chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Erythema, Pruritus, Rash erythematous, Rash papular
Clinical narrative: HPI: Patient is a * year old * who presents following administration of a first dose of Pfizer (Lot#AW0173) COVID19 vaccine in the left deltoid.  She states about 15 minutes following administration of the vaccine she started to experience itching of the skin at the junction of the neck and shoulder, which she did itch.  Shortly after, a small raised bump appeared and her skin became red.  She denies involvement of other areas of her skin.  She denies experiencing an insect bite.  She denies wearing any jewelry that may have irritated the site.  She confirms allergies to sulfa drugs and IV/topical iodine, both of which resulted in a skin rash that did not necessitate medication management.  She affirms a history of keratosis pilaris.  She does not take medication on a daily basis.  She denies chest pain, difficulty breathing, swelling of the face/lips/tongue/throat, cramping abdominal pain, nausea, and vomiting.     Exam (update as needed): GEN: Alert and oriented x 4, NAD. HEAD: NCAT EYES: PERRL, EOMI ENT: Ears normal, Nose normal, OP normal, no evidence of angioedema NECK: Supple, without LAD.  CV: RRR, no m/r/g PULM: Clear to auscultation bilaterally, no accessory muscle use ABD: Soft, no tenderness. SKIN:Erythematous, palpable, and annular 1cm wheal that is blanchable on the ipsilateral side of vaccine site located at the junction of the left anterior neck and shoulder.  Bilateral outer upper arms display small erythematous papules located at the follicle that are consistent with keratosis pilaris.  Otherwise no other signs of urticaria elsewhere on the body. Skin is warm and dry.  No erythema or edema of the injection site. MSK: FROM, MS 5/5 NEURO: Alert and oriented x 4, CN 2-12 grossly intact, no ataxia, gait steady   Clinical Impression/Field Tx: Urticaria, possibly due to vaccine.  Patient demonstrated a small urticarial rash at the ipsilateral side of the vaccine administration site. Physical exam otherwise within normal limits. Vital signs stable. The affected area did not grow in size and became less erythematous about 15 minutes following intervention.  Patient given 10mg of loratadine and instructed to take 25mg diphenhydramine by mouth once she was home for the evening and the site was still pruritic.  Clarified that she is not to operate heavy machinery following consumption of the diphenhydramine.  Patient felt comfortable driving home, as she only lives 10 minutes away from the vaccine site.   Instructed patient to consult their PCP regarding the post-vaccination reaction and suggested that she receive her second dose of Pfizer vaccine in a more controlled clinical setting.  Patient instructed to go to emergency department should she develop chest pain, difficulty breathing, swelling of the face/lips/mouth/tongue/throat, or cramping abdominal pain with nausea/vomiting.  Patient demonstrated understanding of post-vaccination instructions.     Medications administered: Loratadine 10mg PO   Disposition:  Home
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Urticaria
Clinical narrative: HPI: Patient is a * year old * who presents following administration of a first dose of Pfizer (Lot#AW0173) COVID19 vaccine in the left deltoid.  She states about 15 minutes following administration of the vaccine she started to experience itching of the skin at the junction of the neck and shoulder, which she did itch.  Shortly after, a small raised bump appeared and her skin became red.  She denies involvement of other areas of her skin.  She denies experiencing an insect bite.  She denies wearing any jewelry that may have irritated the site.  She confirms allergies to sulfa drugs and IV/topical iodine, both of which resulted in a skin rash that did not necessitate medication management.  She affirms a history of keratosis pilaris.  She does not take medication on a daily basis.  She denies chest pain, difficulty breathing, swelling of the face/lips/tongue/throat, cramping abdominal pain, nausea, and vomiting.     Exam (update as needed): GEN: Alert and oriented x 4, NAD. HEAD: NCAT EYES: PERRL, EOMI ENT: Ears normal, Nose normal, OP normal, no evidence of angioedema NECK: Supple, without LAD.  CV: RRR, no m/r/g PULM: Clear to auscultation bilaterally, no accessory muscle use ABD: Soft, no tenderness. SKIN:Erythematous, palpable, and annular 1cm wheal that is blanchable on the ipsilateral side of vaccine site located at the junction of the left anterior neck and shoulder.  Bilateral outer upper arms display small erythematous papules located at the follicle that are consistent with keratosis pilaris.  Otherwise no other signs of urticaria elsewhere on the body. Skin is warm and dry.  No erythema or edema of the injection site. MSK: FROM, MS 5/5 NEURO: Alert and oriented x 4, CN 2-12 grossly intact, no ataxia, gait steady   Clinical Impression/Field Tx: Urticaria, possibly due to vaccine.  Patient demonstrated a small urticarial rash at the ipsilateral side of the vaccine administration site. Physical exam otherwise within normal limits. Vital signs stable. The affected area did not grow in size and became less erythematous about 15 minutes following intervention.  Patient given 10mg of loratadine and instructed to take 25mg diphenhydramine by mouth once she was home for the evening and the site was still pruritic.  Clarified that she is not to operate heavy machinery following consumption of the diphenhydramine.  Patient felt comfortable driving home, as she only lives 10 minutes away from the vaccine site.   Instructed patient to consult their PCP regarding the post-vaccination reaction and suggested that she receive her second dose of Pfizer vaccine in a more controlled clinical setting.  Patient instructed to go to emergency department should she develop chest pain, difficulty breathing, swelling of the face/lips/mouth/tongue/throat, or cramping abdominal pain with nausea/vomiting.  Patient demonstrated understanding of post-vaccination instructions.     Medications administered: Loratadine 10mg PO   Disposition:  Home
