chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: No adverse effects detected at this time. Despite being specifically asked, Pt did not disclose that they had received Pfizer for their first dose. Pt received Pfizer vaccine for Covid-19 at another location but received Moderna for the 2nd dose before this was discovered.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: asymptomatic covid infection after 1 month of vaccine administration
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: 2nd dose of Moderna COVID Vaccine administered 21 days after 1st dose to prevent wastage of expiring doses.  No adverse reaction noted.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Cardiac flutter, Condition aggravated, Eyelid disorder, Facial paralysis
Clinical narrative: Patient first experienced drooping right eyelid the evening following vaccination. She has hx of Bell's Palsy in 2012 and reports same symptoms continued to develop, right eyelid and right mouth drooping.  She also reports tingling and numbness throughout most of right side of face. These symptoms have not improved or worsened since 03/30/21 and continue today 04/30/21.  She also reports sensation of heart fluttering intermittently for 3 days following vaccination; this symptom has resolved.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient first experienced drooping right eyelid the evening following vaccination. She has hx of Bell's Palsy in 2012 and reports same symptoms continued to develop, right eyelid and right mouth drooping.  She also reports tingling and numbness throughout most of right side of face. These symptoms have not improved or worsened since 03/30/21 and continue today 04/30/21.  She also reports sensation of heart fluttering intermittently for 3 days following vaccination; this symptom has resolved.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Covid arm. 4? rash at point of injection
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Anembryonic gestation, Exposure during pregnancy, Physical examination, Pregnancy test urine positive
Clinical narrative: Healthy young women of 25 years of age with spontaneous pregnancy. Regular period prior to becoming pregnant. Patient had miscarriage on 04/29/21 with anembryonic pregnancy. Anembryonic pregnancy confirmed by ultrasound on 4/23/21. Covid vaccine received on 4/8/21. Patient roughly 4 wks pregnancy at time of vaccine dose.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound antenatal screen abnormal
Clinical narrative: Healthy young women of 25 years of age with spontaneous pregnancy. Regular period prior to becoming pregnant. Patient had miscarriage on 04/29/21 with anembryonic pregnancy. Anembryonic pregnancy confirmed by ultrasound on 4/23/21. Covid vaccine received on 4/8/21. Patient roughly 4 wks pregnancy at time of vaccine dose.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Epistaxis, Nasal cavity packing
Clinical narrative: Severe to moderate epistaxis for 6 days.  Rhino rocket at onset of bleed and removed 36 hours later.  Various other packings attempted  for approximately 60 hours all of which failed to stop recurring bleeding.  Rhino rocket inserted and will remain inserted for  four days.  Scheduled to be removed by an Ear, Nose and Throat  specialist at the end of four day period.  Continuing treatment unknown at this time.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: The patient received their first dose of Moderna COVID-19 vaccine on 04/01/2021; The patient returned Public Health's drive through vaccination clinic on 04/29/2021 to receive their second dose of the COVID-19 vaccine.  The nurse administering the vaccine to the patient asked the patient what vaccine they had received first and the patient informed the nurse they had Pfizer COVID-19 vaccine, the nurse then administered Pfizer COVID-19 vaccine to the patient  as that was the vaccine Public Health was providing that day for second doses.  The patient was inadvertently given the Pfizer COVID-19 vaccine instead of the Moderna COVID-19 vaccine for their second dose.  Therefore there was no adverse reaction to the COVID-19 vaccine, the patient was inadvertently given Pfizer COVID-19 vaccine instead of second dose being Moderna COVID-19 vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash, Urticaria
Clinical narrative: Woke up in the morning (a.m.) of 04/18/2021 with two breakout lesions/welts on left backside of lower abdominal region, along with one rash on the front of the lower abdominal region of what appeared to be a Shingles (herpes zoster) outbreak/reactivation.  I have never had Shingles before in my lifetime.  I did experience the chickenpox at age 5.  I have not received the Shingrix vaccination because I am under the age of 50 years old.  I instantly went to the nearest Urgent Care and, shortly after 9:00 a.m. I was diagnosed with having a Shingles (herpes zoster) outbreak/reactivation.  The doctor prescribed valacyclovir 1 gram to be taken 3 times a day for 7 days.  I took all doses on time and never missed or skipped a dose.  I completed this course of valacyclovir on 04/24/2021.  The reason for my reporting this adverse event is because I read an article.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Urticaria
Clinical narrative: I felt nothing at all adversely at the time of administration. I returned on 04/21/2021 for the second dose, but elected to wait the two weeks longer, as offered. On the 34th day after the first dose I broke out in hives in several areas, including upper thighs, upper and lower arms, hands and neck. I have not had an outbreak of hives for nine years and have not changed anything in my personal care routine or food selections. Some of the hives are very small, some are larger and inflamed. The lesions are very pruritic.  I have no way of knowing if the hives are related to the injection, but since there is nothing else new that I know of to account for them I felt it best to report it, which was suggested by my local pharmacy as well. I am now very concerned about getting the second dose this coming week. Since I have a long-standing autoimmune condition, could this be a delayed reaction?
