chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: The Covid Pfizer vaccine was injected into my left arm muscle. On March 3, Wednesday, the day of vaccine, immediately after injection, I felt numbness/tingling in lips, upper & lower & inside left of head/brain area, and also brief very sharp pains in my upper body randomly throughout my arms and chest. Intermittent sharp pain in center of chest.- scale 2/10  After the first 15 min, I sat outside the tent, and noticed a numbness in my left leg and foot and sharp pain in my left big toe -  (03/21/21  left big toenail showed  a light discoloration). Symptoms subsided within an hour, yet a residual minor numbness in my lips, continued, and intermittent sharp pain in center of chest. 2/10  On March 7, Sunday following the vaccine, at 11:00 am I felt definite numbness on the left side of my face. I touched it to determine if I could detect  a sensation with my fingers, and I felt the numbness as I  touched my face as well. My right side of my face was normal.  Residual numbness to  left face/head intermittently. including today more noticeable March 22, 2021.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Respiratory arrest, Sudden death
Clinical narrative: Death Narrative: Patient received first COVID vaccine does on 3/13/21 at 07:53 without complications. Home telehealth nurse informed by family member on 3/18/21 the patient passed away on 3/13/21 at approximately 1300. Per medical record documentation, "Patient had been at facility getting COVID vaccine that morning at 0800, came home and was taking out his garbage when he started to stumble and fell to his knee, a neighbor saw and assisted patient up and was walking with him back to the apartment when "...he stopped breathing and feel over, dead." Per medical record review, patient had several co-morbidities including hypertension, hyperlipidemia, chronic hyponatremia, alcohol abuse, alcoholic fatty liver, chronic thrombocytopenia, and GERD.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: DEATH Narrative: Events surrounding patient's death are unknown- nothing is documented in medical record regarding event. Causality of death is unknown. This event is being reported due to the timing of the death in relation to the receipt of vaccine (4 days).
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Headache, Pain, Pyrexia
Clinical narrative: FEVER, ACHY, BAD HEADACHE, DIARRHA, STOMACH CRAMPS
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Hypoaesthesia, Pain
Clinical narrative: intense pain all over body with numbness and tingling in hands and feet. Has a bad headache, chills, feels like she has a fever and has dizziness.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: intense pain all over body with numbness and tingling in hands and feet. Has a bad headache, chills, feels like she has a fever and has dizziness.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Flushing, Hyperhidrosis
Clinical narrative: Patient had her covid vaccine at 7:22am. Around 7:35 am she said she was flushed, diaphoretic, and weak. I took her bp. It was 136/102. Her HR was 97. RR 16. Pulse ox 99%.  Patient reports a hx of anxiety. She also did not eat breakfast. We got her juice, water, and a breakfast bar. At 7:50, she started feeling a lot better. BP was 137/95 with HR of 79. At 8am, her bp was 124/96. Her HR was 91. Her husband took her home.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site hypoaesthesia, Injection site pain, Injection site paraesthesia, Vaccination complication
Clinical narrative: a 41 y.o. female who received the Pfizer-BioNtech Covid-19 Vaccine, mRNA, BNT162b2 (PF) 30 mcg/0.3 mL IM Susp, Lot ER2613 on 3/22/2021. The patient experienced the following reaction(s) during the immediate   of observation: 2:26pm Patient vaccinated. Patient was treated/managed as follows:    2:28pm Bruising noted at vaccinated site, left deltoid. Patient denies taking blood thinner. Patient c/o soreness to site, and numbness/tingling to left arm. Ice pack provided and applied. 2:45pm Patient reports numbness and tingling improving. Patient given educational material regarding vaccine and advised to continue to self-monitor per guidance. Patient returned to observation area with family.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness
Clinical narrative: Unsteadiness when walking, danger of falling, dizziness.
