chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Hot flush, Hyperhidrosis, Syncope
Clinical narrative: Patient was sitting down and started to feel dizzy and her vision was starting to become blurry. She got up to let us know that she was having a reaction and fainted. She was awake immediately after she fell and said that she was experiencing the blurred vision still, extremely sweaty/hot flashes, and ringing in her ears. She drank some water and sat down for a little bit and started to feel better.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vision blurred, Vital signs measurement
Clinical narrative: Patient was sitting down and started to feel dizzy and her vision was starting to become blurry. She got up to let us know that she was having a reaction and fainted. She was awake immediately after she fell and said that she was experiencing the blurred vision still, extremely sweaty/hot flashes, and ringing in her ears. She drank some water and sat down for a little bit and started to feel better.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Palpitations
Clinical narrative: patient started having chills and palpitation 10-15 minutes post vaccination, patient was given some water and her legs were elevated and she strated feeling better after 20-25 minutes. She waited in pharmacy area for 35 minutes and left once she felt normal/comfortable
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Dysphonia, Fatigue, Feeling cold, Headache
Clinical narrative: I received the vaccine at 9:00am on Wednesday. By 5:00pm I had a severe fever, chills, fatigue, muscle aches and pains including my joints feeling like they were on fire, and the worst headache of my life. Today, Friday, I have no voice as it's made my voice very hoarse.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: I received the vaccine at 9:00am on Wednesday. By 5:00pm I had a severe fever, chills, fatigue, muscle aches and pains including my joints feeling like they were on fire, and the worst headache of my life. Today, Friday, I have no voice as it's made my voice very hoarse.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient reported she received Moderna vaccine for first dose. However, when her information was placed into immtracc, it was found that she had initially taken the BioNTech Pfizer Covid-19 vaccine. This was a mixed series event, that was found after administration of vaccine. Patient has not reported any adverse reactions.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: We believe PT already had COVID when 1st dose received
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Decreased appetite, Depression, Depression suicidal, Dyspnoea
Clinical narrative: Within a few hours of receiving the vaccine, I started feeling nauseated. Since the day I took the vaccine, my appetite has been nonexistent. A day later, I felt very tired and confused. I received the vaccine on Monday and I woke up in a panic on Wednesday morning. My heart was racing, palms were sweaty, I felt like I couldn't breathe and it seemed like I was having a panic attack when I woke up. From that point forward, I fell into a deep depression. At first I didn't connect it with the vaccine, but I kept feeling nauseated and then wondered if it was connected. The depression became unbearable and I felt suicidal by the next week. I finally contacted my doctor's office and had a telemed visit where I explained that I had the J&J vaccine the week before and these symptoms presented themselves afterward. The doctor put me on Zoloft and I HAVE been treated for depression in years past with that; however, I had not taken depression medication for about 8-10 years until this. Likewise, because my doctor put me on an anti-depressant, she also wanted me to see a counselor--which I have done. The medication is helping somewhat but I still don't have an appetite. I don't know if the vaccine had anything to do with the depression, but I wanted to report it just in case others have had similar symptoms.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Nausea, Panic attack, Tachycardia
Clinical narrative: Within a few hours of receiving the vaccine, I started feeling nauseated. Since the day I took the vaccine, my appetite has been nonexistent. A day later, I felt very tired and confused. I received the vaccine on Monday and I woke up in a panic on Wednesday morning. My heart was racing, palms were sweaty, I felt like I couldn't breathe and it seemed like I was having a panic attack when I woke up. From that point forward, I fell into a deep depression. At first I didn't connect it with the vaccine, but I kept feeling nauseated and then wondered if it was connected. The depression became unbearable and I felt suicidal by the next week. I finally contacted my doctor's office and had a telemed visit where I explained that I had the J&J vaccine the week before and these symptoms presented themselves afterward. The doctor put me on Zoloft and I HAVE been treated for depression in years past with that; however, I had not taken depression medication for about 8-10 years until this. Likewise, because my doctor put me on an anti-depressant, she also wanted me to see a counselor--which I have done. The medication is helping somewhat but I still don't have an appetite. I don't know if the vaccine had anything to do with the depression, but I wanted to report it just in case others have had similar symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: Nausea starting around 5 or 6 in evening.  Normal remedy of ginger makes it worse.  Vertigo upon waking, clears up in a few minutes.  Both getting worse in days 4, 5, 6 since vaccine
