chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Pain in extremity
Clinical narrative: covid vaccine 3/31/2021 Pt reports left leg pain 4/1/2021 Pt went to PCP (myself) 4/5/2021 and c/o left calf pain x 1 week  Ordered venous duplex Lower extremity left leg  Pt went to ultrasound radiology 4/7/2021 Same day referred to ER for treatment/Referred to  ER given complex history indication for IV heparin Pt went to ER 4/8/2021, Patient received 1 dose of LMWH and then started on apixaban -induction, then maintenance therapy.   Seen for follow up 4/28/2021 outpatient
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Nausea, Pain, Pyrexia
Clinical narrative: Chills, fever, body aches, nausea
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: pt complained of throat tightening.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cerebrovascular accident, Computerised tomogram head abnormal, Death, Dizziness
Clinical narrative: Patient received her shot and felt very weak within 24 hours.  The week of 4/4/2021 began to feel dizzy and stated she felt unwell.  Her blood pressure and heart rate were taken and she was having an elevated heart rate.  Her normal heart rate is around 50 BPM and her heart rate jumped to over 100 BPM.   This continued on and off for a couple of weeks.  The week of 4/18/2021, began having shortening of breath.    On 4/25/2021, was found in her home unresponsive. Suffered a stroke and was taken to a hospital.  She was transferred to a hospice unit on 4/26/2021. She passed away on 4/28/2021
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased, Malaise, Unresponsive to stimuli
Clinical narrative: Patient received her shot and felt very weak within 24 hours.  The week of 4/4/2021 began to feel dizzy and stated she felt unwell.  Her blood pressure and heart rate were taken and she was having an elevated heart rate.  Her normal heart rate is around 50 BPM and her heart rate jumped to over 100 BPM.   This continued on and off for a couple of weeks.  The week of 4/18/2021, began having shortening of breath.    On 4/25/2021, was found in her home unresponsive. Suffered a stroke and was taken to a hospital.  She was transferred to a hospice unit on 4/26/2021. She passed away on 4/28/2021
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Intensive care
Clinical narrative: Severe anaphylaxis, requiring epinephrine drip and stay in ICU, now resolved.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was 16 at time of vaccine and not 18. No adverse reaction at time of shot.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in the ears
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: Complaint: Patient's other complaint today is that she developed bruising to both legs in the past few weeks.  Contributing medical hx/Additional Narrative: Patient reports she has been doing some work outside but doesn't remember hurting her legs. She denies bleeding disorders in the family. Patient reports that she did have a blood clot in the left thigh after being hit by a softball. Otherwise has not had any other blots or bleeding issues. Patient does report that she has tended to bruise easily in the past.    Patient also reports she thinks the bruising started AFTER her first covid vaccine was on 4/1/21 and she had her last dose last Friday on 4/23/21. Patient had Pfizer vaccine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Depression
Clinical narrative: anxiety and depression
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized on 3/22/21 and 4/6/21. These visits are within 6 weeks of receiving COVID vaccination.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Myocardial infarction, Thrombosis
Clinical narrative: patient developed severe chest pain, ambulance was called and patient was taken to ER. Patient was transferred to higher level facility and was told he had a heart attack and that it was caused by a "blood clot"
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Day 1 - headaches, nausea, body aches, fever, chills Day2  to present- Body rash
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Day 1 - headaches, nausea, body aches, fever, chills Day2  to present- Body rash
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Pyrexia, Ultrasound abdomen normal
Clinical narrative: fever and stomach cramping, this is patients first pregnancy, delivery date is August 21, 2021
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site cellulitis, Vaccination site pain, Vaccination site warmth
Clinical narrative: Cellulitis left upper arm at vaccine site. Erythema measures 17.0 cm x 12.0 cm, area is warm to touch and painful
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Feeling hot, Swelling
Clinical narrative: shoulder pain, swelling, heat
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Palpitations
Clinical narrative: patient called to complain of throbbing joints and heart palpitations. told patient to contact her physician
Age: 52.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound scan
Clinical narrative: shot on wednesday, on thursday,  i began experiencing pain in right leg? by sunday pain in the calve muscle? went to ER on Monday afternoon? and was Diagnosed with a DVT? (note, I have no history of blood clots/DVT)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Palpitations
Clinical narrative: One week after getting the vaccine I started feeling very weak with severe headaches. I was also having  palpitations. It's 2 weeks now and I am still having the headaches and palpitations.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Mental disorder
Clinical narrative: presented to ED with AMS. acute stroke( not a TPA candidate) and Hepatic encephalopathy, had missed lactulose for last 2 days . PMHX  CAD and MI
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling hot, Hyperhidrosis, Malaise, Pallor
Clinical narrative: Patient sat for her 15 minute observation. About 3-5 minutes into sitting she reported "not feeling well". Pharmacy staff responded with cold compress, water, and advised to lower head if feeling faint. Patient appeared sweating and pale but shortly after drinking water and removing clothing she quickly improved. It is my opinion the patient was anxious and over heated.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Fatigue, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: "74 year old female with Past Medical History DM II, ESRD on HD, hep A, HTN, HLD, presented to ER with worsening cough and fatigue. She says she completed her covid vaccination series in February 2021. She worsened over the weekend with her symptoms and wen to urgent care and was directed to ER. In the ER she has required 5-6L NC for hypoxia and she was placed on NRB therapy. She denies chest pain, palpitations, abdominal pain, constipation, diarrhea, headache, vision changes, slurred speech"