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Cough
Clinical narrative: Pt started coughing 10 minutes after receiving 1st dose of Pfizer Covid vaccine.  Pt was sitting down and started coughing.  She informed us she has an anaphylaxis reaction to penicillin.  We gave her 50mg of Diphenhydramine and gave her some water.  She was alert and communication with us. After 30 minutes her coughing subsided and she said she felt better.  She contacted her husband to dive her home.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction
Clinical narrative: Red circle; raised welt at injection site bigger than original mark. Painful bruise feeling, like the original shot, for 3 days, then just itchy and tender for 17 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Red circle; raised welt at injection site bigger than original mark. Painful bruise feeling, like the original shot, for 3 days, then just itchy and tender for 17 days.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness, tingling, burning bilateral feet and hands
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Chest pain, Culture urine
Clinical narrative: Urinary/stomach pain, muscle/back pain, joint pain, chest pain
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dysuria, Myalgia, Urine analysis
Clinical narrative: Urinary/stomach pain, muscle/back pain, joint pain, chest pain
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: My menstrual cycle was late by 7 days. This was then followed by 20+ days of continual bleeding
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Arthritis, Gait inability, Herpes zoster, Joint swelling
Clinical narrative: 5 days after her 2nd moderna covid vaccine shot, my mother was walking to her camper, and her knee "gave out." She has never had any pain or other problems with her knee prior to this moment. She did not sustain any falls or injuries before or after the immediate onset of knee pain.  Since her knee gave out, she has had severe knee pain, swelling, and has been unable to ambulate well. She went to see an orthopedist, who did an MRI and diagnosed her with "arthritis." She has had to have fluid removed from the knee twice. She also developed shingles on her forehead 4/1/2021, 8 days after her 2nd dose of vaccine.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging, Muscular weakness
Clinical narrative: 5 days after her 2nd moderna covid vaccine shot, my mother was walking to her camper, and her knee "gave out." She has never had any pain or other problems with her knee prior to this moment. She did not sustain any falls or injuries before or after the immediate onset of knee pain.  Since her knee gave out, she has had severe knee pain, swelling, and has been unable to ambulate well. She went to see an orthopedist, who did an MRI and diagnosed her with "arthritis." She has had to have fluid removed from the knee twice. She also developed shingles on her forehead 4/1/2021, 8 days after her 2nd dose of vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin reaction, Skin warm, Thrombosis, Ultrasound scan abnormal
Clinical narrative: On the 28th of April, 18 days from the shot, I went for a walk and came home around 6:30 p.m. to the outside of my right calf bright red and hot. I went to the ER where an ultrasound was performed and they found a DVT blood clot. I am now on an anticoagulant, Xarelto and have an appointment with my doctor on the 5th to schedule more imaging and blood work.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Erythema, Ultrasound Doppler abnormal
Clinical narrative: On the 28th of April, 18 days from the shot, I went for a walk and came home around 6:30 p.m. to the outside of my right calf bright red and hot. I went to the ER where an ultrasound was performed and they found a DVT blood clot. I am now on an anticoagulant, Xarelto and have an appointment with my doctor on the 5th to schedule more imaging and blood work.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: 2 weeks or so after the second dose I had a very light 5 or so days of menstrual bleeding in the middle of my cycle. My cycles are between 35 and 40 days, so this was strange. I had the copper IUD put in in December so my body is still adjusting and I have very heavy periods.  I have recently started my normal period afterward. The only change otherwise was receiving the 2nd dose of Pfizer.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Chills, Fatigue, Nausea, Physical examination
Clinical narrative: Fever, chills, fatigue, nausea, severe joint inflammation from the neck to all joints, down to the feet, elbows and wrists
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, fatigue, nausea, severe joint inflammation from the neck to all joints, down to the feet, elbows and wrists
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Limb discomfort, Paraesthesia
Clinical narrative: my face started getting numb and my arms,legs and face feel heavy and tingly. The heaviness went away yesterday. My whole face feels numb.  The patient is a 60 year old female who presents for preventive health care. Preventive health care scheduled includes other.  Note: denies slurred speech/facial weakness. denies cp/sob/edema/rashes/anaphaltic reaction headache resolved.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache (4/10). Fear of needles, with history of fainting. O2 sat 100%. BP 91/74 (pulse 63).
