chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose abnormal, Hypersensitivity, Impaired work ability, Laboratory test normal, Skin atrophy
Clinical narrative: Severe allergic reaction, I still have the allergy, I have been treated with prednisone, which altered the blood sugar, I have thin skin syndrome and my fingers break making my work difficult.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest pain, Depressed mood, Erythema
Clinical narrative: 2/25 early AM severe left side chest pain. 4/1 rash on back Grover's Disease, 5/22 extreme ankle pain swollen and red foot for 24 hours, 5/31 extreme lower back pain for 12 hours. Unusually Fatigued, sad, and lifeless.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Joint swelling, Rash, Transient acantholytic dermatosis
Clinical narrative: 2/25 early AM severe left side chest pain. 4/1 rash on back Grover's Disease, 5/22 extreme ankle pain swollen and red foot for 24 hours, 5/31 extreme lower back pain for 12 hours. Unusually Fatigued, sad, and lifeless.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Feelings of dizziness and vertigo that started  2 weeks after the second shot and has continued for 2 weeks .
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Chest pain, Chills, Dyspnoea, Erythema
Clinical narrative: Around 7:30 in the evening at work I started having a migraine. I could hardly lift my arm and the site was immediately swollen. My whole arm became red, hot and painful. I left work. I was very tired . All night long I was up nauseous, my throat hurts, pain in my chest. For a time I felt as if I couldn?t catch my breath. The worst is every bone in my body feels broke and continues to fill like my bones keep breaking over and over. The pain is unbearable. It?s 8:45 in the evening 24 hours later and I feel worse. I literally can not move my body hurts so bad. I?m sweating and then have chills. My left arm has pins and needles down to my finger tips. I have to take another day off of work tomorrow. When I got my first shot in May, a week later to the day my arm that I received the shot was very swollen, itchy, hives, red, hot, all the way down to my elbow.  My son got his second shot also the same day as me and he is also sick today. Not as bad as myself, but was sent home from work. He feels like he can not breath, body aches and tired. I?m just wondering why I?m so sick?
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Impaired work ability, Injection site swelling, Migraine
Clinical narrative: Around 7:30 in the evening at work I started having a migraine. I could hardly lift my arm and the site was immediately swollen. My whole arm became red, hot and painful. I left work. I was very tired . All night long I was up nauseous, my throat hurts, pain in my chest. For a time I felt as if I couldn?t catch my breath. The worst is every bone in my body feels broke and continues to fill like my bones keep breaking over and over. The pain is unbearable. It?s 8:45 in the evening 24 hours later and I feel worse. I literally can not move my body hurts so bad. I?m sweating and then have chills. My left arm has pins and needles down to my finger tips. I have to take another day off of work tomorrow. When I got my first shot in May, a week later to the day my arm that I received the shot was very swollen, itchy, hives, red, hot, all the way down to my elbow.  My son got his second shot also the same day as me and he is also sick today. Not as bad as myself, but was sent home from work. He feels like he can not breath, body aches and tired. I?m just wondering why I?m so sick?
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nausea, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: Around 7:30 in the evening at work I started having a migraine. I could hardly lift my arm and the site was immediately swollen. My whole arm became red, hot and painful. I left work. I was very tired . All night long I was up nauseous, my throat hurts, pain in my chest. For a time I felt as if I couldn?t catch my breath. The worst is every bone in my body feels broke and continues to fill like my bones keep breaking over and over. The pain is unbearable. It?s 8:45 in the evening 24 hours later and I feel worse. I literally can not move my body hurts so bad. I?m sweating and then have chills. My left arm has pins and needles down to my finger tips. I have to take another day off of work tomorrow. When I got my first shot in May, a week later to the day my arm that I received the shot was very swollen, itchy, hives, red, hot, all the way down to my elbow.  My son got his second shot also the same day as me and he is also sick today. Not as bad as myself, but was sent home from work. He feels like he can not breath, body aches and tired. I?m just wondering why I?m so sick?
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Skin warm
Clinical narrative: Around 7:30 in the evening at work I started having a migraine. I could hardly lift my arm and the site was immediately swollen. My whole arm became red, hot and painful. I left work. I was very tired . All night long I was up nauseous, my throat hurts, pain in my chest. For a time I felt as if I couldn?t catch my breath. The worst is every bone in my body feels broke and continues to fill like my bones keep breaking over and over. The pain is unbearable. It?s 8:45 in the evening 24 hours later and I feel worse. I literally can not move my body hurts so bad. I?m sweating and then have chills. My left arm has pins and needles down to my finger tips. I have to take another day off of work tomorrow. When I got my first shot in May, a week later to the day my arm that I received the shot was very swollen, itchy, hives, red, hot, all the way down to my elbow.  My son got his second shot also the same day as me and he is also sick today. Not as bad as myself, but was sent home from work. He feels like he can not breath, body aches and tired. I?m just wondering why I?m so sick?