Age: 16.0
Sex: M
Vaccine: FLUC4, HEP, HEPA, HPV9, IPV, MMR, MNQ, PNC13, TDAP, VARCEL
Symptoms: Body temperature increased, Inappropriate schedule of product administration
Clinical narrative: Patient vaccinated on 2/22/2021 with first dose of series and then  again on 3/1/2021 with same vaccines due to an error in patient identification.  Pt lives in congregate setting and issues with patient identification were multi-factorial.  RN on site at the facility states that patient has denied any adverse effects from receiving vaccines at the incorrect intervals and within such a short window.  Pt with documented temp of 99.8F on 3/1/2021.  Patient to be continually monitored by RN in facility as well as will be followed by clinician.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: AT 0900, patient complained of left hand and finger numbness. Patient stated this has happened before. Staff continued and to watch for additional 5 minutes. Patient went home after additional 5 minutes and told to go to the emergency room if any symptoms returned.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia
Clinical narrative: At 12;45 pt received vaccine, she says her left arm felt numb but didn't verbalize reaction until 1pm. Vital signs B/P 125/80, resp 16, pulse 80, and reporting feeling dizzy. Pt says her left arm feels numb from the elbow to shoulder. Pt denied wanting to go to ER, refusing further treatment despite multiple education attempts. B/P 128/74 on last recheck, pt refusing continued treatment. Signed adverse reaction by patient.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmic migraine
Clinical narrative: Optical migraine began about 24 hours after completion of second vaccine.  Optical effects lasted about 20 minutes.  Headache continued most of day.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Muscle spasms, Myalgia
Clinical narrative: Extreme body soreness/cramping nausea extreme chills mild fever loss of appetite tiredness
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Extreme body soreness/cramping nausea extreme chills mild fever loss of appetite tiredness
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Physical examination
Clinical narrative: Swollen glands in neck and armpits bilaterally
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Vomiting
Clinical narrative: chills, vomiting, headache, dizziness, fatigue
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Inflammation, Mastication disorder, Pain in jaw, Swelling
Clinical narrative: Right side of jaw and ear area pain, mild swelling/inflammation. Rear molars would not meet together from inflammation. Hard to chew on the left side. At times feeling like an ear infection which I have not had in over 50 years.  It began 3/17/2021 and almost completely diminished on 3/22/2021
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt. received 1st dose Johnson & Johnson, should have received 2nd Pfizer dose.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Lethargy, Nausea
Clinical narrative: Fever, chills, joint pain 12-24 hours Nausea lack of appetite 2 days Lethargy 3 days
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, joint pain 12-24 hours Nausea lack of appetite 2 days Lethargy 3 days
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: I had pain and some swelling for 3 days at the site which then subsided.  On day 10, I went in to get allergy shots at my doctor's office and they saw that my arm was red and swollen so they did not give me an allergy shot in that arm.  I should tell you that I did receive an allergy shot in the same left arm on 3/15 and again on 3/18 which did not seem to cause any issues.  My left arm has been itching in the injection site location for about the past 24 hours.   The red swollen area is about 3" long and 2" wide and is warmer than the surrounding area.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: I had pain and some swelling for 3 days at the site which then subsided.  On day 10, I went in to get allergy shots at my doctor's office and they saw that my arm was red and swollen so they did not give me an allergy shot in that arm.  I should tell you that I did receive an allergy shot in the same left arm on 3/15 and again on 3/18 which did not seem to cause any issues.  My left arm has been itching in the injection site location for about the past 24 hours.   The red swollen area is about 3" long and 2" wide and is warmer than the surrounding area.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Background: pharmacy received 49 vials of Pfizer COVID vaccine (Lot number EN6199) on 5 March 2021 and stored them in the pharmacy refrigerator.   The doses were labeled with an expiration date of 10 March 2021 at 0701.   Since starting the COVID-19 vaccine program, the pharmacy has always used the doses before they approached the expiration date.  This time, there were 16 vials of the Pfizer vaccine that had not been used and set to expire. The labeled expiration date and time were clearly present on the outside of the bag containing the doses.  On the morning of 10 March 2021, a pharmacist retrieved 1 vial at 0754 and 7 vials at 1138 from that allocation and provided them to nursing for the day?s administrations.  The pharmacy placed those doses in a new amber bag and did not label the bag with an expiration date and time.   The nursing team received the vials, diluted and drew up 20 doses that were administered to patients before 1230.    The charge nurse did not question the expiration date until after 20 patients had been vaccinated.  At that time she messaged the pharmacist to verify the expiration date.  The pharmacist indicated that the label did not state am or pm and misinterpreted the expiration time for the doses as 7:01 PM rather than 7:01 AM.  There was not a defined double check at the time of distribution from the pharmacy to nursing  The remaining 11 vials were quarantined.  The pharmacy manager contacted the manufacturer.  According to Pfizer it?s recommended to use the thawed vaccine within 120 hours, but can be used up to 144 hours.  The doses in question were administered before 125 hours after they were thawed.  The remaining expired vials will be wasted and appropriate notifications sent.  Assessment: Twenty patients received Pfizer COVID vaccine 5 hours passed the labeled expiration date and time.  While exceeding the manufacturer?s recommended beyond use dating, the doses were within the acceptable 144 hours post thaw period and still safe for patient administration.  There was misinterpretation of the labeled expiration time by the dispensing pharmacist, the container of COVID vaccine vials provided to nursing was not labeled with an expiration date or time, there was not a double check on hand off, the nursing team did not double check the expiration date/time before dilution or administration.  Recommendation:  When repackaging COVID Vaccine vials for distribution to vaccination centers, a label including the expiration date and time should be placed on the new container.    When COVID vaccine is transferred from one location or department to the next, a double check of the product, quantity, integrity and expiration date and time may prevent a recurrence of this situation.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Atrial fibrillation, Body temperature decreased, Dizziness, Myalgia
