patient experienced anterior interosseous syndrome, injection site pain, pain in arm, tingling of extremity, heaviness in arm, burning sensation and stiff fingers. In November 2020, the outcome of the injection site pain was recovered/resolved. On an unknown date, the outcome of the anterior interosseous syndrome, pain in arm, tingling of extremity, heaviness in arm and burning sensation were unknown and the outcome of the stiff fingers was not recovered/not resolved.   It was unknown if the reporter considered the anterior interosseous syndrome, injection site pain, pain in arm, tingling of extremity, heaviness in arm, burning sensation and stiff fingers to be related to Shingrix.  Additional details were reported as follows: The patient got her first Shingrix shot in left deltoid. The next day she had pain at the injection site which resolved after 2 to 3 days. She also had more severe pain on whole opposite (right) arm. Her right arm was tingly, heavy, painful, achy with zingers (zaps) of burning sensation. This still continued with the right arm. Patient was unable to bend her right thumb and saw a hand doctor for this 1 week ago from reporting date. He diagnosed anterior interosseous nerve syndrome and told it might resolve on its own. At the time of reporting, patient was still unable to bend her right thumb and it was not swollen. The reporter did not consent to follow-up.
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Musculoskeletal stiffness, Paraesthesia
Clinical narrative: severe pain on whole / (right) arm/painful arm/achy arm; right arm was tingly; heavy arm; right arm was / with zingers (zaps) of burning sensation.; cannot bend her right thumb; Anterior interosseous nerve syndrome; pain at the injection site; This case was reported by a consumer via call center representative and described the occurrence of anterior interosseous syndrome in a 56-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 1st November 2020, the patient received the 1st dose of Shingrix (intramuscular). On 2nd November 2020, 1 days after receiving Shingrix, the patient experienced anterior interosseous syndrome, injection site pain, pain in arm, tingling of extremity, heaviness in arm, burning sensation and stiff fingers. In November 2020, the outcome of the injection site pain was recovered/resolved. On an unknown date, the outcome of the anterior interosseous syndrome, pain in arm, tingling of extremity, heaviness in arm and burning sensation were unknown and the outcome of the stiff fingers was not recovered/not resolved.   It was unknown if the reporter considered the anterior interosseous syndrome, injection site pain, pain in arm, tingling of extremity, heaviness in arm, burning sensation and stiff fingers to be related to Shingrix.  Additional details were reported as follows: The patient got her first Shingrix shot in left deltoid. The next day she had pain at the injection site which resolved after 2 to 3 days. She also had more severe pain on whole opposite (right) arm. Her right arm was tingly, heavy, painful, achy with zingers (zaps) of burning sensation. This still continued with the right arm. Patient was unable to bend her right thumb and saw a hand doctor for this 1 week ago from reporting date. He diagnosed anterior interosseous nerve syndrome and told it might resolve on its own. At the time of reporting, patient was still unable to bend her right thumb and it was not swollen. The reporter did not consent to follow-up.
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Brachial plexopathy, Electromyogram abnormal, Magnetic resonance imaging abnormal, Mobility decreased, Muscle oedema
Clinical narrative: severe pain on whole / (right) arm/painful arm/achy arm; right arm was tingly; heavy arm; right arm was / with zingers (zaps) of burning sensation.; cannot bend her right thumb; Anterior interosseous nerve syndrome; pain at the injection site; This case was reported by a consumer via call center representative and described the occurrence of anterior interosseous syndrome in a 56-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 1st November 2020, the patient received the 1st dose of Shingrix (intramuscular). On 2nd November 2020, 1 days after receiving Shingrix, the patient experienced anterior interosseous syndrome, injection site pain, pain in arm, tingling of extremity, heaviness in arm, burning sensation and stiff fingers. In November 2020, the outcome of the injection site pain was recovered/resolved. On an unknown date, the outcome of the anterior interosseous syndrome, pain in arm, tingling of extremity, heaviness in arm and burning sensation were unknown and the outcome of the stiff fingers was not recovered/not resolved.   It was unknown if the reporter considered the anterior interosseous syndrome, injection site pain, pain in arm, tingling of extremity, heaviness in arm, burning sensation and stiff fingers to be related to Shingrix.  Additional details were reported as follows: The patient got her first Shingrix shot in left deltoid. The next day she had pain at the injection site which resolved after 2 to 3 days. She also had more severe pain on whole opposite (right) arm. Her right arm was tingly, heavy, painful, achy with zingers (zaps) of burning sensation. This still continued with the right arm. Patient was unable to bend her right thumb and saw a hand doctor for this 1 week ago from reporting date. He diagnosed anterior interosseous nerve syndrome and told it might resolve on its own. At the time of reporting, patient was still unable to bend her right thumb and it was not swollen. The reporter did not consent to follow-up.
