chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: within a few minutes after receiving vaccine he had a brief visual disturbance similar to the ones that preceded his stroke in 2010 by a few days. Then in the evening of November 4th after finishing supper he found himself unable to talk (expressive aphasia) even though he understood speech and knew what he wanted to say. Family noted a right facial droop. ambulance called and arrived within about 15 minutes. By the time the ambulance got him to General Hospital he had fully recovered. He had a negative CT angioram of the brain. It was compared to the 2010 CT angiogram. Neurologist in ER found him to have entirely normal neurological exam.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine booster was given from a vial that was outside of the 12 hour out of refrigerator window.  There were no adverse reactions reported.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Chills, Feeling cold, Injection site pain, Neck pain
Clinical narrative: Within 20 minutes of the injection into my right arm, my right eye began to twitch. My right eye twitched consistently and frequently for approximately 15-20 minutes. I began to experience throbbing pain in my arm which then traveled down my right side down to my legs and up to my neck at which point I took 2 Aleve. For the remainder of the day I only suffered from pain in my right arm. The next day 5/2/2021, I still had pain in the injection site. At approximately 2:00pm I began to feel cold. I put on a sweater but continued to feel cold and then began to shiver. After putting on layers the shivering became so violent it was difficult to stand so I laid in bed. For 45min-60min I shivered so violently my bed shook. After the shivering subsided I was able to get up but had a noticible fever. By 9pm the fever had subsided and I was left with injection site pain that eventually subsided. I have since made a full recovery.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Within 20 minutes of the injection into my right arm, my right eye began to twitch. My right eye twitched consistently and frequently for approximately 15-20 minutes. I began to experience throbbing pain in my arm which then traveled down my right side down to my legs and up to my neck at which point I took 2 Aleve. For the remainder of the day I only suffered from pain in my right arm. The next day 5/2/2021, I still had pain in the injection site. At approximately 2:00pm I began to feel cold. I put on a sweater but continued to feel cold and then began to shiver. After putting on layers the shivering became so violent it was difficult to stand so I laid in bed. For 45min-60min I shivered so violently my bed shook. After the shivering subsided I was able to get up but had a noticible fever. By 9pm the fever had subsided and I was left with injection site pain that eventually subsided. I have since made a full recovery.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Electrocardiogram abnormal, Hypertension, Inflammatory marker increased, Myocarditis
Clinical narrative: SX: HIGH FEVER, HIGH BLOOD PRESSURE DX: MYOCARDITIS INFLAMMATION LAB TESTS: HIGH TROPONIN, ELEVATED INFLAMMATION MARKERS, ECG SHOWED MYOCARDITIS INFLAMMATION TX: HOSPITAL ADMISSION X 4DAYS IV FLUIDS/ELECTROLYTES ANTIBIOTICS DISCHARGE MED: CARVEDILOL OUTCOME SYMPTOMS IMPROVING BEFORE DISCHARGE
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Troponin increased
Clinical narrative: SX: HIGH FEVER, HIGH BLOOD PRESSURE DX: MYOCARDITIS INFLAMMATION LAB TESTS: HIGH TROPONIN, ELEVATED INFLAMMATION MARKERS, ECG SHOWED MYOCARDITIS INFLAMMATION TX: HOSPITAL ADMISSION X 4DAYS IV FLUIDS/ELECTROLYTES ANTIBIOTICS DISCHARGE MED: CARVEDILOL OUTCOME SYMPTOMS IMPROVING BEFORE DISCHARGE
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac monitoring abnormal, Electrocardiogram normal, Heart rate increased, Laboratory test normal
Clinical narrative: 11/15/21 1804-2030:Irregular heart rhythm and high heart rate 150?s noted on iPhone  with palpitations  while at home. 911 called to evaluate, cardiac monitor showed sinus tachycardia.  BP 170/96 at home.12 lead ekg in ED appeared to be sinus, labs WNL. Discharged home to be evaluated by cardiologist within the next few days. 11/16/21: cardiac monitor placed for 2 weeks.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Palpitations, Sinus tachycardia, Urine analysis
Clinical narrative: 11/15/21 1804-2030:Irregular heart rhythm and high heart rate 150?s noted on iPhone  with palpitations  while at home. 911 called to evaluate, cardiac monitor showed sinus tachycardia.  BP 170/96 at home.12 lead ekg in ED appeared to be sinus, labs WNL. Discharged home to be evaluated by cardiologist within the next few days. 11/16/21: cardiac monitor placed for 2 weeks.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Hordeolum, Hypersensitivity, Pruritus, Rash
Clinical narrative: (11/11) Thursday morning felt a Stye forming in Left eye and later produced a rash on face and arms. Antihistamine Zyrtec and Hydrocortisone taken to reduce itching and redness. (11/12) Friday following the swelling had gone down but itching was progressively worse throughout the day. Made an appointment to PCP and saw NP at office. Confirmed an allergic reaction but did not determine a trigger. Steroid for 6 days and Benadryl prescribed as a course of treatment. Follow up on Monday and was told to stay the course and it should clear up.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram abnormal, Myocarditis, Pericarditis
