chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Inappropriate schedule of product administration, Leukocytosis, Neutrophilia, Normocytic anaemia
Clinical narrative: Pt is a 66y.o. year old male with a past medical history of COPD, diabetes, hypertension, and gunshot wound who presented to  local Hospital ED with a chief complaint of dyspnea. His dyspnea began 7 days ago and he also reported some rigors that both worsened to the point where he presented to the ED. He reports dyspnea when he begins moving around but denies any orthopnea or PND.  He denies cough, anosmia, dysgeusia, headache, nausea, vomiting, diarrhea, abdominal pain, chest pain, dysuria, frequency/urgency.  He was vaccinated for COVID on 5/9/2021 and 4/5/2021.    He is a former smoker who quit 4 years ago. He smoked 1/2ppd for 50 years. He has COPD on home oxygen of 3L. He did not require higher amounts at home during this current episode. He uses albuterol at home for dyspnea and it helped for this current episode. He reports 2 exacerbations of his COPD (this one included) in the last 12 months.    ED Course:BP 144/71, HR 115, RR 18, Spo2 96%, Temp 97.3F (afebrile since admission) Hypoxemic episode noted SpO2 of 71% Labs:  Neutrophilic Leukocytosis WBC 13.4 Normocytic hypochromic anemia Hgb 10.9, Cr at baseline  COVID positive on 10/25/2021 - initial result was negative but was corrected by lab.  No COVID markers collected.  CXR (10/25/2021): No acute process/disease   Patient was given solumedrol 60mg Q6 hr and albuterol nebuli
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Pt is a 66y.o. year old male with a past medical history of COPD, diabetes, hypertension, and gunshot wound who presented to  local Hospital ED with a chief complaint of dyspnea. His dyspnea began 7 days ago and he also reported some rigors that both worsened to the point where he presented to the ED. He reports dyspnea when he begins moving around but denies any orthopnea or PND.  He denies cough, anosmia, dysgeusia, headache, nausea, vomiting, diarrhea, abdominal pain, chest pain, dysuria, frequency/urgency.  He was vaccinated for COVID on 5/9/2021 and 4/5/2021.    He is a former smoker who quit 4 years ago. He smoked 1/2ppd for 50 years. He has COPD on home oxygen of 3L. He did not require higher amounts at home during this current episode. He uses albuterol at home for dyspnea and it helped for this current episode. He reports 2 exacerbations of his COPD (this one included) in the last 12 months.    ED Course:BP 144/71, HR 115, RR 18, Spo2 96%, Temp 97.3F (afebrile since admission) Hypoxemic episode noted SpO2 of 71% Labs:  Neutrophilic Leukocytosis WBC 13.4 Normocytic hypochromic anemia Hgb 10.9, Cr at baseline  COVID positive on 10/25/2021 - initial result was negative but was corrected by lab.  No COVID markers collected.  CXR (10/25/2021): No acute process/disease   Patient was given solumedrol 60mg Q6 hr and albuterol nebuli
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Lymphadenopathy, Pyrexia
Clinical narrative: Fever, chills,sweats, nausea, swollen lymph nodes, larger more persistent lymph node swelling in arm with vaccination site
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse events
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blepharospasm, Blood pressure increased, Blood test, Cognitive disorder, Computerised tomogram
Clinical narrative: Extreme pain at injection site for the first week making it extremely difficult to sleep.  On 10/11, left eye started twitching uncontrollably.  This twitching was found on search to be a know side effect. Second dose on 11/1 resulted in extreme dizziness and a migraine headache that lasted over 2 days even with prescription migraine medication.  Left eye twitch has gotten much worse and  twitching has moved down into my mouth also.  I have had extreme exhaustion and confusion, along with inability to follow conversations and coherently reply when asked questions.  There is a constant fluttering feeling in the left side of my head and it never stops.  Due to these symptoms increasing and being  similar to the signs of a stroke, i was taken to the Emergency Room of a local hospital on 12/2 to be examined.  I had a CT scan, an EKG and various blood tests.  The ER staff have diagnosed me with a post vaccine reaction.  The second dose of the Moderna vaccine was on 11/1 at the same store and was Lot # 033F21A, if the vaccine card is to be believed.  The online records for store show different lot numbers for both injections.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Confusional state, Dizziness, Electrocardiogram, Fatigue
Clinical narrative: Extreme pain at injection site for the first week making it extremely difficult to sleep.  On 10/11, left eye started twitching uncontrollably.  This twitching was found on search to be a know side effect. Second dose on 11/1 resulted in extreme dizziness and a migraine headache that lasted over 2 days even with prescription migraine medication.  Left eye twitch has gotten much worse and  twitching has moved down into my mouth also.  I have had extreme exhaustion and confusion, along with inability to follow conversations and coherently reply when asked questions.  There is a constant fluttering feeling in the left side of my head and it never stops.  Due to these symptoms increasing and being  similar to the signs of a stroke, i was taken to the Emergency Room of a local hospital on 12/2 to be examined.  I had a CT scan, an EKG and various blood tests.  The ER staff have diagnosed me with a post vaccine reaction.  The second dose of the Moderna vaccine was on 11/1 at the same store and was Lot # 033F21A, if the vaccine card is to be believed.  The online records for store show different lot numbers for both injections.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Head discomfort, Laboratory test, Migraine, Muscle twitching, Vaccination complication