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus
Clinical narrative: Severe itching/burning over entire body that is still ongoing and taking medication for
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose of Moderna COVID Vaccine administered 21 days after 1st dose to prevent wastage of expiring doses. No adverse reactions noted.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypotension, Pallor
Clinical narrative: Lightheaded Seen by onsite EMTs Pt.CAOX3; pale;diaphoretic, initial v/s WNL. Pt. stated relief after lying supine. Once seated patient c/o lightheaded again. Pt. hypotensive at v/s recheck.  Recheck 88/54 Pt. remained in supine position for extended observation time. Post orthostatic blood pressure , patient remained WNL, CAOX3 Recorded by  Pt. discharged home at 15:15 p.m.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles, while currently on the medication that they use to treat Shingles with
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Headache, Pain
Clinical narrative: Soreness of Body, Mild headache, Stomach cramps, Light headedness, Fatigue Tinnitus on left ear  Took Tylenol once on 4/26nd once 4/27
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Soreness of Body, Mild headache, Stomach cramps, Light headedness, Fatigue Tinnitus on left ear  Took Tylenol once on 4/26nd once 4/27
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Myalgia
Clinical narrative: Myalgia for ~2 months since getting first dose. Am a college tennis player, but am unable to perform essentially any exercise more intense than a few miles of walking and biking for 10 minutes.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dyshidrotic eczema, Rash erythematous, Rash vesicular
Clinical narrative: Dyshidrotic Eczema 8 days after vaccination. I have never had a previous eczema reaction in my life before. It began with small red bumps on the palms, then on elbows, then on feet. It would progress slowly day by day. The small red bumps started to look like blisters.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Loss of consciousness, Nausea
Clinical narrative: Fever (100.1), nausea, vomiting, fainting (21 hours after vaccine), chills, headache, body ache, sore arm, light headed/dizzy. All symptoms discovered upon waking in morning 21 hours after vaccine. Fainted 15 minutes after waking, Treated with DayQuil and sleep, Symptom length of time unknown since ongoing and treated  quickly.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Fever (100.1), nausea, vomiting, fainting (21 hours after vaccine), chills, headache, body ache, sore arm, light headed/dizzy. All symptoms discovered upon waking in morning 21 hours after vaccine. Fainted 15 minutes after waking, Treated with DayQuil and sleep, Symptom length of time unknown since ongoing and treated  quickly.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Presyncope
Clinical narrative: Felt dizzy, nauseous, almost fainted
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling, Migraine
Clinical narrative: I am pregnant and due at the end of July. Immediately following the shot my arm turned red, painful and swollen at the site of the injection. At about 4am I woke up with very rapid heartbeat which I still have possibly to a lesser degree. When I got up around 9 I experienced nausea and violently vomited twice. I have aches and pains and a throbbing migraine for the last 2 hours. My arm is still swollen and painful.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain
Clinical narrative: I am pregnant and due at the end of July. Immediately following the shot my arm turned red, painful and swollen at the site of the injection. At about 4am I woke up with very rapid heartbeat which I still have possibly to a lesser degree. When I got up around 9 I experienced nausea and violently vomited twice. I have aches and pains and a throbbing migraine for the last 2 hours. My arm is still swollen and painful.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose 2 was given before minimum interval. It was given 9 days after the first dose.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Blood thyroid stimulating hormone decreased, C-reactive protein increased, Chest X-ray normal, Chest pain
Clinical narrative: Pt experienced malaise, sibjective fever, chills, headaches, and myalgias following vaccination then on 4/11 (3 days post vaccine) experienced sharp chest pains radiating up left side of neck and down bilateral arms. Pt presented to urgent care clinic where EMS was activated for transport to the Emergency Department. Pt was evaluated for STEMI by cardiologist in the ED, cath lab was not recommended and pt was admitted for ealuation of possible myocarditis.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Echocardiogram, Electrocardiogram, Electrocardiogram ST segment elevation, Full blood count normal
Clinical narrative: Pt experienced malaise, sibjective fever, chills, headaches, and myalgias following vaccination then on 4/11 (3 days post vaccine) experienced sharp chest pains radiating up left side of neck and down bilateral arms. Pt presented to urgent care clinic where EMS was activated for transport to the Emergency Department. Pt was evaluated for STEMI by cardiologist in the ED, cath lab was not recommended and pt was admitted for ealuation of possible myocarditis.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin normal, Headache, Magnetic resonance imaging, Malaise, Myalgia
Clinical narrative: Pt experienced malaise, sibjective fever, chills, headaches, and myalgias following vaccination then on 4/11 (3 days post vaccine) experienced sharp chest pains radiating up left side of neck and down bilateral arms. Pt presented to urgent care clinic where EMS was activated for transport to the Emergency Department. Pt was evaluated for STEMI by cardiologist in the ED, cath lab was not recommended and pt was admitted for ealuation of possible myocarditis.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Neck pain, Pain, Pain in extremity, Pericarditis
Clinical narrative: Pt experienced malaise, sibjective fever, chills, headaches, and myalgias following vaccination then on 4/11 (3 days post vaccine) experienced sharp chest pains radiating up left side of neck and down bilateral arms. Pt presented to urgent care clinic where EMS was activated for transport to the Emergency Department. Pt was evaluated for STEMI by cardiologist in the ED, cath lab was not recommended and pt was admitted for ealuation of possible myocarditis.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Sinus tachycardia, Troponin I increased, Ventricular hypokinesia
Clinical narrative: Pt experienced malaise, sibjective fever, chills, headaches, and myalgias following vaccination then on 4/11 (3 days post vaccine) experienced sharp chest pains radiating up left side of neck and down bilateral arms. Pt presented to urgent care clinic where EMS was activated for transport to the Emergency Department. Pt was evaluated for STEMI by cardiologist in the ED, cath lab was not recommended and pt was admitted for ealuation of possible myocarditis.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Cough, Headache, Nasal congestion
Clinical narrative: Cough  Headache  New loss of taste or smell  Congestion or running nose
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 antibody test, SARS-CoV-2 test
Clinical narrative: Cough  Headache  New loss of taste or smell  Congestion or running nose
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Chills followed by fever then aches.