Clinical narrative: Pt reported chest pain at midnight on Friday, 11/5; presented to ER on Saturday, 11/6 after intermittent chest pain. Saturday?s chest pain was non-relenting; pt admitted to hospital. He received a NSAID on 11/6 in the am and 11/7 at approx 1am,  with an asa in between. Pt received  nitroglycerin between 1am-2am on 11/7, as well as oxygen  due to non-reduction of chest pain with nsaid administration. Pt remained hospitalized until 11/9, and followed proper with his cardiologist, on 11/17. The pt was discharged without meds.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Extra dose administered, Head discomfort, Headache, Hypertension
Clinical narrative: I first started feeling symptoms early the next day (10/26/2021) at 2:00 AM after receiving my booster shot.  I experienced injection site pain, headache, and body aches.  The headache and injection site pain subsided after two days.  The body aches continued off and on until my regularly scheduled doctor's appointment on 11/12/2021.  I kept getting upper back pain near my shoulder blade and some head pressure.  During my Dr. Office visit, I found out my blood pressure was extremely elevated approximately 146/88.  My blood pressure had never been that high.  My doctor recommended medication, but I wanted to work on my health on my own for month prior to being medicated.  I did take my doctor's advise and purchased a home BP monitor to keep track of my blood pressure.  Throughout the weekend my blood pressure remained high and my pulse rate was in the high 90s to low 100s.  I contacted my doctor and he prescribed AMLODIPINE 5MG.  I don't know if my high blood pressure and body aches is directly related to the Moderna Booster vaccine, but I suspect it is.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: I first started feeling symptoms early the next day (10/26/2021) at 2:00 AM after receiving my booster shot.  I experienced injection site pain, headache, and body aches.  The headache and injection site pain subsided after two days.  The body aches continued off and on until my regularly scheduled doctor's appointment on 11/12/2021.  I kept getting upper back pain near my shoulder blade and some head pressure.  During my Dr. Office visit, I found out my blood pressure was extremely elevated approximately 146/88.  My blood pressure had never been that high.  My doctor recommended medication, but I wanted to work on my health on my own for month prior to being medicated.  I did take my doctor's advise and purchased a home BP monitor to keep track of my blood pressure.  Throughout the weekend my blood pressure remained high and my pulse rate was in the high 90s to low 100s.  I contacted my doctor and he prescribed AMLODIPINE 5MG.  I don't know if my high blood pressure and body aches is directly related to the Moderna Booster vaccine, but I suspect it is.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine booster was given from a vial that was outside of the 12 hour out of refrigerator window.  There were no adverse reactions reported.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives shortly after dose, persistant
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Adult dose was administered, no side effects reported by father
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Moderna dose 3 but had requested Pfizer dose 3 on immunization paperwork
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lymphadenopathy
Clinical narrative: sre injection site, large swollem lymphnodes
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in ears, tinnitus.  Constant
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Redness, warmth, itching to Left upper arm to elbow
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Oral pain
Clinical narrative: One week after receiving the first dose of the Pfizer COVID-19 vaccine I broke out in canker sores on the gums all over in my mouth. Date of outbreak was Saturday, November 13 and I still have them as of today, November 17. Painful
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Hypersensitivity, Incomplete course of vaccination, Throat tightness, Vaccination site erythema
Clinical narrative: Pt reports 1 hour after vaccination she developed tightness in her throat like it was closing  and chest tightness.  Pt took Benadryl at home since it didn't seem to be worsening and throat symptom resolved in 1-2 hours, Chest tightness lasted 2 days after. pt also reports he was extra sensitive to other triggers ( cutting celery- lips felt numb) after this as well. She also reports hot localized red rash vaccination area that resolved after 1-2 days.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site rash, Vaccination site warmth
Clinical narrative: Pt reports 1 hour after vaccination she developed tightness in her throat like it was closing  and chest tightness.  Pt took Benadryl at home since it didn't seem to be worsening and throat symptom resolved in 1-2 hours, Chest tightness lasted 2 days after. pt also reports he was extra sensitive to other triggers ( cutting celery- lips felt numb) after this as well. She also reports hot localized red rash vaccination area that resolved after 1-2 days.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling cold, Headache, Injection site pain, Pain
Clinical narrative: Soreness at injection site - Commenced about 1 hours after injection and lasted about 48 hours. Headache,  Chills, Body Aches, and maybe slight hypnagogic state started about 12 hours (1:00 am) after injection and subsided about 4 hours later. Fatigue - most of the following day after having a rough night sleeping (as stated above).
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Poor quality sleep
Clinical narrative: Soreness at injection site - Commenced about 1 hours after injection and lasted about 48 hours. Headache,  Chills, Body Aches, and maybe slight hypnagogic state started about 12 hours (1:00 am) after injection and subsided about 4 hours later. Fatigue - most of the following day after having a rough night sleeping (as stated above).