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicitis
Clinical narrative: ACCUTE APPENDICITIS
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dysmenorrhoea, Fatigue, Heavy menstrual bleeding, Menstruation delayed
Clinical narrative: I had a sore arm the first day after the shot. Two days after I woke up from my sleep with very bad chills and a 102 fever at 11:30 pm. After two hours, the chills stopped but my fever was still at 102. I went back to sleep at 3:00 am and woke up without a fever but still felt very tired and groggy for the next two days. Also, am not sure if it is related, but I am usually very regular on my menstrual cycle, but was 20 days late after getting the first vaccine. I know this because I track my menstrual cycle. Also, when my period did finally come, it was the most painful period that I have had in a while. The cramping was very painful and I bled very heavily.  Although, I got my second shot on the 27th of May and had no symptoms. I also, to my knowledge, did not have covid prior to getting either shot.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Sleep disorder, Somnolence
Clinical narrative: I had a sore arm the first day after the shot. Two days after I woke up from my sleep with very bad chills and a 102 fever at 11:30 pm. After two hours, the chills stopped but my fever was still at 102. I went back to sleep at 3:00 am and woke up without a fever but still felt very tired and groggy for the next two days. Also, am not sure if it is related, but I am usually very regular on my menstrual cycle, but was 20 days late after getting the first vaccine. I know this because I track my menstrual cycle. Also, when my period did finally come, it was the most painful period that I have had in a while. The cramping was very painful and I bled very heavily.  Although, I got my second shot on the 27th of May and had no symptoms. I also, to my knowledge, did not have covid prior to getting either shot.
Age: 56.0
Sex: M
Vaccine: UNK
Symptoms: Rectal haemorrhage
Clinical narrative: I have been diagnosed with Ulcerative Colitis where I had sporadic diarrhea.  After the first Pfizer shot I started light bleeding.  After the my second shot I started bleed heavily.  I reported this to my doctor; underwent a quick mini-colonoscopy;  and I was quickly put on Humira.  After 4+ weeks on Humira, the bleeding appears to be slowing.
Age: 44.0
Sex: M
Vaccine: UNK
Symptoms: Myalgia, Nasal congestion, Oropharyngeal pain
Clinical narrative: sore throat, congestion,muscle pain.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Head discomfort, Hyperhidrosis, Loss of consciousness, Muscle fatigue, Pyrexia
Clinical narrative: After the second dose of Moderna vaccine I slept at night for about 2 hours and I was feeling muscle fatigue. When I woke up, my body temperature was 100.4 F. Around 10 am I went to the kitchen to prepare my breakfast. During this time I was feeling that my head was heavy. Then I start to feel that I cannot stay anymore and I sat down on my stool. I don't know what happened after that because I lost my consciousness. After that   I found myself lying on the back of my kitchen floor and I was completely wet. Few minutes later my body temperature was normal 97.88 F and I started to feel much better.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling hot, Pyrexia
Clinical narrative: Quiet. Not think correctly.  Low Fever. Warm hands
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tic
Clinical narrative: Motor tics - head thrusting every 2-5 minutes, painful
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dysstasia, Headache
Clinical narrative: Moments after receiving the vaccine, while walking to the post vaccine area, patient reported right sided headache and generalized weakness. Weakness became progressively worse over 30-40 minutes, progressing to difficulty standing. Weakness generalized, not  noted to be focal/unilateral. Speech slow and soft but clear. 911 called, transported to Emergency Department . Vital signs 121/76 hr 69 O2 100% rr 18. Denied pain at the time of transport.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Ultrasound scan
Clinical narrative: PATIENT HAD A GOLF BALL SIZE LUMP UNDER HIS RIGHT ARMPIT THE NEXT DAY FOLLOWING THE VACCINE,  SOUGHT TREATMENT FROM HIS DR 06/02/2021, PATIENT SAID DR PRESCRIBED ANTIBIOTIC AND ULTRASOUND TEST-OUTCOME UNKWON AT THIS TIME.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Immediate post-injection reaction, Syncope
Clinical narrative: Immediately after the shot, I began to feel light headed. The first time I felt like I was going to faint was 04/11/2021 within 24 hours of getting the shot. I began to feel lightheaded over the next few weeks. On May 2, 2021, I collapsed and fainted
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Immediate post-injection reaction, Sunburn, Swelling face, Throat irritation
Clinical narrative: First shot: immediately dry mouth and itchy throat.  Within 1/2 hour eyesight was very slightly blurry.  Second dose: Immediately after receiving shot had itchy inner ears and a dry, itchy throat.  Within 1 hour after my face swelled up and I looked sunburned an had no wrinkles. (I am 51, so I definitely have wrinkles and all the lines in my face disappeared.) Swelling and symptoms were gone within 4 hours.
Age: 72.0
Sex: M
Vaccine: UNK
Symptoms: Angina pectoris, Brachial plexus injury, Chest discomfort, Immediate post-injection reaction, Muscular weakness
Clinical narrative: None stated.