Clinical narrative: Following her vaccination after she got home she experienced muscle aches and pain, also at sites different than the administration site. Feelings of faintness for about two days, blurred vision for a couple days. Hairloss. Vasculits in the arms and legs. Atrial Fibrilation which lasted only the night of the vaccine. Vaccine administration arm coldness and temperature drop. Patient reported the symptoms to her doctors and they recommended she get the second shot
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Vasculitis, Vision blurred
Clinical narrative: Following her vaccination after she got home she experienced muscle aches and pain, also at sites different than the administration site. Feelings of faintness for about two days, blurred vision for a couple days. Hairloss. Vasculits in the arms and legs. Atrial Fibrilation which lasted only the night of the vaccine. Vaccine administration arm coldness and temperature drop. Patient reported the symptoms to her doctors and they recommended she get the second shot
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: ?Pfizer-BioNTech COVID-19 Vaccine EUA No known effect on pregnancy. 31 weeks gestation, estimated delivery May 19, 2021.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Atrioventricular block first degree, Electrocardiogram, Electrocardiogram ST segment depression, Heart rate irregular, Hypertension
Clinical narrative: Called over to the patient by EMS, patient c/o numbness to the left forearm. Patient denies any CP, SOB, diaphoresis, nausea/vomiting. Patient reports that she had the same reaction after the first vaccine but it resolved after 15 minutes. It has been over 30 minutes today and her symptoms have continued.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Tachycardia, Vaccine positive rechallenge
Clinical narrative: Called over to the patient by EMS, patient c/o numbness to the left forearm. Patient denies any CP, SOB, diaphoresis, nausea/vomiting. Patient reports that she had the same reaction after the first vaccine but it resolved after 15 minutes. It has been over 30 minutes today and her symptoms have continued.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dyspnoea, Feeling abnormal, Headache
Clinical narrative: @ 3-5 min... arm started feeling a little sore, like a dead arm. That was the extent of things for a few hours.   @ 4 hours... randomly while doing absolutely nothing started getting short of breath + breathing through a tube feeling + drastically increased brain fog.   @ 11 hours... splitting headache + arm at the injection site painful to the touch + combination of pain/discomfort kept me awake all night despite my sleep Rx for insomnia.   @ 17-18 hours later... leg muscles were sore and achy and cramping if I stayed in any position for too long. Began to feel feverish yet had no temperature (yet). My saturation which frequently drops but always rebounds fairly quickly stayed at about 90% for over an hour.   @ about 20 hours... I began to get swollen lymph nodes and my temperature started climbing into the high 90?s (my ?normal? is around 97° so this made me feel like I was on fire). My SpO2 dropped to 84%... the lowest I?d measured it, even when hospitalized for a week back in December. Everything also felt heavy?every part of my body, anything I?d try to pick up... as of gravity had suddenly increased.   @ 22 hours... low grade fever of 100.2° while on Tylenol... so w/o it likely would have been higher.   @ 24 hours later... (330pm next day) it all really hit me... my saturation dropped to 79%. With otc cans of oxygen it only went up to 84% and kept dropping back to 80%. I was unbearably hot and uncomfortable and sore everywhere, but especially my neck and shoulders. I had zero appetite.   @ 26 hours... chills so bad I couldn?t get warm when wearing a fleece, under 3 blankets, and head covered.   @ 29 hours... so nauseous I couldn?t eat + my temperature (still with Tylenol in my system) peaked at 101°.   @ around hour 30... so unbearably hot had to shed all the layers I?d put on + over me. My temperature was just barley back under 100° at this point (Tylenol still in system).   @ 34 hours... Overnight arm pain + chills retuned to the point woke up from sleep Rx. I had to take more Tylenol due the pain. Got fully dressed with hoodie + fleece on all under my comforter in bed. Despite deep chills my forehead felt like it was literally on fire, but I couldn?t find the thermometer so who knows what my temperature was.   @ 42 hours... dizzy + disoriented + saturation 86% + injection site pain.   @ 48 hours... appetite still suppressed + injection site pain (though less than at worst)
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Insomnia, Limb discomfort, Lymphadenopathy, Muscle spasms
Clinical narrative: @ 3-5 min... arm started feeling a little sore, like a dead arm. That was the extent of things for a few hours.   @ 4 hours... randomly while doing absolutely nothing started getting short of breath + breathing through a tube feeling + drastically increased brain fog.   @ 11 hours... splitting headache + arm at the injection site painful to the touch + combination of pain/discomfort kept me awake all night despite my sleep Rx for insomnia.   @ 17-18 hours later... leg muscles were sore and achy and cramping if I stayed in any position for too long. Began to feel feverish yet had no temperature (yet). My saturation which frequently drops but always rebounds fairly quickly stayed at about 90% for over an hour.   @ about 20 hours... I began to get swollen lymph nodes and my temperature started climbing into the high 90?s (my ?normal? is around 97° so this made me feel like I was on fire). My SpO2 dropped to 84%... the lowest I?d measured it, even when hospitalized for a week back in December. Everything also felt heavy?every part of my body, anything I?d try to pick up... as of gravity had suddenly increased.   @ 22 hours... low grade fever of 100.2° while on Tylenol... so w/o it likely would have been higher.   @ 24 hours later... (330pm next day) it all really hit me... my saturation dropped to 79%. With otc cans of oxygen it only went up to 84% and kept dropping back to 80%. I was unbearably hot and uncomfortable and sore everywhere, but especially my neck and shoulders. I had zero appetite.   @ 26 hours... chills so bad I couldn?t get warm when wearing a fleece, under 3 blankets, and head covered.   @ 29 hours... so nauseous I couldn?t eat + my temperature (still with Tylenol in my system) peaked at 101°.   @ around hour 30... so unbearably hot had to shed all the layers I?d put on + over me. My temperature was just barley back under 100° at this point (Tylenol still in system).   @ 34 hours... Overnight arm pain + chills retuned to the point woke up from sleep Rx. I had to take more Tylenol due the pain. Got fully dressed with hoodie + fleece on all under my comforter in bed. Despite deep chills my forehead felt like it was literally on fire, but I couldn?t find the thermometer so who knows what my temperature was.   @ 42 hours... dizzy + disoriented + saturation 86% + injection site pain.   @ 48 hours... appetite still suppressed + injection site pain (though less than at worst)
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Oxygen saturation decreased, Pain in extremity, Pyrexia
Clinical narrative: @ 3-5 min... arm started feeling a little sore, like a dead arm. That was the extent of things for a few hours.   @ 4 hours... randomly while doing absolutely nothing started getting short of breath + breathing through a tube feeling + drastically increased brain fog.   @ 11 hours... splitting headache + arm at the injection site painful to the touch + combination of pain/discomfort kept me awake all night despite my sleep Rx for insomnia.   @ 17-18 hours later... leg muscles were sore and achy and cramping if I stayed in any position for too long. Began to feel feverish yet had no temperature (yet). My saturation which frequently drops but always rebounds fairly quickly stayed at about 90% for over an hour.   @ about 20 hours... I began to get swollen lymph nodes and my temperature started climbing into the high 90?s (my ?normal? is around 97° so this made me feel like I was on fire). My SpO2 dropped to 84%... the lowest I?d measured it, even when hospitalized for a week back in December. Everything also felt heavy?every part of my body, anything I?d try to pick up... as of gravity had suddenly increased.   @ 22 hours... low grade fever of 100.2° while on Tylenol... so w/o it likely would have been higher.   @ 24 hours later... (330pm next day) it all really hit me... my saturation dropped to 79%. With otc cans of oxygen it only went up to 84% and kept dropping back to 80%. I was unbearably hot and uncomfortable and sore everywhere, but especially my neck and shoulders. I had zero appetite.   @ 26 hours... chills so bad I couldn?t get warm when wearing a fleece, under 3 blankets, and head covered.   @ 29 hours... so nauseous I couldn?t eat + my temperature (still with Tylenol in my system) peaked at 101°.   @ around hour 30... so unbearably hot had to shed all the layers I?d put on + over me. My temperature was just barley back under 100° at this point (Tylenol still in system).   @ 34 hours... Overnight arm pain + chills retuned to the point woke up from sleep Rx. I had to take more Tylenol due the pain. Got fully dressed with hoodie + fleece on all under my comforter in bed. Despite deep chills my forehead felt like it was literally on fire, but I couldn?t find the thermometer so who knows what my temperature was.   @ 42 hours... dizzy + disoriented + saturation 86% + injection site pain.   @ 48 hours... appetite still suppressed + injection site pain (though less than at worst)
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: @ 3-5 min... arm started feeling a little sore, like a dead arm. That was the extent of things for a few hours.   @ 4 hours... randomly while doing absolutely nothing started getting short of breath + breathing through a tube feeling + drastically increased brain fog.   @ 11 hours... splitting headache + arm at the injection site painful to the touch + combination of pain/discomfort kept me awake all night despite my sleep Rx for insomnia.   @ 17-18 hours later... leg muscles were sore and achy and cramping if I stayed in any position for too long. Began to feel feverish yet had no temperature (yet). My saturation which frequently drops but always rebounds fairly quickly stayed at about 90% for over an hour.   @ about 20 hours... I began to get swollen lymph nodes and my temperature started climbing into the high 90?s (my ?normal? is around 97° so this made me feel like I was on fire). My SpO2 dropped to 84%... the lowest I?d measured it, even when hospitalized for a week back in December. Everything also felt heavy?every part of my body, anything I?d try to pick up... as of gravity had suddenly increased.   @ 22 hours... low grade fever of 100.2° while on Tylenol... so w/o it likely would have been higher.   @ 24 hours later... (330pm next day) it all really hit me... my saturation dropped to 79%. With otc cans of oxygen it only went up to 84% and kept dropping back to 80%. I was unbearably hot and uncomfortable and sore everywhere, but especially my neck and shoulders. I had zero appetite.   @ 26 hours... chills so bad I couldn?t get warm when wearing a fleece, under 3 blankets, and head covered.   @ 29 hours... so nauseous I couldn?t eat + my temperature (still with Tylenol in my system) peaked at 101°.   @ around hour 30... so unbearably hot had to shed all the layers I?d put on + over me. My temperature was just barley back under 100° at this point (Tylenol still in system).   @ 34 hours... Overnight arm pain + chills retuned to the point woke up from sleep Rx. I had to take more Tylenol due the pain. Got fully dressed with hoodie + fleece on all under my comforter in bed. Despite deep chills my forehead felt like it was literally on fire, but I couldn?t find the thermometer so who knows what my temperature was.   @ 42 hours... dizzy + disoriented + saturation 86% + injection site pain.   @ 48 hours... appetite still suppressed + injection site pain (though less than at worst)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: increased size, distribution and intensity of daily "hives" within 2 days of vaccine. Resolved within 1 week.  No other systemic symptoms
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Pain
Clinical narrative: Fatigue, headache, body aches, joint pain, chills.  Felt better after 12 hours of sleep.  Still have some fatigue and body aches on 03/22/2021 at 3:30 PM.
Age: 82.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: 6 days of heavy headache, chills, 102 fever, nausea, body ache .