Clinical narrative: Extreme pain at injection site for the first week making it extremely difficult to sleep.  On 10/11, left eye started twitching uncontrollably.  This twitching was found on search to be a know side effect. Second dose on 11/1 resulted in extreme dizziness and a migraine headache that lasted over 2 days even with prescription migraine medication.  Left eye twitch has gotten much worse and  twitching has moved down into my mouth also.  I have had extreme exhaustion and confusion, along with inability to follow conversations and coherently reply when asked questions.  There is a constant fluttering feeling in the left side of my head and it never stops.  Due to these symptoms increasing and being  similar to the signs of a stroke, i was taken to the Emergency Room of a local hospital on 12/2 to be examined.  I had a CT scan, an EKG and various blood tests.  The ER staff have diagnosed me with a post vaccine reaction.  The second dose of the Moderna vaccine was on 11/1 at the same store and was Lot # 033F21A, if the vaccine card is to be believed.  The online records for store show different lot numbers for both injections.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Palpitations, SARS-CoV-2 antibody test
Clinical narrative: I woke up with racing heart (over 120 bpm). Had not subsided several hours later. Went to Urgent Care. Received bag of fluids. Heart rate returned to normal. After 3 or 4 days I lost sense of taste for a month after. Sense of taste has returned. I received a COVID antibody test. I tested 2416.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Death, Lethargy, Pulmonary congestion
Clinical narrative: 11/9  Booster administered- No fever, negative Covid test, Chest xray mild pulmonary venous congestion. Seen by Attending physician and stated OK to receive vaccine.  11/11  lethargy, chest congestion,  Telehealth visit, Had MOST form for  DNR and do not hospitalize, Family requested to go to ED 11/11 To ED 11/12 Returned from ED with DNR and Hospice ordered. Seen by NP. Orders for IV fluids and IV antibiotic 11/13 Resident expired
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: 11/9  Booster administered- No fever, negative Covid test, Chest xray mild pulmonary venous congestion. Seen by Attending physician and stated OK to receive vaccine.  11/11  lethargy, chest congestion,  Telehealth visit, Had MOST form for  DNR and do not hospitalize, Family requested to go to ED 11/11 To ED 11/12 Returned from ED with DNR and Hospice ordered. Seen by NP. Orders for IV fluids and IV antibiotic 11/13 Resident expired
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Dyspnoea, Feeling abnormal, Feeling hot, Headache
Clinical narrative: Shingrix Vaccine at 4:50 P.M.; at 4:55 P.M. a headache shot up the back of my head and immediately after a wave of heat went through my body, lightheadedness overcame me and I thought I was going to pass out, tachycardia (114 BPM versus my normal 70), trembling. At 4:59 P.M. I alerted the nurse that I felt "weird." and described my symptoms. It was not an anaphylaxis but, I did feel like I had to take deep breaths in to catch my breath. I felt like I was going to have a heart attack any moment. I asked for an escort in case I passed out and had someone pick me up. My intentions were to go to the hospital parking lot in case my situation got worse. I didn't feel confident that they were equipped at the administration building. They told me that they have an epi pen but, I didn't want to start asking if they knew where the AED machines was. I opted to get a ride to a possible hospital instead. After 30 minutes, I felt like I was "out of the woods." I wasn't 100% but, better. It was extremely scary. I've never had a reaction like this to anything in my life and I'm not allergic to anything.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Loss of consciousness, Tachycardia, Tremor
Clinical narrative: Shingrix Vaccine at 4:50 P.M.; at 4:55 P.M. a headache shot up the back of my head and immediately after a wave of heat went through my body, lightheadedness overcame me and I thought I was going to pass out, tachycardia (114 BPM versus my normal 70), trembling. At 4:59 P.M. I alerted the nurse that I felt "weird." and described my symptoms. It was not an anaphylaxis but, I did feel like I had to take deep breaths in to catch my breath. I felt like I was going to have a heart attack any moment. I asked for an escort in case I passed out and had someone pick me up. My intentions were to go to the hospital parking lot in case my situation got worse. I didn't feel confident that they were equipped at the administration building. They told me that they have an epi pen but, I didn't want to start asking if they knew where the AED machines was. I opted to get a ride to a possible hospital instead. After 30 minutes, I felt like I was "out of the woods." I wasn't 100% but, better. It was extremely scary. I've never had a reaction like this to anything in my life and I'm not allergic to anything.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse event
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE LATER DETERMINED TO BE EXPIRED
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram ambulatory abnormal, Extrasystoles, Feeling jittery, Nausea
Clinical narrative: Short bursts of V-Tach. (Ventricular Tachycardia) Skipped heart beats, racing hear rate, dizziness, nausea, jitters in chest and arms
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Ventricular tachycardia
Clinical narrative: Short bursts of V-Tach. (Ventricular Tachycardia) Skipped heart beats, racing hear rate, dizziness, nausea, jitters in chest and arms
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Dizziness, Fatigue