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: Tired, achy, chills, fever, headache Sore left arm
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Nothing at first but a little over a month after getting my second injection I developed a low grade fever, chills, sore all over my body.  I do not know if these are related to the shot or not
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: Patient had Second Pfizer dose on 3/30/21 and on 4/26/21 was diagnosed with a right leg DVT.  She is undergoing hereditary hypercoagulation evaluation. She is otherwise up to date on her cancer screenings. No other provoking factors.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Pt presented to clinic today for evaluation of rash s/p covid vaccination.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Aldolase normal, Arthralgia, C-reactive protein normal, Fibrin D dimer, Lymphadenopathy
Clinical narrative: Next day, arm soreness and mild joint pain 4 days later--swollen lymph node 5 days later--increase in joint pain and muscle pain 20 Days later---deep muscle soreness and increase in joint pain
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Next day, arm soreness and mild joint pain 4 days later--swollen lymph node 5 days later--increase in joint pain and muscle pain 20 Days later---deep muscle soreness and increase in joint pain
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Lagophthalmos
Clinical narrative: Patient had Pfizer vaccine #2 on April 22, 2021, at pharmacy.  He presents to the office today with fairly sudden left facial droop that started around noon today, April 28, 2021.  He has normal vision, normal hearing, and has incomplete paralysis of the left face (partially able to close eye).
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Date of service was 4/2/21 and patient is still currently hospitalized. Diagnosis is acute hypoxemic respiratory failure due to COVID 19.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given vaccine outside of age recommendations
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The vaccine was administered even though he was only 16 years of age. He tolerated it well and mild (typical) post-vaccine side effects. Per CDC guidelines, he returned for a second dose (on 4/20/2021.)
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given vaccination outside of age recommendation
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Discomfort, Endometriosis, Pain
Clinical narrative: 1 week post injection patient began having pain and pressure identical to previous symptoms of endometriosis. Prior to vaccination, patient had no endometriosis symptoms for ~20 years. Symptoms have, and continue to increase in severity and patient is now seeking treatment from Dr. (appointment scheduled for 5/28/2021, the earliest available appointment).
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot
Clinical narrative: Patient started to feel hot 10 minutes after shot was administered. Then patient started to pass out 5 minutes thereafter. Patient was given a bottle of water and ice pack in order to cool down. Blood pressure was being monitored. After 15 minutes of adverse reaction occurred patient started to feel better. EMT's arrived and monitored patient before he was released 30 minutes after adverse reaction had started.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Today on 4/28/2021 patient received COVID-19 Moderna Vaccine dose #1 at our clinic's vaccine event. Patient did not disclose he had previously received COVID-19 Pfizer Vaccine dose #1 on 1/20/2021 and dose #2 on 2/10/2021 prior to receiving COVID-19 Moderna Vaccine dose #1 with us and did not show vaccine record card that showed previous Pfizer doses. Patient has not experienced any adverse reactions yet but to follow up with PCP on 4/29/2021 via Telehealth for symptom monitoring.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given outside of age recommendation
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Epistaxis, Lymphadenopathy
Clinical narrative: Pt called call center c/o temp of 99F, chills, bloody nose and swelling lymph nodes. Pt denied acute distress at time of call. Pt received moderna vaccine on Friday 4/23/21 at facility.  Pt informed to go to Medical facility due to swelling.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: when giving the shot patient felt tingling going down her arm immediately.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given outside of age recommendations
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Head injury, Laboratory test normal, Loss of consciousness, Syncope
Clinical narrative: Patient was administered Pfizer vaccine and immediately had a Vasovagal syncope event.  Patient fell from a standing position and impacted head to floor. Patient regained conscious within 10sec, able to speak full clear sentences, A&Ox4, denied any pain, no gross deformity, bruising, or trauma noted. EMS notified and ambulance arrived to transport patient to ED for further evaluation. ED physician evaluated patient, performed EKG and Lab work and released patient to full care at home.  Vital Signs following return to consciousness: BP: 110/80 HR: 80 RR: 16 on room air  Due to the head impact and concern for greater evaluation. EMS Fire was notified. EMS arrived at 0910, assessed patient and agreed with determination for no cervical or lumbar pain. EMS allowed patient to ambulate to ambulance.   Patient did not receive any medication during event and syncope resolved spontaneously.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Incorrect dose administered
Clinical narrative: Patient received dose of moderna vaccine on 4/16/21 and did not report dose to pharmacist on questionnaire.  It was discovered that patient received dose after jannsen vaccine was given and pharmacist was logging information.  Patient was instructed to contact physician for further follow up.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Widespread itching started approximately 5 hours after the vaccine. No rash or hives noted at the time of this appointment. No difficulty breathing, wheezing, nausea, or vomiting.