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: I (the patient) experienced severe symptoms about 10 hours after receiving the vaccine. The serious symptoms lasted for 24 hours after receiving the vaccine: Serious Symptoms: -Intense Chills/Hot flashes -Rapid heart rate (90bpm) -Difficulty breathing -Joint and muscle pain -Headache -Nausea/Diarhea -Dizziness -Unable to sleep  Moderate symptoms lasted for 48hrs after receiving the vaccine: -headache -Muscle and Joint pain -Chills
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Hot flush, Insomnia, Myalgia
Clinical narrative: I (the patient) experienced severe symptoms about 10 hours after receiving the vaccine. The serious symptoms lasted for 24 hours after receiving the vaccine: Serious Symptoms: -Intense Chills/Hot flashes -Rapid heart rate (90bpm) -Difficulty breathing -Joint and muscle pain -Headache -Nausea/Diarhea -Dizziness -Unable to sleep  Moderate symptoms lasted for 48hrs after receiving the vaccine: -headache -Muscle and Joint pain -Chills
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: I (the patient) experienced severe symptoms about 10 hours after receiving the vaccine. The serious symptoms lasted for 24 hours after receiving the vaccine: Serious Symptoms: -Intense Chills/Hot flashes -Rapid heart rate (90bpm) -Difficulty breathing -Joint and muscle pain -Headache -Nausea/Diarhea -Dizziness -Unable to sleep  Moderate symptoms lasted for 48hrs after receiving the vaccine: -headache -Muscle and Joint pain -Chills
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Internal pain at the injection site, especially at night when in bed.   When using the arm during the daytime, the pain will subside.  Treating with, icyhot, hot compresses at night, six Advil/Tylenol through the day, and one gabapentin 100mg before bed.  This treatment works if I can get the pills in me before the pain starts and will stay working for about 5 hours, then the pain starts again.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea, Pain in extremity
Clinical narrative: Major pain in right arm Exhaustion Headache Nausea Muscle Ache Fever Regular urinating
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Major pain in right arm Exhaustion Headache Nausea Muscle Ache Fever Regular urinating
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy, Product preparation issue
Clinical narrative: Pt is 25w3d gestation. Pt in today to receive 2nd dose Pfizer vaccine. Nurse administered 0.3ml from Pfizer vial labeled from pharmacist that had not been diluted. Pt monitored for over approx. 45 minutes. Spoke with DOC  with patient and her spouse listening on the her phone. Informed patient of s/s to monitor for. Dr. instructed to  hydrate with lots or h2o, take Tylenol for aches/chills/soreness at injection site, monitor for rash of skin, and to notify MD or go to ED for any severe reactions.  Pt stated she was fine, not experiencing any side effects but worried about unborn fetus. Pt was given appts for video visits with PCP at 330pm and next Thursday with Dr. at 845am. Pt left premises in stable condition.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Tremor, Vomiting
Clinical narrative: Chills and uncontrollable Shaking at 2 am approximately 15 hrs after the vaccine and nausea with vomiting at 4 am approximately 17 hrs after the vaccine
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dizziness, Feeling abnormal, Malaise, Retching
Clinical narrative: Extremely sick feeling, dizzy and seeing stars/everything fuzzy for a short period of time, urge to throw up, dry heaving, burning sense in the face.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt experienced vasovagal syncope within 15 minutes of vaccination. Supportive care provided and pt recovered without incidence.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Loss of consciousness
Clinical narrative: Patient was waiting after vaccine in 15 minute required post vaccine period and started to become dizzy. She waved us down and we went out to assist her. Patient lost consciousness for about 30 seconds, then regained consciousness with confusion.  We gave the patient water, ibuprofen, and a snack. We had her wait in the pharmacy for 50 minutes after the incident. She was feeling much better upon leaving.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Dizziness, Feeling of body temperature change, Headache
Clinical narrative: I received the vaccine on 4/8/2021 around 8:35am. I felt fine all day, only soreness at injection site. Later that day (around 6:00pm) I started feeling lightheaded, chills and a headache. My hands, feet, nose and hands were freezing but other areas of my body were warm. I also felt body aches- my lower back started with the aches and it spread up to my upper neck. Around 9:00pm I started feeling very hot and this hot/cold changes continued throughout the night. This morning of 4/9/2021 I have less of a headache however, my body is still very sore and I continue to experience the hot/cold changes.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Neck pain, Pain
Clinical narrative: I received the vaccine on 4/8/2021 around 8:35am. I felt fine all day, only soreness at injection site. Later that day (around 6:00pm) I started feeling lightheaded, chills and a headache. My hands, feet, nose and hands were freezing but other areas of my body were warm. I also felt body aches- my lower back started with the aches and it spread up to my upper neck. Around 9:00pm I started feeling very hot and this hot/cold changes continued throughout the night. This morning of 4/9/2021 I have less of a headache however, my body is still very sore and I continue to experience the hot/cold changes.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Headache, Photophobia