Clinical narrative: 11/14/2021 I began to have a sore throat and little bit of a cough. 11/15/2021 I felt the cough in my chest and having nasal congestion. I took a home test on this day and it was negative.  11/16/2021 cough became much worse, chest felt full, and unable to sleep, nasal congestion was much worse. 11/17/2021 I was much sicker, all same symptoms but much worse, I coughed all night long. 11/18/2021 I did a home test again and it was positive.  I did a telehealth visit with my doctor. on 11/18/2021.  I still have fatigue, slight cough and waves of dizziness, and brain fog.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Insomnia, Malaise, Nasal congestion, Oropharyngeal pain
Clinical narrative: 11/14/2021 I began to have a sore throat and little bit of a cough. 11/15/2021 I felt the cough in my chest and having nasal congestion. I took a home test on this day and it was negative.  11/16/2021 cough became much worse, chest felt full, and unable to sleep, nasal congestion was much worse. 11/17/2021 I was much sicker, all same symptoms but much worse, I coughed all night long. 11/18/2021 I did a home test again and it was positive.  I did a telehealth visit with my doctor. on 11/18/2021.  I still have fatigue, slight cough and waves of dizziness, and brain fog.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 11/14/2021 I began to have a sore throat and little bit of a cough. 11/15/2021 I felt the cough in my chest and having nasal congestion. I took a home test on this day and it was negative.  11/16/2021 cough became much worse, chest felt full, and unable to sleep, nasal congestion was much worse. 11/17/2021 I was much sicker, all same symptoms but much worse, I coughed all night long. 11/18/2021 I did a home test again and it was positive.  I did a telehealth visit with my doctor. on 11/18/2021.  I still have fatigue, slight cough and waves of dizziness, and brain fog.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: WEAKNESS
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Episode of Syncope following injection-Evaluated by Physician in office - monitored
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt reported receiving 1st Pfizer dose in September and was not in system when checked by another staff member prior to vaccine appointment. However, after the J&J vaccine was given on 11/23 when I went to document the Pfizer vaccine was listed and was not greater than 28d from the first shot, it was given on 11/10. So, he got a second shot too soon
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No known adverse reactions
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: covid related death.  Fully vaccinated
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Chest X-ray abnormal, Death, Fatigue, Haemoglobin normal
Clinical narrative: He appeared tired in the afternoon of 11/30/21. Overnight 11/30-12/1 he became lethargic and vomited a large amount of tube feeding. Approx. one hour later his respiratory rate increased to 30  breaths/minute and his oxygen saturation dropped. In the morning of 12/1/2021 he became unresponsive and tachycardic, and was transferred to the hospital. At the Medical Center he was felt to be in septic shock secondary to pneumonia. His Covid-19 test was negative. Despite antibiotics and pressors his condition worsened and he passed away during the evening of 12/1/2021.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Lung opacity, Oxygen saturation decreased, Platelet count decreased, Pneumonia
Clinical narrative: He appeared tired in the afternoon of 11/30/21. Overnight 11/30-12/1 he became lethargic and vomited a large amount of tube feeding. Approx. one hour later his respiratory rate increased to 30  breaths/minute and his oxygen saturation dropped. In the morning of 12/1/2021 he became unresponsive and tachycardic, and was transferred to the hospital. At the Medical Center he was felt to be in septic shock secondary to pneumonia. His Covid-19 test was negative. Despite antibiotics and pressors his condition worsened and he passed away during the evening of 12/1/2021.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory rate increased, SARS-CoV-2 test negative, Septic shock, Tachycardia, Unresponsive to stimuli
Clinical narrative: He appeared tired in the afternoon of 11/30/21. Overnight 11/30-12/1 he became lethargic and vomited a large amount of tube feeding. Approx. one hour later his respiratory rate increased to 30  breaths/minute and his oxygen saturation dropped. In the morning of 12/1/2021 he became unresponsive and tachycardic, and was transferred to the hospital. At the Medical Center he was felt to be in septic shock secondary to pneumonia. His Covid-19 test was negative. Despite antibiotics and pressors his condition worsened and he passed away during the evening of 12/1/2021.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: He appeared tired in the afternoon of 11/30/21. Overnight 11/30-12/1 he became lethargic and vomited a large amount of tube feeding. Approx. one hour later his respiratory rate increased to 30  breaths/minute and his oxygen saturation dropped. In the morning of 12/1/2021 he became unresponsive and tachycardic, and was transferred to the hospital. At the Medical Center he was felt to be in septic shock secondary to pneumonia. His Covid-19 test was negative. Despite antibiotics and pressors his condition worsened and he passed away during the evening of 12/1/2021.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Lymphadenopathy
Clinical narrative: Systemic: Bell's Palsy-Mild, Systemic: Lymph Node Swelling-Medium
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Dyskinesia, Grimacing, Tic