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Muscular weakness, Nerve conduction studies abnormal, Pain in extremity, Radiculitis brachial, Swelling
Clinical narrative: severe pain on whole / (right) arm/painful arm/achy arm; right arm was tingly; heavy arm; right arm was / with zingers (zaps) of burning sensation.; cannot bend her right thumb; Anterior interosseous nerve syndrome; pain at the injection site; This case was reported by a consumer via call center representative and described the occurrence of anterior interosseous syndrome in a 56-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 1st November 2020, the patient received the 1st dose of Shingrix (intramuscular). On 2nd November 2020, 1 days after receiving Shingrix, the patient experienced anterior interosseous syndrome, injection site pain, pain in arm, tingling of extremity, heaviness in arm, burning sensation and stiff fingers. In November 2020, the outcome of the injection site pain was recovered/resolved. On an unknown date, the outcome of the anterior interosseous syndrome, pain in arm, tingling of extremity, heaviness in arm and burning sensation were unknown and the outcome of the stiff fingers was not recovered/not resolved.   It was unknown if the reporter considered the anterior interosseous syndrome, injection site pain, pain in arm, tingling of extremity, heaviness in arm, burning sensation and stiff fingers to be related to Shingrix.  Additional details were reported as follows: The patient got her first Shingrix shot in left deltoid. The next day she had pain at the injection site which resolved after 2 to 3 days. She also had more severe pain on whole opposite (right) arm. Her right arm was tingly, heavy, painful, achy with zingers (zaps) of burning sensation. This still continued with the right arm. Patient was unable to bend her right thumb and saw a hand doctor for this 1 week ago from reporting date. He diagnosed anterior interosseous nerve syndrome and told it might resolve on its own. At the time of reporting, patient was still unable to bend her right thumb and it was not swollen. The reporter did not consent to follow-up.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Neck pain, Pain in extremity
Clinical narrative: Neck pain; Leg pain; headache; Initial information regarding this unsolicited valid non-serious case recieved from a Other Healthcare Professional (HCP) via Medical Information (Reference number- 00360303) on 16-Nov-2020.  This case involved a 16 year old female patient who experienced headache, neck pain and leg pain (Pain in extremity), while she received MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA].  The patient's medical history, medical treatment(s), vaccination(s), concomitant medication (s) and family history were not provided.   On an unknown date, the patient received a dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (lot number and expiration date not reported) via unknown route at unknown administration site for prophylactic vaccination.  On an unknown date, two days after immunization, the patient's parents called the office reporting that patient was experiencing neck pain, headache and leg pain (Pain in extremity), but no fever (latency unknown). They declined to bring patient in to the office. The next day, they called again, reported that symptoms were ongoing. They again declined to bring patient to the office, but later brought her to an urgent care clinic. The staff at the urgent care clinic told them that the symptoms could be a reaction to the Menactra vaccine. Now the patient's parents are reticent to let her get the Fluzone Quadrivalent vaccine, because they believe that she will have another reaction. Reporter stated patient parent's were reluctant to allow her to get FLUZONE QUADRIVALENT because they believed she will have a reaction. As patient's parents reported an adverse reaction to a MENACTRA. Caller requested information regarding whether MENACTRA AND FLUZONE QUADRIVALENT had anything in common to cause same reaction. Patient had reaction to Menactra and questions safety of getting Flu.  HCP reported that the practice reported the Menactra Adverse Event at the time of occurrence.  No relevant laboratory data was reported.   It was not reported if the patient received a corrective treatment.  The event outcome was unknown for all the events at the time of reporting.  There will be no information available on the batch number for this case.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Nausea, Pain in extremity
Clinical narrative: Moderna COVID-19 Vaccine EUA  fatigue, nausea, headache, severe arm pain
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: 1 week after receiving vaccine,  developed moderate rash, reddened, swollen, itchy and hot to touch at injection site on 1/4/2021. The delayed reaction is my concern.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Fever with chills