Age: 72.0
Sex: M
Vaccine: UNK
Symptoms: Nerve compression
Clinical narrative: None stated.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Horrible tinnitus started on the second day after my 1st COVID immunization.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Abnormal behaviour, Aggression, Anal incontinence, Anger, Anxiety
Clinical narrative: Day after vaccine pain in left arm and behavior was fearful at every movement. Behavior changed and was angry and kicking and hitting walls repeatedly with hands and feet. hypersensitivity to noises, decrease facial expressions, and increased bowel accidents. Cough started 2 days later. 5 weeks  later In middle of night with continued cough and severe wheezy cough, extremely high temperature 105, and was making forceful jerking movements while not able to respond to parent. Eventually woke up.  Called doctor and they said gove Tylenol for temp movements were from high temp. Next morning eyes were dark. Cough persisted for a week and visited doctors who diagnosed her with pertussis. Since then diagnosed with Autism, Sensory Disorder, OCD, and Anxiety.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Autism spectrum disorder, Body temperature increased, Cough, Dyskinesia, Eye disorder
Clinical narrative: Day after vaccine pain in left arm and behavior was fearful at every movement. Behavior changed and was angry and kicking and hitting walls repeatedly with hands and feet. hypersensitivity to noises, decrease facial expressions, and increased bowel accidents. Cough started 2 days later. 5 weeks  later In middle of night with continued cough and severe wheezy cough, extremely high temperature 105, and was making forceful jerking movements while not able to respond to parent. Eventually woke up.  Called doctor and they said gove Tylenol for temp movements were from high temp. Next morning eyes were dark. Cough persisted for a week and visited doctors who diagnosed her with pertussis. Since then diagnosed with Autism, Sensory Disorder, OCD, and Anxiety.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Obsessive-compulsive disorder, Oversensing, Pain in extremity, Pertussis, Reduced facial expression
Clinical narrative: Day after vaccine pain in left arm and behavior was fearful at every movement. Behavior changed and was angry and kicking and hitting walls repeatedly with hands and feet. hypersensitivity to noises, decrease facial expressions, and increased bowel accidents. Cough started 2 days later. 5 weeks  later In middle of night with continued cough and severe wheezy cough, extremely high temperature 105, and was making forceful jerking movements while not able to respond to parent. Eventually woke up.  Called doctor and they said gove Tylenol for temp movements were from high temp. Next morning eyes were dark. Cough persisted for a week and visited doctors who diagnosed her with pertussis. Since then diagnosed with Autism, Sensory Disorder, OCD, and Anxiety.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Sensory processing disorder, Unresponsive to stimuli, Wheezing
Clinical narrative: Day after vaccine pain in left arm and behavior was fearful at every movement. Behavior changed and was angry and kicking and hitting walls repeatedly with hands and feet. hypersensitivity to noises, decrease facial expressions, and increased bowel accidents. Cough started 2 days later. 5 weeks  later In middle of night with continued cough and severe wheezy cough, extremely high temperature 105, and was making forceful jerking movements while not able to respond to parent. Eventually woke up.  Called doctor and they said gove Tylenol for temp movements were from high temp. Next morning eyes were dark. Cough persisted for a week and visited doctors who diagnosed her with pertussis. Since then diagnosed with Autism, Sensory Disorder, OCD, and Anxiety.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Major depression
Clinical narrative: Three days after vaccination clinical depression recurred and became severe within one week.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Dizziness, vertigo, especially when standing up from sitting ir sitting up/standing up from lying down
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head, Electroencephalogram, Generalised tonic-clonic seizure, Magnetic resonance imaging
Clinical narrative: Tonic Clonic seizure
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Food refusal, General physical health deterioration, Mobility decreased
Clinical narrative: Noticeable decline after 2nd Moderna vaccine, patient could no longer get out of bed, stopped eating and was unable to communicate verbally
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Fall, Head injury, Hyperhidrosis
Clinical narrative: Pt in for 2nd dose of COVID vaccine, negative reaction to first vaccine. Pt states he felt very dizzy after the injection. Staff (not including myself) witnessed pt have vasovagal fainting response (for about 3 seconds) and he fell straight down to ground from standing position. Paramedic(s) state they heard the pt hit the ground, and responded to the nurse stn quickly. This writer was passing out water to another pt when noticed the activity happening and was beckoned to come to the nurse's stn. Pt alert at this time, has c/o HA, no N&V, states does feel some dizziness, v/s 144/92, O2= 98%, R=16, responds to commands but keeps asking ?What happened? ? hand strength is stable, pupils are equal and reactive to light, no bleeding of head,ears, nose,etc, noted. Ice pack applied to pt?s forehead, does have profuse sweating. No significant medical hx, no allergies. 