chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness, Tremor, Vomiting
Clinical narrative: SHAKING OF ENTIRE BODY FOR ABOUT ONE HOUR / FATIGUE 24 HOURS  / NAUSEA 12 HOURS / VOMITING 1 HOUR  / FEVER OF 101 DEGREES 12 HOURS / HEADACHE 12 HOURS /  TENDERNESS OF BOTH ARMS FOR 24 HOURS / SORENESS OF VACCINE SITE ARM FOR OVER 48 HOURS
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles diagnosed 5/9/21.  Very small area of the body, approximately 2" x 1".  Treated with 10 day course of oral acyclovir and resolved.  Other vaccines NOT within one month of COVID vaccine: Flu vaccine 9/29/20 Pneumovax 23 10/2/20 Shingrix vaccine 10/29/20 and 2/4/21  NOTE:  This is in response to voice mails from V-SAFE.
Age: 13.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered
Clinical narrative: Patient received adult strength  versus oediatric/adolescent strength
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: 63 year old male noted he had 1 dose of AstraZeneca 3 months ago. After I gave him the dose of Johnson and Johnson, the patient recalls he had 2 doses of vaccine, but confirmed the last dose was in May 2021. Discharged home without issues.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Eye movement disorder, Fatigue, Hyperhidrosis, Hypotension
Clinical narrative: 1258 - VRemained in vaccine administration room lying on cot for 5 minutes because per mom she has a history of fainting with shots. After 5 minutes, patient reports feeling fine and was moved to observation area.   1308 - Patient states "mom I don't feel...." and begins to stand up. Patient fainted into mom's arms. 2 RNs in observation area helped mom lower patient to the ground. Patient had slight circumoral cyanosis, eyes rolling to back of head, body limp.   1309-1311 - Called rapid as patient was being assessed. +2 pulse. Patient regained consciousness as BP cuff and pulse ox attached. VSS BP 122/69, HR 92, O2 99%. Patient now A+O x4. Color remains pale and patient slightly diaphoretic.   1318 - BP 106/65, HR 91, O2 98   1323 - Patient reports feeling better, just tired. Helped patient to sit up. BP 104/57, HR 96, O2 98. Transport team arrived and took over care.  Following transport team taking over, patient had 1 episode of emesis. 1 low BP after standing up too quickly but that normalized. Was able to tolerate fluids and crackers. Vitals remain stable. Cleared from transport teams care and sent home at 1357.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotonia, Pallor, Syncope, Vomiting
Clinical narrative: 1258 - VRemained in vaccine administration room lying on cot for 5 minutes because per mom she has a history of fainting with shots. After 5 minutes, patient reports feeling fine and was moved to observation area.   1308 - Patient states "mom I don't feel...." and begins to stand up. Patient fainted into mom's arms. 2 RNs in observation area helped mom lower patient to the ground. Patient had slight circumoral cyanosis, eyes rolling to back of head, body limp.   1309-1311 - Called rapid as patient was being assessed. +2 pulse. Patient regained consciousness as BP cuff and pulse ox attached. VSS BP 122/69, HR 92, O2 99%. Patient now A+O x4. Color remains pale and patient slightly diaphoretic.   1318 - BP 106/65, HR 91, O2 98   1323 - Patient reports feeling better, just tired. Helped patient to sit up. BP 104/57, HR 96, O2 98. Transport team arrived and took over care.  Following transport team taking over, patient had 1 episode of emesis. 1 low BP after standing up too quickly but that normalized. Was able to tolerate fluids and crackers. Vitals remain stable. Cleared from transport teams care and sent home at 1357.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Lip erythema, Lip pruritus, Lip swelling, Rash, Rash erythematous
Clinical narrative: PATIENT PRESENTED TODAY WITH RED BUMPS ON HIS FACE, BACK AND NECK.  HIS LIPS WERE SWOLLEN.  LOOKS LIKE ENORMOUS HIVES.  RED, ITCHY AND SWOLLEN LIPS.  NO DIFFICULTY BREATHING.  RECOMMENDED NOT GETTING SECOND SHOT, TAKING DIPHENHYDRAMINE AND FOLLOWING UP WITH PHYSICIAN IF SYMPTOMS DO NOT IMPROVE OR GET WORSE
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: PATIENT PRESENTED TODAY WITH RED BUMPS ON HIS FACE, BACK AND NECK.  HIS LIPS WERE SWOLLEN.  LOOKS LIKE ENORMOUS HIVES.  RED, ITCHY AND SWOLLEN LIPS.  NO DIFFICULTY BREATHING.  RECOMMENDED NOT GETTING SECOND SHOT, TAKING DIPHENHYDRAMINE AND FOLLOWING UP WITH PHYSICIAN IF SYMPTOMS DO NOT IMPROVE OR GET WORSE
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate irregular, Hyperhidrosis, Injection site swelling, Peripheral swelling
Clinical narrative: Patient state the day after the vaccine she has been having shortness of breath and a  an irregular heartbeat. She  has been experiencing sweat episodes. Patient also stated that her arm is swelling near the injection site.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Chest pain, Dyspnoea, Exercise tolerance decreased, Painful respiration
Clinical narrative: About a week or so after getting the first vaccine, I developed asthma. It was really painful in my chest to breath and difficult to breath. I ended up being put on 2 different inhaler. One was a rescue inhaler and daily inhaler. These were  prescribed by Dr. As it progressed it was getting harder to exercise and got to the point where talking and normal breathing was difficult.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Writer and witnessed arrived to patient home at 1500. Patient asked if this is here first covid vaccine, and patient stated yes this is my first shot. Writer implemented teaching on answering the consent form correctly pt verbalized understanding and signed consent. vaccine given appropriately. .  during observation  patients friend walked in and stated i got my vaccine card where is yours, patient stated i cant find it, writer re asked patient did you receive a covid vaccine shot and patient stated "oh ya i did i forgot i did it in February at the hospital. teaching implemented to patient, doctor notified in a timely manner, no adverse reaction noted, supervisor notified timely manner.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Headache, Nausea