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin burning sensation, Urticaria
Clinical narrative: Started with burning sensation left shoulder, upper back and left posterior neck. Continue to have itchy whelp at neck and dull irritation at left upper back.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Skin irritation
Clinical narrative: Rash developed on underside of both forearms and biceps first about six days after 2nd shot.  Other parts of the body developed rash gradually.  Other rash areas include back of legs, midsection/buttocks, and eye lids.  Non-emergency.  Just red, irritation, and itchy.  Its been over two days since it started.  I've just taken Benadryl which seems to help.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Influenza like illness, Palpitations
Clinical narrative: I have experienced a light headed feeling ever since I got the first Covid dose of the Pfizer brand.  I did have a very brief dizzy spell about 25 minutes after I received the vaccine but that disappeared then and never returned.  I have contacted my PCP about the light headed feeling and I think they may be trying to look into it further because it did not go away in a few days after the shot.  They told me if it changes to dizziness to definately contact them back.  It hasn't become dizziness yet.  The light headed feeling comes and goes at times but it always seems to come back and I still have it today.  Due to the light headed feeling I did check my blood pressure and blood sugar levels and they were both in the normal healthy range that I have always had.  I also experienced flu like symptoms as a side effect for 4 or 5 days after the shot as well as fatigue.  Also the one night after the vaccination I had a very brief epsiode of a thumping heart beat but that didn't last very long.  I have never experienced the heart rate thing before either.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: DIZZINESS/NAUSEA, ADVISED TO LAY SUPINE, LAST MEAL 7AM, PROVIDED WATER/SNACK. SX RESOLVED. NO TRANSPORT.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heavy menstrual bleeding
Clinical narrative: I got covid arm, my periods have been extra heavy and every 14 days no typical for me. Tired all the time
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Fatigue, Feeling of body temperature change, Headache, Loss of consciousness
Clinical narrative: I was startled awake at a quarter to 2 in the morning by a ceramic plant pot falling and shattering.  My fiance and I jumped out of bed to investigate, following our dog to the site of the crash. When we saw what had awoken us, I pulled the dog back into the bedroom and closed the door. Suddenly, I felt nauseated then hot and cold at the same time. I sloppily ran to the bathroom thinking I was going to throw up and when I didn't, I stumbled back out, feeling disoriented. Luckily, my fiance knew something was up and checked on me right before I passed out. He's also an emergency medicine resident here in Queens so he knew what to look out for (even though he lamented the lack of medical tools in the apartment). He initially worried it was a stroke but my eyes twitching to the side and the recovery after a minute made him realize I had vertigo and it was vasovagal syncope that made me pass out.  After some juice, I eventually felt better and besides bad headaches and exhaustion Monday, I was fine.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Presyncope, Vertigo
Clinical narrative: I was startled awake at a quarter to 2 in the morning by a ceramic plant pot falling and shattering.  My fiance and I jumped out of bed to investigate, following our dog to the site of the crash. When we saw what had awoken us, I pulled the dog back into the bedroom and closed the door. Suddenly, I felt nauseated then hot and cold at the same time. I sloppily ran to the bathroom thinking I was going to throw up and when I didn't, I stumbled back out, feeling disoriented. Luckily, my fiance knew something was up and checked on me right before I passed out. He's also an emergency medicine resident here in Queens so he knew what to look out for (even though he lamented the lack of medical tools in the apartment). He initially worried it was a stroke but my eyes twitching to the side and the recovery after a minute made him realize I had vertigo and it was vasovagal syncope that made me pass out.  After some juice, I eventually felt better and besides bad headaches and exhaustion Monday, I was fine.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Highest fever recorded 101.2, chills, joint pain, muscle aches, fatigue, injection site pain,  mild headache, and mild nausea