Age: 100.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Decreased appetite, Tremor
Clinical narrative: Approximately 1 week after vaccine, patient began shaking /trembling per caregiver and son.  Less shaking 2 days before she died. Following vaccination, appetite decreased and then appetite disappeared 2 days before she passed. History of infection in her foot per caregiver.  noted to have a blister on her right toe that became purple/ dark color.  MD was notified and was started on an antibiotic.  Patient was on palliative care due to advanced age and bedridden status.  MD -  No autopsy was done.
Age: 100.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Approximately 1 week after vaccine, patient began shaking /trembling per caregiver and son.  Less shaking 2 days before she died. Following vaccination, appetite decreased and then appetite disappeared 2 days before she passed. History of infection in her foot per caregiver.  noted to have a blister on her right toe that became purple/ dark color.  MD was notified and was started on an antibiotic.  Patient was on palliative care due to advanced age and bedridden status.  MD -  No autopsy was done.
Age: 41.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was administered an expired lot of MMR vaccine. Lot expired on 3/14/2021, but administered on 4/16/2021. Patient immediately notified. Manufacturer contacted, who confirmed they had potency stability data for that date range of expiration. Patient did not experience any adverse side effects.
Age: 41.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Accidental exposure to product, Expired product administered
Clinical narrative: Patient was administered an expired lot of MMR vaccine. Lot expired on 3/14/2021, but administered on 4/16/2021. Patient immediately notified. Manufacturer contacted, who confirmed they had potency stability data for that date range of expiration. Patient did not experience any adverse side effects.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in ears starting 7 hour post dose and still continuing 26 hours later
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Tightness in chest seems to be subsiding after three days although I can't really take any caffeine/stimulant (which was what I initially blamed) or it comes back again, though it was worse before where I would have to catch my breath.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Hiccups
Clinical narrative: Recurring hiccups for almost 48 hours straight
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Chest discomfort, Dysphagia, Dysphonia, Dyspnoea
Clinical narrative: Went to ED after vaccination reaction - diagnosis: Anaphylaxis  CHIEF COMPLAINT:  POSSIBLE ALLERGIC REACTION (ptjust had 2nd COVID vaccine. c/o voice changes and changes in swallowing. pt is able to maintain secretions at triage. )  DIAGNOSIS at time of disposition:  1. Anaphylaxis, initial encounter  This is a 49-year-old female that presents emergency department 1 hour after receiving her 2nd COVID vaccine (pfizer), and states that she waited her 15 minutes after receiving the shot and felt fine.  She then reports that when she got to the car she started feeling some chest tightness a bit of more difficulty with her breathing and felt like her throat was scratchy and a bit tight as well.  She has had complications with taking the flu vaccine as well as a tetanus shot.  Where she has had rashes then enlarged lymph nodes.  But never this reaction.  She has never been hospitalized or brought to the ER due to anaphylaxis.  She does not use an epinephrine pen at home.  Patient states before the shot she was feeling well.  She does not have any systemic symptoms like fever, nasal congestion or sore throat.  Patient also denies any recent episodes of vomiting or diarrhea. This patient came in the emergency department was concerning signs and symptoms for anaphylaxis.  The patient was immediately given a dose of IV Solu-Medrol 125 mg, IV Benadryl 50 mg, and 20 mg of IV Pepcid.  Patient was placed on cardiac monitor.  I went back to re-evaluate the patient she was feeling significantly improved within a short period of time.  Patient was monitored in our emergency department for most 2 hours.  Patient's symptoms had resolved.  Patient was comfortable being discharged home.  Patient has several allergies in her history.  Patient was sent home with a prescription for prednisone as well as Pepcid.  Patient also given a prescription for an epinephrine pen and told and instructed on how and when to use this.  The patient is going to have someone pick her up as she was instructed that the Benadryl can make her very drowsy and a would be rather unsafe to drive.  She was going to contact a family member to pick her up.  Patient will return if she has any more symptoms
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Throat tightness