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder
Clinical narrative: About once a week I feel as though someone is extracting air out of my lungs.  This is not the same as being out of breath. I am workout daily to include running and have never experienced the feeling of having air removed from my body.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: Patient is 13 years old  and received a Moderna booster.  Patient has no side effects to report after 24 hours except sore arm.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Chest X-ray, Chills, Computerised tomogram thorax, Dyspnoea
Clinical narrative: I had a case of Covid in the summer of 2020 which resulted in admission to a hospital, so I expected a strong reaction to the vaccine. I had chills, body aches, fatigue and elevated responses that one would expect from the vaccine; however, I also experienced extreme shortness of breath with pulse oxygen levels dropping consistently in the days following the injection. The lowest that it measured was about 74% and the lowest it measured that I was able to document was 79%. It was almost like having covid again. I ended up in the ER, where blood tests revealed elevated D-dimers which resulted in  a chest x-ray followed by a chest CT was  to rule out any embolism. The rest of the week was miserable. I also missed work. Clearly, I already have a strong response to covid and don't think taking the second shot will result in a benefit that outweighs the risk, so I do not want to have to get the second shot. How can I seek an exemption from a second shot? Can I be considered fully vaccinated with one shot since I also had Covid and studies indicate people who had double Covid pneumonia have extremely low rates of reinfection. If I have to get a second shot who will cover my medical bills and missed work?
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Impaired work ability, Oxygen saturation decreased, Pain
Clinical narrative: I had a case of Covid in the summer of 2020 which resulted in admission to a hospital, so I expected a strong reaction to the vaccine. I had chills, body aches, fatigue and elevated responses that one would expect from the vaccine; however, I also experienced extreme shortness of breath with pulse oxygen levels dropping consistently in the days following the injection. The lowest that it measured was about 74% and the lowest it measured that I was able to document was 79%. It was almost like having covid again. I ended up in the ER, where blood tests revealed elevated D-dimers which resulted in  a chest x-ray followed by a chest CT was  to rule out any embolism. The rest of the week was miserable. I also missed work. Clearly, I already have a strong response to covid and don't think taking the second shot will result in a benefit that outweighs the risk, so I do not want to have to get the second shot. How can I seek an exemption from a second shot? Can I be considered fully vaccinated with one shot since I also had Covid and studies indicate people who had double Covid pneumonia have extremely low rates of reinfection. If I have to get a second shot who will cover my medical bills and missed work?
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Anal incontinence, Hyperhidrosis, Malaise, Tremor, Vomiting
Clinical narrative: About 5 minutes post vaccination, the patient started vomiting. She said her hands were sweaty and they were shaking. She also deficated. Her mom was there and said she has a vomiting syndrome and diabetes. She also did not eat all day. She sat for about 20 minutes and was still feeling sick so her mom was going to take her to the ER because she thought it was from one of her other illnesses.
Age: 26.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Abdominal discomfort, Chest discomfort, Dizziness, Malaise
Clinical narrative: After receiving both vaccines patient went to stand and wait her 15 minutes for observation. Within about 2- 3 minutes she reported not feeling well and sat back in the immunization chair. She reported feeling dizzy, stomach upset and chest tightness. She denied difficulty breathing, itching, swelling of lips or throat. Took the patients blood pressure and SBP was 125. Told patient to remain seated and we would continue to monitor. She reported that within about 5 minutes symptoms resolved. We monitored patient for about 1 hour and she said she felt back to normal and all symptoms resolved. She denied needing further medical care and was ok to go.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain, Injection site swelling, Vaccination site reaction
Clinical narrative: COVID arm, swelling/lump at injection site.  Slightly sore and about 1.5 inches across.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test positive, Reaction to preservatives, Skin discolouration
Clinical narrative: I had an allergy testing and where they found polysorbate it reacted after I got the injection from the COVID vaccine. It turned white. I took Benadryl and Tylenol to deal with it. I also applied a hydrocortisone cream to the white spot. I had a doctor visit for this a week after on March 22nd.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient first dose PFIZER was given 3 Nov 2021, Patient received 2nd dose PFIZER 17 Nov.  did not meet the 21 day criteria for his 2nd dose.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriogram coronary abnormal, Atrioventricular block second degree, Blood electrolytes normal, Bradycardia, Breast tenderness