Age: 17.0
Sex: U
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given outside of age recommendation
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Loss of consciousness, Nausea, Tunnel vision
Clinical narrative: Ten minutes after receiving shot, she became hot with tunnel vision. Patient passed out for a few seconds. Was very nauseous and dizzy and vomitted several times.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Ten minutes after receiving shot, she became hot with tunnel vision. Patient passed out for a few seconds. Was very nauseous and dizzy and vomitted several times.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: My menstrual cycle changed drastically, temporarily, right around my vaccines. I am extremely regular with a normal cycle length of 26 or 27 days. I had my hormones checked less than a year prior to the vaccines as part of a routine exam and was told not to expect any age-related changes anytime soon. The cycle I was in when I received my first dose (12/30/20) was extended by about 3 days - not groundbreaking, but noticeable to me. Then following my second dose (1/27/21), I completely missed a period. So the 2 cycles during which I had my vaccines were 30 days and 53 days long instead of my usual 26-27. Now, a couple months later, I have returned to my usual schedule.  It was unsettling for my cycle to be affected and at first it didn't occur to me that it could have been related to the vaccine, but the timing was exactly aligned so it seems very likely it was causal.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Dizziness, Electrocardiogram QT interval, Headache
Clinical narrative: 2 minutes after vaccine patient loss consciousness and passed out. Very dizzy with headache, nausea and some chest pain.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea
Clinical narrative: 2 minutes after vaccine patient loss consciousness and passed out. Very dizzy with headache, nausea and some chest pain.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Oropharyngeal pain, Pain
Clinical narrative: Evening of 4/26-  body aches, shivering cold (could not get warm with warm clothes and blankets) Day of 4/27- extreme exhaustion, shivering and sweating Day of 4/28- mouth sores, swollen tongue, sore throat, mildly tired
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Stomatitis, Swollen tongue
Clinical narrative: Evening of 4/26-  body aches, shivering cold (could not get warm with warm clothes and blankets) Day of 4/27- extreme exhaustion, shivering and sweating Day of 4/28- mouth sores, swollen tongue, sore throat, mildly tired
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache has persisted since night of vaccine and today?s date is April 28th
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Seen in Emergency Center for "evaluation of fatigue and dry cough ongoing for the past 2 days".  04/14/21 SARS-CoV-2 (COVID-19) by NAA, Micro - DETECTED.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given outside of age recommendation
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given outside of age recommendations
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Patient presented to the ED and was subsequently admitted within 6 weeks of receiving COVID vaccination. Diagnosis was pneumonia due to COVID 19 infection.