Clinical narrative: Patient at Vaccine Clinic on 4/9/2021.   Patient had received her second dose of COVID-19 vaccine (Pfizer).    She noted dizziness.   She was able to walk to the Adverse Reaction Area and noted headache and sensitivity to light.   Disposable pillow case was given to the patient to cover her eyes.  Vital signs: 11:42 am: Blood pressure 231/141, heart rate 99, while sitting  We asked the patient to lay down on the gurney.  11:55 am: Blood pressure 210/132, heart rate 94 11:56 am: Blood pressure 208/140, heart rate is 95  Patient felt slightly better and looked better, but the recommendation was for her to go to the ER as her blood pressure was significantly high.  We discussed the risks of stroke and/or heart attack.   Patient declined ambulance transport, and she and her husband agreed to go to the ER.  Her husband agreed to drive her to the ER.   I called ER triage desk and alerted them that the patient would be going to the ER.   The patient and her husband understand this.  All questions were answered.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypersomnia, Injection site reaction, Nausea
Clinical narrative: Weds April 7th at 2 p.m. at the  fairgrounds I was given the J & J 1 dose shot by retired Dr.  The second the shot went in I felt extremely light headed and felt like I was going to pass out.  They got me by both arms and got me in a wheelchair and wheeled me to recovery with 30 minute wait.  The staff member at recovery asked me if I had eaten anything that day.  I had not eaten anything by 2 p.m. in the afternoon.  They gave me apple juice and I instantly felt better.  The next morning starting at 8 a.m. 1" welt at pin needle site on left arm, low grade headache all day, nauseous all day, tired.  At 4:30 p.m. the next day Thursday, 4/8/2021 I went to sleep at 4:30 p.m. and slept until 8 a.m. Friday morning 4/9/2021.  Friday, 4/9/2021 I feel pretty good today.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Weds April 7th at 2 p.m. at the  fairgrounds I was given the J & J 1 dose shot by retired Dr.  The second the shot went in I felt extremely light headed and felt like I was going to pass out.  They got me by both arms and got me in a wheelchair and wheeled me to recovery with 30 minute wait.  The staff member at recovery asked me if I had eaten anything that day.  I had not eaten anything by 2 p.m. in the afternoon.  They gave me apple juice and I instantly felt better.  The next morning starting at 8 a.m. 1" welt at pin needle site on left arm, low grade headache all day, nauseous all day, tired.  At 4:30 p.m. the next day Thursday, 4/8/2021 I went to sleep at 4:30 p.m. and slept until 8 a.m. Friday morning 4/9/2021.  Friday, 4/9/2021 I feel pretty good today.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: 4/9/2021   Patient was observed post Covid-19 immunization for 15 minutes .  During the observation period, he experienced an adverse reaction with the following symptoms:  diaphorectic, light headed..pale.   Assessment : Time of assessment 1105, pale, diaphoretic, light headed. Sitting on floor, transferred to wheelchair   Actions taken:  Vitals sign taken  VAERS form completed 1105- BP - 79/33, P- 51, O2- 100%, 1110: BP- 84/44, P- 52, O2- 100%, Jiuce and granola bar given, at 1118- Bp- 97/60, P- 57, O2-97%, 1141: BP-97/60 , P- 56, O2- 99%     Medications administered: No medication administered.   Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the system.      Immunizations Administered    Name Date Dose VIS Date Route   Pfizer COVID-19 Vaccine 4/9/2021 11:00 AM
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Injection site pain, Myalgia
Clinical narrative: Mild/moderate fatigue, muscle aches, brain fog  developed 12 hours post-injection, sustained for 4 days post-vaccination and persisting/increasing. Moderate headache for 24-36 hours post-vaccination. All treated with OTC dosages of ibuprofen. Injection site soreness to touch developed 36-48 hours post-injection and sustained at 4 days.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: redness and Lasted two weeks and is gone now. 3x4 inch area
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: discovered 4/6/2021 that she was 16 years of age  this was missed at registration and at administration and at checkout after observation
Age: 17.0
Sex: U
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine administration error - Patient was administered the Janssen vaccine inadvertently when the intended vaccine (Pfizer/BioNTech) was meant to be administered due to their age (17 Years old). This occurred at a mass vaccination clinic where both brands of vaccine were being administered; the patient had gotten into the incorrect line and ended up being getting immunized at a Janssen vaccination station. No harm noted to the patient and there were no issues during the observation period.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo --12 days after second shot -- continuing for more than a week.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dehydration, Migraine, Myalgia
Clinical narrative: Severe nausea, vomiting beginning after 12 hours accompanied by fever, chills, muscle and joint pain. Nausea worsened through hour 36. At hour 40 frequent vomiting occurred lasting for 8 consecutive hours accompanied by migrane. Dehydration ensued.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Severe nausea, vomiting beginning after 12 hours accompanied by fever, chills, muscle and joint pain. Nausea worsened through hour 36. At hour 40 frequent vomiting occurred lasting for 8 consecutive hours accompanied by migrane. Dehydration ensued.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site pain, Nausea, Pain
Clinical narrative: At approximately noon the day after my approximate 6:30p shot the day before, I began experiencing symptoms including headache, body aches (including, but not limited to, the site of the injection), dizziness and nausea. Throughout the afternoon I developed a minor fever which, at about 6:00p was 100.2. At that time I was able to take and keep down some Tylenol which brought my fever down. Overall, symptoms mostly subsided 12 hours after onset (approximately 30 hours after vaccine administration).
