chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram ST segment elevation, Feeling abnormal, Troponin increased
Clinical narrative: Course of the Hospitalization:  05/18/2021 Today the patient was seen examined.  Patient denies any chest pain, shortness breath, nausea, vomiting or diarrhea.  Patient is in good spirits such time.  Patient has any changes to vision/hearing/taste/smell.  Patient will follow-up with his cardiologist from the hospital. Patient was told if he any discomfort in his chest, changes to vision/hearing/taste/smell go immediately to emergency room for further workup and evaluation as necessary.   Patient was discharged on Pepcid 20 milligrams to be taken twice daily for next 14 days.  Side effects, risks, benefits of medications discussed great length.  I asked the patient to discuss with the pharmacist any questions comments or concerns he may have both this medication as well.       Admitting ER Note: 23-year-old male presenting to emergency department for evaluation of chest pain.  Reports pain started 2 nights ago.  He received his 2nd COVID vaccine early Saturday morning, by Saturday night started having symptoms including chest pain.  Other symptoms resolved the chest pain has persisted, and waxing and waning.  Was seen at urgent care and found of ST elevations on EKG and sent to emergency department.  While here in the ED again found to have ST elevations in anterior leads with reciprocal changes inferiorly.  Troponin elevated to 11. Bedside echocardiogram performed by myself and cardiologist negative for tamponade or significant hypokinesis.  Patient will require admission for further management and evaluation.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Headache, Injection site pain, Nausea, Pyrexia
Clinical narrative: I woke up with a burning sensation around the injection site and a headache. The fever started the next day when I went to work. I was nausea and I also had a little vertigo. I had a 102 fever and chest ache at night.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: I woke up with a burning sensation around the injection site and a headache. The fever started the next day when I went to work. I was nausea and I also had a little vertigo. I had a 102 fever and chest ache at night.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Arthralgia, Blood culture negative, Borrelia test negative
Clinical narrative: May 17, 2021: Severe Inflammatory arthralgia within 30 days of 2nd dose of Pfizer Covid-19 Vaccine (received elsewhere). Has had 2 weeks of symmetrical, severe, constant stiffness in "every joint of my body", especially all 30 finger joints (equally), bilateral wrists, and bilateral shoulders. Not improving. Affecting his ability to work (despite his very high pain tolerance). No fever during this time. T 98.6 today. No synovits on exam. He is a construction worker, and he has been requiring 4 advil every 2 hours to even move at all. His work is severely curtailed from the pain and stiffness. (continued)May 19 update: Patient slightly better after medrol/ketorolac injections, but still with severely stiff and achy joints as before. Affecting his work ability. But he is still trying to work.   -- > He reports that he had the Pfizer vaccine Lot EP6955 on 3/24/2021 at the Vaccine Clinic, and 2nd dose of Pfizer LOT EP7533 on 4/14/2021 at the same clinic  -- > On April 23, 2021 he developed abdominal cramps, bloating, pain and diarrhea that lasted for a few days.  -- > On Aprl 29, 2021 he developed the the current arthragia symptoms, which are severe, persistent and disabling
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Diarrhoea, Full blood count normal, Hepatitis viral test negative, Impaired work ability
Clinical narrative: May 17, 2021: Severe Inflammatory arthralgia within 30 days of 2nd dose of Pfizer Covid-19 Vaccine (received elsewhere). Has had 2 weeks of symmetrical, severe, constant stiffness in "every joint of my body", especially all 30 finger joints (equally), bilateral wrists, and bilateral shoulders. Not improving. Affecting his ability to work (despite his very high pain tolerance). No fever during this time. T 98.6 today. No synovits on exam. He is a construction worker, and he has been requiring 4 advil every 2 hours to even move at all. His work is severely curtailed from the pain and stiffness. (continued)May 19 update: Patient slightly better after medrol/ketorolac injections, but still with severely stiff and achy joints as before. Affecting his work ability. But he is still trying to work.   -- > He reports that he had the Pfizer vaccine Lot EP6955 on 3/24/2021 at the Vaccine Clinic, and 2nd dose of Pfizer LOT EP7533 on 4/14/2021 at the same clinic  -- > On April 23, 2021 he developed abdominal cramps, bloating, pain and diarrhea that lasted for a few days.  -- > On Aprl 29, 2021 he developed the the current arthragia symptoms, which are severe, persistent and disabling
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Joint stiffness, Metabolic function test normal, Parvovirus B19 test negative, Urine analysis normal
Clinical narrative: May 17, 2021: Severe Inflammatory arthralgia within 30 days of 2nd dose of Pfizer Covid-19 Vaccine (received elsewhere). Has had 2 weeks of symmetrical, severe, constant stiffness in "every joint of my body", especially all 30 finger joints (equally), bilateral wrists, and bilateral shoulders. Not improving. Affecting his ability to work (despite his very high pain tolerance). No fever during this time. T 98.6 today. No synovits on exam. He is a construction worker, and he has been requiring 4 advil every 2 hours to even move at all. His work is severely curtailed from the pain and stiffness. (continued)May 19 update: Patient slightly better after medrol/ketorolac injections, but still with severely stiff and achy joints as before. Affecting his work ability. But he is still trying to work.   -- > He reports that he had the Pfizer vaccine Lot EP6955 on 3/24/2021 at the Vaccine Clinic, and 2nd dose of Pfizer LOT EP7533 on 4/14/2021 at the same clinic  -- > On April 23, 2021 he developed abdominal cramps, bloating, pain and diarrhea that lasted for a few days.  -- > On Aprl 29, 2021 he developed the the current arthragia symptoms, which are severe, persistent and disabling