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Highest fever recorded 101.2, chills, joint pain, muscle aches, fatigue, injection site pain,  mild headache, and mild nausea
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety
Clinical narrative: Patient DOB: 10/23/1995.  Received his single dose Janssen vaccine (LOT#: 205A21A EXP: 6/23/21) at 1054 on 5/22/21. Patient alerted EMT that he needed to lay down 1100. EMT walked patient to the cot. Patient laid down on the cot. EMT  took patients vital signs at 1105. BP: 160/118, pulse: 62, O2: 96%. Patient stated that he was feeling anxious. Patient was asked to stay an extra 30 minutes for observation. Patient was given a snack and water. EMT retook vital signs and reassessed patient at 1120. BP: 110/70, pulse: 72, O2: 97%. Patient stated that he was feeling better. EMT retook vital signs and reassessed patient at 1130. BP: 118/75, pulse: 63, O2: 97%. Patient stated he was feeling better. Patient completed observation time. Patient was educated on worsening signs and symptoms of vaccine and when to call EMS or seek emergency/ urgent care. Patient verbalized understanding of education. Patient completed his observation time. Patient walked out of vaccination site unassisted and with a steady gait at 1135.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Hot flush, Menstruation irregular, Oligomenorrhoea
Clinical narrative: Missed and then late menstrual period, heavy menstruation, longer then normal cycle, hot flashes for first time
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pulmonary embolism, Ventilation/perfusion scan abnormal
Clinical narrative: The patient reports she had progressive shortness of breath for the past month, after she received her second dose of COVID vaccine.  She presented to hospital on 5/22/21 with pulmonary embolism.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction, Rash, Rash pruritic
Clinical narrative: My wife received 2 doses of the Pfizer shot, on February 9 and March 2. I have not received a Covid vaccination. However, beginning on March 17, I got a horrible painful and itchy rash on my left arm. I have heard that vaccinated people can shed and cause rashes and other problems for unvaccinated people. That rash has not improved, and continues to grow worse each day.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Pallor, Syncope, Unresponsive to stimuli
Clinical narrative: SYNCOPE, PALE, COLD, UNRESPONSIVE X 30 SECS, ASSISTED TO FLOOR, WOKE UP, PARAMEDICS ON SITE, BP 141/72, HR 91, PROVIDED WATER, SX RESOLVED, NO TRANSPORT.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site reaction, Injection site swelling
Clinical narrative: O? 5/12/2021 there was some slight pain and itchiness.  The next day the area was a little red, itchy and swollen until Friday night 5/14/2021.  Saturday 5/15 until 5/17 the itchiness, swelling, and pain went away.  On Tuesday 5/18, I noticed the injection site becoming red again. On Thursday 5/20/21, the area around the injection site was swollen, again, red again, and itching.  It looked like a rash or a red splotch.  On Friday, the splotch got bigger and redder and had the same itching.  Today, 5/22/21, it looks the same and I will be seeking medical treatment tomorrow.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash macular
Clinical narrative: O? 5/12/2021 there was some slight pain and itchiness.  The next day the area was a little red, itchy and swollen until Friday night 5/14/2021.  Saturday 5/15 until 5/17 the itchiness, swelling, and pain went away.  On Tuesday 5/18, I noticed the injection site becoming red again. On Thursday 5/20/21, the area around the injection site was swollen, again, red again, and itching.  It looked like a rash or a red splotch.  On Friday, the splotch got bigger and redder and had the same itching.  Today, 5/22/21, it looks the same and I will be seeking medical treatment tomorrow.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Insomnia, Vaccination site erythema, Vaccination site pain, Vaccination site pruritus
Clinical narrative: O? 5/12/2021 there was some slight pain and itchiness.  The next day the area was a little red, itchy and swollen until Friday night 5/14/2021.  Saturday 5/15 until 5/17 the itchiness, swelling, and pain went away.  On Tuesday 5/18, I noticed the injection site becoming red again. On Thursday 5/20/21, the area around the injection site was swollen, again, red again, and itching.  It looked like a rash or a red splotch.  On Friday, the splotch got bigger and redder and had the same itching.  Today, 5/22/21, it looks the same and I will be seeking medical treatment tomorrow.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Cough, Headache, Injection site pain
Clinical narrative: Within 8 1/2 hrs. after vaccination (2nd COVID-19 Moderna vaccination): moderate to severe headache,  fever 100.3 , body aches and chills, cough, sinus drainage, slight tightness in chest, eyes watering, and sore at injection site (left arm).
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Lacrimation increased, Pain, Pyrexia, Sinus operation
Clinical narrative: Within 8 1/2 hrs. after vaccination (2nd COVID-19 Moderna vaccination): moderate to severe headache,  fever 100.3 , body aches and chills, cough, sinus drainage, slight tightness in chest, eyes watering, and sore at injection site (left arm).