Clinical narrative: My son started having tics the day after his vaccine. His tics include facial grimacing and his head jerking  to his right side. This happens multiple times in a 5 minute timeframe. This never happened before and it has not stopped since.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site bruising, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Severe, Systemic: Joint Pain-Severe
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dysgeusia, Feeling abnormal
Clinical narrative: received Pfizer FE3590 1st dose in my right arm. almost immediately i noticed a weird taste in my mouth, if i had to describe it. i would say it tasted like metal? almost like i had a coin in my mouth. it was very strong, and lasted for 2days. in addition, i also had off balance and a weird feeling when i left 30mins later and tried to drive. i was "off" feeling and had like a brain fog if i had to describe it.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Illness, SARS-CoV-2 test positive, Therapy cessation
Clinical narrative: + Covid test 11/24/2021, died 12/2/2021.  Was in SNF.  Had 2 Moderna vaccines but no 3rd dose, no booster, no MAB.  Stopped dialysis and went on hospice due to too sick to complete dialysis.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood electrolytes normal, Blood glucose normal, Blood immunoglobulin E normal, Blood test normal, Liver function test normal
Clinical narrative: On the evening of 11/16, I began feeling itchy all over my body. On 11/17, I woke up in full body hives that swelled further when scratched. Most were on my torso, but I also had them on my legs, feet, arms, and neck. I saw a doctor on 11/19 and was prescribed 1 week of prednisone, and received a referral to get allergy testing related to the Moderna vaccine. The prednisone helped my symptoms, but they did not disappear fully. I have since been taking OTC allergy pills which do alleviate my symptoms, but they persist as of 12/3.  The hives do not appear randomly, but appear when I scratch my skin or at points where my clothing is putting pressure on my skin (ie. bra straps, pants waist, shirt neckline). If relevant, I did develop a red, itchy rash at the injection site 7 days after my first Moderna dose on 2/26. The rash lasted for 6 days.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Renal function test normal, Swelling, Urine analysis normal, Urticaria
Clinical narrative: On the evening of 11/16, I began feeling itchy all over my body. On 11/17, I woke up in full body hives that swelled further when scratched. Most were on my torso, but I also had them on my legs, feet, arms, and neck. I saw a doctor on 11/19 and was prescribed 1 week of prednisone, and received a referral to get allergy testing related to the Moderna vaccine. The prednisone helped my symptoms, but they did not disappear fully. I have since been taking OTC allergy pills which do alleviate my symptoms, but they persist as of 12/3.  The hives do not appear randomly, but appear when I scratch my skin or at points where my clothing is putting pressure on my skin (ie. bra straps, pants waist, shirt neckline). If relevant, I did develop a red, itchy rash at the injection site 7 days after my first Moderna dose on 2/26. The rash lasted for 6 days.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Pharyngeal paraesthesia, Throat irritation
Clinical narrative: Pt c/o metallic taste and tingling/itchy throat 3 mins after vaccination. Given Benadryl 25mg @ 10:20.  Pt stable and released from vaccination site.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Migraine, Nausea, Pain
Clinical narrative: Migraine, body aches, nausea, nose bleeding
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no reactions
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient is 11 years old - patient was schedule to receive the pediatric dose 0.2ml Pfizer Covid Vaccine but was mistakenly given the adult dose of 0.3ml.     There was no apparent or reportable adverse reaction to the larger dose.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Diagnosed with DVT (peroneal vein thrombosis) 14 days after booster. Symptom onset 10 days after booster.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Inflammation, Migraine
Clinical narrative: I had a Migraines  for 3 weeks; inflammation.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Limb discomfort, SARS-CoV-2 test positive
Clinical narrative: SHORTNESS OF BREATH AND LEG HEAVINESS.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient had generalized hives and extreme itching about 20 to 25 minutes after the immunization.  Her mother informed me about 1 hour after the shot to inform us of the incident. The patient had taken Benadryl and had an Epipen on hand in case of throat swelling, or increased heart rate, but had not had to use it. The patient did not go to a emergency department or urgent care, to her mother's distress.  I urged her if there were anymore anaphylaxis response, to seek medical attention.  The mother stated that due to her alpha gal allergy, she should not have taken the vaccination. I thank her mother for letting me know about the incident on  11/30/21 and if there are any devolpments, don't hesitate to call us again.  Upon trying to call patient upon completion of this VAERS, we have tried to call the patient to follow-up, but have not gotten a response.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The patient is 12 years old and she received the Pediatric Pfizer dose for both the first and 2nd doses.  The first Pediatric Pfizer dose  was given on 11/08/2021 at School and the second Pediatric Pfizer dose was given on 11/29/2021.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse report
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: No known adverse event - pt did not get the correct dose for her age. Instead, she got a dose for her 1st and 2nd shots from Pfizer orange cap (pediatric vials).