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Paranasal sinus discomfort
Clinical narrative: A change/loss in taste, notable increase in sinus pressure and/or allergies.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Rhinorrhoea, Sneezing
Clinical narrative: Systemic: sneezing, runny nose, nasal congestion-Mild
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Headache, Paranasal sinus discomfort, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 02/27/2021,pfizer,Lot#EN6203 2nd dose: 03/20/2021,Pfizer,Lot# ER8727 Diagnosed covid positive:05/08/21 Exposure:Home Symptoms:SOB,Sinus pressure,headache.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Flushing, Hyperhidrosis, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Mild, Additional Details: 5 minutes following second dose of pfizer pt with syncopal episode. LOC for 10 seconds, came to spontaneously without intervention. Pt placed in trendelenburg, regained consciousness. vital signs stable, blood sugar stable, no injury.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Mild, Additional Details: 5 minutes following second dose of pfizer pt with syncopal episode. LOC for 10 seconds, came to spontaneously without intervention. Pt placed in trendelenburg, regained consciousness. vital signs stable, blood sugar stable, no injury.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Fatigue, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose pfizer 01/08/2021 2nd dose: Pfizer 02/03/21 Diagnosed covid positive: Exposure:Community Symptoms:Runny nose, fatigue, loss of smell
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypersensitivity, Hypoaesthesia oral, Nausea, Pharyngeal hypoaesthesia
Clinical narrative: Swelling of throat and tongue. Numbness of lips, throat, and tongue. Presented to ED with a suspected allergic reaction to the first dose of the pfizer vaccine.  Pt received the vaccine at 0800 and approximately 10 minutes later, she developed swelling of the back of her tongue and lip numbness.  Pt was given Benadryl at the vaccination clinic and was released w/ instructions to call her PCP.  Pt called her PCP who referred her to the ED.  Pt denies any chest pain at this time.  Pt also had a little shortness of breath and nausea when her allergic reaction first started. Observed for 5 hours and discharged from ED.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Swollen tongue
Clinical narrative: Swelling of throat and tongue. Numbness of lips, throat, and tongue. Presented to ED with a suspected allergic reaction to the first dose of the pfizer vaccine.  Pt received the vaccine at 0800 and approximately 10 minutes later, she developed swelling of the back of her tongue and lip numbness.  Pt was given Benadryl at the vaccination clinic and was released w/ instructions to call her PCP.  Pt called her PCP who referred her to the ED.  Pt denies any chest pain at this time.  Pt also had a little shortness of breath and nausea when her allergic reaction first started. Observed for 5 hours and discharged from ED.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia
Clinical narrative: patient reports numbness at the vaccination site. site assessed, no swelling, no rash. patient was able to move arm without any difficulty. i observed patient for 20 minutes, was fine.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Arrhythmia, Aspartate aminotransferase increased, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: ED to Hosp-Admission Discharged  5/3/2021 - 5/5/2021 (2 days) Hospital  MD Last attending ? Treatment team COVID-19 virus infection Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine         HOSPITAL INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .   Patient:                                                              Date: 5/5/2021 DOB:  Admission Date: 5/3/2021 MRN:         Length of stay: 2 Days PCP: MD Discharging provider:  MD    Admission diagnosis:     Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) COVID-19 virus infection Yes         Gout Yes         Hyperlipidemia Yes         Hypertension Yes         Transaminitis Yes         COVID-19 Yes       HPI: 67-year-old man admitted with COVID-19 pneumonia     Hospital Course: This patient was admitted for COVID-19 pneumonia.  He was treated with convalescent plasma and dexamethasone.  He was not given remdesivir because of elevated liver function tests.  On this regimen the patient did very well and by the day of discharge she was feeling much better.  He continued to be hypoxic and a home oxygen evaluation showed he required 1 L at rest and 4 with exertion.  We have set this up for him and will he will continue oxygen at home.  I will finish out his course of dexamethasone.  He should follow-up with his family doctor within the next week for an oxygen check and to be sure that he is getting better.  His family doctor can tell him when it is safe to discontinue his oxygen therapy.   I educated the patient on self isolation until he is no longer infectious.  He is in agreement with this plan.  He feels much better and is very eager to go home today.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine increased, Blood potassium normal, Blood sodium normal