Clinical narrative: Went to ED after vaccination reaction - diagnosis: Anaphylaxis  CHIEF COMPLAINT:  POSSIBLE ALLERGIC REACTION (ptjust had 2nd COVID vaccine. c/o voice changes and changes in swallowing. pt is able to maintain secretions at triage. )  DIAGNOSIS at time of disposition:  1. Anaphylaxis, initial encounter  This is a 49-year-old female that presents emergency department 1 hour after receiving her 2nd COVID vaccine (pfizer), and states that she waited her 15 minutes after receiving the shot and felt fine.  She then reports that when she got to the car she started feeling some chest tightness a bit of more difficulty with her breathing and felt like her throat was scratchy and a bit tight as well.  She has had complications with taking the flu vaccine as well as a tetanus shot.  Where she has had rashes then enlarged lymph nodes.  But never this reaction.  She has never been hospitalized or brought to the ER due to anaphylaxis.  She does not use an epinephrine pen at home.  Patient states before the shot she was feeling well.  She does not have any systemic symptoms like fever, nasal congestion or sore throat.  Patient also denies any recent episodes of vomiting or diarrhea. This patient came in the emergency department was concerning signs and symptoms for anaphylaxis.  The patient was immediately given a dose of IV Solu-Medrol 125 mg, IV Benadryl 50 mg, and 20 mg of IV Pepcid.  Patient was placed on cardiac monitor.  I went back to re-evaluate the patient she was feeling significantly improved within a short period of time.  Patient was monitored in our emergency department for most 2 hours.  Patient's symptoms had resolved.  Patient was comfortable being discharged home.  Patient has several allergies in her history.  Patient was sent home with a prescription for prednisone as well as Pepcid.  Patient also given a prescription for an epinephrine pen and told and instructed on how and when to use this.  The patient is going to have someone pick her up as she was instructed that the Benadryl can make her very drowsy and a would be rather unsafe to drive.  She was going to contact a family member to pick her up.  Patient will return if she has any more symptoms
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Myalgia, Nasal congestion
Clinical narrative: COVID-19 illness after receiving dose one and dose 2 of COVID vaccine (Pfizer). On 4/27 developed the following symptoms: cough, headache, sore/scratchy throat, congestion, runny nose, eye pressure, and myalgia. COVID test confirmed COVID-19 infection. Vaccinated with Pfizer COVID vaccine as follows: dose 1 on 12/18/2020, dose 2 on 1/8/2021.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular discomfort, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: COVID-19 illness after receiving dose one and dose 2 of COVID vaccine (Pfizer). On 4/27 developed the following symptoms: cough, headache, sore/scratchy throat, congestion, runny nose, eye pressure, and myalgia. COVID test confirmed COVID-19 infection. Vaccinated with Pfizer COVID vaccine as follows: dose 1 on 12/18/2020, dose 2 on 1/8/2021.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate decreased, Hypotension, Loss of consciousness
Clinical narrative: Patient has history of passing out after vaccines and blood draws. 10 min after vaccine administration patient passed out twice and almost passed out a third time, HR and BP were being monitored and were low. EMS was called when patient was about to pass out for a third time. EMS arrived and recommended patient be transported to hospital via ambulance. Patient refused to go and signed AMA waiver before leaving.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Client was vaccinated with the J&J on 4/3/21 and had a breakthrough infection on 4/23/21.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper
Clinical narrative: Patient reports right upper quadrant abdominal pain at end of 15 minute observation.  vitals obtained @ 2:25 134/65, HR 72, Spo2 98%, RR 16.  No acute signs of distress. Patient denies any adverse symptoms. (2:34) Vitals 122/84, HR 79, SpO2 98%, RR 16.  Patient states RUQ abdominal pain is "better."
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Resident received Pfizer COVID-19 Vaccination on April 29.  When entering the information into the Registry, it was noted that the resident had completed the Moderna COVID-19 series in March.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Breath sounds abnormal, Chest discomfort, Chest pain, Dyspnoea, Urinary tract infection
Clinical narrative: Tightness in  chest about 5 hours after the shot. Over the following few days the condition escalated to breathlessness and moderate intermittent chest pain (I have no previous history of respiratory issues.  I couldn't run or walk up stairs or a slight grade without getting out of breath. I sought medical attention on 4/27/2021. The Dr. heard wheezing and chest sounds for which he prescribed Flovet. I have never taken an inhaler before this time.  Concurrent with the shortness of breath, I had a urinary infection.  I have not had one in at least 30 years.  I was prescribed Sulfamethoxazole, and took two rounds. I had a second positiveurinalysis, and prescribed Ciprofloxacin HCLon 04/29/2021.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal, Wheezing
Clinical narrative: Tightness in  chest about 5 hours after the shot. Over the following few days the condition escalated to breathlessness and moderate intermittent chest pain (I have no previous history of respiratory issues.  I couldn't run or walk up stairs or a slight grade without getting out of breath. I sought medical attention on 4/27/2021. The Dr. heard wheezing and chest sounds for which he prescribed Flovet. I have never taken an inhaler before this time.  Concurrent with the shortness of breath, I had a urinary infection.  I have not had one in at least 30 years.  I was prescribed Sulfamethoxazole, and took two rounds. I had a second positiveurinalysis, and prescribed Ciprofloxacin HCLon 04/29/2021.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Balance disorder, Blood creatinine normal, Blood ethanol normal, Blood glucose normal
Clinical narrative: Disorientation, imbalance, feeling of being intoxicated including slowing down of thought processes, and speech. Pt was taken to ER and examined, followed up with PCP two days later and was still altered at this time; reports improved mentation when taking benadryl/cetirizine (but it only lasts for a couple of hours).