1205pm: 133/84, p=87, O2= 98% R 16, aware of name/ place/location, but continues to ask ?what happened?, no LOC noted. Advised team to call 911, pt needs to go for further exam of head injury, though he remains stable and alert. GF of pt unable to drive pt because she doesn't know how to drive stick shift. 1210pm: 135/86, p 94, R 16, 02 sat 98%, pt remains alert, sweating has stopped,denies dizziness at this time, does continue to say that ?back of head hurts? 1220pm paramedics have arrived, BP 128/68, p 85, R 16, 02 sat 98%. Assessment done by paramedics. Pt to go to hospital via ambulance, 1225pm pt left via gurney to ER. GF waiting for a ride for someone to come drive the car for her to meet pt at ER. Pt left alert, slowly starting to remember that he fell after injection he states.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Pt in for 2nd dose of COVID vaccine, negative reaction to first vaccine. Pt states he felt very dizzy after the injection. Staff (not including myself) witnessed pt have vasovagal fainting response (for about 3 seconds) and he fell straight down to ground from standing position. Paramedic(s) state they heard the pt hit the ground, and responded to the nurse stn quickly. This writer was passing out water to another pt when noticed the activity happening and was beckoned to come to the nurse's stn. Pt alert at this time, has c/o HA, no N&V, states does feel some dizziness, v/s 144/92, O2= 98%, R=16, responds to commands but keeps asking ?What happened? ? hand strength is stable, pupils are equal and reactive to light, no bleeding of head,ears, nose,etc, noted. Ice pack applied to pt?s forehead, does have profuse sweating. No significant medical hx, no allergies. 1205pm: 133/84, p=87, O2= 98% R 16, aware of name/ place/location, but continues to ask ?what happened?, no LOC noted. Advised team to call 911, pt needs to go for further exam of head injury, though he remains stable and alert. GF of pt unable to drive pt because she doesn't know how to drive stick shift. 1210pm: 135/86, p 94, R 16, 02 sat 98%, pt remains alert, sweating has stopped,denies dizziness at this time, does continue to say that ?back of head hurts? 1220pm paramedics have arrived, BP 128/68, p 85, R 16, 02 sat 98%. Assessment done by paramedics. Pt to go to hospital via ambulance, 1225pm pt left via gurney to ER. GF waiting for a ride for someone to come drive the car for her to meet pt at ER. Pt left alert, slowly starting to remember that he fell after injection he states.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Headache, Laboratory test normal, Vertigo
Clinical narrative: A few days after the second shot, I started experiencing vertigo, and extreme headaches.  This lasted for 6 weeks.  Although it's better now, I still do not feel 100%.  I had daily dizzyness, whenever I got out of bed, or up from a sitting position
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Electrocardiogram, Magnetic resonance imaging head abnormal, Thrombosis
Clinical narrative: i had a blood clot which caused a stroke
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on arm
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Myalgia, X-ray
Clinical narrative: Chest pain. Visit to hospital outpatient. Non specific muscle pain diagnosis. Tylenol Pepcid. I don?t think they took my chest pain and potential link to vaccine as a serious possibility. It started minutes after vaccine as a sensation. Pain onset and increase for hours and persisted for days leading up to visit and after.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Biopsy bone marrow abnormal, Blast cells present, Contusion, Fatigue, Full blood count abnormal
Clinical narrative: Developed excessive bruising around march/april with office on 04/06 for evaluation of increase bruising and fatigue.   CBC was check with platlet count of 7.  CBC was repeated on 04/08 with platlet count of 13.  She was referred to hematology for possible evaluation of acute ITP
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immunophenotyping, Leukaemia monocytic, Myeloid leukaemia, Platelet count decreased
Clinical narrative: Developed excessive bruising around march/april with office on 04/06 for evaluation of increase bruising and fatigue.   CBC was check with platlet count of 7.  CBC was repeated on 04/08 with platlet count of 13.  She was referred to hematology for possible evaluation of acute ITP
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Culture positive, Fluid retention, Joint fluid drainage, Magnetic resonance imaging abnormal, Pain
Clinical narrative: First, vaccine caused pain. Second vaccine, caused patient pain and  to retain fluid. Patient had an MRI of shoulder and culture of fluid. Fluid tested positive for staph.. Patient was given doxycycline for 10 days. Fluid was drained at hospital. Patient was admitted for overnight stay. Patient has incision in front and back of shoulder. She was diagnosed with tendonitis.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Staphylococcal infection, Tendon disorder
Clinical narrative: First, vaccine caused pain. Second vaccine, caused patient pain and  to retain fluid. Patient had an MRI of shoulder and culture of fluid. Fluid tested positive for staph.. Patient was given doxycycline for 10 days. Fluid was drained at hospital. Patient was admitted for overnight stay. Patient has incision in front and back of shoulder. She was diagnosed with tendonitis.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Nervous system disorder, Palpitations, Panic attack, Tremor
Clinical narrative: Received 2nd dose of Moderna COVID-19 vaccine EUA. Caused central nervous issues similar to other allergic reactions I've had from some antibiotics. Heart racing, shortness of breath, panic attacks. Physically unable to control shaking. This started Tuesday a couple hours after the vaccine and lasted until Saturday (4 days).