Clinical narrative: ED to Hosp-Admission Discharged  5/3/2021 - 5/5/2021 (2 days) Hospital  MD Last attending ? Treatment team COVID-19 virus infection Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine         HOSPITAL INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .   Patient:                                                              Date: 5/5/2021 DOB:  Admission Date: 5/3/2021 MRN:         Length of stay: 2 Days PCP: MD Discharging provider:  MD    Admission diagnosis:     Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) COVID-19 virus infection Yes         Gout Yes         Hyperlipidemia Yes         Hypertension Yes         Transaminitis Yes         COVID-19 Yes       HPI: 67-year-old man admitted with COVID-19 pneumonia     Hospital Course: This patient was admitted for COVID-19 pneumonia.  He was treated with convalescent plasma and dexamethasone.  He was not given remdesivir because of elevated liver function tests.  On this regimen the patient did very well and by the day of discharge she was feeling much better.  He continued to be hypoxic and a home oxygen evaluation showed he required 1 L at rest and 4 with exertion.  We have set this up for him and will he will continue oxygen at home.  I will finish out his course of dexamethasone.  He should follow-up with his family doctor within the next week for an oxygen check and to be sure that he is getting better.  His family doctor can tell him when it is safe to discontinue his oxygen therapy.   I educated the patient on self isolation until he is no longer infectious.  He is in agreement with this plan.  He feels much better and is very eager to go home today.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, COVID-19, COVID-19 pneumonia, Carbon dioxide normal, Chest X-ray abnormal
Clinical narrative: ED to Hosp-Admission Discharged  5/3/2021 - 5/5/2021 (2 days) Hospital  MD Last attending ? Treatment team COVID-19 virus infection Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine         HOSPITAL INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .   Patient:                                                              Date: 5/5/2021 DOB:  Admission Date: 5/3/2021 MRN:         Length of stay: 2 Days PCP: MD Discharging provider:  MD    Admission diagnosis:     Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) COVID-19 virus infection Yes         Gout Yes         Hyperlipidemia Yes         Hypertension Yes         Transaminitis Yes         COVID-19 Yes       HPI: 67-year-old man admitted with COVID-19 pneumonia     Hospital Course: This patient was admitted for COVID-19 pneumonia.  He was treated with convalescent plasma and dexamethasone.  He was not given remdesivir because of elevated liver function tests.  On this regimen the patient did very well and by the day of discharge she was feeling much better.  He continued to be hypoxic and a home oxygen evaluation showed he required 1 L at rest and 4 with exertion.  We have set this up for him and will he will continue oxygen at home.  I will finish out his course of dexamethasone.  He should follow-up with his family doctor within the next week for an oxygen check and to be sure that he is getting better.  His family doctor can tell him when it is safe to discontinue his oxygen therapy.   I educated the patient on self isolation until he is no longer infectious.  He is in agreement with this plan.  He feels much better and is very eager to go home today.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Electrocardiogram abnormal, Eosinophil percentage decreased, Gout
Clinical narrative: ED to Hosp-Admission Discharged  5/3/2021 - 5/5/2021 (2 days) Hospital  MD Last attending ? Treatment team COVID-19 virus infection Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine         HOSPITAL INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .   Patient:                                                              Date: 5/5/2021 DOB:  Admission Date: 5/3/2021 MRN:         Length of stay: 2 Days PCP: MD Discharging provider:  MD    Admission diagnosis:     Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) COVID-19 virus infection Yes         Gout Yes         Hyperlipidemia Yes         Hypertension Yes         Transaminitis Yes         COVID-19 Yes       HPI: 67-year-old man admitted with COVID-19 pneumonia     Hospital Course: This patient was admitted for COVID-19 pneumonia.  He was treated with convalescent plasma and dexamethasone.  He was not given remdesivir because of elevated liver function tests.  On this regimen the patient did very well and by the day of discharge she was feeling much better.  He continued to be hypoxic and a home oxygen evaluation showed he required 1 L at rest and 4 with exertion.  We have set this up for him and will he will continue oxygen at home.  I will finish out his course of dexamethasone.  He should follow-up with his family doctor within the next week for an oxygen check and to be sure that he is getting better.  His family doctor can tell him when it is safe to discontinue his oxygen therapy.   I educated the patient on self isolation until he is no longer infectious.  He is in agreement with this plan.  He feels much better and is very eager to go home today.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hyperlipidaemia, Hypertension, Hypoxia