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Computerised tomogram head normal, Disorientation, Echocardiogram abnormal
Clinical narrative: Disorientation, imbalance, feeling of being intoxicated including slowing down of thought processes, and speech. Pt was taken to ER and examined, followed up with PCP two days later and was still altered at this time; reports improved mentation when taking benadryl/cetirizine (but it only lasts for a couple of hours).
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling drunk, Haematocrit normal, Haemoglobin normal, Metabolic function test normal, Sinus rhythm
Clinical narrative: Disorientation, imbalance, feeling of being intoxicated including slowing down of thought processes, and speech. Pt was taken to ER and examined, followed up with PCP two days later and was still altered at this time; reports improved mentation when taking benadryl/cetirizine (but it only lasts for a couple of hours).
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Slow speech, Thinking abnormal, Troponin T normal, White blood cell count normal
Clinical narrative: Disorientation, imbalance, feeling of being intoxicated including slowing down of thought processes, and speech. Pt was taken to ER and examined, followed up with PCP two days later and was still altered at this time; reports improved mentation when taking benadryl/cetirizine (but it only lasts for a couple of hours).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Lump in chest area day after vaccine that has not gone away.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dosage administered
Clinical narrative: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received a higher dose of 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No serious adverse events were reported by the patient.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Fatigue, Flushing, Headache, Pain
Clinical narrative: I began to feel fluish at  10am and within an hour I had a climbing fever, head to toe pain, exhaustion to the point of immobility, was unable to sleep for any amount of time or eat because of the pain and symptoms were not helped by Tylenol.  Around 3:30pm I was finally able to sit up, but the pain and fever lasted until at least 3am, which was the last time I woke up from what felt like bone pain across my entire body. When I awoke today at 9am, I felt completely back to normal. So that was fun. I?m still glad I got the vaccine.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: I began to feel fluish at  10am and within an hour I had a climbing fever, head to toe pain, exhaustion to the point of immobility, was unable to sleep for any amount of time or eat because of the pain and symptoms were not helped by Tylenol.  Around 3:30pm I was finally able to sit up, but the pain and fever lasted until at least 3am, which was the last time I woke up from what felt like bone pain across my entire body. When I awoke today at 9am, I felt completely back to normal. So that was fun. I?m still glad I got the vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Allodynia
Clinical narrative: Allodynia starting at 3am lasting about 18 hours
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: The patient received the BioNTech covid vaccine and waited 15 minutes in the pharmacy. The patient left with his mom to go shopping in our Walmart store and a few minutes after his 15 minute wait time, the patient developed a heavy nose bleed. We helped patient control the bleed and provided first aid. 10-15 minutes after the onset of nose bleed, it began to slow down and patient felt comfortable to leave the pharmacy.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram normal, Chest X-ray normal, Chest pain, Dyspnoea exertional, Electrocardiogram ST segment elevation
Clinical narrative: The patient presented with chest pain and dyspnea on exertion  which started the day after receiving the second dose of the Moderna Covid vaccine.   Pt was found to have myocarditis.  He was admitted to the hospital and treated with NSAIDS and Steroids.  He improved and was discharged after 2 days.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Pericardial effusion, Troponin increased, Ultrasound scan normal
Clinical narrative: The patient presented with chest pain and dyspnea on exertion  which started the day after receiving the second dose of the Moderna Covid vaccine.   Pt was found to have myocarditis.  He was admitted to the hospital and treated with NSAIDS and Steroids.  He improved and was discharged after 2 days.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Pain in extremity
Clinical narrative: Received vaccine on 4/9/21 and had arm pain for 24-48 hours.  This morning 4/30/21 started having severe arm pain in left arm constant dull ache and stabbing sensations severe that comes and goes.  No redness or swelling today at the site.   Reports received first dose on 3/10/21 and 5 days later had bruise for 2 weeks. Spoke with Dr and advised to follow up with PCP.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose of Moderna COVID Vaccine administered 21 days after 1st dose to avoid wastage of expiring doses. No adverse reactions noted.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Sudden onset of tinnitus in right ear noticed several days after 1st covid vaccine.  Ringing is constant and have not had this issue before.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Pain
Clinical narrative: Whole body pain, headache, sore throat that all started when I woke up the day after the second dose.