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Dizziness, Feeding disorder, Headache
Clinical narrative: I had no severe reactions to the first two Pfizer vaccinations other than a bit of sore arm and a bit of headache. ---  Friday 9/24 - beginning of Saturday 9/25: OK, except for at bit of sore arm.  Evening of Saturday 9/25 and all night: Joint pain starting in right foot and moving upwards, to all joints, headache, fever (38.1), sore throat. Sunday 9/26 all day: Very,  very sick, continuous severe headache, nauseous, dizzy while lying down, fever (37.8), severe stomachache, completely unable to move or get up, unable to eat anything.  Sunday evening late: Husband helped me to toilet to urinate, and when he got me back to bed, I fainted in bed, he shook me and caland I came to, then I threw up for quite a while. Cont 14 days earlier I had gotten the yearly  flu shot, the one without egg. I regularly get allergy shots. I had tried a cholesterol medicine. Repatha injection every 14 days, two injections in August 2021, but had stopped in August 2021 it due to side effects.   1st Pfizer vaccine was 01/30/21 Lot # EL9264 2nd Pfizer vaccine was 02/24/21 Lot # EL 9267
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Movement disorder, Nausea, Oropharyngeal pain, Pain in extremity
Clinical narrative: I had no severe reactions to the first two Pfizer vaccinations other than a bit of sore arm and a bit of headache. ---  Friday 9/24 - beginning of Saturday 9/25: OK, except for at bit of sore arm.  Evening of Saturday 9/25 and all night: Joint pain starting in right foot and moving upwards, to all joints, headache, fever (38.1), sore throat. Sunday 9/26 all day: Very,  very sick, continuous severe headache, nauseous, dizzy while lying down, fever (37.8), severe stomachache, completely unable to move or get up, unable to eat anything.  Sunday evening late: Husband helped me to toilet to urinate, and when he got me back to bed, I fainted in bed, he shook me and caland I came to, then I threw up for quite a while. Cont 14 days earlier I had gotten the yearly  flu shot, the one without egg. I regularly get allergy shots. I had tried a cholesterol medicine. Repatha injection every 14 days, two injections in August 2021, but had stopped in August 2021 it due to side effects.   1st Pfizer vaccine was 01/30/21 Lot # EL9264 2nd Pfizer vaccine was 02/24/21 Lot # EL 9267
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Syncope, Vomiting
Clinical narrative: I had no severe reactions to the first two Pfizer vaccinations other than a bit of sore arm and a bit of headache. ---  Friday 9/24 - beginning of Saturday 9/25: OK, except for at bit of sore arm.  Evening of Saturday 9/25 and all night: Joint pain starting in right foot and moving upwards, to all joints, headache, fever (38.1), sore throat. Sunday 9/26 all day: Very,  very sick, continuous severe headache, nauseous, dizzy while lying down, fever (37.8), severe stomachache, completely unable to move or get up, unable to eat anything.  Sunday evening late: Husband helped me to toilet to urinate, and when he got me back to bed, I fainted in bed, he shook me and caland I came to, then I threw up for quite a while. Cont 14 days earlier I had gotten the yearly  flu shot, the one without egg. I regularly get allergy shots. I had tried a cholesterol medicine. Repatha injection every 14 days, two injections in August 2021, but had stopped in August 2021 it due to side effects.   1st Pfizer vaccine was 01/30/21 Lot # EL9264 2nd Pfizer vaccine was 02/24/21 Lot # EL 9267
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Flushing, Syncope
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Pt fainted shortly after receiving covid vaccination. Pt regained consciousness shortly after being lowered to the floor. Pt has had this reaction to immunizations before and left the pharmacy under own power once resting for some time. pt denied further medical assistance.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cyst, Fatigue, Headache, Myalgia
Clinical narrative: 24 hours of fever, chills,headache, nausea, muscle pain and fatigue. 48 hours later neck began to swell. Ultrasound of the neck done 8/4/21 showed a "mixed cystic and solid hypoechoic heterogeneous nodule" measuring L 6.9 cm x W 2.8 cm x H 2.6 cm.  The mass was seen by MD most recently 12/2/2021 and appears to be enlarging.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck mass, Pyrexia, Swelling, Thyroid mass
Clinical narrative: 24 hours of fever, chills,headache, nausea, muscle pain and fatigue. 48 hours later neck began to swell. Ultrasound of the neck done 8/4/21 showed a "mixed cystic and solid hypoechoic heterogeneous nodule" measuring L 6.9 cm x W 2.8 cm x H 2.6 cm.  The mass was seen by MD most recently 12/2/2021 and appears to be enlarging.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal
Clinical narrative: 24 hours of fever, chills,headache, nausea, muscle pain and fatigue. 48 hours later neck began to swell. Ultrasound of the neck done 8/4/21 showed a "mixed cystic and solid hypoechoic heterogeneous nodule" measuring L 6.9 cm x W 2.8 cm x H 2.6 cm.  The mass was seen by MD most recently 12/2/2021 and appears to be enlarging.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: I had a headache and started having a sore throat 6 hours after. By 3 in the morning, my whole body ached and I had a fever of 101.6F.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: I had my cycle after the vaccine, 7 days later a full cycle started again and lasted 10 days. Less than 2 weeks later it started again. Less than 6 days later it started again. Constant spotting on and off. I have very bad cramps. I saw my doctor last Friday and she said we should wait to see if it would regulate and if not I should go back to see her.