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: At approximately noon the day after my approximate 6:30p shot the day before, I began experiencing symptoms including headache, body aches (including, but not limited to, the site of the injection), dizziness and nausea. Throughout the afternoon I developed a minor fever which, at about 6:00p was 100.2. At that time I was able to take and keep down some Tylenol which brought my fever down. Overall, symptoms mostly subsided 12 hours after onset (approximately 30 hours after vaccine administration).
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Headache, Pain, Pyrexia, Rash
Clinical narrative: FEVER, HEADACHES, BODY HURTS, HEART BID, CHEST PAIN AND SKIN REACTION (RASH) FOR 2 DAYS
Age: 45.0
Sex: U
Vaccine: COVID19, UNK
Symptoms: Dizziness, Hyperhidrosis, Nausea, Vital signs measurement
Clinical narrative: Lightheaded sensation, nausea, sweating, normal HR, O2, BP, no fainting/vasovagal concerns; drank water and used a cool washcloth on her neck, rested and felt better. Was observed x 30 minutes. No SOB/HIVES/STRIDOR/SWELLING.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypersensitivity, Pallor, Throat irritation
Clinical narrative: He of PCs allergy. No other medical problems.pt felt like her throat was itchy and short of breath. Color pink, pt able to talk in full sentences,sipping water.paramedics here to evaluate,behavioral health here to assist.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Throat tightness
Clinical narrative: My throat felt like it was closing up. I had trouble swallowing. I got scared that it wasn?t going to stop so I had to go to the ER. But it didn?t get very very bad, and after an hour or so at the ER my throat started going back to normal and I was fine.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time, Antineutrophil cytoplasmic antibody, Antinuclear antibody, Blood folate, Blood homocysteine
Clinical narrative: Sudden Sensorineural hearing loss, profound left ear
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein, Deafness neurosensory, Fibrin D dimer, Full blood count, International normalised ratio
Clinical narrative: Sudden Sensorineural hearing loss, profound left ear
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lipids, Magnetic resonance imaging head, Metabolic function test, Scan with contrast, Vitamin B12
Clinical narrative: Sudden Sensorineural hearing loss, profound left ear
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitamin D
Clinical narrative: Sudden Sensorineural hearing loss, profound left ear
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Chills, Dyspnoea, Muscular weakness
Clinical narrative: Later the evening of the injection, I started feeling weak and sluggish. Otherwise felt ok.  The next day (Thurs 04/08) I still had a sluggish feeling, and my limbs felt weak, and I also started having a little trouble breathing- just like I was "winded", or couldn't quite catch my breath.  It got worse that night, I couldn't take full breaths and when I did breath in I had a pain across my mid / upper back.  I also experienced chills off and on.  I took my temperature several times, which was normal.  Today (Fri 04/09)  I feel better, but still have a leftover sluggish feeling, and any kind of activity makes me short of breath and my limbs are weak and shaking.   I have reported this to my primary doctor.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Sluggishness, Tremor
Clinical narrative: Later the evening of the injection, I started feeling weak and sluggish. Otherwise felt ok.  The next day (Thurs 04/08) I still had a sluggish feeling, and my limbs felt weak, and I also started having a little trouble breathing- just like I was "winded", or couldn't quite catch my breath.  It got worse that night, I couldn't take full breaths and when I did breath in I had a pain across my mid / upper back.  I also experienced chills off and on.  I took my temperature several times, which was normal.  Today (Fri 04/09)  I feel better, but still have a leftover sluggish feeling, and any kind of activity makes me short of breath and my limbs are weak and shaking.   I have reported this to my primary doctor.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Flushing, Oropharyngeal discomfort, Pruritus, Skin warm
Clinical narrative: Patient is GCS 15, A&Ox4, with skin that is flushed, warm, and dry and a strong radial pulse. Patient is coughing. Patient states she received her vaccine about 30 minutes ago. She states 20 minutes after the vaccine was administered she began to feel itchy and as if something was stuck in her throat. Patient denies any allergies or respiratory history. The Vaccine Clinic standby units have already administered 50mg Benadryl PO prior to arrival. Lung sounds are clear in all fields. No stridor noted to auscultation. No redness or angioedema noted to patient's airway. Patient's skin is flushed on the chest. No urticaria noted. Patient denies and GI symptoms. An 18G IV is established in the RAC. 125mg Solumedrol administered IV. Patient requests transport to Rex ER. Transport is initiated non emergent to Rex ED. Enroute 0.3mg IM epi is administered. Patient reports her itchiness is gone after Epi administration but is still coughing and states she still feels like something is in her throat. Upon arrival to the ED care is transferred to the RN at triage.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Anaphylactic shock, Blood pressure fluctuation, Blood pressure measurement, Food allergy