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Nausea, Vomiting
Clinical narrative: Patient observed at 1647 stating she was nauseous and anxious. Patient given emesis bag and then vomited. Assisted patient in wheelchair and taken to observation private area with guardian. Obtained a full set of vitals at 1650 as follows: O2 sat 98% RA, HR 71, RR 32, and BP 110/80. Encouraged patient to slow breathe in and out of bag. Another set of vitals obtained at 1700 as follows: O2 sat 98% RA, HR 89, RR 20, BP 110/75. Pt stated she was starting to feel better. Observed patient for another 10 minutes at 1710 vitals as follows: O2 sat 98% RA, HR 83, RR 26, BP 111/79. Assisted patient to a sitting then standing position. Patient's mom stated she thinks everything is okay..and she would monitor her at home. Explained to her to seek EMS if symptoms progress. Patient's mother Verbalized good understanding. Left site at 1718.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Urticaria
Clinical narrative: Hives all over body, and a rash at injection site. Eliminated other possibilities such as sudden food allergies, contact rashes such as poison ivy, or insect bites, as the hives are both individual and in clusters/ rashes. Has lasted five days, with little sign of improvement.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Pain, Pyrexia, Seizure
Clinical narrative: Fever, Body Aches, Muscle Cramps, Seisures
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated and has a molecular covid 19 positive test confirmed
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: syncope lasting 1 min, resolved, aware to person, place, time
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Chills, Feeling abnormal, Lethargy
Clinical narrative: After 10 pm that night 5/20/2021 I was very sleepy and later that night I had chills and fever. On 5/21/2021 the fever, chills, brain fog, body weakness, lethargy, sleeping all day, chest pain, neck pain, and migraine level headache continued into 5/22/2021 in the morning. I took an extra-strength Tylenol at 10 am and 5 pm on 5/22/2021 to help break the fever. I continued to feel weak, headache, and mild brain fog on 5/22/2021.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Neck pain, Pyrexia, Somnolence
Clinical narrative: After 10 pm that night 5/20/2021 I was very sleepy and later that night I had chills and fever. On 5/21/2021 the fever, chills, brain fog, body weakness, lethargy, sleeping all day, chest pain, neck pain, and migraine level headache continued into 5/22/2021 in the morning. I took an extra-strength Tylenol at 10 am and 5 pm on 5/22/2021 to help break the fever. I continued to feel weak, headache, and mild brain fog on 5/22/2021.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pallor, Syncope
Clinical narrative: Patient fainted within a minute of receiving vaccine. Pale, diaphoretic, nauseated. No treatment. Recovered without incident.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Cardiac monitoring, Cardiac stress test, Chest discomfort, Chest pain
Clinical narrative: Had chest pain, dizziness, arm pain, neck and jaw pain, nausea and pressure on the chest. Thought it was heart related and went to the ER -- kept overnight for observation but they could find no heart-related cause.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Echocardiogram, Nausea, Neck pain, Pain in extremity
Clinical narrative: Had chest pain, dizziness, arm pain, neck and jaw pain, nausea and pressure on the chest. Thought it was heart related and went to the ER -- kept overnight for observation but they could find no heart-related cause.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Ultrasound scan
Clinical narrative: Had chest pain, dizziness, arm pain, neck and jaw pain, nausea and pressure on the chest. Thought it was heart related and went to the ER -- kept overnight for observation but they could find no heart-related cause.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling and numbness in arm and shoulder lasting 5 days after injection date
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Pain in extremity
Clinical narrative: Sore arm, diarrhea
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone, C-reactive protein, Facial pain, Full blood count, Magnetic resonance imaging normal
Clinical narrative: Neuropathic pain to 2-3 toes on left foot, starting approx 4 weeks after 2nd Moderna vaccine.  8 weeks post 2nd shot, develop right sided facial pain.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Neuralgia, Red blood cell sedimentation rate, Thyroxine, Vitamin B12
Clinical narrative: Neuropathic pain to 2-3 toes on left foot, starting approx 4 weeks after 2nd Moderna vaccine.  8 weeks post 2nd shot, develop right sided facial pain.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache
Clinical narrative: just a light headache and it went away
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Medication error: Patient received 2nd dose of Moderna COVID 19 vaccine 23 days after first dose.    No immediate adverse reactions noted.   Volunteer Nurse  was counseled regarding vaccination intervals.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient received Covid-19 Vaccine (Pfizer). When pt stood up to walk out to immunization waiting area, he sat on the floor and stated that he was feeling lightheaded. Within 15 seconds, the patient fainted. Myself, a family member, and my certified immunization technician assisted the patient. A code white was called and so were EMS. My technician and I held the pt's feet above his head and laid him flat on his back to encourage blood flow back to his brain. He was unconscious for about 15 seconds before he woke up. When he woke, he stated that he often faints during/after seeing a needle and this is normal for him. Regardless, we awaited EMS' arrival. EMS checked on the patient and determined he was safe to go home after his 20 min wait period. Patient declined going to hospital for examination as this happens to him often. He was monitored by myself and the store manager and was given water during his 15 minute post-vaccination monitoring.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Hypoaesthesia, Nausea
Clinical narrative: Severe headaches, nausea, body aches and pains, tiredness, and diarrhea for 5 days after 2nd dose of vaccine. An hour after receiving the 2nd dose my leg was numb for about an hour.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Severe headaches, nausea, body aches and pains, tiredness, and diarrhea for 5 days after 2nd dose of vaccine. An hour after receiving the 2nd dose my leg was numb for about an hour.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Injection site rash, Pain, Pruritus
Clinical narrative: Red rash around injection site, hot to touch, pain and itching. Began 2 days after injection, although pain began within hours of the injection.  Had body aches, brain fog and headaches within 10 hours of injection, they lasted 24 hours.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Red rash around injection site, hot to touch, pain and itching. Began 2 days after injection, although pain began within hours of the injection.  Had body aches, brain fog and headaches within 10 hours of injection, they lasted 24 hours.