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Basophil percentage increased, Blood creatinine normal, Blood thyroid stimulating hormone normal, Chest X-ray normal
Clinical narrative: intermittent chest pain, heart palpitations, elevated heart rate, headache, hands tingling, feet tingling, shortness of breath, extreme fatigue
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram thorax, Dyspnoea, Echocardiogram, Electrocardiogram normal
Clinical narrative: intermittent chest pain, heart palpitations, elevated heart rate, headache, hands tingling, feet tingling, shortness of breath, extreme fatigue
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Full blood count normal, Headache, Heart rate increased
Clinical narrative: intermittent chest pain, heart palpitations, elevated heart rate, headache, hands tingling, feet tingling, shortness of breath, extreme fatigue
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: International normalised ratio normal, Metabolic function test, Palpitations, Paraesthesia, Pulmonary mass
Clinical narrative: intermittent chest pain, heart palpitations, elevated heart rate, headache, hands tingling, feet tingling, shortness of breath, extreme fatigue
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Scan with contrast abnormal, Troponin I normal, Troponin normal
Clinical narrative: intermittent chest pain, heart palpitations, elevated heart rate, headache, hands tingling, feet tingling, shortness of breath, extreme fatigue
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Menstrual disorder
Clinical narrative: Experiencing a menstrual period for the first time in five years. I have a Nexplanon implant and do not experience menstruation typically since receiving the implant. I had light spotting in April 2021 and a full heavy period in May 2021.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Intermenstrual bleeding, Menstrual disorder
Clinical narrative: Experiencing a menstrual period for the first time in five years. I have a Nexplanon implant and do not experience menstruation typically since receiving the implant. I had light spotting in April 2021 and a full heavy period in May 2021.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Burning sensation, Immediate post-injection reaction, Injection site pain, Injection site swelling, Joint range of motion decreased
Clinical narrative: Received vaccine 11/17/2020 in my left arm. Immediate pain upon injection. Soreness stiffness swelling burning sensation on first day along with pain in my left arm. The day after the vaccine and currently I have severe chronic pain in my left arm and shoulder. The pain never went away. I have very limited range of motion on my left arm. My doctor referred me for an X-ray. Results were rotator cuff injury and tendinitis. My doctor then referred me to see a physical therapist and an orthopedic surgeon. I am still in chronic pain.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal stiffness, Pain, Rotator cuff syndrome, Tendonitis, X-ray limb abnormal
Clinical narrative: Received vaccine 11/17/2020 in my left arm. Immediate pain upon injection. Soreness stiffness swelling burning sensation on first day along with pain in my left arm. The day after the vaccine and currently I have severe chronic pain in my left arm and shoulder. The pain never went away. I have very limited range of motion on my left arm. My doctor referred me for an X-ray. Results were rotator cuff injury and tendinitis. My doctor then referred me to see a physical therapist and an orthopedic surgeon. I am still in chronic pain.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Nausea, Pallor, Syncope
Clinical narrative: This information was reported to this writer. Immediately after receiving the second dose of the Pfizer vaccine, the patient reported a "weird sensation" in his chest. The patient became pale, and reported nausea and lightheadedness.  According to the vaccinator it seemed as though the patient went into a syncopal episode. A nurse attempted to do a sternal rub to wake the patient up but was unsuccessful. The patient was then laid onto the ground and woke up; attempted to sit patient up and then went into another syncopal like episode. EMTs were notified and were on their way  to attend to the patient. Patient's feet were elevated. No history of vaccine reaction. Patient had eaten and had fluids 2 hours prior to the vaccine. Patient was sat up again with assistance but immediately felt lightheaded and had another syncopal like episode. He was again placed in a supine position with feet elevated. Immediately reported improvement of symptoms. Patient had several sips of juice and was placed on  a stretcher and taken to a back room. Patient had mom and sister at his side. As the patient remained in supine position, he denied nausea and lightheadedness; no chest pain, no dizziness. Patient was alert and oriented. Remained pale in color according to his father who just arrived. Per the advice of the EMTs, patient was transferred to hospital per ambulance.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Patient started shaking a lot 5 minutes after vaccination. Checked Vitals and his BP was 241/212,SpO2 was 98. Called 911 and patient was taken to the hospital. BP dropped to 171/117 when EMS came in and checked.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt is 17 yrs old and Moderna vaccines are currently only approved 18 yrs and older.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Headache, Magnetic resonance imaging abnormal, Taste disorder, Tinnitus
Clinical narrative: Everything tasting bad, persistent headache, ringing in ears persisting for last 5 months.   ENT follow up  to r/o sinus problems Neuro consult for abnormal MRI notes symptoms possibly related to vaccine and referred to COVID Neuro Specialist,  Medication including muscle relaxers, NSAIDs and Steroids without relief.  Hearing eval with decrease in response at 8-cannot tell if frequency of loss or inability to detect secondary to ringing in ears.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Headache, Immediate post-injection reaction, Pruritus, Urticaria
Clinical narrative: Immediately after receiving first shot, I became light headed and developed a headache.   Within 2.5 hours, I began to develop itching and hives on my face and neck and within 24 hours they were also covering the trunk of my body.    Within three days they began to recede (treated with Zyrtec).  Roughly 13 days after the shot, I began to develop hives and itching again but this time over my entire body.    Began treating with Benadryl cream, Benadryl anti-itch spray, Zyrtec and by day 17 my hives had gone down by itching remained.     Going on day 21 and itching remains and gets worse depending on what I eat, what medications I take.   I now seem to be reacting as though I'm having an allergic reaction to (Gabapentin and Klonopin) and liquid and pill form Benadryl are making me itch.     All began immediately after shot - no issues before.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Erythema, Headache, Pruritus, Urticaria