Clinical narrative: Severe shortness of breath x1 Day, ongoing fatigue, headache, chills, intractable nausea
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Underage patient was given the second dose of Pfizer. Patient was verified to have had 1st dose a month earlier.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Asthma, Citrobacter infection, Citrobacter test positive, Cognitive disorder
Clinical narrative: approximately 10 days after receiving Pfizer COVID Vaccine #1 I started getting asthma. I tested negative for COVID. I saw my PCP who gave me a refill of Albuterol and gave me BREO. I saw him again later because the steroids were making my perimenopause symptoms worse. I got started on Spiriva at that time. I continued to take my regular supplements/ rx as well as the new inhalers.  Approximately 6/20 I got a UTI which seemed to go away after taking mannose, which my naturopath has prescribed in the past. I also had been developing a very dry throat and it got very sore so I stopped taking Spiriva. I only used the antihistamines, nasal sprays and albuterol to manage the asthma.  Due to PCP unavailability I went to Urgent care 7/9 due to the return of UTI symptoms. I tested positive for citrobacter freundii and Macrobid was rxed. My asthma symptoms completely cleared up during this time.  After 7 days I was still having abdominal and groin pain so I returned to Urgent Care 7/16 , who sent me away with antibiotics but the symptoms continued with some additional new pain approximately 2 inches left and 1 inch above my belly button. I went to the ER 7/17 who ran further tests and found my IBS -C was acting up. I had excess fecal matter, was rxed over the counter laxatives.  I had fatigue, decreased cognition and low mood that got worse especially from approximately 6/20 through around 8/4.  I saw my PCP for a follow up on 7/31. He took my timeline of history and the lab results and hypothesized that I had a bacterial overgrowth for a long time and rxed a probiotic, which  I am currently taking daily 1-2x per day. He was not specific, and gave  me a couple of brand names. I found one that has a higher count and am taking that- Vitamin Bounty Pro 100. He also had me start a health tracker which I've been doing daily since 7/31. I started having breathing problems approximately 8/12, and restarted albuterol inhaler 8/16, and my symptoms have again gone away today 8/19.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abdomen normal, Condition aggravated, Depressed mood, Dry throat, Dyspnoea
Clinical narrative: approximately 10 days after receiving Pfizer COVID Vaccine #1 I started getting asthma. I tested negative for COVID. I saw my PCP who gave me a refill of Albuterol and gave me BREO. I saw him again later because the steroids were making my perimenopause symptoms worse. I got started on Spiriva at that time. I continued to take my regular supplements/ rx as well as the new inhalers.  Approximately 6/20 I got a UTI which seemed to go away after taking mannose, which my naturopath has prescribed in the past. I also had been developing a very dry throat and it got very sore so I stopped taking Spiriva. I only used the antihistamines, nasal sprays and albuterol to manage the asthma.  Due to PCP unavailability I went to Urgent care 7/9 due to the return of UTI symptoms. I tested positive for citrobacter freundii and Macrobid was rxed. My asthma symptoms completely cleared up during this time.  After 7 days I was still having abdominal and groin pain so I returned to Urgent Care 7/16 , who sent me away with antibiotics but the symptoms continued with some additional new pain approximately 2 inches left and 1 inch above my belly button. I went to the ER 7/17 who ran further tests and found my IBS -C was acting up. I had excess fecal matter, was rxed over the counter laxatives.  I had fatigue, decreased cognition and low mood that got worse especially from approximately 6/20 through around 8/4.  I saw my PCP for a follow up on 7/31. He took my timeline of history and the lab results and hypothesized that I had a bacterial overgrowth for a long time and rxed a probiotic, which  I am currently taking daily 1-2x per day. He was not specific, and gave  me a couple of brand names. I found one that has a higher count and am taking that- Vitamin Bounty Pro 100. He also had me start a health tracker which I've been doing daily since 7/31. I started having breathing problems approximately 8/12, and restarted albuterol inhaler 8/16, and my symptoms have again gone away today 8/19.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Groin pain, Irritable bowel syndrome, Oropharyngeal pain, Overgrowth bacterial
Clinical narrative: approximately 10 days after receiving Pfizer COVID Vaccine #1 I started getting asthma. I tested negative for COVID. I saw my PCP who gave me a refill of Albuterol and gave me BREO. I saw him again later because the steroids were making my perimenopause symptoms worse. I got started on Spiriva at that time. I continued to take my regular supplements/ rx as well as the new inhalers.  Approximately 6/20 I got a UTI which seemed to go away after taking mannose, which my naturopath has prescribed in the past. I also had been developing a very dry throat and it got very sore so I stopped taking Spiriva. I only used the antihistamines, nasal sprays and albuterol to manage the asthma.  Due to PCP unavailability I went to Urgent care 7/9 due to the return of UTI symptoms. I tested positive for citrobacter freundii and Macrobid was rxed. My asthma symptoms completely cleared up during this time.  After 7 days I was still having abdominal and groin pain so I returned to Urgent Care 7/16 , who sent me away with antibiotics but the symptoms continued with some additional new pain approximately 2 inches left and 1 inch above my belly button. I went to the ER 7/17 who ran further tests and found my IBS -C was acting up. I had excess fecal matter, was rxed over the counter laxatives.  