Clinical narrative: Patient is GCS 15, A&Ox4, with skin that is flushed, warm, and dry and a strong radial pulse. Patient is coughing. Patient states she received her vaccine about 30 minutes ago. She states 20 minutes after the vaccine was administered she began to feel itchy and as if something was stuck in her throat. Patient denies any allergies or respiratory history. The Vaccine Clinic standby units have already administered 50mg Benadryl PO prior to arrival. Lung sounds are clear in all fields. No stridor noted to auscultation. No redness or angioedema noted to patient's airway. Patient's skin is flushed on the chest. No urticaria noted. Patient denies and GI symptoms. An 18G IV is established in the RAC. 125mg Solumedrol administered IV. Patient requests transport to Rex ER. Transport is initiated non emergent to Rex ED. Enroute 0.3mg IM epi is administered. Patient reports her itchiness is gone after Epi administration but is still coughing and states she still feels like something is in her throat. Upon arrival to the ED care is transferred to the RN at triage.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: General physical condition abnormal, Migraine
Clinical narrative: Patient is GCS 15, A&Ox4, with skin that is flushed, warm, and dry and a strong radial pulse. Patient is coughing. Patient states she received her vaccine about 30 minutes ago. She states 20 minutes after the vaccine was administered she began to feel itchy and as if something was stuck in her throat. Patient denies any allergies or respiratory history. The Vaccine Clinic standby units have already administered 50mg Benadryl PO prior to arrival. Lung sounds are clear in all fields. No stridor noted to auscultation. No redness or angioedema noted to patient's airway. Patient's skin is flushed on the chest. No urticaria noted. Patient denies and GI symptoms. An 18G IV is established in the RAC. 125mg Solumedrol administered IV. Patient requests transport to Rex ER. Transport is initiated non emergent to Rex ED. Enroute 0.3mg IM epi is administered. Patient reports her itchiness is gone after Epi administration but is still coughing and states she still feels like something is in her throat. Upon arrival to the ED care is transferred to the RN at triage.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Feeling abnormal, Head injury, Loss of consciousness, Skin laceration
Clinical narrative: In 15 minute observation area, Passed out, fell off chair, had some shaking,  difficult to rouse, hit head on floor and got a small cut, was taken on stretcher to private area, vitals taken every 10 minutes, released in 30 minutes.  He still feels off, several hours later. Incident wasn?t documented at site.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Slow response to stimuli, Tremor
Clinical narrative: In 15 minute observation area, Passed out, fell off chair, had some shaking,  difficult to rouse, hit head on floor and got a small cut, was taken on stretcher to private area, vitals taken every 10 minutes, released in 30 minutes.  He still feels off, several hours later. Incident wasn?t documented at site.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza, Muscle spasms
Clinical narrative: I woke at 2:15AM with uncontrollable spasms across entire body. It was worst in torso and both arms. I took 2 Advil at 2:30AM and by 3:00AM I was asleep.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Injection site reaction, Mobility decreased
Clinical narrative: Body aches, chills, fatigue, throbbing at injection site. My symptoms got progressively worse in the evening. I was barely able to move from my bed that night to go to the restroom because I was so weak. I slept 11 hours that night. The next morning I felt better.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Body aches, chills, fatigue, throbbing at injection site. My symptoms got progressively worse in the evening. I was barely able to move from my bed that night to go to the restroom because I was so weak. I slept 11 hours that night. The next morning I felt better.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain in extremity, Vomiting
Clinical narrative: Soreness on injected arm: start 1hr after, lasted 12hrs Fatigue: start 3hrs after, lasted 12 hours Nausea: start 4hrs after, lasted 12hrs Throwing up: start 8hrs after, 1x
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Dizziness, Headache
Clinical narrative: I (the patient) experienced severe symptoms about 10 hours after receiving the vaccine. The serious symptoms lasted for 24 hours after receiving the vaccine: Serious Symptoms: -Intense Chills/Hot flashes -Joint and muscle pain -Headache -Nausea/Diarrhea -Dizziness -Difficulty sleeping  Moderate symptoms lasted for 48hrs after receiving the vaccine: -headache -Muscle and Joint pain -Chills
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Insomnia, Myalgia, Nausea
Clinical narrative: I (the patient) experienced severe symptoms about 10 hours after receiving the vaccine. The serious symptoms lasted for 24 hours after receiving the vaccine: Serious Symptoms: -Intense Chills/Hot flashes -Joint and muscle pain -Headache -Nausea/Diarrhea -Dizziness -Difficulty sleeping  Moderate symptoms lasted for 48hrs after receiving the vaccine: -headache -Muscle and Joint pain -Chills
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Infection, Inflammation, Pain in extremity, Skin warm
Clinical narrative: pt says after a couple of weeks after taking the vax.  Her left arm became very hot, red, inflamed, and very sore and was spreading.  She contacted her PCP.  She was instructed to use hydrocortisone cream.  On 4/7/2021 she went to Urgent Care.  She was told she had an infection and put on antibiotics cephalexin 500 mg x 4 daily for 10 days and told to FU if it doesn't get better.  She still has these symptoms but seem to be getting better.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Lymphadenopathy, Rash erythematous, Skin discolouration