Clinical narrative: Immediately after receiving first shot, I became light headed and developed a headache.   Within 2.5 hours, I began to develop itching and hives on my face and neck and within 24 hours they were also covering the trunk of my body.    Within three days they began to recede (treated with Zyrtec).  Roughly 13 days after the shot, I began to develop hives and itching again but this time over my entire body.    Began treating with Benadryl cream, Benadryl anti-itch spray, Zyrtec and by day 17 my hives had gone down by itching remained.     Going on day 21 and itching remains and gets worse depending on what I eat, what medications I take.   I now seem to be reacting as though I'm having an allergic reaction to (Gabapentin and Klonopin) and liquid and pill form Benadryl are making me itch.     All began immediately after shot - no issues before.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Rash appeared on right arm about 1.5 weeks after injection.  Not raised or hot, not too itchy.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: SYNCOPE within an hour
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hot flush
Clinical narrative: Client received 1st COVID vaccine of Pfizer (Lot# EW0182, expiration 06/28/2021). At 1653, Client states that she is dizzy and has "hot flashes". At 1654, RN, RN, and RN responded to this event and transferred Client to the anti-gravity chair. At 1654, RN and PHN responded and began assessment. At 1654, vital signs are blood pressure is 180/100, heart rate 74, oxygen saturation 99%. Client reports the dizziness and hot flashes resolved in seconds. Client reports being recently diagnosed with hypertension two months ago, but is not on medication. Client states "I refuse to take medication". At 1656, blood pressure was rechecked on opposite arm and is 182/104. At 1657, blood pressure is 182/110. At 1701, PHN and RN educate Client on hypertension, ED precautions, and common adverse effects of the COVID vaccine. At this time, PHN offers Client emergency services, but Client declines. PHN and RN advises Client to follow up with primary care provider. At 1710, vital signs are blood pressure 182/102, heart rate 75, oxygen saturation 98%. At 1711, Client stood up with no complains and with resolved symptoms. Client left against medical advise to stay in observation for an addition 30 minutes. Client walked out of facility with a steady gait at 1711, and states "I will make an appointment with my provider tomorrow".
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site infection, Injection site rash, Nausea, Rash erythematous
Clinical narrative: red spot at injection site evolving into infection 4-10 post vaccine, visited walkin clinic and received cephalexin antibiotic plus ondansetron ODT for nausea
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored in the freezer for 15 days instead of the recommended 14 days. The vaccine was supposed to be removed from the freezer on 5/27 by 1pm and placed in the fridge. Instead in was kept in the freezer and given to the patient instead.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Loss of consciousness, Syncope
Clinical narrative: Patient reported feeling funny and then fainted for a couple of minutes.  When he regained consciousness he was sweating profusely.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Fear of injection, Feeling abnormal, Hyperhidrosis
Clinical narrative: Patient received the shot at approximately 2:00pm. He was visibly anxious while waiting for the shot and receiving it, as he verbalized he was afraid of needles. After giving the shot and sitting for about 5 minutes, he stated he was feeling a little bit light headed and nauseous. At this time, I pulled up next to him and talked about symptoms. There was slight nausea and felt a little "out of sorts." Due to the nausea, gave a dose of benadryl in order to help with the nausea, sweats, and nervousness. 9-1-1 was called during benadryl administration. Within 5 minutes, the patient began to talk about his throat being itchy, and when about to administer epinephrine the paramedics arrived and took over, and left in an ambulance. Ultimately after discharge from the hospital, the patient did not receive Epinephrine either from our clinic or from the hospital.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Nervousness, Throat irritation
Clinical narrative: Patient received the shot at approximately 2:00pm. He was visibly anxious while waiting for the shot and receiving it, as he verbalized he was afraid of needles. After giving the shot and sitting for about 5 minutes, he stated he was feeling a little bit light headed and nauseous. At this time, I pulled up next to him and talked about symptoms. There was slight nausea and felt a little "out of sorts." Due to the nausea, gave a dose of benadryl in order to help with the nausea, sweats, and nervousness. 9-1-1 was called during benadryl administration. Within 5 minutes, the patient began to talk about his throat being itchy, and when about to administer epinephrine the paramedics arrived and took over, and left in an ambulance. Ultimately after discharge from the hospital, the patient did not receive Epinephrine either from our clinic or from the hospital.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain
Clinical narrative: Unable to rotate left should without severe pain
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored in the freezer for 15 days instead of the recommended 14 days. The vaccine was supposed to be removed from the freezer on 5/27 by 1pm and placed in the fridge. Instead in was kept in the freezer and given to the patient instead.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Intermittent dull pain at the injection site. The pain is very localized. The pain is about a 4 on a scale of 0 to 10 with 0 being no pain and 10 being the worst pain.  The pain happens daily and can last from 3 minutes to 30 minutes. It happens several times a day. Mostly in the afternoon. The pain goes away on its own. I am afraid to take any pain medication. The pain does not interfere with my daily functions.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Petechiae
Clinical narrative: Had petechiae of opposite arm 4 hours following COVID vaccination.  Petechiae took over a week to resolve.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine was stored in the freezer for 16 days instead of the recommended 14 days. The vaccine was supposed to be removed from the freezer on 5/27 by 1pm and placed in the fridge. Instead in was kept in the freezer and given to the patient instead.