Clinical narrative: 32mins post vaccination pt reported chest tightness and tachycardia.  However, vitals showed the following: Vitals: 14:07 192/87, 50, 18, SpO2 98% -- > 14:09 178/83, 50, 17, 99% Recommended that pt f/u w/ healthcare provider.  Pt declined ambulance and left for the ED via private car @14:15.  In the ED:  57 y.o. female who has history of hypertension, and prediabetes presents to the ED for evaluation of generalized chest tightness.  Onset started at around 2 PM after patient was getting Moderna booster shot at 1:30 PM today.  Patient describes the chest pain as "tightness".  Patient did have similar reaction after the first Moderna shot. She denies trauma, fever, vomiting, sore throat, coughing, shortness of breath, difficulty breathing, abdominal pain, or uti symptoms.  No drooling or stridor.  Patient is alert, awake, and oriented x4. Physical examination unremarkable.  Patient does have marked bradycardia upon arrival to the emergency department.  Current heart rate is 48 bpm on the bed monitor.  We will continue to monitor.  Her lungs are clear bilaterally.  Abdomen soft and nontender.  No acute distress noted.   Patient complaining of frontal headache and nausea.  Tylenol, Reglan, and antihistamine given for symptom control.  BEFAST negative.  No neurological deficit.  Patient is not in acute distress. Laboratory workups unrevealing. No electrolytes or cardiac enzymes abnormalities. Of note patient had at presentation early in the year and she had a cardiac stress test which was negative for ischemia.  Cardiology recommended observation overnight.  This is likely bradycardia induced by vasovagal response in the setting of vaccine charts today and possible component of medication induced bradycardia (Pt may be on atenolol).  Pt was admitted and later found to have asymptomatic persistent Mobitz Type 2 Second degree 2:1 AV block with transient asymptomatic complete AV block in a patient whose initial presentation with dizziness post vaccination possibly related to vagally induced worsening heart block. Pt also found to have atypical non cardiac chest pain with recent coronary angiogram showing insignificant coronary artery disease and responding to PPI suggestive for reflux esophagitis.  Pt had a pacemaker placed 11/3/21 and was discharged 11/4.  Pt presented to the ED again on 11/6 c/o chest tenderness to palpation to the left breast region has been ongoing all day today.  Pain is most likely muscular skeletal in nature.  Pt discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac pacemaker insertion, Chest discomfort, Coronary artery disease, Dizziness, Gastrooesophageal reflux disease
Clinical narrative: 32mins post vaccination pt reported chest tightness and tachycardia.  However, vitals showed the following: Vitals: 14:07 192/87, 50, 18, SpO2 98% -- > 14:09 178/83, 50, 17, 99% Recommended that pt f/u w/ healthcare provider.  Pt declined ambulance and left for the ED via private car @14:15.  In the ED:  57 y.o. female who has history of hypertension, and prediabetes presents to the ED for evaluation of generalized chest tightness.  Onset started at around 2 PM after patient was getting Moderna booster shot at 1:30 PM today.  Patient describes the chest pain as "tightness".  Patient did have similar reaction after the first Moderna shot. She denies trauma, fever, vomiting, sore throat, coughing, shortness of breath, difficulty breathing, abdominal pain, or uti symptoms.  No drooling or stridor.  Patient is alert, awake, and oriented x4. Physical examination unremarkable.  Patient does have marked bradycardia upon arrival to the emergency department.  Current heart rate is 48 bpm on the bed monitor.  We will continue to monitor.  Her lungs are clear bilaterally.  Abdomen soft and nontender.  No acute distress noted.   Patient complaining of frontal headache and nausea.  Tylenol, Reglan, and antihistamine given for symptom control.  BEFAST negative.  No neurological deficit.  Patient is not in acute distress. Laboratory workups unrevealing. No electrolytes or cardiac enzymes abnormalities. Of note patient had at presentation early in the year and she had a cardiac stress test which was negative for ischemia.  Cardiology recommended observation overnight.  This is likely bradycardia induced by vasovagal response in the setting of vaccine charts today and possible component of medication induced bradycardia (Pt may be on atenolol).  Pt was admitted and later found to have asymptomatic persistent Mobitz Type 2 Second degree 2:1 AV block with transient asymptomatic complete AV block in a patient whose initial presentation with dizziness post vaccination possibly related to vagally induced worsening heart block. Pt also found to have atypical non cardiac chest pain with recent coronary angiogram showing insignificant coronary artery disease and responding to PPI suggestive for reflux esophagitis.  Pt had a pacemaker placed 11/3/21 and was discharged 11/4.  Pt presented to the ED again on 11/6 c/o chest tenderness to palpation to the left breast region has been ongoing all day today.  Pain is most likely muscular skeletal in nature.  Pt discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Laboratory test normal, Musculoskeletal chest pain, Musculoskeletal pain, Myocardial necrosis marker normal