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Diarrhea starting 2 hours after injection Then headache a few hours later That night fevers to 101.4, chills, aches, fatigue, weakness
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Diarrhea starting 2 hours after injection Then headache a few hours later That night fevers to 101.4, chills, aches, fatigue, weakness
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received a dose of vaccine that may be less than completely effective due to storage conditions.  No adverse effects reported
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Influenza virus test, Myalgia, Nausea
Clinical narrative: Temp up to at least 104,  SEVERE Muscle Aches, Nausea, Vomiting, Headache
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Vomiting
Clinical narrative: Temp up to at least 104,  SEVERE Muscle Aches, Nausea, Vomiting, Headache
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Condition aggravated, Neuralgia, Sciatica
Clinical narrative: Moderna Covid19 vaccine EUA.  On January the 4th at 9:45 patient received the vaccine around in 11:45am o'clock I started having lower back symptoms. I injured my scartic nerve one year in a 1/2 ago from lifting and for some particular reason that nerve started to hurt hours after vaccine.  Today is 01/05/2021 and my scartic nerve is still aching as of today. Nerve started aching and hurting after Moderna Covid19 vaccine. I was having any problems with nerve before vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chills, Dizziness, Dyspnoea, Injection site pain
Clinical narrative: Moderna COVID-19 Vaccine EUA Fever, chills, body aches, shortness of breath, increased anxiety with palpitations and dizziness, soreness at site of injection.   Symptoms started at approximately 11 p.m. the night of the injection (Wednesday) and lasted throughout the next day (Thursday).  I took some Zyrtec on Thursday at approximately 8 p.m., slept great,  and felt back to normal on Friday.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA Fever, chills, body aches, shortness of breath, increased anxiety with palpitations and dizziness, soreness at site of injection.   Symptoms started at approximately 11 p.m. the night of the injection (Wednesday) and lasted throughout the next day (Thursday).  I took some Zyrtec on Thursday at approximately 8 p.m., slept great,  and felt back to normal on Friday.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: 5inx6in redness, itching and warmth around vaccine IM site of left deltoid. Patient reported these symptoms to me today. Vaccine provided by her employer. Provided Cephalexin antibiotic for suspected cellulitis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site pruritus, Injection site reaction
Clinical narrative: Received vaccine on 12/23/20 at approximately 7:35pm. By 10 pm the right arm started to swell at the injection site and became itchy burning and red. A knot the size of a gumball appeared. By the next morning it was the size of a softball.. It continued to spread to a rectangular shape a little bigger than a softball approximately 4" in height and 8" in width. Arm was sore and itching. I tried my best to keep from scratching at the site and took my claritin and ibuprofen and made sure to wear a long sleeve shirt to keep me from scratching at it. I figured I was making it worse because I tend to sleep on my right side as well. By Sunday night it went away.. Then Tuesday night the 29th of December arm started getting itchy and burning again. By Thursday the 31st my arm was back to the size of softball again and arm itchy and red. Let a few physicians hear in the emergency room where I work look at it and their only suggestion was to use a topical Benadryl. I never officially took my temperature but their was definite heat coming from the site. Not a single physician could explain why it went away and then came back. The knot didn't grown any bigger and with the topical benadryl I have managed to keep the itching away. The swelling started going back down again on Sunday 01/03/21 but there is still a knot the size of a grape now and the area is still red. Some days it is itches more than others.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Pain in extremity, Pruritus