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Anaphylactic reaction, Dysphonia, Dyspnoea, Hyperhidrosis, Paraesthesia oral
Clinical narrative: Pt. received 2nd dose of Pfizer, waited 30 minutes in observation and went to leave. After walking approx 100 yrds, pt. developed hoarseness and tongue tingling, mild difficulty with breathing- contacted clinic staff. Pt. reported this was how her last anaphylactic reaction started >16yo ago. She was escorted to a private location, given 50mg liquid diphenhydramine. Pt. evaluated by medical staff, intermittent hoarseness noted with mild diaphoresis, HR 62, BP 176/90, RR 20. Pt. able to maintain airway and manage secretions, no acute distress. Pt. verbalized feeling of plateau of sxs 15 minutes after diphehydramine admin. EMS staff on scene and pt. transported to local hospital.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pyrexia, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: cough and fever
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Patient complaining of numbness going from the left arm at injection site to the neck. Zyrtec given 10 mg po. After 10 minutes, patient reported feeling better. VS taken at 1255: 159/73 P 55;  O2 94% ; Second set of vitals at 143/69 P 55, O2 95% on RA. Patient stable, able to ambulate without any problems. Patient discharged from vaccine center to home. Numbness resolved before departure.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Pain, Tenderness
Clinical narrative: Moderna COVID-19 Vaccine EUA - Fatigue; pain and tenderness due to swelling of lymph nodes in my armpits; the pain in my armpits persists 9 days after my first dose of the Moderna vaccine.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient was not vaccinated at our site however was admitted approximately 7-10 days post vaccination and expired.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase normal, Anti-platelet antibody negative, Antinuclear antibody positive, Aspartate aminotransferase normal
Clinical narrative: "Pfizer-BioNTech COVID-19 Vaccine EUA" - received first dose 2/25/2021 and second dose 3/18/2021 Patient wint intermittent persistent occipital headache for 2-3 days.  Pain was rated 8/10.  Also with bilateral lower extremity rash without itchiness persisting for 2 days.  no vision change, no photophobia. Denied any fever, chills, SOB, cough, loss of smell or taste, myalgia, nausea, vomiting, diarrhea, weakness or any focal neurological deficit.    Admitted for ITP (also with epistaxis and severe low platelets, hyponatremia, acute cystitis without hematuria.  No chest pain, no GI bleed.Treatments included 2 units PRBC transfusion (4/6), plateletpheresis (4/6), dexamethasone IV (changed to prednisone oral on 4/7), IVIG infusion from 4/5 to 4/7, and B12 replacement.    Discharge home with prednisone oral, folic acid, cyanocobalamin
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bacterial test positive, Blood albumin normal, Blood alkaline phosphatase decreased, Blood bilirubin normal, Blood folate normal
Clinical narrative: "Pfizer-BioNTech COVID-19 Vaccine EUA" - received first dose 2/25/2021 and second dose 3/18/2021 Patient wint intermittent persistent occipital headache for 2-3 days.  Pain was rated 8/10.  Also with bilateral lower extremity rash without itchiness persisting for 2 days.  no vision change, no photophobia. Denied any fever, chills, SOB, cough, loss of smell or taste, myalgia, nausea, vomiting, diarrhea, weakness or any focal neurological deficit.    Admitted for ITP (also with epistaxis and severe low platelets, hyponatremia, acute cystitis without hematuria.  No chest pain, no GI bleed.Treatments included 2 units PRBC transfusion (4/6), plateletpheresis (4/6), dexamethasone IV (changed to prednisone oral on 4/7), IVIG infusion from 4/5 to 4/7, and B12 replacement.    Discharge home with prednisone oral, folic acid, cyanocobalamin
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood lactate dehydrogenase increased, Blood sodium decreased, Chest X-ray abnormal, Computerised tomogram head abnormal, Cystitis
Clinical narrative: "Pfizer-BioNTech COVID-19 Vaccine EUA" - received first dose 2/25/2021 and second dose 3/18/2021 Patient wint intermittent persistent occipital headache for 2-3 days.  Pain was rated 8/10.  Also with bilateral lower extremity rash without itchiness persisting for 2 days.  no vision change, no photophobia. Denied any fever, chills, SOB, cough, loss of smell or taste, myalgia, nausea, vomiting, diarrhea, weakness or any focal neurological deficit.    Admitted for ITP (also with epistaxis and severe low platelets, hyponatremia, acute cystitis without hematuria.  No chest pain, no GI bleed.Treatments included 2 units PRBC transfusion (4/6), plateletpheresis (4/6), dexamethasone IV (changed to prednisone oral on 4/7), IVIG infusion from 4/5 to 4/7, and B12 replacement.    Discharge home with prednisone oral, folic acid, cyanocobalamin
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epistaxis, Haematocrit decreased, Haemoglobin decreased, Headache, Hyponatraemia