Age: 65.0
Sex: M
Vaccine: UNK
Symptoms: Chest pain, Death
Clinical narrative: AFTER RECEIVING SHOT C/O CHEST PAIN.  PRONOUNCED SAME DAY AT FACILITY.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity
Clinical narrative: Chills, fatigue, aches in legs
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Breath sounds abnormal, Bronchitis, Bronchospasm, Chest X-ray abnormal
Clinical narrative: Symptoms started 2 weeks ago.  Symptoms include: Complaint of having COVID the first week of April. She's been coughing on and off since then. She received her first dose of the Pfizer COVID vaccine on 5/20. Two days later she started coughing more severely, which makes her SOB, and having cold symptoms. She's only SOB when coughing. Today she started wheezing and when she takes a deep breath she feels a "pop" in her chest.   Pertinent Medical History:  Restrictive lung disease from pneumonia in 2015, usually only needs her inhaler 3 times a year.  Went to ED for evaluation -  CHIEF COMPLAINT:  WHEEZING (pt reports wheezing starting today with cold symptoms since may 22. had first dose of pfizer vaccine may 20, had covid back in april) FINAL DIAGNOSIS & DISPOSITION 1. Bronchitis  2. History of COVID-19   MEDICAL DECISION MAKING    Patient presents for evaluation of wheezing with mild cough and shortness of breath.  She had COVID-19 in April, followed by the 1st dose of the Pfizer vaccine on 05/20/2021.  She states her symptoms initially started with what she thought was allergies, but then moved to her chest more recently.  Lung sounds are coarse bilaterally with bronchospastic cough.  Clinical presentation consistent with bronchitis, suspect this is more allergic rather than infectious based on the history.  I did not test for COVID-19, since she is still within the 90 day window of confirmed infection.  Chest x-ray is obtained and shows mild atelectasis on the right, but no pneumonia.  She was given 4 puffs albuterol MDI with improvement in her symptoms.  She has an inhaler at home, advised her to use this as needed for respiratory symptoms.  Patient given 60 mg prednisone in the emergency department, I prescribed for additional days of 40 mg daily to start tomorrow.  She was also prescribed Tessalon Perles for the cough.  Patient advised to follow up closely with primary care for further evaluation and management, she will return if worse or any other concerns.  All questions were answered.  Patient verbalizes good understanding, comfort, and agreement with the plan of care as described.  Patient is discharged home in stable condition.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Condition aggravated, Cough, Dyspnoea, Hypersensitivity
Clinical narrative: Symptoms started 2 weeks ago.  Symptoms include: Complaint of having COVID the first week of April. She's been coughing on and off since then. She received her first dose of the Pfizer COVID vaccine on 5/20. Two days later she started coughing more severely, which makes her SOB, and having cold symptoms. She's only SOB when coughing. Today she started wheezing and when she takes a deep breath she feels a "pop" in her chest.   Pertinent Medical History:  Restrictive lung disease from pneumonia in 2015, usually only needs her inhaler 3 times a year.  Went to ED for evaluation -  CHIEF COMPLAINT:  WHEEZING (pt reports wheezing starting today with cold symptoms since may 22. had first dose of pfizer vaccine may 20, had covid back in april) FINAL DIAGNOSIS & DISPOSITION 1. Bronchitis  2. History of COVID-19   MEDICAL DECISION MAKING    Patient presents for evaluation of wheezing with mild cough and shortness of breath.  She had COVID-19 in April, followed by the 1st dose of the Pfizer vaccine on 05/20/2021.  She states her symptoms initially started with what she thought was allergies, but then moved to her chest more recently.  Lung sounds are coarse bilaterally with bronchospastic cough.  Clinical presentation consistent with bronchitis, suspect this is more allergic rather than infectious based on the history.  I did not test for COVID-19, since she is still within the 90 day window of confirmed infection.  Chest x-ray is obtained and shows mild atelectasis on the right, but no pneumonia.  She was given 4 puffs albuterol MDI with improvement in her symptoms.  She has an inhaler at home, advised her to use this as needed for respiratory symptoms.  Patient given 60 mg prednisone in the emergency department, I prescribed for additional days of 40 mg daily to start tomorrow.  She was also prescribed Tessalon Perles for the cough.  Patient advised to follow up closely with primary care for further evaluation and management, she will return if worse or any other concerns.  All questions were answered.  Patient verbalizes good understanding, comfort, and agreement with the plan of care as described.  Patient is discharged home in stable condition.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Respiration abnormal, Wheezing