Clinical narrative: Received vaccine on 12/23/20 at approximately 7:35pm. By 10 pm the right arm started to swell at the injection site and became itchy burning and red. A knot the size of a gumball appeared. By the next morning it was the size of a softball.. It continued to spread to a rectangular shape a little bigger than a softball approximately 4" in height and 8" in width. Arm was sore and itching. I tried my best to keep from scratching at the site and took my claritin and ibuprofen and made sure to wear a long sleeve shirt to keep me from scratching at it. I figured I was making it worse because I tend to sleep on my right side as well. By Sunday night it went away.. Then Tuesday night the 29th of December arm started getting itchy and burning again. By Thursday the 31st my arm was back to the size of softball again and arm itchy and red. Let a few physicians hear in the emergency room where I work look at it and their only suggestion was to use a topical Benadryl. I never officially took my temperature but their was definite heat coming from the site. Not a single physician could explain why it went away and then came back. The knot didn't grown any bigger and with the topical benadryl I have managed to keep the itching away. The swelling started going back down again on Sunday 01/03/21 but there is still a knot the size of a grape now and the area is still red. Some days it is itches more than others.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Patient completed the 15 minute Observation period without incident and left the clinic.  She returned 1 hour later complaining of an itchy on Left Forearm just below the elbow .  Nothing noted at injection site.  No other complaints. Also had reddened itchy are in same place on  right arm. Given 25mg of liquid po Benadryl. Observed by onsite paramedic for 45 minutes.  Redness and itching areas resolved.  Left clinic and returned to work.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received a dose of vaccine that may be less than completely effective due to storage conditions.  No adverse reaction reported
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient's reaction(s) noted during COVID vaccine observation period: dizziness  Actions Taken: VS taken x2, both sets WNL. Pt decided she felt good enough to go home.  Disposition: Patient declined ED visit
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood urea increased, Body temperature increased, Chest X-ray abnormal, Decreased appetite
Clinical narrative: 12/30/2020 07:02 AM  Resident noted to have some redness in face and respiration were fast. Resident vital signs were abnormal except blood pressure. Temp at the time was 102.0 F taken temporal. Resident respirations were 22 labored at times. Pulse is 105 and pulse ox 94% on room air. Resident is made comfortable in bed. Notified triage of change in condition also made triage aware of resident receiving Covid vaccination yesterday morning. Resident appetite and fluid consumption has been poor for few days.  12/30/2020 07:32 AM  Received order from agency to administer Acetaminophen 650mg suppos rectally due to resident not wanting to swallow anything including fluids, medications and food. This writer administered medication as NP ordered. Will monitor for effectiveness and adverse effects if any.  12/30/2020 08:41 AM  Received new orders to obtain Flu swab, obtain CBC and BMP, and Chest Xray all to be obtained today. Notified family of resident having temperature and vital signs excluding b/p that was abnormal. Family was thankful for call and inierated to nurse that family does not want resident sent to hospital. Did educate family on benefits of Hospice services, but family persistant on continued daily care provided by nursing staff. Requests visits if decline continues. Family assured if resident continues to decline, facility will accomandate resident family to be able to be at bedside when time comes to do so.  NP ordered IVF and IV Levaquin on 12/31/20. Family chose at that time to sign for Hospice services and not have resident provided with IVF or IV Antibiotics
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Full blood count, Hospice care, Influenza virus test negative
Clinical narrative: 12/30/2020 07:02 AM  Resident noted to have some redness in face and respiration were fast. Resident vital signs were abnormal except blood pressure. Temp at the time was 102.0 F taken temporal. Resident respirations were 22 labored at times. Pulse is 105 and pulse ox 94% on room air. Resident is made comfortable in bed. Notified triage of change in condition also made triage aware of resident receiving Covid vaccination yesterday morning. Resident appetite and fluid consumption has been poor for few days.  12/30/2020 07:32 AM  Received order from agency to administer Acetaminophen 650mg suppos rectally due to resident not wanting to swallow anything including fluids, medications and food. This writer administered medication as NP ordered. Will monitor for effectiveness and adverse effects if any.  12/30/2020 08:41 AM  Received new orders to obtain Flu swab, obtain CBC and BMP, and Chest Xray all to be obtained today. Notified family of resident having temperature and vital signs excluding b/p that was abnormal. Family was thankful for call and inierated to nurse that family does not want resident sent to hospital. Did educate family on benefits of Hospice services, but family persistant on continued daily care provided by nursing staff. Requests visits if decline continues. Family assured if resident continues to decline, facility will accomandate resident family to be able to be at bedside when time comes to do so.  NP ordered IVF and IV Levaquin on 12/31/20. Family chose at that time to sign for Hospice services and not have resident provided with IVF or IV Antibiotics