Age: 15.0
Sex: U
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given outside of age recommendation
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Injection site bruising, Injection site swelling
Clinical narrative: Next day, bruises started to appear on the left side of patient's body.  Bruises around and below injection site with swelling, bruises below injection site, on stomach, knee area, and foot.  Pt came in today 4/28 stating bruises are going away and no new bruise sites are appearing.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration
Clinical narrative: Patient experimented skin hyperpigmentation on vaccine site right after it was administered and the skin still did not return to normal color since.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: RN witnessed the administration of the Moderna vaccine to this patient by a volunteer RN. After the administration of the vaccine, a small amount of vaccine dripped out of the patient's arm. The needle was then placed on the table without being capped and a miniscule amount of vaccine was still left in the syringe (approximately 0.02ml). After noticing this, the RN that had administered the vaccine was spoken with and taken out of circulation shortly thereafter.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite
Clinical narrative: Vaccine given outside of age recommendation
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 48 hours after injection, I noticed a red raised area about 2" in diameter approximately 1" from the injection site. It was hot to touch, with a noticable lump under the skin, mildly itchy/painful. It has increased in diameter each day, to 3" wide by 5" long on the 7th day from vaccination. Following application of ice packs at the recommendation of my PCP on days 5-7, the lump is much less noticable, and it is only slightly warmer than the surrounding skin to touch.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: 48 hours after injection, I noticed a red raised area about 2" in diameter approximately 1" from the injection site. It was hot to touch, with a noticable lump under the skin, mildly itchy/painful. It has increased in diameter each day, to 3" wide by 5" long on the 7th day from vaccination. Following application of ice packs at the recommendation of my PCP on days 5-7, the lump is much less noticable, and it is only slightly warmer than the surrounding skin to touch.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pharyngeal paraesthesia, Pruritus, Tremor
Clinical narrative: Pt called to c/o adverse effect to pfizer vaccine received at stadium on 4/22/21. Pt said evening of Thursday 4/22/21, he felt tingling on tongue and back of throat. Friday tingling increased and by evening, per pt, increased tingling, shaking of lips, itchiness all over body. Pt called PCP advise nurse and was advised to take benadryl, Per pt, he took benadryl on Friday evening. On Saturday, there was increased tingling and itchiness, took another benadryl and eventually symptoms subsided on Sunday. Pt advised to f/u with PCP.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Hives, welts and a rash on both hands for 4 months.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus, Urticaria
Clinical narrative: Small cluster of hives appeared on back of neck just around 24 hours after first dose of vaccine. It has been six days since getting the vaccine and still no signs of them disappearing.  Followed the guideline of taking 50mg of diphenhydramine as suggested with minimal success in getting the hives to go down completely.  They will subside slightly sometimes but not at all entirely and are currently still present. There is occasional itchiness which comes and goes as well as  a slight itchy burning sensation in the right hand seemingly random at times.  A small hive also developed on the right hand that does not originate from where the itch on the hand comes from.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Fever and and headache since the day following the vaccine 2nd dose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: had severe itching then hives started all over my body, 9 days later, still currently on steriods
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash around injection site. Small red very slightly raised bumps. Took about a week and a half to clear up.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Urticaria
Clinical narrative: hives on leg, trunk, and arm with extreme fatigue
Age: 42.0
Sex: F
Vaccine: UNK
Symptoms: Apnoea, Hypoaesthesia oral, Seizure
Clinical narrative: patient complained of being numb, then 15 minutes after injection had a seizure and stopped breathing.  Gave epipen, and patient came out of it. 911 was called and picked her up.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Fever, chills, arm soreness, muscle aches, and fatigue lasting three (3) days.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Diffuse rash starting on lower legs and moving upwards over arms, torso and head - started on day 8 after receiving Moderna covid vaccine #1.  Asymptomatic.  Treatment: monitor and follow up if no resolution
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Rash, Rash erythematous