I had fatigue, decreased cognition and low mood that got worse especially from approximately 6/20 through around 8/4.  I saw my PCP for a follow up on 7/31. He took my timeline of history and the lab results and hypothesized that I had a bacterial overgrowth for a long time and rxed a probiotic, which  I am currently taking daily 1-2x per day. He was not specific, and gave  me a couple of brand names. I found one that has a higher count and am taking that- Vitamin Bounty Pro 100. He also had me start a health tracker which I've been doing daily since 7/31. I started having breathing problems approximately 8/12, and restarted albuterol inhaler 8/16, and my symptoms have again gone away today 8/19.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Urinary tract infection, Urine analysis
Clinical narrative: approximately 10 days after receiving Pfizer COVID Vaccine #1 I started getting asthma. I tested negative for COVID. I saw my PCP who gave me a refill of Albuterol and gave me BREO. I saw him again later because the steroids were making my perimenopause symptoms worse. I got started on Spiriva at that time. I continued to take my regular supplements/ rx as well as the new inhalers.  Approximately 6/20 I got a UTI which seemed to go away after taking mannose, which my naturopath has prescribed in the past. I also had been developing a very dry throat and it got very sore so I stopped taking Spiriva. I only used the antihistamines, nasal sprays and albuterol to manage the asthma.  Due to PCP unavailability I went to Urgent care 7/9 due to the return of UTI symptoms. I tested positive for citrobacter freundii and Macrobid was rxed. My asthma symptoms completely cleared up during this time.  After 7 days I was still having abdominal and groin pain so I returned to Urgent Care 7/16 , who sent me away with antibiotics but the symptoms continued with some additional new pain approximately 2 inches left and 1 inch above my belly button. I went to the ER 7/17 who ran further tests and found my IBS -C was acting up. I had excess fecal matter, was rxed over the counter laxatives.  I had fatigue, decreased cognition and low mood that got worse especially from approximately 6/20 through around 8/4.  I saw my PCP for a follow up on 7/31. He took my timeline of history and the lab results and hypothesized that I had a bacterial overgrowth for a long time and rxed a probiotic, which  I am currently taking daily 1-2x per day. He was not specific, and gave  me a couple of brand names. I found one that has a higher count and am taking that- Vitamin Bounty Pro 100. He also had me start a health tracker which I've been doing daily since 7/31. I started having breathing problems approximately 8/12, and restarted albuterol inhaler 8/16, and my symptoms have again gone away today 8/19.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: lymphadenopathy of left axilla started one month after injection, persisting for 4 months and ongoing
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test abnormal, Condition aggravated, Sjogren's syndrome, Urticaria
Clinical narrative: April 3, 2022 I broke out in hives and have had severe back pain to the right of my spine just below waist level.  April 9 I went to my rheumatologist and had a blood draw.  My Sjogrens was back and my numbers were 3x worse than when I last tested positive for the disease
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Eructation, Feeling abnormal, Hyperhidrosis, Nausea, Presyncope
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Symtoms within 30 minutes after the shot: 1. Dizziness, Vertigo-like, head and eye-sight feels different, everything seems spinning and blurred. Feels like fainting. 2. Sweating even though weather is chilly and I am wearing tank tops for easy access for vaccines. 3. Kept on burping, feels a little bit nauseous.  They let me sit down and wait until I feel better.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vision blurred
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Symtoms within 30 minutes after the shot: 1. Dizziness, Vertigo-like, head and eye-sight feels different, everything seems spinning and blurred. Feels like fainting. 2. Sweating even though weather is chilly and I am wearing tank tops for easy access for vaccines. 3. Kept on burping, feels a little bit nauseous.  They let me sit down and wait until I feel better.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Agitation, Alcohol test negative, Angiogram cerebral normal, Arteriogram carotid normal, Atelectasis
Clinical narrative: Patient went to sleep early with lethargy on 7/19/21 @ 7pm. Woke up on 7/20/21 @ 7am with altered mental status (AMS), not responding to verbal commands, non-verbal. Transported to nearest ER via 911. Patient was delirious and agitated, Ativan and prochlorperazine administered, placed on restraints. Developed fever (tmax 102.5), and placed on sepsis pathway. Treated with cefipime, vancomycin, acyclovir, and Tylenol. Borderline low K+, treated with KCl. 48 hours after onset of AMS, pt became oriented and stable; transferred to in-network hospital. **** Discharge diagnosis of encephalitis, unknown cause.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood culture negative, Blood lactic acid normal, Blood magnesium normal, Blood potassium decreased, Blood urea decreased
Clinical narrative: Patient went to sleep early with lethargy on 7/19/21 @ 7pm. Woke up on 7/20/21 @ 7am with altered mental status (AMS), not responding to verbal commands, non-verbal. Transported to nearest ER via 911. Patient was delirious and agitated, Ativan and prochlorperazine administered, placed on restraints. Developed fever (tmax 102.5), and placed on sepsis pathway. Treated with cefipime, vancomycin, acyclovir, and Tylenol. Borderline low K+, treated with KCl. 48 hours after onset of AMS, pt became oriented and stable; transferred to in-network hospital. **** Discharge diagnosis of encephalitis, unknown cause.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Borrelia test negative, CSF culture negative, CSF glucose normal, CSF protein increased, Chest X-ray normal