Clinical narrative: 32mins post vaccination pt reported chest tightness and tachycardia.  However, vitals showed the following: Vitals: 14:07 192/87, 50, 18, SpO2 98% -- > 14:09 178/83, 50, 17, 99% Recommended that pt f/u w/ healthcare provider.  Pt declined ambulance and left for the ED via private car @14:15.  In the ED:  57 y.o. female who has history of hypertension, and prediabetes presents to the ED for evaluation of generalized chest tightness.  Onset started at around 2 PM after patient was getting Moderna booster shot at 1:30 PM today.  Patient describes the chest pain as "tightness".  Patient did have similar reaction after the first Moderna shot. She denies trauma, fever, vomiting, sore throat, coughing, shortness of breath, difficulty breathing, abdominal pain, or uti symptoms.  No drooling or stridor.  Patient is alert, awake, and oriented x4. Physical examination unremarkable.  Patient does have marked bradycardia upon arrival to the emergency department.  Current heart rate is 48 bpm on the bed monitor.  We will continue to monitor.  Her lungs are clear bilaterally.  Abdomen soft and nontender.  No acute distress noted.   Patient complaining of frontal headache and nausea.  Tylenol, Reglan, and antihistamine given for symptom control.  BEFAST negative.  No neurological deficit.  Patient is not in acute distress. Laboratory workups unrevealing. No electrolytes or cardiac enzymes abnormalities. Of note patient had at presentation early in the year and she had a cardiac stress test which was negative for ischemia.  Cardiology recommended observation overnight.  This is likely bradycardia induced by vasovagal response in the setting of vaccine charts today and possible component of medication induced bradycardia (Pt may be on atenolol).  Pt was admitted and later found to have asymptomatic persistent Mobitz Type 2 Second degree 2:1 AV block with transient asymptomatic complete AV block in a patient whose initial presentation with dizziness post vaccination possibly related to vagally induced worsening heart block. Pt also found to have atypical non cardiac chest pain with recent coronary angiogram showing insignificant coronary artery disease and responding to PPI suggestive for reflux esophagitis.  Pt had a pacemaker placed 11/3/21 and was discharged 11/4.  Pt presented to the ED again on 11/6 c/o chest tenderness to palpation to the left breast region has been ongoing all day today.  Pain is most likely muscular skeletal in nature.  Pt discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Non-cardiac chest pain, Presyncope, Tachycardia
Clinical narrative: 32mins post vaccination pt reported chest tightness and tachycardia.  However, vitals showed the following: Vitals: 14:07 192/87, 50, 18, SpO2 98% -- > 14:09 178/83, 50, 17, 99% Recommended that pt f/u w/ healthcare provider.  Pt declined ambulance and left for the ED via private car @14:15.  In the ED:  57 y.o. female who has history of hypertension, and prediabetes presents to the ED for evaluation of generalized chest tightness.  Onset started at around 2 PM after patient was getting Moderna booster shot at 1:30 PM today.  Patient describes the chest pain as "tightness".  Patient did have similar reaction after the first Moderna shot. She denies trauma, fever, vomiting, sore throat, coughing, shortness of breath, difficulty breathing, abdominal pain, or uti symptoms.  No drooling or stridor.  Patient is alert, awake, and oriented x4. Physical examination unremarkable.  Patient does have marked bradycardia upon arrival to the emergency department.  Current heart rate is 48 bpm on the bed monitor.  We will continue to monitor.  Her lungs are clear bilaterally.  Abdomen soft and nontender.  No acute distress noted.   Patient complaining of frontal headache and nausea.  Tylenol, Reglan, and antihistamine given for symptom control.  BEFAST negative.  No neurological deficit.  Patient is not in acute distress. Laboratory workups unrevealing. No electrolytes or cardiac enzymes abnormalities. Of note patient had at presentation early in the year and she had a cardiac stress test which was negative for ischemia.  Cardiology recommended observation overnight.  This is likely bradycardia induced by vasovagal response in the setting of vaccine charts today and possible component of medication induced bradycardia (Pt may be on atenolol).  Pt was admitted and later found to have asymptomatic persistent Mobitz Type 2 Second degree 2:1 AV block with transient asymptomatic complete AV block in a patient whose initial presentation with dizziness post vaccination possibly related to vagally induced worsening heart block. Pt also found to have atypical non cardiac chest pain with recent coronary angiogram showing insignificant coronary artery disease and responding to PPI suggestive for reflux esophagitis.  Pt had a pacemaker placed 11/3/21 and was discharged 11/4.  Pt presented to the ED again on 11/6 c/o chest tenderness to palpation to the left breast region has been ongoing all day today.  Pain is most likely muscular skeletal in nature.  Pt discharged home.