Clinical narrative: ED to Hosp-Admission Discharged  5/3/2021 - 5/5/2021 (2 days) Hospital  MD Last attending ? Treatment team COVID-19 virus infection Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine         HOSPITAL INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .   Patient:                                                              Date: 5/5/2021 DOB:  Admission Date: 5/3/2021 MRN:         Length of stay: 2 Days PCP: MD Discharging provider:  MD    Admission diagnosis:     Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) COVID-19 virus infection Yes         Gout Yes         Hyperlipidemia Yes         Hypertension Yes         Transaminitis Yes         COVID-19 Yes       HPI: 67-year-old man admitted with COVID-19 pneumonia     Hospital Course: This patient was admitted for COVID-19 pneumonia.  He was treated with convalescent plasma and dexamethasone.  He was not given remdesivir because of elevated liver function tests.  On this regimen the patient did very well and by the day of discharge she was feeling much better.  He continued to be hypoxic and a home oxygen evaluation showed he required 1 L at rest and 4 with exertion.  We have set this up for him and will he will continue oxygen at home.  I will finish out his course of dexamethasone.  He should follow-up with his family doctor within the next week for an oxygen check and to be sure that he is getting better.  His family doctor can tell him when it is safe to discontinue his oxygen therapy.   I educated the patient on self isolation until he is no longer infectious.  He is in agreement with this plan.  He feels much better and is very eager to go home today.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: International normalised ratio normal, Liver function test increased, Lung opacity, Lymphocyte percentage decreased, Monocyte percentage increased
Clinical narrative: ED to Hosp-Admission Discharged  5/3/2021 - 5/5/2021 (2 days) Hospital  MD Last attending ? Treatment team COVID-19 virus infection Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine         HOSPITAL INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .   Patient:                                                              Date: 5/5/2021 DOB:  Admission Date: 5/3/2021 MRN:         Length of stay: 2 Days PCP: MD Discharging provider:  MD    Admission diagnosis:     Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) COVID-19 virus infection Yes         Gout Yes         Hyperlipidemia Yes         Hypertension Yes         Transaminitis Yes         COVID-19 Yes       HPI: 67-year-old man admitted with COVID-19 pneumonia     Hospital Course: This patient was admitted for COVID-19 pneumonia.  He was treated with convalescent plasma and dexamethasone.  He was not given remdesivir because of elevated liver function tests.  On this regimen the patient did very well and by the day of discharge she was feeling much better.  He continued to be hypoxic and a home oxygen evaluation showed he required 1 L at rest and 4 with exertion.  We have set this up for him and will he will continue oxygen at home.  I will finish out his course of dexamethasone.  He should follow-up with his family doctor within the next week for an oxygen check and to be sure that he is getting better.  His family doctor can tell him when it is safe to discontinue his oxygen therapy.   I educated the patient on self isolation until he is no longer infectious.  He is in agreement with this plan.  He feels much better and is very eager to go home today.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil percentage increased, Platelet count increased, Protein total normal, SARS-CoV-2 test positive, Transaminases increased
Clinical narrative: ED to Hosp-Admission Discharged  5/3/2021 - 5/5/2021 (2 days) Hospital  MD Last attending ? Treatment team COVID-19 virus infection Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine         HOSPITAL INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .   Patient:                                                              Date: 5/5/2021 DOB:  Admission Date: 5/3/2021 MRN:         Length of stay: 2 Days PCP: MD Discharging provider:  MD    Admission diagnosis:     Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) COVID-19 virus infection Yes         Gout Yes         Hyperlipidemia Yes         Hypertension Yes         Transaminitis Yes         COVID-19 Yes       HPI: 67-year-old man admitted with COVID-19 pneumonia     Hospital Course: This patient was admitted for COVID-19 pneumonia.  He was treated with convalescent plasma and dexamethasone.  He was not given remdesivir because of elevated liver function tests.  On this regimen the patient did very well and by the day of discharge she was feeling much better.  He continued to be hypoxic and a home oxygen evaluation showed he required 1 L at rest and 4 with exertion.  We have set this up for him and will he will continue oxygen at home.  I will finish out his course of dexamethasone.  He should follow-up with his family doctor within the next week for an oxygen check and to be sure that he is getting better.  His family doctor can tell him when it is safe to discontinue his oxygen therapy.   I educated the patient on self isolation until he is no longer infectious.  He is in agreement with this plan.  He feels much better and is very eager to go home today.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I normal, White blood cell count decreased