Clinical narrative: Patient went to sleep early with lethargy on 7/19/21 @ 7pm. Woke up on 7/20/21 @ 7am with altered mental status (AMS), not responding to verbal commands, non-verbal. Transported to nearest ER via 911. Patient was delirious and agitated, Ativan and prochlorperazine administered, placed on restraints. Developed fever (tmax 102.5), and placed on sepsis pathway. Treated with cefipime, vancomycin, acyclovir, and Tylenol. Borderline low K+, treated with KCl. 48 hours after onset of AMS, pt became oriented and stable; transferred to in-network hospital. **** Discharge diagnosis of encephalitis, unknown cause.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Computerised tomogram abdomen abnormal, Computerised tomogram pelvis abnormal, Computerised tomogram thorax abnormal, Cryptococcus test, Cytology abnormal
Clinical narrative: Patient went to sleep early with lethargy on 7/19/21 @ 7pm. Woke up on 7/20/21 @ 7am with altered mental status (AMS), not responding to verbal commands, non-verbal. Transported to nearest ER via 911. Patient was delirious and agitated, Ativan and prochlorperazine administered, placed on restraints. Developed fever (tmax 102.5), and placed on sepsis pathway. Treated with cefipime, vancomycin, acyclovir, and Tylenol. Borderline low K+, treated with KCl. 48 hours after onset of AMS, pt became oriented and stable; transferred to in-network hospital. **** Discharge diagnosis of encephalitis, unknown cause.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Delirium, Differential white blood cell count normal, Electrocardiogram normal, Electroencephalogram abnormal, Encephalitis
Clinical narrative: Patient went to sleep early with lethargy on 7/19/21 @ 7pm. Woke up on 7/20/21 @ 7am with altered mental status (AMS), not responding to verbal commands, non-verbal. Transported to nearest ER via 911. Patient was delirious and agitated, Ativan and prochlorperazine administered, placed on restraints. Developed fever (tmax 102.5), and placed on sepsis pathway. Treated with cefipime, vancomycin, acyclovir, and Tylenol. Borderline low K+, treated with KCl. 48 hours after onset of AMS, pt became oriented and stable; transferred to in-network hospital. **** Discharge diagnosis of encephalitis, unknown cause.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Full blood count normal, Fungal test negative, Herpes simplex test negative, Lethargy, Magnetic resonance imaging head normal
Clinical narrative: Patient went to sleep early with lethargy on 7/19/21 @ 7pm. Woke up on 7/20/21 @ 7am with altered mental status (AMS), not responding to verbal commands, non-verbal. Transported to nearest ER via 911. Patient was delirious and agitated, Ativan and prochlorperazine administered, placed on restraints. Developed fever (tmax 102.5), and placed on sepsis pathway. Treated with cefipime, vancomycin, acyclovir, and Tylenol. Borderline low K+, treated with KCl. 48 hours after onset of AMS, pt became oriented and stable; transferred to in-network hospital. **** Discharge diagnosis of encephalitis, unknown cause.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Mental status changes, Metabolic function test, Procalcitonin normal, Pulmonary mass, Pyrexia
Clinical narrative: Patient went to sleep early with lethargy on 7/19/21 @ 7pm. Woke up on 7/20/21 @ 7am with altered mental status (AMS), not responding to verbal commands, non-verbal. Transported to nearest ER via 911. Patient was delirious and agitated, Ativan and prochlorperazine administered, placed on restraints. Developed fever (tmax 102.5), and placed on sepsis pathway. Treated with cefipime, vancomycin, acyclovir, and Tylenol. Borderline low K+, treated with KCl. 48 hours after onset of AMS, pt became oriented and stable; transferred to in-network hospital. **** Discharge diagnosis of encephalitis, unknown cause.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: SARS-CoV-2 test negative, Scan with contrast normal, Thyroid function test normal, Toxicologic test normal, Treponema test negative
Clinical narrative: Patient went to sleep early with lethargy on 7/19/21 @ 7pm. Woke up on 7/20/21 @ 7am with altered mental status (AMS), not responding to verbal commands, non-verbal. Transported to nearest ER via 911. Patient was delirious and agitated, Ativan and prochlorperazine administered, placed on restraints. Developed fever (tmax 102.5), and placed on sepsis pathway. Treated with cefipime, vancomycin, acyclovir, and Tylenol. Borderline low K+, treated with KCl. 48 hours after onset of AMS, pt became oriented and stable; transferred to in-network hospital. **** Discharge diagnosis of encephalitis, unknown cause.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Typhus rickettsia test, Unresponsive to stimuli, Urine analysis normal, West Nile virus test negative
Clinical narrative: Patient went to sleep early with lethargy on 7/19/21 @ 7pm. Woke up on 7/20/21 @ 7am with altered mental status (AMS), not responding to verbal commands, non-verbal. Transported to nearest ER via 911. Patient was delirious and agitated, Ativan and prochlorperazine administered, placed on restraints. Developed fever (tmax 102.5), and placed on sepsis pathway. Treated with cefipime, vancomycin, acyclovir, and Tylenol. Borderline low K+, treated with KCl. 48 hours after onset of AMS, pt became oriented and stable; transferred to in-network hospital. **** Discharge diagnosis of encephalitis, unknown cause.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hyperhidrosis
Clinical narrative: Pt had difficulty breathing, diaphoretic. Call 911.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Lymphadenopathy, Pain in jaw