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Throat tightness
Clinical narrative: About 1 minute after the patient's vaccine she said she felt badly. We took her back to the bed. She said she has a hx of anaphylaxis to allergy shots 3 times. She reports no history of hypertension. Her BP was 131/94, pulse 65, oxygen 99. Patient reported throat was getting tight. I gave 50mg of benadryl.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Immediate post-injection reaction, Injection site rash, Injection site urticaria, Rash
Clinical narrative: Within 5 mins injection  rash,  hives Shortness of breath
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Within 5 mins injection  rash,  hives Shortness of breath
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Heart rate increased
Clinical narrative: AT 1052, patient waited 27 minutes due to elevated heart rate and anxiety. Afterwards, patient stated he felt ok and heart rate was 70. Instructed to go to the emergency room if symptoms resume and persisted greater than 30-60 minutes.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Oropharyngeal pain
Clinical narrative: Sore throat, muscle aches and pain more than usual tired. Started the next day and lasted 2 days.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: PATIENT COMPLAINS OF VISUAL DISTURBANCES 5 HOURS POST DOSE
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient had a rash 12 hours after shot
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Increased upper airway secretion, Ocular hyperaemia, Pharyngeal swelling, Throat tightness
Clinical narrative: Vaccine Reaction: Per pt, shortly after receiving the vaccine, she felt like the left side of her throat was swelling, and had some drainage on the left side of her throat. Eyes also red.  Per pt, she does have seasonal allergies and did not take any medication this morning. Pt. A&O x 3, able to converse in clear full sentences, denied difficulty breathing or SOB.   Description of Event: see above   VitalsExpand by Default Vitals:   03/22/21 1208 03/22/21 1212 03/22/21 1217 03/22/21 1240 BP: (!) 159/95 (!) 159/107 125/77 131/82 Pulse: 70 77 60 60 Resp: 18 18 18 18 SpO2: 99% 98% 98% 98%      Intervention: Epi Pen available, but not needed, EMS called due to feeling of "tightness of throat" and back of throat drainage. 25 mg of Benadryl offered. Pt. Declined. Pt. Declined further evaluation at ED. Pt. Stated she had her dog in the car, and no one to contact for her. Pt. Declined any further medical evaluation/intervention AMA.   Observation time: 60 Minute Evaluation   Medications given: None   Response to interventions and/or medication: 12:45 pt. Stated she felt like the swelling in her throat was decreasing and the drainage was also decreasing.    Additional Information: Pt. Instructed to follow up with PCP and given ED precautions.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Impaired work ability, Pain
Clinical narrative: On 3/19/2021 around 4:00 I started with body aches, headache, fever, and chilling.  I continued with that during the night and on 3/20/2021 I still had the body aches and felt weak.  On 3/21/2021 I noticed that I had a rash developing in places.  On 3/22/2021 I woke at 5:00 a.m. covered with a rash over my entire body that itched.  I took Benadryl and that is when I went to the ER.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: On 3/19/2021 around 4:00 I started with body aches, headache, fever, and chilling.  I continued with that during the night and on 3/20/2021 I still had the body aches and felt weak.  On 3/21/2021 I noticed that I had a rash developing in places.  On 3/22/2021 I woke at 5:00 a.m. covered with a rash over my entire body that itched.  I took Benadryl and that is when I went to the ER.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Limb discomfort, Loss of personal independence in daily activities, Neck pain, Pain in extremity
Clinical narrative: My arm started hurting about a week after the shot.  It hurts to raise up. It sometimes feels"heavy". At times I have had pain going to my neck and to my shoulder blade. The pain has been  on and off for 2 weeks.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Patient came to me describing a red, itchy, rash across his right upper arm, upper chest and back, and along left upper arm. There were no hives/bumps. He said it felt and looked similar to a mild sunburn and was quite itchy. He said it didn't bother him but wanted to tell me about it. It resolved 4 days after shot and he did not take any medication to help it. He did comment that he is allergic to penicillin, and that he had many issues with allergies/hives as a child. He carried an epi-pen as a child as well.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Inflammation, Pyrexia
Clinical narrative: Patient complained of red inflamed streak down the side of her arm and fever.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Tachycardia
Clinical narrative: 3/22/2021   Patient was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening .  During the observation period, she experienced an adverse reaction with the following symptoms:  rapid heart rate, tachycardic   Assessment : Time of assessment 1700. Alert and oriented.   Actions taken:  VS taken at 1700, BP- 132/79, P- 66, Gave water and crackers       Medications administered: No medication administered.   Disposition: Reports no further symptoms of adverse reaction after observation for . minutes. Discharged home.     Immunizations Administered    Name Date Dose VIS Date Route   Pfizer COVID-19 Vaccine 3/22/2021  4:52 PM
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Eye haemorrhage, Nausea, Pyrexia