Clinical narrative: ED to Hosp-Admission Discharged  5/3/2021 - 5/5/2021 (2 days) Hospital  MD Last attending ? Treatment team COVID-19 virus infection Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine         HOSPITAL INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .   Patient:                                                              Date: 5/5/2021 DOB:  Admission Date: 5/3/2021 MRN:         Length of stay: 2 Days PCP: MD Discharging provider:  MD    Admission diagnosis:     Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) COVID-19 virus infection Yes         Gout Yes         Hyperlipidemia Yes         Hypertension Yes         Transaminitis Yes         COVID-19 Yes       HPI: 67-year-old man admitted with COVID-19 pneumonia     Hospital Course: This patient was admitted for COVID-19 pneumonia.  He was treated with convalescent plasma and dexamethasone.  He was not given remdesivir because of elevated liver function tests.  On this regimen the patient did very well and by the day of discharge she was feeling much better.  He continued to be hypoxic and a home oxygen evaluation showed he required 1 L at rest and 4 with exertion.  We have set this up for him and will he will continue oxygen at home.  I will finish out his course of dexamethasone.  He should follow-up with his family doctor within the next week for an oxygen check and to be sure that he is getting better.  His family doctor can tell him when it is safe to discontinue his oxygen therapy.   I educated the patient on self isolation until he is no longer infectious.  He is in agreement with this plan.  He feels much better and is very eager to go home today.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Cold sweat, Dizziness, Pallor, Tremor
Clinical narrative: 26 y/o male came to covid clinic today for first dose Moderna. Pt denied any hx of allergies or adverse rxn to vaccines in the past. After 10 minutes of vaccine administration, pt became dizzy, pale, and clammy. Pt said he didn't have breakfast. Primary RN gave 4oz apple juice. 2min later primary RN reported trembling of extremities and head.  LOC for <1min. VS as follows: BP 109/75, HR 84, O2 98%. Blood sugar 109. BP standing 111/75 then 101/62 after 5min.  Pt briefly assessed by MD; OK to go home; MD Recommendation: eat breakfast before second dose.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pyrexia, Tremor
Clinical narrative: Fever, trembling in the body; Cough that does not go away more when I want to talk.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Muscular weakness, Myalgia, Pain
Clinical narrative: On day 5 the injection site soreness seemed to radiate down the top of the arm to the wrist. At first just hurt to touch, then muscle soreness. Currently, 3 weeks out, it is muscle weakness.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Tenderness
Clinical narrative: On day 5 the injection site soreness seemed to radiate down the top of the arm to the wrist. At first just hurt to touch, then muscle soreness. Currently, 3 weeks out, it is muscle weakness.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Acne, Aphthous ulcer, Back pain, Blood test, Body temperature increased
Clinical narrative: Back pain requiring Naproxen, canker sore outbreak in mouth followed by same type of sores in genital area, headaches, spiked temperatures, chills, sweats, body acne, fatigue. Back pain, headaches & fatigue continue today; genital sores and acne improved after several weeks; mouth sores lasted over a month but better now.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chills, Fatigue, Genital ulceration, Headache
Clinical narrative: Back pain requiring Naproxen, canker sore outbreak in mouth followed by same type of sores in genital area, headaches, spiked temperatures, chills, sweats, body acne, fatigue. Back pain, headaches & fatigue continue today; genital sores and acne improved after several weeks; mouth sores lasted over a month but better now.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, X-ray normal
Clinical narrative: Back pain requiring Naproxen, canker sore outbreak in mouth followed by same type of sores in genital area, headaches, spiked temperatures, chills, sweats, body acne, fatigue. Back pain, headaches & fatigue continue today; genital sores and acne improved after several weeks; mouth sores lasted over a month but better now.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Parosmia
Clinical narrative: Received the Moderna vaccine 30 April 2021 from Pharmacy. On 8 May 2021 woke up form sleeping with the smell of smoke. This is very annoying and give me headaches. A constant smell of smoke everyday.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: Patient began to feel dizziness shortly after receiving her first vaccine dose. Patient has a history of anxiety and stated she was feeling anxious before arrival to receive vaccine.Patient stated she did not take her meds for anxiety today. Patient also stated she had nothing to eat today. She was brought in for observation, to lay down. After assessment and vitals checks patient was deemed okay to head home. Patient was advised to contact primary doctor , if any other adverse effects occur.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient received mixed vaccines: 03/05/21 Pfizer Lot EN6205 04/18/21 Moderna Lot 038B21A 05/17/21 Moderna Lot 038B21A
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 15 YO TO YOUNG FOR VACCINE
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Moderate dizziness immediately following injection.  Resolved within 20 minutes. Mild dizziness off and on for 24 hours. Just rested and hydrated. Day 11: Swelling, heat, itching at injection site. Injection site had visible red ring with splotchy center. Over the course of the next 2 hours, development of moderate full body rash, itching, mild swelling for 5+ days. Treating with over the counter antihistamine and hydrocortisone as needed.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pruritus, Rash, Swelling