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Metabolic function test, Respiratory rate increased, Vital functions abnormal, White blood cell count increased
Clinical narrative: 12/30/2020 07:02 AM  Resident noted to have some redness in face and respiration were fast. Resident vital signs were abnormal except blood pressure. Temp at the time was 102.0 F taken temporal. Resident respirations were 22 labored at times. Pulse is 105 and pulse ox 94% on room air. Resident is made comfortable in bed. Notified triage of change in condition also made triage aware of resident receiving Covid vaccination yesterday morning. Resident appetite and fluid consumption has been poor for few days.  12/30/2020 07:32 AM  Received order from agency to administer Acetaminophen 650mg suppos rectally due to resident not wanting to swallow anything including fluids, medications and food. This writer administered medication as NP ordered. Will monitor for effectiveness and adverse effects if any.  12/30/2020 08:41 AM  Received new orders to obtain Flu swab, obtain CBC and BMP, and Chest Xray all to be obtained today. Notified family of resident having temperature and vital signs excluding b/p that was abnormal. Family was thankful for call and inierated to nurse that family does not want resident sent to hospital. Did educate family on benefits of Hospice services, but family persistant on continued daily care provided by nursing staff. Requests visits if decline continues. Family assured if resident continues to decline, facility will accomandate resident family to be able to be at bedside when time comes to do so.  NP ordered IVF and IV Levaquin on 12/31/20. Family chose at that time to sign for Hospice services and not have resident provided with IVF or IV Antibiotics
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Myalgia, Pyrexia
Clinical narrative: Fever, chills, myalgia, sweats
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Rash erythematous
Clinical narrative: Red hive like rash and felt hot.  She was also feeling dizzy    Epinephrine given  IM   After 5 minutes, her symptoms returned and another Epinephrine given IM
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pain, Tenderness
Clinical narrative: Significant soreness, pain lifting arm, tenderness to any touch, redness around 1 in in diameter around injection site for 7 days
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pain in extremity, Peripheral swelling, Skin discolouration, Skin warm
Clinical narrative: initially arm was sore for several days.  Then 1 week later progressed to swollen area about 2" in diameter that felt like a knot under the skin.  The area was warm to touch, white or non-pigmented, and surrounded by hives.  After 24 hours and several doses of amoxicillin, the area is improving but continues to be warm, surrounded by hives with pigmentation returning.  The knot does not feel as tight.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal, Urticaria
Clinical narrative: initially arm was sore for several days.  Then 1 week later progressed to swollen area about 2" in diameter that felt like a knot under the skin.  The area was warm to touch, white or non-pigmented, and surrounded by hives.  After 24 hours and several doses of amoxicillin, the area is improving but continues to be warm, surrounded by hives with pigmentation returning.  The knot does not feel as tight.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site mass, Injection site pain, Injection site swelling, Malaise
Clinical narrative: Immediately following vaccine I experienced expected muscle soreness in affected arm.  Symptoms resolved by 12/31 (day 3). On 01/02/21 in the evening I began to experience tenderness in my underarm arm of my left arm.  about 24 hours later 01/03/21in the evening I continued to experience pain which began spreading to front and back shoulder. Pain extended down my left arm when reaching/extending arm.  Upon rising 01/04/21 swelling in underarm included lump approximately size of mandarin, swolling noted in left bicep. Aching in arm, pain continued to extend down arm.  Other symptoms included malaise, sore throat, nasal congestion, mild headache.  reported to employee health line, asked to receive COIVD test, informed to follow up with PCP regarding arm symptoms as "after 72 hours this is not considered side effects from the vaccine". PCP referred to respiratory clinic  to f/u to monitor swelling/pain.  Provider ordered ultrasound for underarm lump/swelling thought to be in response to COVID vaccine also to view veins in left arm due to my history of DVT.  currently awaiting ultrasound appointment for additional information.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pain in extremity