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: On 11/27/2021 at approximately 3:43 PM, 66 year old female client arrives to vaccination site requesting Moderna Booster dose.  Client reports completing the 2-dose Moderna series and reports experiencing  "heat" at injection site one day after receiving  the second dose.  Client reports that heat subsided shortly after with rest.  Client denies experiencing itching or any other symptoms at injection site.  Elevated issue to Clinical Supervisor who approves proceeding of client to receive Moderna Booster.  Explained emergency precautions and measures to client who verbalizes understanding.  Moderna Booster administered intramuscularly in left arm at approximately 3:45 pm on 11/27/21 by RN.  Lot # 027H21B.  No symptoms noted or reported during observation period.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild
Age: 70.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Contracted COVID
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Rash
Clinical narrative: Anaphylaxis and full rashes
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse reaction
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 11/21/2021 with fatigue. She was diagnosed with COVID-19 infection on 11/16/2021. Patient was admitted for management of COVID-19 infection. She was treated with dexamethasone, barcitinib, and supplemental oxygen. Patient was not improving with treatment and decided against aggressive treatment. She was discharged to hospice on 11/30/2021 and expired on 12/2/2021.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Bladder catheterisation, COVID-19, Fall
Clinical narrative: Patient is a88y.o. year old male who presented to the ED 10/26 s/p fall. Hx dementia, chart reviewed. Found to have AKI, NSTEMI COVID testing +, on 3L NC O2 sat 94%. Per registry, s/p Moderna vaccine 1/25 and 2/22 Also was seen by urology due to retention, s/p foley catheter placement.    Afebrile, appears comfortable Recent hospitalization : 9/2021 for fall
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary retention
Clinical narrative: Patient is a88y.o. year old male who presented to the ED 10/26 s/p fall. Hx dementia, chart reviewed. Found to have AKI, NSTEMI COVID testing +, on 3L NC O2 sat 94%. Per registry, s/p Moderna vaccine 1/25 and 2/22 Also was seen by urology due to retention, s/p foley catheter placement.    Afebrile, appears comfortable Recent hospitalization : 9/2021 for fall
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Basophil count decreased, Dizziness, Eosinophil count decreased, Eosinophil percentage decreased, Feeling abnormal
Clinical narrative: Dizzy most of the day, worsens in the afternoon/night, foggy thinking, and lightheaded
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Immature granulocyte count, Lymphocyte count decreased, Lymphocyte percentage
Clinical narrative: Dizzy most of the day, worsens in the afternoon/night, foggy thinking, and lightheaded
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume normal, Mean platelet volume normal, Monocyte count decreased
Clinical narrative: Dizzy most of the day, worsens in the afternoon/night, foggy thinking, and lightheaded
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Monocyte percentage, Neutrophil count, Neutrophil percentage, Red blood cell count normal, White blood cell count normal
Clinical narrative: Dizzy most of the day, worsens in the afternoon/night, foggy thinking, and lightheaded
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Got COVID
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Heavy menstrtal cycle
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received the peds 5-11 dose when should've received the adult dose
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: NOTHING OCCURED TO CHILD, CHILD WAS GIVEN 0.1 ML OF PFIZER
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Ophthalmic migraine
Clinical narrative: The nest day of the vaccination I had a cough and it's not usual because I has an ocular migraine. I don't think it is connected but it happened after the vaccination. It went away after a couple of days.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Bilateral joint pain, starting in august 2021, continuing in December 2021
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE GIVEN PAST EXPIRATION DATE
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong patient
Clinical narrative: Error: Wrong Patient (documentation in EMR)-
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Productive cough
Clinical narrative: Persistent cough with light mucus (5 weeks) Symptoms still persistent at time of this reporting.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient is 9 years old and was scheduled to receive the pediatric dose of 0.2ml but mistakenly recieved  the adult dose of 0.3ml of Pfizer Covid vaccine.  Not reportable adverse reaction has been reported as of this report.  Mom will continue to monitor and report to clinic for any concerns.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: Chronic cough  during hospitalization 10/31/21-11/15/21.Tested positive for COVID 11/5/21.  Casirivimab/imdevimab given 11/5/21.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Error: Patient Too Young for Vaccine Administered-
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Pain, Uterine hypertonus
Clinical narrative: Extreme Fatigue, Woken in the middle of the night with severe uterine contractions every 5 minutes for 4 +hours, Doubled over in pain.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Contracted Covid
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Change of bowel habit, Chest pain, Chills