Age: 73.0
Sex: F
Vaccine: UNK
Symptoms: Acoustic stimulation tests abnormal, Deafness bilateral, Tinnitus
Clinical narrative: A few days after the first dose of the Pfizer vacccine, both  ears begamn to ring and have swooshing sound.  Clinic  sent me to the ENT center..The test showed a  sligh thearing loss in both ears.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pain in extremity
Clinical narrative: Rash near injection site Sore arm
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Crying, Heart rate increased, Pain in extremity
Clinical narrative: 3. 52 y/o female with no past medical hx c/o "feel like heart is beating fast" 15 mins after receiving the second dose of the Moderna vaccine. She reported that she only had a sore arm and getting the first dose. She was assessed and monitored by NP, EMT and paramedic. She was anxious, cried at times. Initial BP 179/95, 166/103, HR - 79, RR - 16, 02 sat 99% on RA. She was taken outside for fresh air, allowed to remove her mask, instructed on relaxation measures and kept at site until she reported that she was calm, felt better and had no complaints. Repeated BP -138/88. She was given the Vaccination information sheet, reinforced instructions on ADRs/ SEs to call 911and go to the ED, follow up with her PCP and register with V-safe. She verbalized understanding and willingness to comply. She left site in no acute distress, awake, alert, oriented to person, place time, and situation.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Patient has nausea ,sweating and dizziness. Monitored her for 30 mts to check if symptoms have not worsoned.The patient went to urgent care to get treatment.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT MISTAKENLY RECEIVED PFIZER BIONTECH VACCINE AS 2ND DOSE INSTEAD OF MODERNA VACCINE.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Palpitations
Clinical narrative: Heart racing, anxiety that won?t go away
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMRV
Symptoms: Abdominal pain, Arthralgia, Asthenia, Body temperature increased, Crying
Clinical narrative: 2 hours after vaccine. Daughter complained about sore joints in legs and elbows, back of neck pain and was crying in pain and had a fever of 101.  Loss of appetite, and low energy. We administered Tylenol around 6:30pm.   At 11:30 pm child woke up screaming in pain like we've never heard her scream before.  She had a fever of 104.7,  was complaining of abdominal pain, and holding herself in the fetal position, was unable to hold her urine. She vomited twice. We administered Tylenol and called the after hour nurse. We were told to take her to the ER if she hit 105. Through out the night she was in a lot of pain. I took her to the Urgent Care around 7-8am. They checked her for appendicitis and UTI and wanted us to follow up with her Internist when they opened.  We checked back with primary care doctor around 11am. My daughters fever had gone down at the time and she was feeling better.  She developed a rash on her back and neck (maybe from the high fever). 2 weeks later on December 24th my daughter lost all ability to hold her urine. She went from not having accidents day or night, to wetting uncontrollably. We went to urgent care where UTI was checked again nothing. After 2 weeks she gained some bladder control but still wets the bed at night and has occasional accidents. We've also seen a neurologist who prescribed a MRI of  her brain and spinal cord and ruled out anything involved there. I believe the vaccine /subsequent fever  triggered her loss of bladder control.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMRV
Symptoms: Decreased appetite, Magnetic resonance imaging, Pain, Pyrexia, Rash
Clinical narrative: 2 hours after vaccine. Daughter complained about sore joints in legs and elbows, back of neck pain and was crying in pain and had a fever of 101.  Loss of appetite, and low energy. We administered Tylenol around 6:30pm.   At 11:30 pm child woke up screaming in pain like we've never heard her scream before.  She had a fever of 104.7,  was complaining of abdominal pain, and holding herself in the fetal position, was unable to hold her urine. She vomited twice. We administered Tylenol and called the after hour nurse. We were told to take her to the ER if she hit 105. Through out the night she was in a lot of pain. I took her to the Urgent Care around 7-8am. They checked her for appendicitis and UTI and wanted us to follow up with her Internist when they opened.  We checked back with primary care doctor around 11am. My daughters fever had gone down at the time and she was feeling better.  She developed a rash on her back and neck (maybe from the high fever). 2 weeks later on December 24th my daughter lost all ability to hold her urine. She went from not having accidents day or night, to wetting uncontrollably. We went to urgent care where UTI was checked again nothing. After 2 weeks she gained some bladder control but still wets the bed at night and has occasional accidents. We've also seen a neurologist who prescribed a MRI of  her brain and spinal cord and ruled out anything involved there. I believe the vaccine /subsequent fever  triggered her loss of bladder control.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMRV
Symptoms: Screaming, Urinary incontinence, Vomiting