Clinical narrative: Moderate dizziness immediately following injection.  Resolved within 20 minutes. Mild dizziness off and on for 24 hours. Just rested and hydrated. Day 11: Swelling, heat, itching at injection site. Injection site had visible red ring with splotchy center. Over the course of the next 2 hours, development of moderate full body rash, itching, mild swelling for 5+ days. Treating with over the counter antihistamine and hydrocortisone as needed.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Itching and slight redness around injection site, area around injection is hot and hard to the touch. About 2 inches across. From internet research it sounds like 'covid arm' but is mild and expected to go away in a few days.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Bloody nose
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oxygen saturation decreased, Peripheral swelling
Clinical narrative: Approximately two weeks after vaccination I noticed his left foot and leg swelling. Patient advised me that he needed to go to the hospital because he was not feeling well and his oxygen level was low.   We called 911 and was taken to the hospital.  After at the hospital I advised a male nurse  that I was concerned about his leg being swollen cause he had been given the Jansen Covid vaccine and I was concerned about blood clots.   Everyday I would tell someone in the hospital (never saw a doctor I could talk to) about his swollen leg but did not really get anyone interested. Before he was moved to a Veteran?s State Home, I overheard someone saying they were going to give him his anticoagulant.  I?m filing this  report in case the swollen leg was a result of blood clots due to the vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Fatigue, Headache, Neck pain
Clinical narrative: headache, sore breast, neck aching and fatigue.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: felt like she had mono
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Muscular weakness, Pain in extremity, Paraesthesia
Clinical narrative: Immediate pain  associated with tingling down to elbow and upper arm weakness
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Patient received pfizer vaccine on 4/30 and presented to the ED today with bell's palsy.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: Patient has received 2 doses of Pfizer COVID19 vaccine (1st dose 3/20/21, 2nd dose 4/10/21) per PA Registry.  Patient has tested positive for COVID19 today, 5/20/21.  She presented w/ c/o chest pain x 2 days.  Admitted for observation on Telemetry unit.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient passed out about 15 minutes after receiving the vaccine. She stated that she had not eaten since breakfast and is the reason she felt lightheaded. Staff provided water and a snack for the patient and sat with her until she felt ready to stand up.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: Very sore throat lasting 7+ days and trouble breathing in and out throughout those 7 days
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever, Severe Headache, Severe Body ache and chills.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Ultrasound Doppler, Ultrasound scan, Venous thrombosis limb
Clinical narrative: Non occlusive thrombus within the left popliteal vein.  Echo genic material along the anterior and posterior of left popliteal vein .  65 year old patient presenting with left posterior knee pain .   Patient has no history of blood clotting or dvt.  Self reported.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Caesarean section, Exposure during pregnancy, Pathology test, Premature labour, Twin pregnancy
Clinical narrative: Preterm labor at 28+ 6 weeks resulting in delivery of dichorionic diamniotic twins via c-section Pregnancy history - two prior full term deliveries in 8/2017 and 8/2019 This pregnancy: Estimated date of delivery 6/25/2021 Birth weights: 1550g and 1270g
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Impaired driving ability, Nausea
Clinical narrative: 3:35pm - Pt waited full 15 minutes without reporting issues. Pt stated that she felt difficulty breathing, but "thought it was because of the mask", went to her car, and used her asthma inhaler. Pt stated she began feeling chest tightness, so came back into the clinic. Reported no change from inhaler, and complained of nausea.  3:32pm - 135/78, 99%, 101/min - chest tightening has gotten worse. 3:44pm - Quick Response Team called over, pt stated sx started to subside. 3:46pm - 142/70, 99%, 100/min - offered pt ER transport, declined at this time 3:53pm - 131/87, 98%, 93/min - tightening in chest 3:56pm - 143/89, 99%, 124/min 5:59pm - 198/93, 98%, 113/min 4:03pm - 184/106, 98%, 107/min 4:07pm - pt called family to bring her home as she did not feel comfortable driving.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Arm was sore 2 days after injection, over 2 weeks later arm was swollen, hot to touch and sore. taking advil & Benadryl
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Dizziness, Laboratory test normal, Malaise, Pain
Clinical narrative: Symptoms began following the covid-19 vaccines, persistent at two following the injections. Patient complains of feeling unwell, run down since taking COVID injections. Treated at ER for vomitting, aching all over, dizziness and significantly worsened joint pain in knee.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Symptoms began following the covid-19 vaccines, persistent at two following the injections. Patient complains of feeling unwell, run down since taking COVID injections. Treated at ER for vomitting, aching all over, dizziness and significantly worsened joint pain in knee.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site hypoaesthesia, Pruritus, Rash erythematous