Clinical narrative: Swollen lymph node in right armpit starting the day after 1st dose was administered and lasting through 4/8/2021.  Rash and swelling on upper right arm at injection area beginning on 4/5/2021 and still present as of the date of this report.  Rash started as a small patch and has grown to the size of a large orange.  Visited Primary Care physician on 4/7/2021 PM and was prescribed Medrol and Famotidine for adverse effects, as well as Zyrtec and Flonase for seasonal allergies.  Began medication on 4/8 in AM, swollen lymph node has subsided, upper arm is no longer swollen however rash remains with some redness and other discoloration. Medrol prescription is for 5 days and Famotidine is 2x daily for 10 days.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt received first dose of Pfizer and then received second dose of Moderna. Pt walked in and identity was confirmed. Pt stated she is here for her second dose and was given Moderna. Pt was immediately sent to supervisor for observation and escalation. Pt currently being observed and denies any adverse reactions.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Pain, Pyrexia
Clinical narrative: Body aches 5 hours after injection.   Fever of 102°f 12 hours after injection.   24 hours later, persistent flu like symptoms, low fever in the 100s.  I had covid in November.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Neuralgia, Sleep disorder
Clinical narrative: Patient reports new nerve type pain in shoulder. He cannot sleep on that side (left ) and has difficulty exerting pressure toward his inner body using that arm.  Patient has not sought medical attention; he plans to see his chiropractor and possibly his primary medical doctor.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Confusional state, Decreased appetite
Clinical narrative: Severe chills,  weakness,  malasia  severe joints pain in hands, elbows and  knees,  nausea  Decrease appetite  Generalized body aches  Mental confused,, disoriented   For 72hrs
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Malaise, Nausea, Pain
Clinical narrative: Severe chills,  weakness,  malasia  severe joints pain in hands, elbows and  knees,  nausea  Decrease appetite  Generalized body aches  Mental confused,, disoriented   For 72hrs
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt experienced vasovagal syncope within 15 minutes of vaccination. Supportive care provided and pt recovered without incidence.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Lethargy, Nausea, Throat irritation
Clinical narrative: Immediately after the shot4/8/21 around 1pm  I was; dizzy nauseous, light headed, throat felt scratchy, minor stomach pain. 2-3 hours post shot I was extremely lethargic, and stomach pain worsened  Started vomiting overnight.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Immediately after the shot4/8/21 around 1pm  I was; dizzy nauseous, light headed, throat felt scratchy, minor stomach pain. 2-3 hours post shot I was extremely lethargic, and stomach pain worsened  Started vomiting overnight.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Hypotension
Clinical narrative: The Patient was in observation and felt faint and weak. She advised the Medic and an assessment was started. The patient was noted with a low BP. She was laid down and a response from the local ems system was started. The patient felt better, refused RX and TX, and signed out AMA.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: light headed, nausea
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Erythema, Pruritus, Rash, Rash macular
Clinical narrative: 1230 sitting in general observation area and is itching right arm. States she did not have any problems with the first dose. States she has her EPI pen with her for anaphylaxis reaction to bee stings. States she is not having any trouble breathing. Tongue examined and not swollen. Taken to private observation area. Noted red blotchy flat rash on right arm, neck, and front of chest. Itching constantly.  1232 gave Benadryl 25 mg, two tablets by mouth for itching. Husband is present.  1235 noting rash is progressing to left arm.  1240 HR 91, BP 166/88; O2 sat 99% on room air. Denies throat discomfort or itching in throat. Drinking water without difficulty.  1245 gave ice for itching. Mild redness noted bilateral thighs.  1255 BP 162/93; HR 72. No throat or tongue swelling. Respiration even/ regular.  Redness of rah subsiding, still itching but less. States she is anxious as well and thinks her BP may be from anxiety. Husband present and will be driving. Patient states this is nothing like her anaphylaxis and feels well enough to go home. Ambulated without difficulty to POV Rash redness subsiding
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Genital herpes
Clinical narrative: Triggered a severe genital HSV-1 outbreak after receiving second dose
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Fatigue, Pain, Pyrexia
Clinical narrative: Low fever (100.1 F), body ache, exhaustion, general discomfort.  Symptoms first started the evening of the vaccination day (yesterday, 04/08/21).  The symptoms increased day after the vaccination (04/09/21).  Patient has been in bed since last night
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 10 days after shot, injection site swelled to baseball sized, red, itch, sore area. Lasted about 4-5 days.