Clinical narrative: Immediately following vaccine I experienced expected muscle soreness in affected arm.  Symptoms resolved by 12/31 (day 3). On 01/02/21 in the evening I began to experience tenderness in my underarm arm of my left arm.  about 24 hours later 01/03/21in the evening I continued to experience pain which began spreading to front and back shoulder. Pain extended down my left arm when reaching/extending arm.  Upon rising 01/04/21 swelling in underarm included lump approximately size of mandarin, swolling noted in left bicep. Aching in arm, pain continued to extend down arm.  Other symptoms included malaise, sore throat, nasal congestion, mild headache.  reported to employee health line, asked to receive COIVD test, informed to follow up with PCP regarding arm symptoms as "after 72 hours this is not considered side effects from the vaccine". PCP referred to respiratory clinic  to f/u to monitor swelling/pain.  Provider ordered ultrasound for underarm lump/swelling thought to be in response to COVID vaccine also to view veins in left arm due to my history of DVT.  currently awaiting ultrasound appointment for additional information.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: DIZZINESS
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Headache, Muscle fatigue
Clinical narrative: Headache ,chills upset stomach ,muscle fatigue
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received a dose of vaccine that may be less than completely effective due to storage conditions.  No adverse effects reported.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Feeling hot, Flushing, Pharyngeal swelling
Clinical narrative: About 30 minutes after the vaccine, I was driving and suddenly felt congestion, flushing and a sense of fullness/swelling in my throat. I pulled over and called my husband. I could breathe fine, but the sensation of swelling in my throat was frightening and I felt like I couldnt swallow my saliva. I also had the feeling like I might faint (hot and flushed). This all passed pretty quickly (5 minutes), and I took a benadryl when I got home and rested.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: About 30 minutes after the vaccine, I was driving and suddenly felt congestion, flushing and a sense of fullness/swelling in my throat. I pulled over and called my husband. I could breathe fine, but the sensation of swelling in my throat was frightening and I felt like I couldnt swallow my saliva. I also had the feeling like I might faint (hot and flushed). This all passed pretty quickly (5 minutes), and I took a benadryl when I got home and rested.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Patient's reaction(s) noted during COVID vaccine observation period: headache,  actions Taken: VS taken x2 and stable both times. Pt felt okay enough to go home.   Disposition: Patient declined ED visit
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy
Clinical narrative: Headache on day 1 about 1 hour after vaccine administration, on 12/25 developed a swollen lymph node under her arm pit, on 1/1 she developed swollen lymph nodes in her neck.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache, Oedema peripheral
Clinical narrative: HEADACHE, SWEILLING ON LEFT AXILLA AND DECREASE IN ENERGY. VISITED EMERGENCY ROOM, NO TREATMENT, PATIENT WAS ORIENTED TO MONITOR GANGLIAL SWELLING AND TO REPORT TO ER IF SIGNIFICANT CHANGES WERE NOTED LIKE INCREASE IN SIZE, INCREASE IN PAIN OR REDNESS.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Fainted at 6:30 a.m. the next morning
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Rash erythematous, Rash papular
Clinical narrative: Red elevated rash 5-6 cm diameter on injection site with slight pruritis . Appeared on day 8 post vaccination
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbness from Neck to face to head on the left side.  Lasted a few days. 12-30-2020 to January 3rd, 2021.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Arthralgia, Chills, Headache, Pain
Clinical narrative: 12 hours after injection I began to have chills and rigors, the rigors subsided after ~30 min. For the next 11 hours i had chills, severe body aches, a headache and spiked a fever to 101. The following day after ~12 hrs of symptoms I began to improve slightly and all that remained was a severe headache and body aches. Now, I am about 32 hours in to the adverse event and I still have a headache and sore arm/shoulders but other symptoms have resolved.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: 12 hours after injection I began to have chills and rigors, the rigors subsided after ~30 min. For the next 11 hours i had chills, severe body aches, a headache and spiked a fever to 101. The following day after ~12 hrs of symptoms I began to improve slightly and all that remained was a severe headache and body aches. Now, I am about 32 hours in to the adverse event and I still have a headache and sore arm/shoulders but other symptoms have resolved.