Clinical narrative: Patient immediately after vaccine began to have itching and red flat rash to right arm. Denied any SOB. Denied any lips/mouth or throat swelling. Was given Benadryl 50 mg PO, rash resolved within 15 minutes. Patient stated area of injection was numb.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: 19 year old female presented to vaccination site on 04/20/2021 for Booster vaccine; scribe noted patient had received Moderna (COVID-19 vaccine) initial dose on 4/23/2021 upon entering vaccine information for booster after inoculator had administered Pfizer BioNTech vaccine to Left Deltoid. Patient reports she did not have her vaccine card with her and did not recall which vaccine she had received as initial dose. Patient was evaluated by P.A. at site, and remained in observation to monitor for any adverse effects; none noted. Patient was provided with VAERS.org  website, and RN Supervisor contact information for any future concerns.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Chills, Decreased appetite, Dizziness
Clinical narrative: Extreme weakness - had to go down the stairs on my bottom, resting every other step.  Dizziness Frequent urination - every 20 minutes throughout the night Intense lower back pain throughout the night that stopped in the morning.  Hypersensitivity Regular flu like symptoms - chills, aches, hot/cold, tired, no appetite Extreme symptoms were better by the morning. Flue like symptoms remained throughout the next day
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Pain, Pollakiuria
Clinical narrative: Extreme weakness - had to go down the stairs on my bottom, resting every other step.  Dizziness Frequent urination - every 20 minutes throughout the night Intense lower back pain throughout the night that stopped in the morning.  Hypersensitivity Regular flu like symptoms - chills, aches, hot/cold, tired, no appetite Extreme symptoms were better by the morning. Flue like symptoms remained throughout the next day
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Eye movement disorder, Foaming at mouth, Syncope
Clinical narrative: Foaming of mouth, difficulty breathing, syncope,  5 minutes, Eyes rolled back, possibly exaggerated vasovagal,
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Chest discomfort, Chills, Dysmenorrhoea
Clinical narrative: Within 10 minutes after getting injection - Hives/rash, swelling, increased heart rate and blood pressure; Treated by ems on site with benadryl injection Took 1 benadryl tablet at home - 6pm same evening; Day 1 after - hot flashes/off and on fever with some redness of upper arms neck chest and face - approximately 10 times only lasting a few minutes each time; Day 2 after - muscle aches - all over weakness, odd pressure in back of head in the am lasted for about 20 minutes then moved to side of head and subsided after about 20 minutes Tightness in chest across whole front - felt like lungs were tight - never had trouble breathing or swallowing, but dr heard wheezing on occasion - prescribed albuterol. Redness and warmth/hot flashes a few times again. Went to clinic- explained all symptoms, had evaluation - all vitals/numbers good. Ride it out, side effects have been odd and are lasting longer than 24-48hrs. If not feeling any better by Monday call/get checked again; Day 4 after - slight tightness pressure in upper chest/lungs took 1 puff albuterol, returned after dose wore off. Feeling chills starting in the early afternoon then 1 hot flash. Feeling muscle aches more noticeable in upper legs after am dose of advil wore off; Friday - tiredness, muscle aches, pressure in lungs; Saturday - tiredness, muscle aches, pressure in lungs. Experienced menstrual cramps and spotting.  I am on Depo Provera and have not had a cycle or cramps in a number of years. Sunday - pressure in lungs, aches, muscle aches, all morning to mid afternoon. Felt better mid afternoon to evening. At night, 2 hot flashes, pulse up a little; Next few days, continued muscle aches, tiredness, and occasional lung pressure.  Overall symptoms lasted approximately 10 days.  A month later I still have occasional pressure in my lungs.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Head discomfort, Heart rate increased, Hot flush
Clinical narrative: Within 10 minutes after getting injection - Hives/rash, swelling, increased heart rate and blood pressure; Treated by ems on site with benadryl injection Took 1 benadryl tablet at home - 6pm same evening; Day 1 after - hot flashes/off and on fever with some redness of upper arms neck chest and face - approximately 10 times only lasting a few minutes each time; Day 2 after - muscle aches - all over weakness, odd pressure in back of head in the am lasted for about 20 minutes then moved to side of head and subsided after about 20 minutes Tightness in chest across whole front - felt like lungs were tight - never had trouble breathing or swallowing, but dr heard wheezing on occasion - prescribed albuterol. Redness and warmth/hot flashes a few times again. Went to clinic- explained all symptoms, had evaluation - all vitals/numbers good. Ride it out, side effects have been odd and are lasting longer than 24-48hrs. If not feeling any better by Monday call/get checked again; Day 4 after - slight tightness pressure in upper chest/lungs took 1 puff albuterol, returned after dose wore off. Feeling chills starting in the early afternoon then 1 hot flash. Feeling muscle aches more noticeable in upper legs after am dose of advil wore off; Friday - tiredness, muscle aches, pressure in lungs; Saturday - tiredness, muscle aches, pressure in lungs. Experienced menstrual cramps and spotting.  I am on Depo Provera and have not had a cycle or cramps in a number of years. Sunday - pressure in lungs, aches, muscle aches, all morning to mid afternoon. Felt better mid afternoon to evening. At night, 2 hot flashes, pulse up a little; Next few days, continued muscle aches, tiredness, and occasional lung pressure.  Overall symptoms lasted approximately 10 days.  A month later I still have occasional pressure in my lungs.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Myalgia, Pain in extremity, Physical examination, Pyrexia