Clinical narrative: Symptoms started 2 weeks ago.  Symptoms include: Complaint of having COVID the first week of April. She's been coughing on and off since then. She received her first dose of the Pfizer COVID vaccine on 5/20. Two days later she started coughing more severely, which makes her SOB, and having cold symptoms. She's only SOB when coughing. Today she started wheezing and when she takes a deep breath she feels a "pop" in her chest.   Pertinent Medical History:  Restrictive lung disease from pneumonia in 2015, usually only needs her inhaler 3 times a year.  Went to ED for evaluation -  CHIEF COMPLAINT:  WHEEZING (pt reports wheezing starting today with cold symptoms since may 22. had first dose of pfizer vaccine may 20, had covid back in april) FINAL DIAGNOSIS & DISPOSITION 1. Bronchitis  2. History of COVID-19   MEDICAL DECISION MAKING    Patient presents for evaluation of wheezing with mild cough and shortness of breath.  She had COVID-19 in April, followed by the 1st dose of the Pfizer vaccine on 05/20/2021.  She states her symptoms initially started with what she thought was allergies, but then moved to her chest more recently.  Lung sounds are coarse bilaterally with bronchospastic cough.  Clinical presentation consistent with bronchitis, suspect this is more allergic rather than infectious based on the history.  I did not test for COVID-19, since she is still within the 90 day window of confirmed infection.  Chest x-ray is obtained and shows mild atelectasis on the right, but no pneumonia.  She was given 4 puffs albuterol MDI with improvement in her symptoms.  She has an inhaler at home, advised her to use this as needed for respiratory symptoms.  Patient given 60 mg prednisone in the emergency department, I prescribed for additional days of 40 mg daily to start tomorrow.  She was also prescribed Tessalon Perles for the cough.  Patient advised to follow up closely with primary care for further evaluation and management, she will return if worse or any other concerns.  All questions were answered.  Patient verbalizes good understanding, comfort, and agreement with the plan of care as described.  Patient is discharged home in stable condition.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The patient received a dose that was beyond the 6 hour window that a reconstituted vial allows. A syringe was left in the fridge overnight and administered the following morning.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: A little over an hour after vaccine my arm went numb from my shoulder blade down my entire arm, no pain just numbness, it also itches
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored in the freezer for 16 days instead of the recommended 14 days. The vaccine was supposed to be removed from the freezer on 5/27 by 1pm and placed in the fridge. Instead in was kept in the freezer and given to the patient instead.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ranging in the ears...I had thought and hoped it would go away by now and it hasn?t, so just felt I should report it.  I have never experienced this prior to vaccine.
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Ear pain, Eye pain, Fatigue, Lacrimation increased
Clinical narrative: Pain in left eye and tearing and under left eye, into cheek!  Pain in ear and in left side of throught fatigue and chills
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Oropharyngeal pain
Clinical narrative: Pain in left eye and tearing and under left eye, into cheek!  Pain in ear and in left side of throught fatigue and chills
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash papular, Urticaria
Clinical narrative: Hives outbreak approximately a week following injection, suddenly appeared on feet and hands, thought it resembled ringworm initially.  Quickly spread and appeared nearly symmetrically as itchy raised red patches, moving  on both arms (shoulder/bicep) and legs (inner thigh).  Individual areas quickly resolved as it spread further down the limb until reaching the hand/foot and disappearing leaving no trace.  Experienced three (3) flareups starting in similar areas of the hand/foot, arms/legs, with each recurrence pushing further up the limb/body until stopping around the abdomen/back/neck.  Largely ceased after about 48 hours, but still observing occasionally on sides of feet/ankles days later.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased
Clinical narrative: Blood sugar elevated to over 230 aprox. two hours after shot.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Syncope
Clinical narrative: Syncope and Sweating.  Laying down and water.  Fully recovered after 30 or so minutes.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Grip strength decreased, Impaired work ability, Loss of personal independence in daily activities
Clinical narrative: The day after the shot, I had the expected fever. The following day, I began to have hand pain and weakness. This continued and seemed likely to be a flare of Sjogren's, significantly more severe than any symptoms I had previously experienced. After a couple of weeks, my rheumatologist tried me on a pack of methylprednisolone which helped while I was taking them but symptoms rebounded as soon as I finished the pack. This seems like it is not directly related to the vaccine's action, but the timing makes me think it prompted my immune system to get carried away even after it finished the response to the vaccine. We are continuing to investigate treatment, but in the meantime, I am having to get help for things requiring gripping and I am limited in my ability to type and thus work, so I am also having to look at speech-to-text programs.