Clinical narrative: Patient presents today with continued complaint of a rash.  Review of chart it is noted that she was originally seen for this rash on 02/19/2021.  In further discussion she states that she was given her first COVID vaccine on 02/11/2021 and the rash was first noted on 02/12/2021.  Review of her chart it is noted that the first initial treatment was triamcinolone cream with Zyrtec which was minimally effective for treatment.  At her visit on the 02/26/2021 visit the rash was treated with Prednisone and Bactrim DS which seemed to be initially effective but after completing the Prednisone series within a few days symptoms started to get worse.  Patient states that on 03/11/2021 she was given her second COVID vaccine.  She states both injections were given in the left arm.  She is unsure of where the rash initially started.  She was then seen on 03/12/2021 due to worsening symptoms and at that time she was given a Kenalog injection without relief of symptoms.  She states that she has been applying Lubriderm with only temporary relief of symptoms.  She states the rash is spreading, is more red and continues to itch.  She states that the rash is located on her arms, upper legs, behind her knees, chest, back and abdomen.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Bradycardia, Dizziness, Hypotension
Clinical narrative: Pt fainted after receiving his second vaccine while he was in the observation lot and reported weakness, lightheadedness, and nausea. He was evaluated by EMTs onsite and found to be significantly bradycardic and hypotensive. He was transported to ER for evaluation. Pt was anxious about the vaccine and reported not eating prior to receiving it.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Syncope
Clinical narrative: Pt fainted after receiving his second vaccine while he was in the observation lot and reported weakness, lightheadedness, and nausea. He was evaluated by EMTs onsite and found to be significantly bradycardic and hypotensive. He was transported to ER for evaluation. Pt was anxious about the vaccine and reported not eating prior to receiving it.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Palpitations
Clinical narrative: Racing heart and shortness of breath for days. I normally have stellar heart rate, blood pressure, etc. I'm fit, eat low-carb, lift weights. I don't drink alcohol. Don't smoke. Take magnesium, vitamin D, K2, and krill oil. Have changed nothing about my diet or behavior. Only different thing is the vaccine I got.   I'm grateful to get it and will get shot #2. I think it's unlikely I will die of the heart/breathing issues, since I'm healthy. Hoping they'll pass soon. Can't afford to go to doctor and get heart tests. Previous affordable care was ruined.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: AT 4:00PM THE PATIENT COMPLAINS OF DIZINESS AND HEAD SPINNING.  PATIENT DENIES SHORTNESS OF BREATH. NO INCREASE IN WORKOF BREATHING. PATIENT DENIES THROAT SWELLING OR DIFFICULTY SWALLOWING. OXYGEN IS 99%, HEART RATE IS 117, BLOOD PRESSURE IS 137/99.  HISTORY OF HIGH BLOOD PRESSURE.  PATIENT DENIES ANY CHEEST PAIN OR ANY OTHER COMPLAINTS AT THIS TIME.  RESPIRATION RATE IS 18 WITH NO INCREASE OF WORK OF BREATHING NOTED.  PATIENT REPORTS FEELING BETTER AFTER ASSESSMENT.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Very low grade headache behind the eyes. Momentary high grade shooting pain (8 on scale of 10) when sneezing, coughing or bending down forward.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Limb discomfort, Thrombosis, Ultrasound scan
Clinical narrative: I have a major blood clot in my left leg. I had two ultrasounds and now starting blood thinners.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient called Clinic call center reporting generalized rashes covering 20% of his body. Patient denies any other symptoms at this time. PAtient is not in respiratory distress. Patient declined scheduling with Medical Center provider and stated will reach out to PCP for advice today.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Heart rate increased, Laboratory test, Metabolic function test, Palpitations
Clinical narrative: Heart palpitations,  increased heart rate to 130 bpm
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Ecchymosis, Full blood count
Clinical narrative: LEFT FOREARM ECCHYMOSIS
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was hospitalized within 6 weeks of receiving COVID vaccination.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Discomfort, Drooling, Dysphagia, Dyspnoea
Clinical narrative: **Pt has complaining of difficulty breathing/swallowing, nausea, body feeling heavy.  Staff observed patient going in and out of consciousness, drooling, and hands cold to the touch.   ** Epi-pen administered at 7:50pm on 4/27/21 and 911 called ** Paramedics arrived and took pt away
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Peripheral coldness, Vital signs measurement
Clinical narrative: **Pt has complaining of difficulty breathing/swallowing, nausea, body feeling heavy.  Staff observed patient going in and out of consciousness, drooling, and hands cold to the touch.   ** Epi-pen administered at 7:50pm on 4/27/21 and 911 called ** Paramedics arrived and took pt away
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: Patient received second dose of  Pfizer on 4/24 at facility (not our office). She developed tingling to lower half of face/lips on the drive home from the vaccine. Sensation would improve with antihistamines but return. Resolved as of 4/28/21
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Malaise