Clinical narrative: 2 hours after vaccine. Daughter complained about sore joints in legs and elbows, back of neck pain and was crying in pain and had a fever of 101.  Loss of appetite, and low energy. We administered Tylenol around 6:30pm.   At 11:30 pm child woke up screaming in pain like we've never heard her scream before.  She had a fever of 104.7,  was complaining of abdominal pain, and holding herself in the fetal position, was unable to hold her urine. She vomited twice. We administered Tylenol and called the after hour nurse. We were told to take her to the ER if she hit 105. Through out the night she was in a lot of pain. I took her to the Urgent Care around 7-8am. They checked her for appendicitis and UTI and wanted us to follow up with her Internist when they opened.  We checked back with primary care doctor around 11am. My daughters fever had gone down at the time and she was feeling better.  She developed a rash on her back and neck (maybe from the high fever). 2 weeks later on December 24th my daughter lost all ability to hold her urine. She went from not having accidents day or night, to wetting uncontrollably. We went to urgent care where UTI was checked again nothing. After 2 weeks she gained some bladder control but still wets the bed at night and has occasional accidents. We've also seen a neurologist who prescribed a MRI of  her brain and spinal cord and ruled out anything involved there. I believe the vaccine /subsequent fever  triggered her loss of bladder control.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Rash, Rash erythematous, Rash pruritic
Clinical narrative: 46yo female is here with 3 weeks of pink rash on her face that yesterday became, painful, burning and itchy; worst at her cheeks.  She had a similar rash on the front of both of her thighs a week ago, which has improved.  No difficulty breathing.  No mouth, throat or tongue swelling.  She received the Moderna Covid???????-19 vax here; the first dose a little over one month ago and the 2nd dose 3 days ago.  No new face products, hair products, soaps or laundry detergent.  No new fabric masks.  No new OTC medications.  She has never had an allergic reaction to a medication, food or sting before.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: In about  less than 1 week after 2nd shot I developed palpitations. I never had a single one before. Now it happens everyday and sometimes several times a day. some are so severe that I have to immediately lay down because otherwise I will  fall. Some days it is more related when I walk but some days even when I quietly sit and read.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Significant armpit soreness and swelling beginning 15 hours after injection.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Headache, Hyperhidrosis, Injection site pain
Clinical narrative: Shortly after I received the shot, I had minor soreness in the spot of the injection. This was the only symptom for about 12 hours. At the twelve hour mark, about, I almost immediately started shivering uncontrollably. I was very cold ad sweating. I wasnt able to think clearly. My wife said I had a fever. Also, I had a headache. This occurred for about 6 hours. I was still cold and sweating, with a headache, for about another 4 hours, but it wasn't as extreme. I was still unable to think well. I had a desire to drink gatorade, not water, at this time. This was unusual. I drank about 2L of gatorade. I began to not feel cold, and only had a minor fever. Not sure how correlated these are. Over the next 10hrs or so, I slowly improved and was able to carryon daily activities.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Thinking abnormal
Clinical narrative: Shortly after I received the shot, I had minor soreness in the spot of the injection. This was the only symptom for about 12 hours. At the twelve hour mark, about, I almost immediately started shivering uncontrollably. I was very cold ad sweating. I wasnt able to think clearly. My wife said I had a fever. Also, I had a headache. This occurred for about 6 hours. I was still cold and sweating, with a headache, for about another 4 hours, but it wasn't as extreme. I was still unable to think well. I had a desire to drink gatorade, not water, at this time. This was unusual. I drank about 2L of gatorade. I began to not feel cold, and only had a minor fever. Not sure how correlated these are. Over the next 10hrs or so, I slowly improved and was able to carryon daily activities.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: 3/1/2021 - nausea, vomiting, fever 99.9 3/2/2021 - nausea, sore throat, fever 100.9, headache, fatigue 3/3/2021 - sore throat, fever, cough, fatigue, headache, muscle aches These symptoms lasted through April. I started feeling better for almost a week and then all symptoms returned, but with difficulty breathing, and constant cough. I?ve been to the ER twice.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test, Myalgia, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: 3/1/2021 - nausea, vomiting, fever 99.9 3/2/2021 - nausea, sore throat, fever 100.9, headache, fatigue 3/3/2021 - sore throat, fever, cough, fatigue, headache, muscle aches These symptoms lasted through April. I started feeling better for almost a week and then all symptoms returned, but with difficulty breathing, and constant cough. I?ve been to the ER twice.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Streptococcus test, Vomiting, X-ray
Clinical narrative: 3/1/2021 - nausea, vomiting, fever 99.9 3/2/2021 - nausea, sore throat, fever 100.9, headache, fatigue 3/3/2021 - sore throat, fever, cough, fatigue, headache, muscle aches These symptoms lasted through April. I started feeling better for almost a week and then all symptoms returned, but with difficulty breathing, and constant cough. I?ve been to the ER twice.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Red swollen itchy painful to the touch Applied ice cold rag on and off every 20 minutes as of today still have minor itching pain redness and swelling
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dizziness, Dry throat, Dysphagia, Dyspnoea