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Fatigue, Headache
Clinical narrative: Dizzy Headache Exhaustion
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic tonsillitis, Inflammation, Oropharyngeal pain, Streptococcal infection
Clinical narrative: Developed chronic Tonsillitis (Strep A), unable to treat successfully with antibiotics, resistant to multiple/various antibiotics, constant inflamed sore throat after vaccine. Never experienced this before like this. Will need to have surgery as no treatment has worked.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dysphonia, Nausea, Productive cough
Clinical narrative: Mild cough with phlegm on day 2 after vaccine. Cough worsened on day 3 and became painful to cough by end of day 3. Horse voice on day 3.  Some nausea started early on day 3 and came in spurts through the day. Slight chills on day 3.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Mild cough with phlegm on day 2 after vaccine. Cough worsened on day 3 and became painful to cough by end of day 3. Horse voice on day 3.  Some nausea started early on day 3 and came in spurts through the day. Slight chills on day 3.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 10/27/2021 tested positive for COVID19 despite being fully vaccinated - presented to ED and treated with O2, remdesivir and dexamethasone then discharged to home 11/1/21.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: PT was accidentally given a pediatric dose of Pfizer Covid Vaccine instead of receiving the Moderna Booster.  PT and Child were seated in the same room, both syringes were given to me instead of me retrieving the shots myself.  In haste I grabbed the wrong syringe and administered the pediatric dose.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Injury associated with device
Clinical narrative: As vaccine was being given the child pulled away and the technician retracted the needle so patient had  needle stick twice
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Lymphoedema, Pain in extremity, Peripheral swelling, Rash
Clinical narrative: Four and a half months after the second dose of the vaccine, I went camping and I got a rash with swelling and pain in my left arm. My doctor thought it might be vaccine related because I got my shots in that arm. I was prescribed Ivermectin, but it did not help. My whole arm was swollen and painful. I have Lupus and I thought it was a flare up of my condition. I saw another doctor and I had an Ultrasound, and I was Diagnosed with Lymphedema. He prescribed Hydroxychloroquine 200mg twice daily. I also used Clobetasol Propionate cream. Neither of those things seem to help. The swelling has gone down but my arm is still very painful after four months.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Four and a half months after the second dose of the vaccine, I went camping and I got a rash with swelling and pain in my left arm. My doctor thought it might be vaccine related because I got my shots in that arm. I was prescribed Ivermectin, but it did not help. My whole arm was swollen and painful. I have Lupus and I thought it was a flare up of my condition. I saw another doctor and I had an Ultrasound, and I was Diagnosed with Lymphedema. He prescribed Hydroxychloroquine 200mg twice daily. I also used Clobetasol Propionate cream. Neither of those things seem to help. The swelling has gone down but my arm is still very painful after four months.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swelling in anterior left axxilairy
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Rash, Skin exfoliation
Clinical narrative: Pt reports 1 week post injection a rash and blisters from the waist up and on the back and arms. Also peeling of the skin on their palms and bottoms of feet. Patient saw their primary physician and has been referred to a dermatologist. Appointment with dermatologist has not yet occured.
Age: 10.0
Sex: M
Vaccine: UNK
Symptoms: No adverse event
Clinical narrative: no adverse effect. gave the Pfizer vaccine approved for 12 years and older to a 11 years old. patient is okay.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Injection site pain, Insomnia, Respiratory tract congestion
Clinical narrative: Minor soreness on injection site. Lungs, cough, and congestion 7 days after vaccine. Couldn't sleep on left side due to congestion.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Lymph nodes inflame in armpit on the arm side of the injection. is very inflamed and painful
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Foetal death, Foetal distress syndrome, Foetal heart rate abnormal, Premature delivery
Clinical narrative: Patient was 24 weeks 4 days pregnant with mo/di twins on vaccination date, due Christmas day (37 weeks).  Patient had four doctors appointments in September 2021 prior to receiving Covid vaccine.  This included two appointments with a maternal fetal medicine specialist and in-depth heart scans of the twins at Hospital with no complications found as determined by the Director of the Heart Program and Critical Care Delivery Program.   The twins were delivered less than 72 hours later at 25 weeks. Both babies did not survive, Baby A born at 1.5 oz. and Baby B born at 1.6 oz. At time of delivery Baby A was in fetal distress, Baby B had no heartbeat.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Back pain, Muscle rigidity, Musculoskeletal stiffness
Clinical narrative: Pain and rigidity at joints of both hands, shoulders with corresponding inflammation. Pain and stiffness in back and neck.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: Pain and rigidity at joints of both hands, shoulders with corresponding inflammation. Pain and stiffness in back and neck.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Blood test normal, Computerised tomogram normal, Hypersensitivity
Clinical narrative: I developed a postnasal drip about 48 hours later. Then 24 hours later, I developed an abdominal cramp, back pain, and nausea. I did experience an allergic reaction, a burning sensation on my skin starting from my back to my head. I took Benadryl and Tylenol to deal with the discomfort and fever. I saw a doctor on the 15th and 16th, I got Afrin as needed but no more after 3 days, Flonase prescribed, and an Antiemetic called Zofran 3x a day as needed.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Skin burning sensation, Upper-airway cough syndrome, Urine analysis normal