Clinical narrative: Client arrives to observation area and states to his partner that he is not feeling well. Client immediately passes out and gain consciousness within a few seconds. Client states he does not recall what happened. Client hit his head when he lost consciousness. No signs of bleeding or cuts in head area. Client declines any pain.  Client is AOX4 VS: BP 108/60 HR: 67 02: 98% .911 alerted at 2:40pm arrived at site at 2:45 pm. Client was moved from supine position to a chair client then c/o of lightheadedness . Client was then placed back to supine postion and reassesed by ems. BP: 124/62 HR :70 02: 98%  after a few min cient was then placed in a chair and was adviise to be transfered to hospital. Bp read as 88/35
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis
Clinical narrative: Extreme chills for 2 hours, deep sweat over night, extremely tired 1 1/2 days
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Muscle twitching, Muscular weakness, Pain
Clinical narrative: -Severe Body soreness lasting one week -Extreme fatigue and muscle weakness lasting three weeks -Frequent muscle twitching lasting four and a half weeks (ongoing)
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: -Severe Body soreness lasting one week -Extreme fatigue and muscle weakness lasting three weeks -Frequent muscle twitching lasting four and a half weeks (ongoing)
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: PATIENT WAS GIVEN PFIZER FOR HIS SECOND COVID19 IMMUNIZATION INSTEAD OF MODERNA. HE RECEIVED MODERNA FOR HIS FIRST DOSE.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: 1st vaccine only sore arm. 2nd vaccine on 02/23/2021  fever, aches, chills, headache *  headache lasted 3 weeks
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Swollen tongue, Throat tightness
Clinical narrative: Patient came to the pharmacy to get his first Moderna COVID vaccine today with his mom. After 15 minutes after receiving vaccine, he stated he felt dizziness, warmness, and flushing. I was able to elevate his feet and provide some cold water for him. After 10 minutes, he stated he felt his airway was getting closed and tongue was getting swollen. We decided to call 911 and provided Benadryl 50mg and Epipen for him. His blood pressure was 114/90 when EMS arrived. Since his vital was normal, EMS gave options to go to emergency room or urgent care. His mom and he chose to go to urgent care since he was getting better. I was able to follow up with his mom and he is going to take Benadryl for 2 days and follow up with Additional information for Item 18: his family physician. I will follow up with his doctor as well.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Paraesthesia, Photopsia, Skin warm
Clinical narrative: Five minutes  after the injection, patient complained of feeling warm, and tingling in his arms and legs.  He also said his chest felt heavy and felt like the room was going in and out.   Patient's pulse was taken 54 beats/minute.   Put ice bag on patient's back and cold compress on head and neck.   Patient remained  awake and able to speak to pharmacy staff.   911 was called and responded.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea
Clinical narrative: Patient passed away 4/12/2021 suddenly, found by family on couch. Was having shortness of breath day before. Per mom, patient had been laughing and talking the morning before patient passed away.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Vertigo
Clinical narrative: I woke up with a severe headache bordering on a migraine and had severe fatigue where I was sleeping 12 hours a day. This lasted 4.5 days. The morning of the 5th day I woke up with vertigo and nausea. Currently I still have the vertigo and nausea.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Lethargy, Loss of consciousness
Clinical narrative: A minute or two after patient received vaccine he was on his way to the post vaccination waiting area he passed out and fell against a display where he slid to the ground. Within a minute of this event and getting to the patient he was already conscious although lethargic and kept closing his eyes. Over the next 5-10 minutes he became much more responsive and eventually stood up and had a seat in a chair. EMS was already called and came to check on him and eventually they let him go and he indicated he was fine and continued to finish his shopping.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nausea
Clinical narrative: Pt felt lightheadedness after getting vaccine. For about 15 seconds pt passed out. I was about to give epipen and he came back as felt better. So did not need epipen. Called 911 and EMS came and took over. Pt felt better afterwards only little lightheadedness and nauseated. Pt waited about an hour at pharmacy and then brother took him home.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth, Urticaria
Clinical narrative: 'covid arm'  - (2") hard/warm/itchy/red welt about 1/2" below where I got my vax
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Nasal congestion, Oropharyngeal pain, Pain in extremity
Clinical narrative: PT called call center 4/28/2021. Verified pt with 2 identifiers. Pt denies emergency s/sx. Pt reports he got 1st vaccine Pfizer 4/14/2021 and ili symptoms; sore throat, nasal congestion, left back(pressure pain but not chest pain or SOB per pt) and both legs pain(weakness but pt is able to walk around in his house without difficulties per pt) since Sunday evening 4/25/20201. Pt said his temperature 99F at noon 4/28/21. Pt is taking tylenol, lozenges and resting a lot and it's helpful. Pt scheduled at 8:45 am 4/29/2021 @ urgent care for evaluation. Pt is educated covid vaccine side effect and flu. Pt agreed and verbalized understanding.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Near syncopal episode
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Unresponsive to stimuli