Age: 51.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Axillary pain, Chills, Pain in extremity, Vomiting
Clinical narrative: arm pain, axillary pain, chills in the evening ~ 6 hours after vaccine administration. Vomiting x 2 at night. Talked to patient in evening and advised advil 400 mg (no tylenol available). In the morning - patient felt better - still took another 400 mg of advil
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Meningitis viral, Nausea
Clinical narrative: Patient received her Vaccine on 12/16/2020. Afterwards she developed symptoms of fever, chills, diarrhea, nausea, vomiting and headache that became worse over time and on day os presentation to our hospital on 1/2/2021 she was having photophobia. Current headache at time of admission had been persistent for over a week. Patient has no immunocompromising risk factors and was diagnosed with confirmed CMV meningitis. She was also admitted with transaminitis.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Pyrexia, Transaminases increased, Vomiting
Clinical narrative: Patient received her Vaccine on 12/16/2020. Afterwards she developed symptoms of fever, chills, diarrhea, nausea, vomiting and headache that became worse over time and on day os presentation to our hospital on 1/2/2021 she was having photophobia. Current headache at time of admission had been persistent for over a week. Patient has no immunocompromising risk factors and was diagnosed with confirmed CMV meningitis. She was also admitted with transaminitis.
Age: 49.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: Continued shoulder pain and limited ROM since time of vaccination. As of now, patient has not sought further treatment but was advised to do so once he called to report the ADR
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Swelling face
Clinical narrative: SWELLING OF HANDS AND FACE, LASTED FOR ABOUT 2 HOURS
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: 3:30 nausea, dizziness, soreness and swelling at site of injection 4:30PM headache 6:30 PM chills and body aches 08:00PM itching - no rash, numbness in l shoulder, neck face-cheek, jaw , lip; 10:00PM still able to move muscles no signs of bell's palsy.  Ibuprofen dose, relief of chills and body aches. Symptoms have resolved but l jaw still experiencing numbness
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site pain, Injection site swelling, Nausea, Pain
Clinical narrative: 3:30 nausea, dizziness, soreness and swelling at site of injection 4:30PM headache 6:30 PM chills and body aches 08:00PM itching - no rash, numbness in l shoulder, neck face-cheek, jaw , lip; 10:00PM still able to move muscles no signs of bell's palsy.  Ibuprofen dose, relief of chills and body aches. Symptoms have resolved but l jaw still experiencing numbness
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: 3:30 nausea, dizziness, soreness and swelling at site of injection 4:30PM headache 6:30 PM chills and body aches 08:00PM itching - no rash, numbness in l shoulder, neck face-cheek, jaw , lip; 10:00PM still able to move muscles no signs of bell's palsy.  Ibuprofen dose, relief of chills and body aches. Symptoms have resolved but l jaw still experiencing numbness
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Nodule
Clinical narrative: Lump developed on forearm opposite side of injection site with intermittent sharp pain beginning  1/4/21 at approximately 10pm lasting 2 seconds like a sting.