Clinical narrative: 70-year-old female with past medical history of hypertension presenting with feeling of swollen salivary glands and temporomandibular jaw pain after receiving the second dose of her Covid vaccine earlier this afternoon.  Patient states that 4 minutes after she received her Covid shot, she bent down to grab something inside her bag, and when she sat back up felt that her face was flushed, and felt swelling in her submandibular salivary glands as well as in her bilateral TMJ areas.  No rash, throat pain, voice changes, or oropharyngeal swelling.  No shortness of breath.  Symptoms improved after drinking water.  Exam overall reassuring.  Low suspicion for anaphylaxis.  Given ibuprofen for TMJ pain.  Recommended continued symptomatic management at home.  Stable for discharge home at this time.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Headache, Mobility decreased, Nausea
Clinical narrative: Weakness, nausea, headache, severe aches, high temp, extreme pain in an area in my spine that has screws and a cage.  I was down for 3 weeks.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Spinal pain
Clinical narrative: Weakness, nausea, headache, severe aches, high temp, extreme pain in an area in my spine that has screws and a cage.  I was down for 3 weeks.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood count normal, Full blood count, Platelet count normal, Uterine haemorrhage
Clinical narrative: Patient reports that the day following her second Pfizer Covid vaccine she started having menstrual bleeding that lasted 3 months.  Her previous menstrual cycle had been 9 months prior to this .
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pyrexia
Clinical narrative: Very high fever (104 degrees at highest), Loss of leg mobility for 14 hours.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID no known contacts, moderate symptoms got infusion treatment today 08/19/2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus
Clinical narrative: Patients spouse reported patients arm swollen and extreme itching.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Syncope, Vision blurred
Clinical narrative: Light headedness, fainting, blurry vision, sweating
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Hyperhidrosis, Pallor, Presyncope, Skin warm
Clinical narrative: Pt reports hx of "fainting" after receiving injections or lab draws. Client received injection of J&J then client's color appear very pale and became diaphoretic,  Client  had near-syncope episode, moved client to floor and raised feet into chair. Skin diaphoretic and remains  pale. Vs checked WNL, Awake and mild anxiety noted, clam emotional support given. Lungs clear, no facial swelling or difficulty breathing noted. Over 15-20 minutes color improved, skin warm and moist but no diaphoresis present. vs remain stable, reported feeling better speech clear. Assisted client to sitting position, po fluids given tolerated well, snack provided vs stable continues to deny any issues, allergic reaction noted.  After lapse of 45 minutes total, vs stable, pt up walking around and sent home.  Dr. (medical director) notified of incident.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mood altered, Polymenorrhoea, Premenstrual syndrome
Clinical narrative: my period is now very off  i have been extremely regular for decades but they have been off ever since the vaccination -it  can be as much as 18 days early and they are now "evening off" & happening every 3 weeks - this affects my moods and mental health (pmsing more often SUCKS ) as well as having limited eggs left and now they're going faster.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Blood test abnormal, Bronchitis, Carbon dioxide increased, Chest X-ray normal
Clinical narrative: I still had asthma from the first dose, a week after getting the second dose, I started getting a painful cough and running fevers. The fevers were from 100-103. I was a having a much harder time breathing and still using my inhalers, I was getting dizzy from climbing the stairs at home. I waited for about a month to go to the hospital, I was coughing up stuff. At the urgent care in the hospital in June I was diagnosed with bronchitis and was put on a Z-pak antibiotic and steroids for a few days. Since then, I have been back to the ER 2 other times. I have been diagnosed with bronchitis 2 more times, still running fevers off and on up to 102F. I am now using a nebulizer four times per day and I am on steroids all the time. In a week I am getting a pulmonary function test and seeing a pulmonologist in September.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Cough, Dizziness, Dyspnoea, Oxygen saturation decreased
Clinical narrative: I still had asthma from the first dose, a week after getting the second dose, I started getting a painful cough and running fevers. The fevers were from 100-103. I was a having a much harder time breathing and still using my inhalers, I was getting dizzy from climbing the stairs at home. I waited for about a month to go to the hospital, I was coughing up stuff. At the urgent care in the hospital in June I was diagnosed with bronchitis and was put on a Z-pak antibiotic and steroids for a few days. Since then, I have been back to the ER 2 other times. I have been diagnosed with bronchitis 2 more times, still running fevers off and on up to 102F. I am now using a nebulizer four times per day and I am on steroids all the time. In a week I am getting a pulmonary function test and seeing a pulmonologist in September.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, Total lung capacity decreased