Clinical narrative: I developed a postnasal drip about 48 hours later. Then 24 hours later, I developed an abdominal cramp, back pain, and nausea. I did experience an allergic reaction, a burning sensation on my skin starting from my back to my head. I took Benadryl and Tylenol to deal with the discomfort and fever. I saw a doctor on the 15th and 16th, I got Afrin as needed but no more after 3 days, Flonase prescribed, and an Antiemetic called Zofran 3x a day as needed.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Chills, Decreased appetite, Disturbance in attention
Clinical narrative: Sunday Nov 7th-In the morning I felt tired around 12PM. I got the chills, it got worst, had 3 blankets, head hurting, and body aching. I felt like I had the flu. Temperature 99.8. Slept for 4 hours, woke up, and still felt sick. Then slept most of the day. I could barely walk. Was too dizzy to walk. Got in the shower, felt dizzy and lightheaded in the shower, also felt faint. Went back to slept for the evening, kept tossing and turning, and drank water. No appetite but had a little soup. Monday Nov 8th- Head hurting, chills had a blanket on me. Temperature 99.2. Went to a job site at 3:20PM, felt shortness of breath so left to go home. Went home still felt lightheaded, body aches, and cold. Tuesday Nov 9th- Went to work with a sore throat, felt tired, achy and weak but no temperature. Couldn't focus and sneezed a few times. Wednesday Nov 10th- Went to work couldn't keep my eyes open, achy, and sore throat. Thursday Nov 11th-Didn't go to work. Still had lack of energy. Nov 12th, 13th, 14th -Didn't go to work. Felt better Friday.  Returned to work on Nov 15th.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Feeling cold, Gait disturbance
Clinical narrative: Sunday Nov 7th-In the morning I felt tired around 12PM. I got the chills, it got worst, had 3 blankets, head hurting, and body aching. I felt like I had the flu. Temperature 99.8. Slept for 4 hours, woke up, and still felt sick. Then slept most of the day. I could barely walk. Was too dizzy to walk. Got in the shower, felt dizzy and lightheaded in the shower, also felt faint. Went back to slept for the evening, kept tossing and turning, and drank water. No appetite but had a little soup. Monday Nov 8th- Head hurting, chills had a blanket on me. Temperature 99.2. Went to a job site at 3:20PM, felt shortness of breath so left to go home. Went home still felt lightheaded, body aches, and cold. Tuesday Nov 9th- Went to work with a sore throat, felt tired, achy and weak but no temperature. Couldn't focus and sneezed a few times. Wednesday Nov 10th- Went to work couldn't keep my eyes open, achy, and sore throat. Thursday Nov 11th-Didn't go to work. Still had lack of energy. Nov 12th, 13th, 14th -Didn't go to work. Felt better Friday.  Returned to work on Nov 15th.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Influenza like illness, Malaise, Oropharyngeal pain
Clinical narrative: Sunday Nov 7th-In the morning I felt tired around 12PM. I got the chills, it got worst, had 3 blankets, head hurting, and body aching. I felt like I had the flu. Temperature 99.8. Slept for 4 hours, woke up, and still felt sick. Then slept most of the day. I could barely walk. Was too dizzy to walk. Got in the shower, felt dizzy and lightheaded in the shower, also felt faint. Went back to slept for the evening, kept tossing and turning, and drank water. No appetite but had a little soup. Monday Nov 8th- Head hurting, chills had a blanket on me. Temperature 99.2. Went to a job site at 3:20PM, felt shortness of breath so left to go home. Went home still felt lightheaded, body aches, and cold. Tuesday Nov 9th- Went to work with a sore throat, felt tired, achy and weak but no temperature. Couldn't focus and sneezed a few times. Wednesday Nov 10th- Went to work couldn't keep my eyes open, achy, and sore throat. Thursday Nov 11th-Didn't go to work. Still had lack of energy. Nov 12th, 13th, 14th -Didn't go to work. Felt better Friday.  Returned to work on Nov 15th.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Poor quality sleep, SARS-CoV-2 test negative, Sneezing
Clinical narrative: Sunday Nov 7th-In the morning I felt tired around 12PM. I got the chills, it got worst, had 3 blankets, head hurting, and body aching. I felt like I had the flu. Temperature 99.8. Slept for 4 hours, woke up, and still felt sick. Then slept most of the day. I could barely walk. Was too dizzy to walk. Got in the shower, felt dizzy and lightheaded in the shower, also felt faint. Went back to slept for the evening, kept tossing and turning, and drank water. No appetite but had a little soup. Monday Nov 8th- Head hurting, chills had a blanket on me. Temperature 99.2. Went to a job site at 3:20PM, felt shortness of breath so left to go home. Went home still felt lightheaded, body aches, and cold. Tuesday Nov 9th- Went to work with a sore throat, felt tired, achy and weak but no temperature. Couldn't focus and sneezed a few times. Wednesday Nov 10th- Went to work couldn't keep my eyes open, achy, and sore throat. Thursday Nov 11th-Didn't go to work. Still had lack of energy. Nov 12th, 13th, 14th -Didn't go to work. Felt better Friday.  Returned to work on Nov 15th.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Confusional state, Fatigue, Feeling abnormal, Headache
Clinical narrative: Janssen COVID-19 Vaccine EUA  Events: 6 hours post injection: --general tiredness/exhaustion set in but with restlessness, not able to sleep --sweating begins --light headache set in  12 hours post injection: very rough night and morning --Elevated resting heart rate: 101 --Fever: 101.1 --Chills/shivers  --Heavy Sweats --Restless but very fatigued --Body aches, especially back. --Mental Confusion --Severe headache  36 hours post injection: --fever reduced to almost normal --headache persists but not as strong --body aches persist but not as strong --chills come and go --some mental fog persists but improved
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Insomnia, Pain, Pyrexia