Sex: F
Vaccine: COVID19
Symptoms: Anaphylaxis prophylaxis, Loss of consciousness
Clinical narrative: Patient was given the vaccine and was sitting in the observation area. After around 5 minutes patient passed out while sitting on the chair. The two pharmacists ran out to the observation area with an epi pen and had the tech call 911. Patient had a pulse and before administering the epi pen the patient woke up.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Apnoea, Blood glucose normal, Bradycardia, Cold sweat, Electrocardiogram normal
Clinical narrative: Patient presented for his first vaccine dose. He later stated he felt a sensation of something moving through his arm after vaccine administered, then states he felt some increased anxiety, followed by cold sweats, and then lost consciousness.  He was noted to be unresponsive, initially with brief period of apnea, and was unresponsive to sternal rub by vaccine administration staff.  He was placed into a reclined position in the driver seat of his vehicle. He regained consciousness within a minute, and was normally responsive but with pale color noted to face and chest, diaphoresis, and thready pulse with bradycardia, HR 43.  Difficult to auscultate HR and breath sounds clear but shallow. EMS responded promptly and assisted with evaluation, with initial BP 80/50, SpO2 97%.  Patient became less responsive and started to lose consciousness again, but responded to questioning, then lost consciousness again. His feet were placed on the dashboard to elevate them, and he quickly regained consciousness, pulse improved to HR 86, and repeat BP after a few minutes was 140/76. Oxygen saturations briefly dipped to 90% then rebounded to 100%. He improved quickly, was normally responsive and able to drink orange juice. He had pale clammy skin on the face, neck and hands, and some facial flushing.  Patient was monitored for several minutes, had improvement in symptoms, and refused transport by stretcher to the ambulance. He was able to walk to the passenger side of his vehicle and was driven out of the vaccination facility and further monitored. Blood glucose noted to be 96, EKG normal with sinus rhythm, no acute ST or T wave changes or other acute abnormality.   Patient was offered transport to the hospital for further evaluation, but he declined. Symptoms resolved completely, he was monitored for resolution of symptoms. He reported prior similar symptoms after a hand laceration at work and after a dental visit. Risks discussed, prevention measures for second dose discussed. Encouraged follow up with PCP given recurrent vasovagal syncope. No signs of allergy noted.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Formication, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Patient presented for his first vaccine dose. He later stated he felt a sensation of something moving through his arm after vaccine administered, then states he felt some increased anxiety, followed by cold sweats, and then lost consciousness.  He was noted to be unresponsive, initially with brief period of apnea, and was unresponsive to sternal rub by vaccine administration staff.  He was placed into a reclined position in the driver seat of his vehicle. He regained consciousness within a minute, and was normally responsive but with pale color noted to face and chest, diaphoresis, and thready pulse with bradycardia, HR 43.  Difficult to auscultate HR and breath sounds clear but shallow. EMS responded promptly and assisted with evaluation, with initial BP 80/50, SpO2 97%.  Patient became less responsive and started to lose consciousness again, but responded to questioning, then lost consciousness again. His feet were placed on the dashboard to elevate them, and he quickly regained consciousness, pulse improved to HR 86, and repeat BP after a few minutes was 140/76. Oxygen saturations briefly dipped to 90% then rebounded to 100%. He improved quickly, was normally responsive and able to drink orange juice. He had pale clammy skin on the face, neck and hands, and some facial flushing.  Patient was monitored for several minutes, had improvement in symptoms, and refused transport by stretcher to the ambulance. He was able to walk to the passenger side of his vehicle and was driven out of the vaccination facility and further monitored. Blood glucose noted to be 96, EKG normal with sinus rhythm, no acute ST or T wave changes or other acute abnormality.   Patient was offered transport to the hospital for further evaluation, but he declined. Symptoms resolved completely, he was monitored for resolution of symptoms. He reported prior similar symptoms after a hand laceration at work and after a dental visit. Risks discussed, prevention measures for second dose discussed. Encouraged follow up with PCP given recurrent vasovagal syncope. No signs of allergy noted.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Pulse abnormal, Unresponsive to stimuli
Clinical narrative: Patient presented for his first vaccine dose. He later stated he felt a sensation of something moving through his arm after vaccine administered, then states he felt some increased anxiety, followed by cold sweats, and then lost consciousness.  He was noted to be unresponsive, initially with brief period of apnea, and was unresponsive to sternal rub by vaccine administration staff.  He was placed into a reclined position in the driver seat of his vehicle. He regained consciousness within a minute, and was normally responsive but with pale color noted to face and chest, diaphoresis, and thready pulse with bradycardia, HR 43.  Difficult to auscultate HR and breath sounds clear but shallow. EMS responded promptly and assisted with evaluation, with initial BP 80/50, SpO2 97%.  Patient became less responsive and started to lose consciousness again, but responded to questioning, then lost consciousness again. His feet were placed on the dashboard to elevate them, and he quickly regained consciousness, pulse improved to HR 86, and repeat BP after a few minutes was 140/76. Oxygen saturations briefly dipped to 90% then rebounded to 100%. He improved quickly, was normally responsive and able to drink orange juice. He had pale clammy skin on the face, neck and hands, and some facial flushing.  