Clinical narrative: I still had asthma from the first dose, a week after getting the second dose, I started getting a painful cough and running fevers. The fevers were from 100-103. I was a having a much harder time breathing and still using my inhalers, I was getting dizzy from climbing the stairs at home. I waited for about a month to go to the hospital, I was coughing up stuff. At the urgent care in the hospital in June I was diagnosed with bronchitis and was put on a Z-pak antibiotic and steroids for a few days. Since then, I have been back to the ER 2 other times. I have been diagnosed with bronchitis 2 more times, still running fevers off and on up to 102F. I am now using a nebulizer four times per day and I am on steroids all the time. In a week I am getting a pulmonary function test and seeing a pulmonologist in September.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Nervousness
Clinical narrative: At 13:40, client received his 1st dose Pfizer vaccination (Lot#FC3183).  At approximately 13:55, the client was sitting in the observation area and got up to leave.  As he was walking down the hallway, the client stated he, ?began to feel a little dizzy,? and returned to the observation area.  He informed EMT and she had him sit down in a chair.  EMT radioed Lead Nurse to come over to assess the patient.  At approximately 13:56, Lead Nurse addressed the client and found he preferred to speak in Spanish.  Lead Nurse requested Co-Lead Nurse come over to translate.  EMT took client?s vitals at 13:56 (HR:  87, BP:  150/100, SpO2:  98).  The client stated he was feeling a little dizzy, but ?felt fine now.?  He stated he was nervous about the getting the vaccine.  He stated he has no underlying medical conditions (including no high blood pressure) and takes no medications.  He then stated he previously had high cholesterol, but has never taken anything for it.  He also stated he had a slight headache this morning, and took Tylenol before he came.  He stated he has no allergies and had eaten within the last couple of hours.  Lead Nurse asked client if he was experiencing any shortness of breath, difficulty breathing, or chest pain, to which the client responded, ?no.?  The client then stated when he felt the dizziness, he also felt a little chest pressure for approximately 1 second and then it went away.  At 14:01, EMT took client?s vitals again (BP:  148/90, HR: 71, SpO2: 99%).  Client stated he did not feel any side effects anymore.  Lead Nurse offered the client some water, which the client accepted and began drinking.  The client then stated he could communicate in English.  Lead Nurse advised client to continue to sit in the observation area for an additional 15 minutes and alert the EMT if he started to experience any discomfort.  Client originally came in with his wife and daughter, but they had to leave.  Client stated he could take the bus home or call his brother-in-law for a ride after waiting.  Client did not have a phone and the Lead Nurse gave him her phone to use.  Client stated his brother-in-law was on the way to pick him up.  The Lead Nurse and EMT approached the client at 14:16 and asked how he was feeling.  The client stated he felt his headache from earlier might be coming back, but overall he ?felt fine.?  The EMT then took client?s vitals (BP:  142/90, HR: 74, SPO2:  97%).  Client finished drinking his water and declined a snack.  Client stated he was ready to go and would meet his brother-in-law downstairs.  At 14:20 Lead Nurse walked client outside.  Client walked with a steady gait when exiting the building and continued to state he was ?fine and ready to go.?  Client stated he would sit and wait for his ride on the bench outside the building.  Lead RN educated client on both the potential side effects and adverse effects of the vaccine, when to seek medical attention, and ER precautions.  Client stated he understood and was ?ready to go.?
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Arthralgia, Asthenia, Decreased appetite, Diarrhoea
Clinical narrative: middle of the night started vomiting, headache, diarrhea, fatigue, legs collapsed, feet feel like she is wearing wool socks, lost of taste, joint pains everywhere and high fever and no appetite
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia, Sensory disturbance, Vomiting
Clinical narrative: middle of the night started vomiting, headache, diarrhea, fatigue, legs collapsed, feet feel like she is wearing wool socks, lost of taste, joint pains everywhere and high fever and no appetite
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No Adverse event, second vaccine given 16 days from first dose
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tachycardia
Clinical narrative: I experienced a couple of episodes of faintness after the first 10 minutes after the vaccine was administered and then I started to have waves of tachycardia symptoms which lasted for two weeks. I talked to my doctor and was advised to treat the symptoms by hydrating myself and continuing to take my beta blockers.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Heart rate decreased
Clinical narrative: 1st night my heart felt like it was flipping out, my watch health monitor could not determine if it was afib, but was not sinus rhythm (undetermined).  Additionally it is showing Lower than average heart rate and I have the feeling of heaviness in my chest making it harder to breath.  I have shortness of breath from normal walking, normal activities.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: On April 29th, 2021, the client had a Pfizer first dose taken from LACVP. Due to not being able to find an option to get a second dose of Pfizer, the client chose the option of taking the second mRNA type vaccine of Moderna as the second dose.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral embolism, Ultrasound Doppler
Clinical narrative: 24 hours after the shot, patient had a blood clot in her foot.  she went to a walk in clinic and was then sent to the hospital to get her foot scanned.  patient was released and told to monitor for any additional symptoms
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Hyperhidrosis, Pallor, Seizure