Clinical narrative: Pt received vaccine at approx 10:24 while sitting in observation area with husband, he noted she was not responding to conversation and alerted nursing staff. When nursing staff arrived at pt side was still sitting upright in chair w/ eyes closed, and unresponsive to verbal or tactile stimulation.  EMS activated.  Nursing staff and pt husband lowered pt to side lying position on floor without incident and pt became responsive immediately. Vital signs obtained at approx 10:30 were BP 88/60, HR 70, O2Sat 99% on room air.  Pt able to answer questions appropriately. BP repeated at approx 10:34 - 100/72. EMS arrived at approx 10:34 and assessed pt and cardiac and blood pressure monitors applied. Pt reported to EMT's that she has a hx of fainting w/ any needle stick, including injections, IV starts and blood draws. Refused to have capillary blood sugar take because though would pass out again. Repeat BP per EMT 119/82 at approx 10:40am. Pt refused to go to local Emergency dept for additional evaluation, was monitiored an additional 30 min without further incident.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Peripheral swelling, Pruritus, Rash
Clinical narrative: Leg swelling Rash Hypersensitivity Body itching
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pain in extremity, Ultrasound abdomen, X-ray
Clinical narrative: Right arm soreness and painful. Feels like a charley house in the arm.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, C-reactive protein increased, Joint stiffness, Musculoskeletal stiffness, Polymyalgia rheumatica
Clinical narrative: Stiffness and soreness in both shoulders and hips. Preliminary diagnosis of polymyalgia rheumatica.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: Stiffness and soreness in both shoulders and hips. Preliminary diagnosis of polymyalgia rheumatica.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Fall, Loss of consciousness, Seizure
Clinical narrative: Patient was given immunization at approx. 10:19am, Pt. gave back 15 minute timer at 10:41am,  at 10:49am per AP (watched video) patient collapsed.  Management arrived at 10:51am to assist.  The report submitted by AP stated that patient had grabbed another customer and a clothes rack then fell to the ground.  Customer stated patient had a seizure. When AP, arrived patient was unconscious and not shaking.  A different customer was there to comfort the patient through the seizure.  Per AP, patient was unconscious for 19 minutes and when she awoke she could not state her name or basic information.  She was helped into a chair.   After 11 minutes she could lucidly state her name and give basic information.  EMTs arrived, assessed her, and transported her to further medical attention. We administered IMZ and are reporting adverse reaction but were not there to witness actual event (only the reports thereafter).
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Decreased appetite, Eye pain
Clinical narrative: Fever of 101.0, severe chills, severe body aches (joint and muscle pains including pain in wrists, hands, neck, arms, shoulders, back and legs), severe headache, for 48+ hours, loss of appetite and even pain behind my eyes.  Administered Advil and Tylenol on a rotation schedule every 4 hours (taking the medications 1 hour a part from each other) to no avail for more than the first 24 hours.  Arm pain from injection site lasted 4-5 days. It took more than 48 hours for the fever to break and for severe muscle and joint pains to calm down.  Felt fatigued and weak for another 2 days following.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Myalgia, Pain
Clinical narrative: Fever of 101.0, severe chills, severe body aches (joint and muscle pains including pain in wrists, hands, neck, arms, shoulders, back and legs), severe headache, for 48+ hours, loss of appetite and even pain behind my eyes.  Administered Advil and Tylenol on a rotation schedule every 4 hours (taking the medications 1 hour a part from each other) to no avail for more than the first 24 hours.  Arm pain from injection site lasted 4-5 days. It took more than 48 hours for the fever to break and for severe muscle and joint pains to calm down.  Felt fatigued and weak for another 2 days following.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever of 101.0, severe chills, severe body aches (joint and muscle pains including pain in wrists, hands, neck, arms, shoulders, back and legs), severe headache, for 48+ hours, loss of appetite and even pain behind my eyes.  Administered Advil and Tylenol on a rotation schedule every 4 hours (taking the medications 1 hour a part from each other) to no avail for more than the first 24 hours.  Arm pain from injection site lasted 4-5 days. It took more than 48 hours for the fever to break and for severe muscle and joint pains to calm down.  Felt fatigued and weak for another 2 days following.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: SIRVA.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Pyrexia, Sleep disorder
Clinical narrative: Cold sweats, inability to sleep, fever, chills
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Fever of 104* for 24 hours, body aches, chills, sweats, nausea and vomiting, severe arm pain for 3 days. Red, swollen, painful hot to touch near injection site started on 4th day after vaccine and lasted 2 days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Fever of 104* for 24 hours, body aches, chills, sweats, nausea and vomiting, severe arm pain for 3 days. Red, swollen, painful hot to touch near injection site started on 4th day after vaccine and lasted 2 days.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: SOB, Difficulty breathing