Clinical narrative: Four days after the shot my eye someone told me my eye was red. I had a hemorrhage in my left eye. It was the outside of my eye but there was no pain. It lasted about five days. Seven days after the first vaccine I also had an eye hemorrhage in the same are of my eye. The doctor could not find anything wrong with my eye.  Other symptoms included a few waves of Nausea and a low -grade fever.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Tinnitus, Vertigo
Clinical narrative: Dizziness, vertigo, and tinnitus.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Paraesthesia oral
Clinical narrative: 1508 C/O LIPS TINGLY METALLIC TASTE MONITORED, BP 142/98 SAT 97% HR 70 1533 148/98 96% 67  1548 148/99 99% 70 1603 146/100 98% 66   Did not want Benadryl pt told family she will be driving home. encouraged to seek medical help if s/s worsen pt call for an appt with MD this week.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell?s palsy after second dose on dare anove
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Background: Hesperia pharmacy received 49 vials of Pfizer COVID vaccine (Lot number EN6199) on 5 March 2021 and stored them in the pharmacy refrigerator.   The doses were labeled with an expiration date of 10 March 2021 at 0701.   Since starting the COVID-19 vaccine program, the Hesperia MOB has always used the doses before they approached the expiration date.  This time, there were 16 vials of the Pfizer vaccine that had not been used and set to expire. The labeled expiration date and time were clearly present on the outside of the bag containing the doses.  On the morning of 10 March 2021, a pharmacist retrieved 1 vial at 0754 and 7 vials at 1138 from that allocation and provided them to nursing for the day?s administrations.  The pharmacy placed those doses in a new amber bag and did not label the bag with an expiration date and time.   The nursing team received the vials, diluted and drew up 20 doses that were administered to patients before 1230.    The charge nurse did not question the expiration date until after 20 patients had been vaccinated.  At that time she messaged the pharmacist to verify the expiration date.  The pharmacist indicated that the label did not state am or pm and misinterpreted the expiration time for the doses as 7:01 PM rather than 7:01 AM.  There was not a defined double check at the time of distribution from the pharmacy to nursing  The remaining 11 vials were quarantined.  The pharmacy manager contacted the manufacturer.  According to Pfizer it?s recommended to use the thawed vaccine within 120 hours, but can be used up to 144 hours.  The doses in question were administered before 125 hours after they were thawed.  The remaining expired vials will be wasted and appropriate notifications sent.  Assessment: Twenty patients received Pfizer COVID vaccine 5 hours passed the labeled expiration date and time.  While exceeding the manufacturer?s recommended beyond use dating, the doses were within the acceptable 144 hours post thaw period and still safe for patient administration.  There was misinterpretation of the labeled expiration time by the dispensing pharmacist, the container of COVID vaccine vials provided to nursing was not labeled with an expiration date or time, there was not a double check on hand off, the nursing team did not double check the expiration date/time before dilution or administration.  Recommendation:  When repackaging COVID Vaccine vials for distribution to vaccination centers, a label including the expiration date and time should be placed on the new container.    When COVID vaccine is transferred from one location or department to the next, a double check of the product, quantity, integrity and expiration date and time may prevent a recurrence of this situation.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Chills, Dizziness, Headache, Injection site erythema
Clinical narrative: Site redness, chills, fever 102.3 F, headache, dizziness, weakness, body aches, vomiting.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Site redness, chills, fever 102.3 F, headache, dizziness, weakness, body aches, vomiting.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Menstruation irregular
Clinical narrative: No previous history of miscarriages. Miscarriage began 4 weeks after first covid vaccine dose. Est. Date of birth October 2021  Unusual menstrual cycles following miscarriage.  Unsure if there is any relation.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Somnolence
Clinical narrative: Light headed, sleepy.  Monitoring for 1hr.   @1530 BP 112/78, SPO2 93%RA, Pulse 62. @1615  BP 110/80, SPO2 97%RA, Pulse 60. Patient wanted to leave at 1630, feeling much better.  States she will have a friend check on her at home but is now feeling good.  Informed patient to call doctors office and discuss second dose of vaccine.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dyspnoea, Heart rate increased, Hot flush, Throat clearing
Clinical narrative: 11:38 AM - Hot flash over chest, arms, neck, and face. Elevated heart rate and anxiety that some thing bad was going to happen. Throat irritation and having the feeling to continuously clear throat. Labored breathing. 11: 55 AM - Hot flash over chest, arms, neck, and face. Elevated heart rate and anxiety that some thing bad was going to happen. Throat irritation and having the feeling to continuously clear throat. Labored breathing. 12:01 PM -  Throat irritation.  12:24 PM -  Took benadryl.  1:09 PM -  No symptoms.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: 11:38 AM - Hot flash over chest, arms, neck, and face. Elevated heart rate and anxiety that some thing bad was going to happen. Throat irritation and having the feeling to continuously clear throat. Labored breathing. 11: 55 AM - Hot flash over chest, arms, neck, and face. Elevated heart rate and anxiety that some thing bad was going to happen. Throat irritation and having the feeling to continuously clear throat. Labored breathing. 12:01 PM -  Throat irritation.  12:24 PM -  Took benadryl.  1:09 PM -  No symptoms.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Dyspnoea exertional, Full blood count normal, Human chorionic gonadotropin, Metabolic function test