Clinical narrative: Patient walked to chair to stay for observation after receiving the vaccine and patient started to stare off. And then proceeded to sit down in the chair and started having a seizure. He started sweating profusely and turned very pale. Patient vitals (blood pressure and temperature) were taken and 911 was called. Patient kept asking for water and stating that he was okay. Vitals were within normal range but patient still was sweating very badly. Then EMT and fire department showed up. They continued with care. Patient did not want to go to the hospital and called for a ride to pick him up.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Oropharyngeal pain, Peritonsillar abscess, Tonsillar hypertrophy
Clinical narrative: sore throat, fatigue, headache, swollen tonsils with pus pocket on tonsil.  Took tylenol, used listerine and gargled with water.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Neuropathy peripheral
Clinical narrative: peripheral nueropathy, insimnia
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Rash
Clinical narrative: pt had severe rash all over body and slight shortness of breath 2 hours after taking vaccine. pt took benadryl. symptoms have not gotten worse. called pharmacy to update the next day.  pt has not been seen by provider.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blister, Fatigue, Myalgia, Oral herpes
Clinical narrative: pt had severe rash all over body and slight shortness of breath 2 hours after taking vaccine. pt took benadryl. symptoms have not gotten worse. called pharmacy to update the next day.  pt has not been seen by provider.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pruritus, Pyrexia, Rash, Skin exfoliation
Clinical narrative: pt had severe rash all over body and slight shortness of breath 2 hours after taking vaccine. pt took benadryl. symptoms have not gotten worse. called pharmacy to update the next day.  pt has not been seen by provider.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin haemorrhage
Clinical narrative: pt had severe rash all over body and slight shortness of breath 2 hours after taking vaccine. pt took benadryl. symptoms have not gotten worse. called pharmacy to update the next day.  pt has not been seen by provider.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Lethargy, Pain
Clinical narrative: Ache Fatigue Lethargic
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Gait inability, Myositis
Clinical narrative: On 8/15, patient woke up unable to walk. At hospital he was diagnosed with myositis. Although a clear link could not be connected to the vaccine, patient had not been sick for months, and has never had myositis before. He was given saline solution and sent home when he could walk better, but he woke up on Monday morning incapacitated again. Thankfully he quickly regained his ability to walk on Monday and since then his muscles have slowly built back up. There have not been any neurological symptoms, so we do think it was myositis.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Fibrin D dimer increased, Limb discomfort, Muscle spasms
Clinical narrative: On June 5th, I sought treatment at an urgent care clinic for a heavy, crampy feeling in my left calf muscle that had persisted for several days.  After a blood test for inflammation factors, I was sent to the ER for an ultrasound which confirmed the presence of a DVT/clot.  I was prescribed blood thinners, elevation, and mild exercise, and released.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: On June 5th, I sought treatment at an urgent care clinic for a heavy, crampy feeling in my left calf muscle that had persisted for several days.  After a blood test for inflammation factors, I was sent to the ER for an ultrasound which confirmed the presence of a DVT/clot.  I was prescribed blood thinners, elevation, and mild exercise, and released.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Seizure, Tremor
Clinical narrative: Had convulsion tremor chills for 3 hours body shook uncontrollably
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blindness unilateral, Diarrhoea, Injection site rash, Magnetic resonance imaging
Clinical narrative: Pt reported 24 hours post vaccine on 7/17/21, developed N/V, diarrhea, weakness and rash at injection site.  Went to ER on 7/18 and diagnosed with "reaction to COVID19 Vaccine."  Was given IV fluids, IV Benadryl and a dose of Reglan.  Discharged to home.  Upon waking on 7/19/21 from a nap, reported loss of vision in right eye.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Vaccination complication, Vomiting
Clinical narrative: Pt reported 24 hours post vaccine on 7/17/21, developed N/V, diarrhea, weakness and rash at injection site.  Went to ER on 7/18 and diagnosed with "reaction to COVID19 Vaccine."  Was given IV fluids, IV Benadryl and a dose of Reglan.  Discharged to home.  Upon waking on 7/19/21 from a nap, reported loss of vision in right eye.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Blindness unilateral, Computerised tomogram, Conversion disorder, Electroencephalogram
Clinical narrative: Pt reported 24 hours post vaccine on 7/17/21, developed N/V, diarrhea, weakness and rash at injection site.  Went to ER on 7/18 and diagnosed with "reaction to COVID19 Vaccine."  Was given IV fluids, IV Benadryl and a dose of Reglan.  Discharged to home.  Upon waking on 7/19/21 from a nap, reported loss of vision in right eye.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fall, Headache, Impaired work ability, Loss of consciousness, Magnetic resonance imaging
Clinical narrative: Pt reported 24 hours post vaccine on 7/17/21, developed N/V, diarrhea, weakness and rash at injection site.  Went to ER on 7/18 and diagnosed with "reaction to COVID19 Vaccine."  Was given IV fluids, IV Benadryl and a dose of Reglan.  Discharged to home.  Upon waking on 7/19/21 from a nap, reported loss of vision in right eye.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Seizure, Speech disorder, Venogram, Vision blurred, Vomiting