Clinical narrative: Chest Pain      "i think i test positive for covid too" ? Breathing Problem     HPI Patient seen and examined here for shortness of breath it's been progressing for the past couple days. Patient states she's had body aches and mild headache and low-grade cough for the past 9 days. Patient returned yesterday on the airplane home from and symptoms worsened. Patient took her home Covid 19 test which was positive. Patient was vaccinated by J&J 4 months ago. She does have some mild chest pain significant shortness of breath worse with exertion. Patient is coughing with production of phlegm. She denies abdominal pain she admits to lower extremity swelling. She was with her sister in a different state who has been coughing for the past 5 days as well.      Covid-19 Vaccine (Janssen)            04/12/2021     Review of Systems Constitutional:  Positive subjective fevers, +chills, and malaise. Eyes:  No eye pain or discharge. ENMT:  No ENT changes. No neck pain or stiffness. Cardiac:  No chest pain. Respiratory:  Positive cough or positive exertional respiratory distress. GI:  Positive nausea, some vomiting, bowel changes or abdominal pain. GU:  No dysuria, frequency or burning. MS:  No myalgia, muscle weakness, joint pain or back pain. Neuro:  No headache or weakness.  No LOC. Skin:  No skin rash.  Endocrine: No history of thyroid disease or DM.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Headache, Malaise, Nausea
Clinical narrative: Chest Pain      "i think i test positive for covid too" ? Breathing Problem     HPI Patient seen and examined here for shortness of breath it's been progressing for the past couple days. Patient states she's had body aches and mild headache and low-grade cough for the past 9 days. Patient returned yesterday on the airplane home from and symptoms worsened. Patient took her home Covid 19 test which was positive. Patient was vaccinated by J&J 4 months ago. She does have some mild chest pain significant shortness of breath worse with exertion. Patient is coughing with production of phlegm. She denies abdominal pain she admits to lower extremity swelling. She was with her sister in a different state who has been coughing for the past 5 days as well.      Covid-19 Vaccine (Janssen)            04/12/2021     Review of Systems Constitutional:  Positive subjective fevers, +chills, and malaise. Eyes:  No eye pain or discharge. ENMT:  No ENT changes. No neck pain or stiffness. Cardiac:  No chest pain. Respiratory:  Positive cough or positive exertional respiratory distress. GI:  Positive nausea, some vomiting, bowel changes or abdominal pain. GU:  No dysuria, frequency or burning. MS:  No myalgia, muscle weakness, joint pain or back pain. Neuro:  No headache or weakness.  No LOC. Skin:  No skin rash.  Endocrine: No history of thyroid disease or DM.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Productive cough, Pyrexia, Respiratory distress
Clinical narrative: Chest Pain      "i think i test positive for covid too" ? Breathing Problem     HPI Patient seen and examined here for shortness of breath it's been progressing for the past couple days. Patient states she's had body aches and mild headache and low-grade cough for the past 9 days. Patient returned yesterday on the airplane home from and symptoms worsened. Patient took her home Covid 19 test which was positive. Patient was vaccinated by J&J 4 months ago. She does have some mild chest pain significant shortness of breath worse with exertion. Patient is coughing with production of phlegm. She denies abdominal pain she admits to lower extremity swelling. She was with her sister in a different state who has been coughing for the past 5 days as well.      Covid-19 Vaccine (Janssen)            04/12/2021     Review of Systems Constitutional:  Positive subjective fevers, +chills, and malaise. Eyes:  No eye pain or discharge. ENMT:  No ENT changes. No neck pain or stiffness. Cardiac:  No chest pain. Respiratory:  Positive cough or positive exertional respiratory distress. GI:  Positive nausea, some vomiting, bowel changes or abdominal pain. GU:  No dysuria, frequency or burning. MS:  No myalgia, muscle weakness, joint pain or back pain. Neuro:  No headache or weakness.  No LOC. Skin:  No skin rash.  Endocrine: No history of thyroid disease or DM.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Chest Pain      "i think i test positive for covid too" ? Breathing Problem     HPI Patient seen and examined here for shortness of breath it's been progressing for the past couple days. Patient states she's had body aches and mild headache and low-grade cough for the past 9 days. Patient returned yesterday on the airplane home from and symptoms worsened. Patient took her home Covid 19 test which was positive. Patient was vaccinated by J&J 4 months ago. She does have some mild chest pain significant shortness of breath worse with exertion. Patient is coughing with production of phlegm. She denies abdominal pain she admits to lower extremity swelling. She was with her sister in a different state who has been coughing for the past 5 days as well.      Covid-19 Vaccine (Janssen)            04/12/2021     Review of Systems Constitutional:  Positive subjective fevers, +chills, and malaise. Eyes:  No eye pain or discharge. ENMT:  No ENT changes. No neck pain or stiffness. Cardiac:  No chest pain. Respiratory:  Positive cough or positive exertional respiratory distress. GI:  Positive nausea, some vomiting, bowel changes or abdominal pain. GU:  No dysuria, frequency or burning. MS:  No myalgia, muscle weakness, joint pain or back pain. Neuro:  No headache or weakness.  No LOC. Skin:  No skin rash.  Endocrine: No history of thyroid disease or DM.