Clinical narrative: Janssen COVID-19 Vaccine EUA  Events: 6 hours post injection: --general tiredness/exhaustion set in but with restlessness, not able to sleep --sweating begins --light headache set in  12 hours post injection: very rough night and morning --Elevated resting heart rate: 101 --Fever: 101.1 --Chills/shivers  --Heavy Sweats --Restless but very fatigued --Body aches, especially back. --Mental Confusion --Severe headache  36 hours post injection: --fever reduced to almost normal --headache persists but not as strong --body aches persist but not as strong --chills come and go --some mental fog persists but improved
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Restlessness
Clinical narrative: Janssen COVID-19 Vaccine EUA  Events: 6 hours post injection: --general tiredness/exhaustion set in but with restlessness, not able to sleep --sweating begins --light headache set in  12 hours post injection: very rough night and morning --Elevated resting heart rate: 101 --Fever: 101.1 --Chills/shivers  --Heavy Sweats --Restless but very fatigued --Body aches, especially back. --Mental Confusion --Severe headache  36 hours post injection: --fever reduced to almost normal --headache persists but not as strong --body aches persist but not as strong --chills come and go --some mental fog persists but improved
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Altered state of consciousness, Dyskinesia
Clinical narrative: Patient here for second dose of Pfizer vaccine. Post vaccine within the first 5 minutes, patient was noted to have altered level of consciousness (possible syncope) with noted body movements. Patient came back to mental baseline within a few seconds. No post ictal state. Patient able to ambulate from chair to gurney with minimal assist. Reported oral intake since 08:00 this morning. Patient provided with snack and juice and tolerated PO intake well. Evaluated by NP and discussed case with clinic MD. Patient ambulated home post consult/discussion with NP and MD. No post ictal state noted, no incontinence of bowel or bladder.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Fully vaccinated with breakthrough infection.   Inpatient hospital admit to a general medical unit.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine Moderna 0.25mL (opened 11/16/2021) accidentally administered to patient as Moderna booster on 11/17/2021. We contacted caregiver (daughter) and advised to monitor any adverse events. Patient will come back for Moderna booster after couple days.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Seizure, Syncope, Tremor
Clinical narrative: patient had an episode of syncope (more like seizure), sweaty and shaky.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Pruritus
Clinical narrative: shortly after receiving pfizer booster pt c/o feeling like "asthma" coming on. Has hx of asthma. Lungs remained clear with good air movement, no wheezing noted, SaO2 96%. A few min later felt some mild itching to face, neck, torso and arms. No hives or rash noted. Dr called. Advised Benadryl 50mg IM which was given at 1335. Itching subsided, observed for an hr and again evaluated by Dr and OK for discharge. Lungs clear, SaO2 97% and VS normal on discharge.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Intern pharmacist vaccinated patient with Moderna vaccine that was stored outside of refridgerator for greater than 24 hours.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Joint range of motion decreased, Pain
Clinical narrative: The event onset began 48 hours after injection. Symptoms include inhibited range of motion (left shoulder) causing extreme bursts of pain throughout upper arm.  It is especially painful when I am trying to dress, lift objects and/or execute general daily functions requiring use of my left arm. Ten days from injection, the pain has spread to my elbow area. Initially after injection, I applied cold presses to relieve pain but it did not help. I also administered Tylenol, but again, this did not provide relief.
Age: 32.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Oedema peripheral
Clinical narrative: I noticed swelling in my right armpit Saturday afternoon/evening. I asked my parents (both nurses) what to do the following morning and they advised me to take ibuprofen. I wanted to check with the pharmacy as well, so I called them once they opened several hours later and was told the same. I took two ibuprofen between about 1pm and 10pm on Sunday and then I think one or two Monday before noticing the swelling had nearly disappeared by the time I went to sleep Monday.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Blood thyroid stimulating hormone normal, Computerised tomogram head normal, Dizziness, Electrocardiogram normal
Clinical narrative: Dizziness/vertigo, nausea (started on 11/6 and has been present since tingly cheeks/chin/lips (started 11/16)  Emergency room  via ambulance on 11/8 due to extreme dizziness when driving - treated with fluids and antivert 25mg  and released. Had bloodwork, head ct, ekg - all normal   Saw Neurologist  11/10   PT- started 11/16
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count normal, Lymphocyte percentage decreased, Nausea, Neutrophil count increased, Neutrophil percentage increased
Clinical narrative: Dizziness/vertigo, nausea (started on 11/6 and has been present since tingly cheeks/chin/lips (started 11/16)  Emergency room  via ambulance on 11/8 due to extreme dizziness when driving - treated with fluids and antivert 25mg  and released. Had bloodwork, head ct, ekg - all normal   Saw Neurologist  11/10   PT- started 11/16
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Vertigo, White blood cell count increased
Clinical narrative: Dizziness/vertigo, nausea (started on 11/6 and has been present since tingly cheeks/chin/lips (started 11/16)  Emergency room  via ambulance on 11/8 due to extreme dizziness when driving - treated with fluids and antivert 25mg  and released. Had bloodwork, head ct, ekg - all normal   Saw Neurologist  11/10   PT- started 11/16
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 14 year old patient was scheduled to get her 2nd Pfizer dose (30mcg/0.3mL). LPN administered a pediatric dose (10mcg/0.2mL) instead.