Patient was monitored for several minutes, had improvement in symptoms, and refused transport by stretcher to the ambulance. He was able to walk to the passenger side of his vehicle and was driven out of the vaccination facility and further monitored. Blood glucose noted to be 96, EKG normal with sinus rhythm, no acute ST or T wave changes or other acute abnormality.   Patient was offered transport to the hospital for further evaluation, but he declined. Symptoms resolved completely, he was monitored for resolution of symptoms. He reported prior similar symptoms after a hand laceration at work and after a dental visit. Risks discussed, prevention measures for second dose discussed. Encouraged follow up with PCP given recurrent vasovagal syncope. No signs of allergy noted.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety
Clinical narrative: 30 YEAR OLD MALE COMPLAINED OF ANXIETY AFTER VACCINE. ON SITE EMS RESPONDED.  VITALS LISTED BELOW. HE RECOVERED AND WAS RELEASED TO HOME
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Muscular weakness, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches starting around 1 an on 04/07/2021 lasting until around 8 am.  04/07/2021 daytime symptoms abated. Aches an pains but no fever returned at around 1 an on 04/08/2021 lasting most of the night. 04/09/2020 only muscle weakness noticable.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: few minutes after injection, developed chest pain with tightness. brought to obs, resting on stretcher, given water, states 6/10 chest pain intitially. 1020a bp 158/89 hr 63 rr 18 sats 97% on ra. denies hx of htn. 1025a bp 154/89 hr 67 rr 18 sats 99% on ra, states cp and tightness improving to 4/10. denies other s/s. 1035a bp 138/82 hr 72 rr 18 sats 99% on ra. improving s/s per patient. 1055a bp 147/86 hr 62 rr 18 sats 99%. says feeling much better and tightness/pain almost completely resolved. 1056 standing bp 155/89 hr 60 rr 20 sats 99% on ra. discussed further eval at ed but patient resistant. instructed to seek futher intervention if s/s return or worsen. escorted to private vehicle without issues.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, Chills, Headache
Clinical narrative: Extreme chills from 2:00 until 7:30. Took hot bath. Got debilitating headache. Had to go to bed. Applied cold compress to head. Better in morning after taking extra strength tylenol.  8 April again got chills but not as bad. Bad headache but not as bad. Then I believe it to be a UTI with bleeding that looked almost like period but I am 72 years old.  Still a little blood in urine today 9 April.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Extra dose provided prior to the 21 days, first dose of Pfizer SARS -COV- 2  was given on 4/2/2021. No adverse reactions was reported at this time.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Nail discolouration, Nasopharyngitis, Paraesthesia
Clinical narrative: Numbness and tingling of the extremities (fingers and toes) that began approximately four hours after vaccine injection on Monday, April 5 and has continued through Friday, 9.  There has been improvement of the adverse reaction over time.  Slight discoloration of fingernail and toenail bed (purplish) and strong sensation of feeling cold but that stopped about 72 hours after the injection.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dyskinesia, Fall
Clinical narrative: Pt sitting upright in chair in recovery. A/Ox3. Fell from sitting position to floor on left side. Once on floor pt started jerking movement which lasted less than 1 minute.  Head held until jerking stopped. Pt opened eyes per verbal and tactile stimuli. V/S obtained w/b/p 134/64 HR 58 O2 99%.  No acute distress noted at the time. Pt refused EMS at this time.   Girlfriend contacted per pt request of pt. Assisted to sitting position in chair.  A/Ox3.  Held an extra 30 minutes.  After 30 minutes pt was able to leave with girlfriend.  V/S obtained with b/p 126/56 HR 64 Ox99%.  Ambulated with a steady gait out of building.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt experienced vasovagal syncope within 15 minutes of vaccination. Supportive care provided and pt recovered without incidence.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hypermetabolism, Night sweats, Pain in extremity
Clinical narrative: Elevated metabolism, night sweats, and mild fatigue for three weeks so far, following first dose. Also, sore arm and medium fatigue for one day following first dose.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Vital signs measurement
Clinical narrative: None stated.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Myocardial infarction
Clinical narrative: Died of Heart Attack unexpectedly day following vaccine
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Resident has tested positive for Covid on 3/29/21
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Myalgia
Clinical narrative: Shortness of breath, muscle pain, exhaustion
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Nausea, Vertigo, Vomiting
Clinical narrative: Woke with sever vertigo; bedroom was spinning.  Was finally able to sit up and then sit on floor.  Moving my head made the spinning worsen.  Eventually (30 minutes) able to stand and then because nauseas and vomitted.  Vertigo lessened.  Approx 3 hours later felt somewhat better
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Developed chills roughly 12 hrs post 2nd vaccine. Developed fever and body aches. Fever was down Wed morning but spike Wed afternoon.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Janssen COVID-19 Vaccine EUA Fever of 102 degrees F - began about 5 hours after shot and lasted for >24 hours.  Dropped down to 99 withing 48 hours. Chills, dizziness, and nausea accompanying fever.  Persisting after fever decreased. Weakness and fatigue still persisting. Bad headache persisting since the shot (currently 48 hours in)