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vertigo
Clinical narrative: One week after, April 15, first Pfizer vaccine, I experienced severe vertigo for about 1 week. As of today, am not experiencing the vertigo because I have limited the movement of my head. Still have dizziness and nausea.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Oligomenorrhoea, Pyrexia
Clinical narrative: Fever, chills and strong headache happened after 24 hours after 2nd dose. Early period started. Lasted longer than usual.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Paraesthesia, Rash, Rash pruritic, Stenosis
Clinical narrative: on 4/15  red itchy rash appeared on my forearms, the next day also on my stomach and left hip area approx.  6 inches in length--12 days later I still have this extremely itch rash.  also had a bit of poisen ivy on my hands--but this rash on my body, was different. I went to the urgent care after a week of this and using everything to help with rash, using aloe vera, epson salts, calamine lotion, antihistimine. etcs.  NOTHING helped.  Was given a steroid shot and a  prescription for refillable  steroid cream  to apply. Those actually did nothing to help the itching either--I also have a compromised auto-immune issues--and suffer from vitiligo which  has gotten much worse since the vaccine--its like this vaccine has fired up all my cylinders,  and not in a good way...my stenosis from neck arthritis is much worse as well...my feet and legs tingling is constant now where as before vaccine, was more sporadic. Frankly, I am very nervous about getting my 2nd dose.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient reports burning and warm sensation at the injection site 8 days after administration. She also states she has a big red circle around the injection site.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Hyperhidrosis, Syncope
Clinical narrative: After 10 minutes post administration, patient felt lightheaded, dizzy and sweaty. Patient then fainted and was conscious again within 10 seconds. Blood pressure went up to 132/85. Patient was given water and snacks. She was instructed to sit an additional 30 minutes to see how she felt.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Blood glucose abnormal, Chills, Crying
Clinical narrative: about 5-10 minutes after receiving vaccine (patient's first dose) patient started to slouch/slide in her seat.  She never lost consciousness but was non-verbal, only moaning, shivering and crying. EMS was immediately contacted and arrived to the scene.  Her blood glucose was  checked by EMS and was 52.  She was given fluids via IV and recovered shortly after.
Sex: U
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Developed itchy, red spot approx 2-3 inches in diameter at injection site; symptoms consistent with "covid-arm". Itch retreated after about a day, still red  but also retreating around injection site. No treatment necessary. Checked visually at primary care facility and released
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Computerised tomogram head, Computerised tomogram neck, Electrocardiogram abnormal, Fatigue
Clinical narrative: symptom started 4/21, with pain and tightness in the left arm, progressively spreading up the arm over the following 48 hours, and then to the distal right arm, and legs.  The leg symptom were present when seen 5 days ago, though were not discussed as Patient wasnt sure if thats what was really starting.  This is associated with a feeling of "not being able to feel muc" and "doesn't feel right", as if it "feels foreign... body says this is weird," and feels heavy.  Also notes that different extremities feel different - left is worse than right. Seen 5 days ago, and noted to have been advised by hematology to stop eliquis approximately 2 weeks prior to onset of symptom after PE/Renal artery embolism 1/2021.  At that visit was referred to ER, where workup for repeat clot was normal (CTA, b/l upper extremities dopplers, head/neck CT, CXR).  EKG was notable for Sinus tach and nonspecific T wave abnormalities.  Discharged home with close follow up. Since then the intensity of the symptom as worsened and the leg symptoms have gotten more pronounced and consistent with the upper extremities symptom. Today notes new difficulty getting dressedon because clothes were getting stuck/he couldnt pull them down. Also notes when his left arm is touched it causes burning pain that shoots up the arm.  Reports headache. 2-4/day, last 30 minutes, 5/10 in severity.  Worse with movement of head. Frequent nausea, no emesis. but not specifically associated with headache.  No waking from sleep.  Since PE, has complains of intermittent left sided squeezing chest pain, which he wonders may be due to his anxiety.  Lasts a few minutes Received Pfizer COVID vaccine 3/29, hasnt received 2nd dose yet  ROS:  general: no fevers or weight loss. CHRONICALLY C/O FATIGUE AND TROUBLE FOCUSING.  has had evaluation for executive function difficulty in the past (interdynamics), now purusing evaluation at Neurology and awaiting EEG with this. HEENT: no sore throat.  + VISION CHANGES - TROUBLE FOCUSING, but not specifically blurry vision. CV: LEFT SIDED CP, NONSPECIFIC T WAVE CHANGES ON LAST EKG W/SINUS TACH. Pulm: SOB, with walking up and down stairs, since PE.  not worsening.  No Cough. GI: +NAUSEA, no vomitting, no abdominal pain. No current diarrhea. Neuro: + HEADACHES.  + SENSORY CHANGES.    + family h/o MS