Age: 39.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received a dose of vaccine that may be less than completely effective due to storage conditions.  No adverse effects reported.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient's reaction(s) noted during COVID vaccine observation period: lips tingling like when he eats shellfish; has shellfish allergy  Actions Taken: Vital signs taken and within normal. Pt felt okay enough to go home.  Disposition: Patient declined ED visit
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Flushing, Hot flush, Immediate post-injection reaction
Clinical narrative: Felt hot/flushed almost immediately after vaccine. Continued to have hot flashes (afebrile) relieved by Tylenol through the following Tuesday (5 days after vaccine). Hot flashes are intermittent. Also feel fatigued starting Saturday 1/2, improved 1/3, worsening 1/4 into 1/5. Sore arm for about couple days, very mild.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Felt hot/flushed almost immediately after vaccine. Continued to have hot flashes (afebrile) relieved by Tylenol through the following Tuesday (5 days after vaccine). Hot flashes are intermittent. Also feel fatigued starting Saturday 1/2, improved 1/3, worsening 1/4 into 1/5. Sore arm for about couple days, very mild.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Nausea, Pyrexia
Clinical narrative: Had fever for 36 hours accompanied by muscle aches, nausea, fatigue.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site inflammation, Lymph node pain
Clinical narrative: Day 1: (12/23/20) fatigue, mild headache Day 2: (12/24/20) fatigue mild headache Day 3-5 (12/25/20-12/29/20)- large painful  lymph node inflammation approx. size of a baseball. Right axilla.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: left sided numbness
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received a dose of vaccine that may be less than completely effective due to storage conditions.  No adverse effects reported.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Feeling hot, Headache, Sleep disorder
Clinical narrative: Woke up at about 3:30am feeling warm. Checked my temperature and it was 101.4. Also experienced joint aches and a headache.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: At day 6, developed a hive (about 7-8cm in diameter) at the vaccine site with some itching, redness, warmth. No systemic symptoms.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Malaise
Clinical narrative: Chills, Body malaise, and sore at the injection site.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received a dose of vaccine that may be less than completely effective due to storage conditions.  No adverse effects reported.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Feeling abnormal, Flushing, Headache
Clinical narrative: Headache with fogginess that turns into nausea.  Flushed feeling in face.  L breast is more full and sore.  Headaches come and go and feel like a vice on the top and side of my head that then lets go.  Intensifies in afternoon typically or first thing in morning.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: Started getting mild headaches on 1/1/2021 which comes around noon and goes away in evening after 6-7 pm. Still getting headaches everyday since 1/1/2021 in same pattern and at same time. Also feeling little nauseous over past few days.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received a dose of vaccine that may be less than completely effective due to storage conditions.  No adverse effect reported
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia, Vomiting
Clinical narrative: Fever 103.9, chills, vomiting
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Injection site pain, Neck pain
Clinical narrative: severe injection site pain, starting day of injection and lasting 48 hours severe headache and neckache, staring evening of injection and lasting 72 hours, intermittent night sweats, approximately 60 hours after injection  starting the evening after injection, pain increased in injection site.  In middle of night, woken up by severe headache pain.  Treated with 600mg ibuprophen and 2.5 mg Zomig.  Throughout next day, injection site and headache pain present, but less worse than night, treated with ibuprofen.  Second evening (approx 36 hours after injection), pain again severe in the middle of the night, woke up, treated with 600 mg ibuprofen and 2.5 mg Zomig.  Woke up sweating, but feeling better.  Symptoms gradually resolved over the next day.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm
Clinical narrative: Eye Twitching
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Cough, Myalgia
Clinical narrative: High Fever, Chills, Weakness, Pains (joint & Muscle), Cough, Note; this was worse then when I originally had COVID in April 2020.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: High Fever, Chills, Weakness, Pains (joint & Muscle), Cough, Note; this was worse then when I originally had COVID in April 2020.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received a dose of vaccine that may be less than completely effective due to storage conditions.  No adverse effects reported.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Light red patch on arm about 3 inches in diameter, first noticed on Sunday, January 2 after swimming.  It doesn't hurt and isn't hot or swollen