Clinical narrative: Within 10 minutes after getting injection - Hives/rash, swelling, increased heart rate and blood pressure; Treated by ems on site with benadryl injection Took 1 benadryl tablet at home - 6pm same evening; Day 1 after - hot flashes/off and on fever with some redness of upper arms neck chest and face - approximately 10 times only lasting a few minutes each time; Day 2 after - muscle aches - all over weakness, odd pressure in back of head in the am lasted for about 20 minutes then moved to side of head and subsided after about 20 minutes Tightness in chest across whole front - felt like lungs were tight - never had trouble breathing or swallowing, but dr heard wheezing on occasion - prescribed albuterol. Redness and warmth/hot flashes a few times again. Went to clinic- explained all symptoms, had evaluation - all vitals/numbers good. Ride it out, side effects have been odd and are lasting longer than 24-48hrs. If not feeling any better by Monday call/get checked again; Day 4 after - slight tightness pressure in upper chest/lungs took 1 puff albuterol, returned after dose wore off. Feeling chills starting in the early afternoon then 1 hot flash. Feeling muscle aches more noticeable in upper legs after am dose of advil wore off; Friday - tiredness, muscle aches, pressure in lungs; Saturday - tiredness, muscle aches, pressure in lungs. Experienced menstrual cramps and spotting.  I am on Depo Provera and have not had a cycle or cramps in a number of years. Sunday - pressure in lungs, aches, muscle aches, all morning to mid afternoon. Felt better mid afternoon to evening. At night, 2 hot flashes, pulse up a little; Next few days, continued muscle aches, tiredness, and occasional lung pressure.  Overall symptoms lasted approximately 10 days.  A month later I still have occasional pressure in my lungs.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Respiratory tract irritation, Swelling, Urticaria, Wheezing
Clinical narrative: Within 10 minutes after getting injection - Hives/rash, swelling, increased heart rate and blood pressure; Treated by ems on site with benadryl injection Took 1 benadryl tablet at home - 6pm same evening; Day 1 after - hot flashes/off and on fever with some redness of upper arms neck chest and face - approximately 10 times only lasting a few minutes each time; Day 2 after - muscle aches - all over weakness, odd pressure in back of head in the am lasted for about 20 minutes then moved to side of head and subsided after about 20 minutes Tightness in chest across whole front - felt like lungs were tight - never had trouble breathing or swallowing, but dr heard wheezing on occasion - prescribed albuterol. Redness and warmth/hot flashes a few times again. Went to clinic- explained all symptoms, had evaluation - all vitals/numbers good. Ride it out, side effects have been odd and are lasting longer than 24-48hrs. If not feeling any better by Monday call/get checked again; Day 4 after - slight tightness pressure in upper chest/lungs took 1 puff albuterol, returned after dose wore off. Feeling chills starting in the early afternoon then 1 hot flash. Feeling muscle aches more noticeable in upper legs after am dose of advil wore off; Friday - tiredness, muscle aches, pressure in lungs; Saturday - tiredness, muscle aches, pressure in lungs. Experienced menstrual cramps and spotting.  I am on Depo Provera and have not had a cycle or cramps in a number of years. Sunday - pressure in lungs, aches, muscle aches, all morning to mid afternoon. Felt better mid afternoon to evening. At night, 2 hot flashes, pulse up a little; Next few days, continued muscle aches, tiredness, and occasional lung pressure.  Overall symptoms lasted approximately 10 days.  A month later I still have occasional pressure in my lungs.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Electroencephalogram, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: After 2nd dose of Pfizer at 8:30 pm on April 24 2021  I developed seizures  Taken to hospital via ambulance given Ativan to stop seizures, kept in hospital for 5 days
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast, Seizure
Clinical narrative: After 2nd dose of Pfizer at 8:30 pm on April 24 2021  I developed seizures  Taken to hospital via ambulance given Ativan to stop seizures, kept in hospital for 5 days
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Rash, Rash erythematous, Rash papular
Clinical narrative: Ovoid rash about 7cm diameter at injection site, as well as itchy, erythematous rash on back and bilateral arms. Rash appeared 1 day after vaccination, and has continued for several days; however patient reports rash was initially raised but is now flat. No medications given yet.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Immediate post-injection reaction, Injection site pain, Lethargy
Clinical narrative: Immediate soreness at injection site, chills, and lethargy.. Vomiting and headache then 4 days later
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Immediate soreness at injection site, chills, and lethargy.. Vomiting and headache then 4 days later
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient got shot on 05/20/21, waited in the pharmacy for 15 mins and felt fine.  Patients mom called after about an hour and said patient fainted but recovered soon.  He was not hurt,  mom was advised to keep an eye on patient and call 911/ or urgent care visit. Per mom will wait.  Called patient after some hrs per patient he is fine and has no adverse symptoms anymore.