Age: 89.0
Sex: F
Vaccine: UNK
Symptoms: No adverse event
Clinical narrative: Pfizer booster ordered full dose given;  no adverse effects
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Erythema, Pain, Paraesthesia
Clinical narrative: Patient experienced tingling in her right arm, followed by redness and pain on right side of body, as well as chest pain. Redness lasted 4-5 days, chest pain lasted 2-3 days per patient.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient had breakthrough infection and passed away.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN PAST EXPIRATION DATE
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cluster headache, Electrocardiogram normal, Eye pain, Face and mouth X-ray normal, Pain
Clinical narrative: Approx. 20 minutes after injection began a profound ringing on right side ear (tinnitus) .  Noise is continuous and loud.   Then approx. 3 weeks later began having, now diagnosed  as cluster headaches.  Penetrating knife like pain through right eye lasting approx. 20 minutes however; one episode was lasting 1.5 hours and went to ER for pain.   I have had 21 attacks in last 40 nights.   Have discovered high flow oxygen helps subside pain.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Approx. 20 minutes after injection began a profound ringing on right side ear (tinnitus) .  Noise is continuous and loud.   Then approx. 3 weeks later began having, now diagnosed  as cluster headaches.  Penetrating knife like pain through right eye lasting approx. 20 minutes however; one episode was lasting 1.5 hours and went to ER for pain.   I have had 21 attacks in last 40 nights.   Have discovered high flow oxygen helps subside pain.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Extra dose administered, Nasopharyngitis, Oropharyngeal pain, Pain
Clinical narrative: Moderna 0.50ml given instead of Moderna 0.25ML (booster dose).  Client reported symptoms began the night of 11/19/21 with body aches. Four days later he reported sore throat, 6 days later report cold symptoms, cough, runny nose, no fevers and no more sore throat. Contact made 12/1/2021 with client reporting all symtoms have resolved, no new symptoms.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: Moderna 0.50ml given instead of Moderna 0.25ML (booster dose).  Client reported symptoms began the night of 11/19/21 with body aches. Four days later he reported sore throat, 6 days later report cold symptoms, cough, runny nose, no fevers and no more sore throat. Contact made 12/1/2021 with client reporting all symtoms have resolved, no new symptoms.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Endotracheal intubation, Intensive care, SARS-CoV-2 test positive
Clinical narrative: Patient presented from skilled nursing facility on 11/23/2021 with unresponsiveness. He was diagnosed with COVID-19 infection on 11/18/2021. Patient was intubated and admitted to intensive care unit. Patient remained in critical condition during admission and was changed to comfort measures only. He expired on 11/30/2021.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient presented from skilled nursing facility on 11/23/2021 with unresponsiveness. He was diagnosed with COVID-19 infection on 11/18/2021. Patient was intubated and admitted to intensive care unit. Patient remained in critical condition during admission and was changed to comfort measures only. He expired on 11/30/2021.
Age: 31.0
Sex: U
Vaccine: COVID19
Symptoms: Abdominal pain upper, Headache, Myalgia, Urticaria
Clinical narrative: hives/headache/muscle aches/ stomach aches/
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenitis, Pyrexia
Clinical narrative: Acute lymphadenitis of the left axilla with fever
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received peds 5-11 dose when should've received adult dose
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: contracted Covid-19 on 11/29/21 after being vaccinated against it
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Gastroenteritis
Clinical narrative: Gastroenteritis with moderate stomach pain
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Atrioventricular block first degree, Blood pressure increased, Bradycardia, Electrocardiogram T wave abnormal, Electrocardiogram abnormal
Clinical narrative: Elevated heart rate beginning about 7 hours after vaccination. Normal resting heart rate is 62-65bpm. Sustained elevated heart rate of 90+ bpm for 48 hours post vaccination. Also elevated blood pressure 135/85, when blood pressure is usually normal. Low grade fever 99.5 for about 24 hours after vaccination. Elevated heart rate then became bradychardic with resting heart rate of 50bpm from 48 hrs to 96 hours post vaccination. Normal resting heart rate did not return until 5+ days post vaccination.