Clinical narrative: "Pfizer-BioNTech COVID-19 Vaccine EUA" - received first dose 2/25/2021 and second dose 3/18/2021 Patient wint intermittent persistent occipital headache for 2-3 days.  Pain was rated 8/10.  Also with bilateral lower extremity rash without itchiness persisting for 2 days.  no vision change, no photophobia. Denied any fever, chills, SOB, cough, loss of smell or taste, myalgia, nausea, vomiting, diarrhea, weakness or any focal neurological deficit.    Admitted for ITP (also with epistaxis and severe low platelets, hyponatremia, acute cystitis without hematuria.  No chest pain, no GI bleed.Treatments included 2 units PRBC transfusion (4/6), plateletpheresis (4/6), dexamethasone IV (changed to prednisone oral on 4/7), IVIG infusion from 4/5 to 4/7, and B12 replacement.    Discharge home with prednisone oral, folic acid, cyanocobalamin
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immune thrombocytopenia, Immunoglobulin therapy, Immunology test, Influenza A virus test negative, Influenza B virus test
Clinical narrative: "Pfizer-BioNTech COVID-19 Vaccine EUA" - received first dose 2/25/2021 and second dose 3/18/2021 Patient wint intermittent persistent occipital headache for 2-3 days.  Pain was rated 8/10.  Also with bilateral lower extremity rash without itchiness persisting for 2 days.  no vision change, no photophobia. Denied any fever, chills, SOB, cough, loss of smell or taste, myalgia, nausea, vomiting, diarrhea, weakness or any focal neurological deficit.    Admitted for ITP (also with epistaxis and severe low platelets, hyponatremia, acute cystitis without hematuria.  No chest pain, no GI bleed.Treatments included 2 units PRBC transfusion (4/6), plateletpheresis (4/6), dexamethasone IV (changed to prednisone oral on 4/7), IVIG infusion from 4/5 to 4/7, and B12 replacement.    Discharge home with prednisone oral, folic acid, cyanocobalamin
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: International normalised ratio normal, Lung opacity, Mean cell haemoglobin concentration decreased, Mean cell volume decreased, Nitrite urine absent
Clinical narrative: "Pfizer-BioNTech COVID-19 Vaccine EUA" - received first dose 2/25/2021 and second dose 3/18/2021 Patient wint intermittent persistent occipital headache for 2-3 days.  Pain was rated 8/10.  Also with bilateral lower extremity rash without itchiness persisting for 2 days.  no vision change, no photophobia. Denied any fever, chills, SOB, cough, loss of smell or taste, myalgia, nausea, vomiting, diarrhea, weakness or any focal neurological deficit.    Admitted for ITP (also with epistaxis and severe low platelets, hyponatremia, acute cystitis without hematuria.  No chest pain, no GI bleed.Treatments included 2 units PRBC transfusion (4/6), plateletpheresis (4/6), dexamethasone IV (changed to prednisone oral on 4/7), IVIG infusion from 4/5 to 4/7, and B12 replacement.    Discharge home with prednisone oral, folic acid, cyanocobalamin
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count decreased, Plateletpheresis, Pleural effusion, Prothrombin time prolonged, Rash
Clinical narrative: "Pfizer-BioNTech COVID-19 Vaccine EUA" - received first dose 2/25/2021 and second dose 3/18/2021 Patient wint intermittent persistent occipital headache for 2-3 days.  Pain was rated 8/10.  Also with bilateral lower extremity rash without itchiness persisting for 2 days.  no vision change, no photophobia. Denied any fever, chills, SOB, cough, loss of smell or taste, myalgia, nausea, vomiting, diarrhea, weakness or any focal neurological deficit.    Admitted for ITP (also with epistaxis and severe low platelets, hyponatremia, acute cystitis without hematuria.  No chest pain, no GI bleed.Treatments included 2 units PRBC transfusion (4/6), plateletpheresis (4/6), dexamethasone IV (changed to prednisone oral on 4/7), IVIG infusion from 4/5 to 4/7, and B12 replacement.    Discharge home with prednisone oral, folic acid, cyanocobalamin
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red blood cell count decreased, Red cell distribution width normal, Rheumatoid factor negative, SARS-CoV-2 test negative, Transfusion
Clinical narrative: "Pfizer-BioNTech COVID-19 Vaccine EUA" - received first dose 2/25/2021 and second dose 3/18/2021 Patient wint intermittent persistent occipital headache for 2-3 days.  Pain was rated 8/10.  Also with bilateral lower extremity rash without itchiness persisting for 2 days.  no vision change, no photophobia. Denied any fever, chills, SOB, cough, loss of smell or taste, myalgia, nausea, vomiting, diarrhea, weakness or any focal neurological deficit.    Admitted for ITP (also with epistaxis and severe low platelets, hyponatremia, acute cystitis without hematuria.  No chest pain, no GI bleed.Treatments included 2 units PRBC transfusion (4/6), plateletpheresis (4/6), dexamethasone IV (changed to prednisone oral on 4/7), IVIG infusion from 4/5 to 4/7, and B12 replacement.    Discharge home with prednisone oral, folic acid, cyanocobalamin