Clinical narrative: 11:04 C/O nausea, lightheaded, throat dry, difficulty swallowing.   BP: 170/101 (auto) and 150/98 (manual)  P: 86.  R: 16.  O2Sat: 99%.  1  11:21 C/O Difficulty breathing.  No facial swelling or edema noted.  R: 16 No  stridor noted.EMS activated.    BP:  110/76.  P:79.  O2Sat: 99%.  Feeling flushed.  Redness on Rt arm due to band-aid, not injection.   EMS activated.   11:30 difficutly breathing subsiding.   Arm burning decreased.  EMS transport offered and declined.   11:40 EMS vitals: BP: 152/10;3. P: 80.  O2Sat: 98%.  nauseated.  Lump in throat subsiding.  Possibly pregnant per vaccine consent. Discharge instructions given by EMS.  Standing vitals:  BP: 175/ 92.  P: 80.  O2 Sat: 100%.   Husband contacted; picked up client at 12:15.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Nausea, Sensation of foreign body
Clinical narrative: 11:04 C/O nausea, lightheaded, throat dry, difficulty swallowing.   BP: 170/101 (auto) and 150/98 (manual)  P: 86.  R: 16.  O2Sat: 99%.  1  11:21 C/O Difficulty breathing.  No facial swelling or edema noted.  R: 16 No  stridor noted.EMS activated.    BP:  110/76.  P:79.  O2Sat: 99%.  Feeling flushed.  Redness on Rt arm due to band-aid, not injection.   EMS activated.   11:30 difficutly breathing subsiding.   Arm burning decreased.  EMS transport offered and declined.   11:40 EMS vitals: BP: 152/10;3. P: 80.  O2Sat: 98%.  nauseated.  Lump in throat subsiding.  Possibly pregnant per vaccine consent. Discharge instructions given by EMS.  Standing vitals:  BP: 175/ 92.  P: 80.  O2 Sat: 100%.   Husband contacted; picked up client at 12:15.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received the moderna brand covid-19 vaccination by mistake (supposed to receive pfizer due to age restrictions). No treatment necessary. Patient and legal guardian aware wrong vaccine was given and will report any adverse reactions if necessary. Will follow up with patient in regard to next steps in completion of vaccination.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Pain in extremity
Clinical narrative: Patient's parent reported that patient started developing a bruise after her 2nd shot of the pfizer vaccine. Her arm was hurting more from the 2nd dose. After checking in with the parent 2 days after the vaccine, parent reported arm improving. Patient's parent denies use of NSAIDs prior to vaccination.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site pain
Clinical narrative: Slight soreness and numbness around injection site noticeable 20 May 2021; 3 weeks 1 day after receiving second dose.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Oropharyngeal pain, Swelling, Swelling face, Throat tightness
Clinical narrative: Pt started to have facial and neck swelling, pain and tightness in throat and difficulty with breathing x12 hours before coming into ED.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: A couple of weeks after my second dose I developed shingles on my left side, the same side I got the second injection. It took a few days to figure out what it was, I called my doctor and she prescribed Prednisone.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Tremor
Clinical narrative: Patient received the first Pfizer dose at approximately 5:13 PM.  At 5:44 PM, the patient developed slight hand tremor and was complaining of chest pain (patient was asked to stay within sight of the pharmacy for 30 minutes due to history of anaphylaxis).  9-1-1 was called approximately 2 minutes after initial complaint.  At 5:45 PM, 1 dose of 0.3mg epinephrine injection was given on the right anterolateral thigh.  At 5:47PM, a blood pressure was recorded at 113/87 with heart rate of 124 bpm.  At 5:50 PM, paramedics arrived and took over care.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Dizziness, Flushing
Clinical narrative: Lightheaded and dizzy 5 minutes after vaccination.  Assisted to cot legs elevated.  Ice pack given water given.  Flushed.  After 2 attempts approximately 15 minutes apart of trying to sit/stand with dizziness returning, EMS was called.  Attendee has a history of pre-diabetes.  EMS arrived and Blood Glucose was 311.  Refused EMS transport, husband reported to staff that he was going to take her to the Emergency Room himself.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fall, Fatigue, Feeling abnormal, Heart rate increased
Clinical narrative: I took my first covid vaccine dose on Feb. 8th 2021 and second dose on March 8th. At the time of my first shot, within the first 5 min I felt very weird, and I started having palpitations., the paramedic team hooked me up to see my heart rate and it was too elevated. I felt OK after 15 min, but since then my blood pressure keeps dropping.  And when I got my second dose, I felt the same within 5 min again, however I was OK. But when I came home I felt usual side effects chills, feverish, fatigue. At night around 2 am I woke up and tried to go to bathroom and I felt on the floor because I fainted. My bp was so low (60 -40) the machine was not able to recognize it easily. We called 911 they came and checked my heart rate and bp etc. BP was still low but the rest was OK.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Palpitations, Pyrexia, Syncope
Clinical narrative: I took my first covid vaccine dose on Feb. 8th 2021 and second dose on March 8th. At the time of my first shot, within the first 5 min I felt very weird, and I started having palpitations., the paramedic team hooked me up to see my heart rate and it was too elevated. I felt OK after 15 min, but since then my blood pressure keeps dropping.  And when I got my second dose, I felt the same within 5 min again, however I was OK. But when I came home I felt usual side effects chills, feverish, fatigue. At night around 2 am I woke up and tried to go to bathroom and I felt on the floor because I fainted. My bp was so low (60 -40) the machine was not able to recognize it easily. We called 911 they came and checked my heart rate and bp etc. BP was still low but the rest was OK.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: Complete Amenorrhea after vaccine, had menstrual cycle at the time of first vaccine. Never missed a cycle except for both pregnancies. Was not peri-menopausal and never irregular. No menses since after the second vaccine. It has been almost 4 months