Clinical narrative: Pt reported 24 hours post vaccine on 7/17/21, developed N/V, diarrhea, weakness and rash at injection site.  Went to ER on 7/18 and diagnosed with "reaction to COVID19 Vaccine."  Was given IV fluids, IV Benadryl and a dose of Reglan.  Discharged to home.  Upon waking on 7/19/21 from a nap, reported loss of vision in right eye.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Wheelchair user
Clinical narrative: Pt reported 24 hours post vaccine on 7/17/21, developed N/V, diarrhea, weakness and rash at injection site.  Went to ER on 7/18 and diagnosed with "reaction to COVID19 Vaccine."  Was given IV fluids, IV Benadryl and a dose of Reglan.  Discharged to home.  Upon waking on 7/19/21 from a nap, reported loss of vision in right eye.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Dizziness, Vomiting
Clinical narrative: Dizziness, vomiting
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy endometrium abnormal, Breast swelling, Uterine leiomyoma, Vaginal discharge, Vaginal haemorrhage
Clinical narrative: I am in menopause. I experienced what felt like an ovulation cycle with tender and swollen breasts, and viscous discharge from my vagina. I then had breakthrough bleeding, like a very small period. The symptoms eventually passed like an ovulation cycle and I had no more bleeding. I saw my primary care doctor and she recommended we do an endometrial biopsy. These are her notes - Endometrial Biopsy Procedure Note: Performing Provider: MD; Pre-op DX: Post Menopausal Bleeding; Post-op DX: Post Menopausal Bleeding; Anesthesia: PCB; Complications: none.   Patient is a 59 YO P1 who presents for endometrial biopsy for PMP bleeding in 5/21 (PMP x 2yrs).  She is currently using PMP for contraception.  She is currently sexually active w/ partner of 18yrs.      U/s 5/13/21: Uterus measures 6.6 x 3.9 x 4.7 cm and is retroflexed.  There is a subserosal 7 x 3 x 5 mm hypoechoic lesion posterior aspect of the fundus indicative of a small fibroid.  Otherwise, no focal abnormality. Endometrium measures 5 mm and appears normal. There is no free fluid in the cul-de-sac. Urinary bladder is empty. Pelvic vessels appear unremarkable on this examination. Unable to visualize the right ovary.  The left ovary measures 1.7 x 1.1 x 1.5 cm with internal flow.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Fatigue, Headache, Heart rate abnormal
Clinical narrative: 8/18/21: immediately after injection (5:00pm) - dizziness, nausea, racing heart, heart rate fluctuating from really high (120bpm) to low (50-60bpm) for about 15min, muscle pain in shoulders  8/18/21: (8:00pm) - arm pain and soreness 8/19/21: (7:00am) - arm pain and soreness 8/19/21: (10:00am) - tiredness, achy 8/19/21: (12:30pm) - extremely achy, extreme muscle pain in lower back and legs, nausea, headache 8/19/21: (3:00pm-6:00pm) - achy, muscle pain, fever, headache, tiredness
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Monoplegia, Myalgia, Nausea, Pain
Clinical narrative: 8/18/21: immediately after injection (5:00pm) - dizziness, nausea, racing heart, heart rate fluctuating from really high (120bpm) to low (50-60bpm) for about 15min, muscle pain in shoulders  8/18/21: (8:00pm) - arm pain and soreness 8/19/21: (7:00am) - arm pain and soreness 8/19/21: (10:00am) - tiredness, achy 8/19/21: (12:30pm) - extremely achy, extreme muscle pain in lower back and legs, nausea, headache 8/19/21: (3:00pm-6:00pm) - achy, muscle pain, fever, headache, tiredness
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations, Pyrexia
Clinical narrative: 8/18/21: immediately after injection (5:00pm) - dizziness, nausea, racing heart, heart rate fluctuating from really high (120bpm) to low (50-60bpm) for about 15min, muscle pain in shoulders  8/18/21: (8:00pm) - arm pain and soreness 8/19/21: (7:00am) - arm pain and soreness 8/19/21: (10:00am) - tiredness, achy 8/19/21: (12:30pm) - extremely achy, extreme muscle pain in lower back and legs, nausea, headache 8/19/21: (3:00pm-6:00pm) - achy, muscle pain, fever, headache, tiredness
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dry throat, Hyperhidrosis, Nausea
Clinical narrative: PATIENT WAS VERY NERVOUS BEFORE THE VACCINE. AFTER THE VACCINE WAS GIVEN SHE SAID   HER THROAT WAS DRY. SHE SAID SHE HAD NO TROUBLE BREATHING. I GAVE HER WATER AND SHE SAID SHE FELT BETTER. THEN SHE SAID SHE FELT LIKE SHE MIGHT VOMIT AND SHE WAS SWEATING. THEN SHE SAID MAYBE HER BLOOD SUGAR WAS LOW SO WE GAVE HER SOME FOOD AND A COKE. SHE SAT ON FLOOR AND PUT HEAD ON CHAIR . THIS WENT ON FOR AN A BIT  BEFORE I CALLED NURSE PRACTIONER FROM TLC. WE DECIDED SINCE SHE WASN'T GETTING BETTER AND WE WOULD CALL PARAMEDICS. THEY CAME AFTER AN ASSESSMENT DECIDED SHE MOST LIKELY HAD A ANXIETY ATTACK
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Chest discomfort, Dizziness, Dyspnoea, Headache
Clinical narrative: After receiving the first shot of the Moderna vaccine I experienced nothing more than a sore arm on the first day. The next day I developed a headache, on/off fever, and muscle aches, dizziness and slight nausea. On the third day after receiving the vaccine I started to feel a tightness in my chest, specifically on the left (heart) side of my chest. With this I also starting having tiny shooting pains on my heart side, heart palpitations and irregular breathing- as if I was short on breath. The headache lasted for two weeks, the chest pain/ tightness and palpitations still remain happening three weeks after the first shot and I still catch myself gasping for air once and a while. Before getting this vaccine I had zero health issues, no trouble breathing, no chest pain or heart palpitations. I do not take any medications and have no underlying known health issues. Now I am having trouble with my normal activities such as working out, or simple house cleaning. I feel tired, and my chest pain is constant. I am terrified that my heart is working overtime and that I may have a heart attack or a stroke because of this vaccine. * to note about taking Claritin D the day of getting the Vaccine- I have not taken it since.