Clinical narrative: After receiving the Janssen vaccine, patient was admitted to the ED within 8 hours for dyspnea upon exertion and breathing.  Labs were all within normal limits (CBC, Troponin, CMP, TSH, HCG).  Patient was later discharged for follow up with primary care.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal
Clinical narrative: After receiving the Janssen vaccine, patient was admitted to the ED within 8 hours for dyspnea upon exertion and breathing.  Labs were all within normal limits (CBC, Troponin, CMP, TSH, HCG).  Patient was later discharged for follow up with primary care.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Anxiety, Chills, Dyspnoea, Erythema
Clinical narrative: Woke up at 3:30 am after getting the shot.  Was shaking uncontrollably, freezing, deathly sick at my stomach.  Fever.  For next 24 hours I was deathly sick at my stomach.  Dry heaves.  Fever and chills.  Could barely raise my head.  Couldn't even eat a cracker.  Then my arm started hurting, got big long red knot,hurt down the inside for about a week.  I was sick like this for almost 48 hours.  I was exhausted, so tired.  This lasted for a week.  After the first week, every afternoon I would get exhausted and have to stop and rest.    First shot effected my breathing, causing rapid breathing, like I was anxious.  Had a headache.  My heart beat fast for about 20 hours.  Then all of it stopped.  Several days later I got a round red hot knot that stayed about a week or two and was really sore.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Heart rate increased, Limb discomfort, Malaise
Clinical narrative: Woke up at 3:30 am after getting the shot.  Was shaking uncontrollably, freezing, deathly sick at my stomach.  Fever.  For next 24 hours I was deathly sick at my stomach.  Dry heaves.  Fever and chills.  Could barely raise my head.  Couldn't even eat a cracker.  Then my arm started hurting, got big long red knot,hurt down the inside for about a week.  I was sick like this for almost 48 hours.  I was exhausted, so tired.  This lasted for a week.  After the first week, every afternoon I would get exhausted and have to stop and rest.    First shot effected my breathing, causing rapid breathing, like I was anxious.  Had a headache.  My heart beat fast for about 20 hours.  Then all of it stopped.  Several days later I got a round red hot knot that stayed about a week or two and was really sore.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pyrexia, Retching, Tremor
Clinical narrative: Woke up at 3:30 am after getting the shot.  Was shaking uncontrollably, freezing, deathly sick at my stomach.  Fever.  For next 24 hours I was deathly sick at my stomach.  Dry heaves.  Fever and chills.  Could barely raise my head.  Couldn't even eat a cracker.  Then my arm started hurting, got big long red knot,hurt down the inside for about a week.  I was sick like this for almost 48 hours.  I was exhausted, so tired.  This lasted for a week.  After the first week, every afternoon I would get exhausted and have to stop and rest.    First shot effected my breathing, causing rapid breathing, like I was anxious.  Had a headache.  My heart beat fast for about 20 hours.  Then all of it stopped.  Several days later I got a round red hot knot that stayed about a week or two and was really sore.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Nausea
Clinical narrative: Back pain and nausea
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Cellulitis, Gait inability, Joint swelling, Malaise
Clinical narrative: THURSDAY MARCH 11TH VACCINE SHOT ADMINISTERED. FRIDAY MARCH 12TH DEVELOPED SWOLLEN RIGHT ANKLE AT WORK AROUND 10:30 AM. SWOLLEN ANKLE MADE MOBILITY DIFFICULT. MARCH 18TH ANKLE STILL SWOLLEN ACCOMPANIED FOR THE FIRST TIME WITH PAINFUL RED RASH AND FEVER. AS A RESULT, UNABLE TO PUT ANY WEIGHT ON RIGHT ANKLE FROM MARCH 18TH TO DAY OF WRITING THIS REPORT, MARCH 22. RIGHT ANKLE IS IN EXTREME PAIN. PATIENT HAS NEVER FELT PAIN SO SEVERE IN HIS LIFE. PATIENT CONTINUES TO FELL UNWELL.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Pyrexia, Rash, Rash erythematous, X-ray
Clinical narrative: THURSDAY MARCH 11TH VACCINE SHOT ADMINISTERED. FRIDAY MARCH 12TH DEVELOPED SWOLLEN RIGHT ANKLE AT WORK AROUND 10:30 AM. SWOLLEN ANKLE MADE MOBILITY DIFFICULT. MARCH 18TH ANKLE STILL SWOLLEN ACCOMPANIED FOR THE FIRST TIME WITH PAINFUL RED RASH AND FEVER. AS A RESULT, UNABLE TO PUT ANY WEIGHT ON RIGHT ANKLE FROM MARCH 18TH TO DAY OF WRITING THIS REPORT, MARCH 22. RIGHT ANKLE IS IN EXTREME PAIN. PATIENT HAS NEVER FELT PAIN SO SEVERE IN HIS LIFE. PATIENT CONTINUES TO FELL UNWELL.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cellulitis
Clinical narrative: THURSDAY MARCH 11TH VACCINE SHOT ADMINISTERED. FRIDAY MARCH 12TH DEVELOPED SWOLLEN RIGHT ANKLE AT WORK AROUND 10:30 AM. SWOLLEN ANKLE MADE MOBILITY DIFFICULT. MARCH 18TH ANKLE STILL SWOLLEN ACCOMPANIED FOR THE FIRST TIME WITH PAINFUL RED RASH AND FEVER. AS A RESULT, UNABLE TO PUT ANY WEIGHT ON RIGHT ANKLE FROM MARCH 18TH TO DAY OF WRITING THIS REPORT, MARCH 22. RIGHT ANKLE IS IN EXTREME PAIN. PATIENT HAS NEVER FELT PAIN SO SEVERE IN HIS LIFE. PATIENT CONTINUES TO FELL UNWELL.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Cough, Dizziness, Dysphonia, Dyspnoea