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Lightheaded and dizzy 15 minutes after vaccination.  Assisted to cot legs elevated.  HR and BP within normal limits.  Stayed at the site for 30 minutes after dizziness started and was then able to leave the site with his mother to home without further dizziness.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Blood test, Drug eruption, Hypersensitivity, Rash
Clinical narrative: After receiving my shot on 4/22 I started getting singular hive like bumps on my legs and arms, thinking they were big bites I ignored them until they began to form a sort of rash covering my left hand and sporadically on the left side of my body. When the rash formed I went to urgent care on the morning of 5/2, at the urgent care the doctor prescribed me a steroid to help calm the rash down, at this time I was also taking benadryl to help. The next morning, 5/3, Around 5 in the morning my mother rushed me to the ER where they gave me an IV of benadryl, and steroids, and they also have me a shot of epinephrine. This helped the reaction, but I was referred to a dermatologist to see if they could figure out the cause of the ?rash? they did a biopsy and concluded that there was a hypersensitivity reaction  such as urticaria  and drug eruption.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: After receiving my shot on 4/22 I started getting singular hive like bumps on my legs and arms, thinking they were big bites I ignored them until they began to form a sort of rash covering my left hand and sporadically on the left side of my body. When the rash formed I went to urgent care on the morning of 5/2, at the urgent care the doctor prescribed me a steroid to help calm the rash down, at this time I was also taking benadryl to help. The next morning, 5/3, Around 5 in the morning my mother rushed me to the ER where they gave me an IV of benadryl, and steroids, and they also have me a shot of epinephrine. This helped the reaction, but I was referred to a dermatologist to see if they could figure out the cause of the ?rash? they did a biopsy and concluded that there was a hypersensitivity reaction  such as urticaria  and drug eruption.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Audiogram, Deafness neurosensory, Deafness unilateral, Migraine
Clinical narrative: Day after vaccine  shoulder and neck pain. Third day ringing and hearing loss in left ear. Progressively worse at 1 week and 2 weeks. Third week, went to er, shoulder treated for inflammatory process, migraine treated, never had a migraine before, referred to ENT. Saw ent 2 days later, diagnosed with sensorineural hearing loss and tinnitus. Received 2and dose of vaccine in right arm on May 20, 2021. Ringing started in right ear today, May 22,2021.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Tinnitus
Clinical narrative: Day after vaccine  shoulder and neck pain. Third day ringing and hearing loss in left ear. Progressively worse at 1 week and 2 weeks. Third week, went to er, shoulder treated for inflammatory process, migraine treated, never had a migraine before, referred to ENT. Saw ent 2 days later, diagnosed with sensorineural hearing loss and tinnitus. Received 2and dose of vaccine in right arm on May 20, 2021. Ringing started in right ear today, May 22,2021.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: The client was accompanied by his mother. Staff vaccinated the client. When filling out the consent form, the client started looking pale and was about to pass out. Staff caught the client before falling off the chair. They laid him down and put a cool pack on his neck. Called 911 to scene at 1731. EMT arrived at the scene at 1740. The client passed out for a minute but was still breathing. Vitals BP, 124/66, HR 56, Pulse Ox, 98%.  Vaccinated lot num Pfizer EW0179 exp. 08/2021. EMT Transported client at 06:05pm
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Paraesthesia
Clinical narrative: Severe arm pain that radiated from site of injection to her elbow and neck. feels like it is tingling
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Dizziness, Dysstasia, Hyperhidrosis
Clinical narrative: Suddenly felt nauseous, weak/faint with profuse sweating and tunnel vision followed by severe diarrhea and inability to stand up for about an hour.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Tunnel vision
Clinical narrative: Suddenly felt nauseous, weak/faint with profuse sweating and tunnel vision followed by severe diarrhea and inability to stand up for about an hour.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash around injection site
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension
Clinical narrative: Felt faint.  Hypotension noted.    17:38  BP: 79/40.  P: 80.   No respiratory distress noted.  Deep breathing  exercises.  Denies nausea and vomiting.  Cool damp cloths applied to back of neck.   17:52  BP:  96/58.  O2 Sat: 97%.   Able to eat snack and drank 500ml of water.   18:00 BP: 110/72.   Denies dizziness, n/v.  Stated she felt "back to normal."   Discharged ambulatory to private vehicle by nurse.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness unilateral, Discomfort, Ear pain, Tinnitus
Clinical narrative: Tinnitus and loss of some hearing in right ear.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Received telephone call stating that he has been having frequent nose bleeds since the date of vaccination. States it is as frequent as 5 times per day with a steady amount lasting approx 5 min.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Influenza like illness, Pain, Pyrexia
Clinical narrative: Flu symtems for 3 days. Body aches, fever, weakness.  After that, low grade fever from May 8 to present (May22)