Clinical narrative: Per pt "Within moments of vaccine I developed a headache, felt like my heart was racing / pounding out of my chest. Quickly became short of breath, cough, nauseous and dizzy. I reported my symptoms to the RN in the observation room and took Benadryl. My HR was in the 130s at that time. I then used my EpiPen. They gave me 2 puffs of an albuterol inhaler and a 2nd EpiPen before taking me to the ER where IV allergic reaction protocol was initiated ( famotidine, iv fluids, solumedrol) and a 3rd EpiPen was given along with a duoneb and iv lorazepam. My symptoms improved after the 3rd EpiPen and seems to slowly resolve over the next 48 hours. "  Per ED note Patient is a 37 y.o. female presenting to the ED with shortness of breath and throat tightness. Immediately after getting a COVID vaccine today, patient developed sudden onset of shortness of breath, voice hoarseness and throat tightness. She gave herself IM epinephrine, Benadryl, and albuterol puffs through the inhaler prior to arrival. She was in her normal state of health prior to today. Patient has hx of vocal cord dysfunction, mast cell activation syndrome, and anaphylaxis, and has required epinephrine drips in the past with ICU hospitalizations. Has also needed intubation in the past.  Initial evaluation reveals patient to be tachypneic, tachycardic and anxious. +stridor and hoarse voice. Patient gave herself IM epinephrine prior to arrival along w Benadryl and albuterol puffs. Says her symptoms feel similar to what she has had before w anaphylaxis. Patient was given additional IV methyprednisolone, pepcid, Duonebs, and ativan. She was monitored and her work of breathing improved. No additional epinephrine was needed and patient was monitored in the ED for a few hours."
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Headache, Immediate post-injection reaction, Palpitations, Stridor
Clinical narrative: Per pt "Within moments of vaccine I developed a headache, felt like my heart was racing / pounding out of my chest. Quickly became short of breath, cough, nauseous and dizzy. I reported my symptoms to the RN in the observation room and took Benadryl. My HR was in the 130s at that time. I then used my EpiPen. They gave me 2 puffs of an albuterol inhaler and a 2nd EpiPen before taking me to the ER where IV allergic reaction protocol was initiated ( famotidine, iv fluids, solumedrol) and a 3rd EpiPen was given along with a duoneb and iv lorazepam. My symptoms improved after the 3rd EpiPen and seems to slowly resolve over the next 48 hours. "  Per ED note Patient is a 37 y.o. female presenting to the ED with shortness of breath and throat tightness. Immediately after getting a COVID vaccine today, patient developed sudden onset of shortness of breath, voice hoarseness and throat tightness. She gave herself IM epinephrine, Benadryl, and albuterol puffs through the inhaler prior to arrival. She was in her normal state of health prior to today. Patient has hx of vocal cord dysfunction, mast cell activation syndrome, and anaphylaxis, and has required epinephrine drips in the past with ICU hospitalizations. Has also needed intubation in the past.  Initial evaluation reveals patient to be tachypneic, tachycardic and anxious. +stridor and hoarse voice. Patient gave herself IM epinephrine prior to arrival along w Benadryl and albuterol puffs. Says her symptoms feel similar to what she has had before w anaphylaxis. Patient was given additional IV methyprednisolone, pepcid, Duonebs, and ativan. She was monitored and her work of breathing improved. No additional epinephrine was needed and patient was monitored in the ED for a few hours."
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tachypnoea, Throat tightness
Clinical narrative: Per pt "Within moments of vaccine I developed a headache, felt like my heart was racing / pounding out of my chest. Quickly became short of breath, cough, nauseous and dizzy. I reported my symptoms to the RN in the observation room and took Benadryl. My HR was in the 130s at that time. I then used my EpiPen. They gave me 2 puffs of an albuterol inhaler and a 2nd EpiPen before taking me to the ER where IV allergic reaction protocol was initiated ( famotidine, iv fluids, solumedrol) and a 3rd EpiPen was given along with a duoneb and iv lorazepam. My symptoms improved after the 3rd EpiPen and seems to slowly resolve over the next 48 hours. "  Per ED note Patient is a 37 y.o. female presenting to the ED with shortness of breath and throat tightness. Immediately after getting a COVID vaccine today, patient developed sudden onset of shortness of breath, voice hoarseness and throat tightness. She gave herself IM epinephrine, Benadryl, and albuterol puffs through the inhaler prior to arrival. She was in her normal state of health prior to today. Patient has hx of vocal cord dysfunction, mast cell activation syndrome, and anaphylaxis, and has required epinephrine drips in the past with ICU hospitalizations. Has also needed intubation in the past.  Initial evaluation reveals patient to be tachypneic, tachycardic and anxious. +stridor and hoarse voice. Patient gave herself IM epinephrine prior to arrival along w Benadryl and albuterol puffs. Says her symptoms feel similar to what she has had before w anaphylaxis. Patient was given additional IV methyprednisolone, pepcid, Duonebs, and ativan. She was monitored and her work of breathing improved. No additional epinephrine was needed and patient was monitored in the ED for a few hours."