chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Pain in extremity
Clinical narrative: patient developed a "tennis elbow" type pain in her left arm 1 day post vax - feels like rubberband around her elbow. Pain remains the same. Never had this problem in her left arm - a pulling sensation.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Menstrual disorder, Myalgia
Clinical narrative: Pain at injection site - pain upon touch for 48 hours post vaccination Muscle aches - started 8 hours post vaccination and lasted for 48 hours Fever/chills - started 12 hours post vaccination, peaked at 103 degrees 24 hours post vaccination, continued as a mild fever until 48 hours post vaccination Fatigue - felt fatigued morning after vaccination and continued until 48 hours post vaccination Menstrual cycle - Experience period starting 48 hours post vaccination, slightly earlier than normally expected.  NO MEDICAL TREATMENT NEEDED
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Pain at injection site - pain upon touch for 48 hours post vaccination Muscle aches - started 8 hours post vaccination and lasted for 48 hours Fever/chills - started 12 hours post vaccination, peaked at 103 degrees 24 hours post vaccination, continued as a mild fever until 48 hours post vaccination Fatigue - felt fatigued morning after vaccination and continued until 48 hours post vaccination Menstrual cycle - Experience period starting 48 hours post vaccination, slightly earlier than normally expected.  NO MEDICAL TREATMENT NEEDED
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Presyncope
Clinical narrative: Client complained of feeling dizzy and light headed after receiving the vaccine,   He reports an allergy to Bananas which causes anaphylaxis.  He does not carry an Epi Pen.  Vasovagal event with no syncope.  Blood pressure 87/41 pulse 78 with 02 saturation 96%.  Se4cond set of vitals in 5 minutes was blood pressure 116/70  with pulse 75 and o2 saturation 98%  .  Released by Dr after second vitals by EMS on site.  Advised to seek medical attention later if needed.  Client stated understanding.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hypoglycaemia, Hypotension, Palpitations, Paraesthesia
Clinical narrative: Progress Notes PA-C (Physician Assistant) ? ? Family Medicine Cosign Needed Expand AllCollapse All    COVID VACCINE CLINIC 3/22/2021                                                                           Date:  3/22/2021                                                                                            Subjective Patient is a 42 y.o. female who was seen at  COVID Vaccine Clinic today for her first  dose of the COVID 19 vaccination.    She was given the Pfizer vaccination in the right deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience racing heart and face tingling.  She denied rash, difficulty breathing, difficulty swallowing, throat tightness and facial swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to rapid progression of symptoms, respiratory distress and skin changes.   ALLERGY REVIEW OF SYSTEMS:  Patient denies chills, fever, facial swelling, cough, chest tightness, shortness of breath, wheezing, rash, hives, dizziness and headaches    +facial tingling:     Previous Reactions: Denies    Objective    Vitals Vitals:   03/22/21 0811 03/22/21 0819 03/22/21 0834 BP: (!) 153/90 134/87 118/85 Pulse: 87 80 80 SpO2: 98% 100% 99%      Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema.     Comments: No swelling or lips or tongue.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing or rales.  Skin:    General: Skin is warm and dry.  Neurological:     General: No focal deficit present.     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: water and snacks Follow up response to treatment: good. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Systemic reaction (hypoglycemia, hypotension, generalized rash) Her symptoms completely resolved prior to discharge.        PA-C Electronically Signed 3/22/2021 9:02 AM
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Vaccination complication
Clinical narrative: Progress Notes PA-C (Physician Assistant) ? ? Family Medicine Cosign Needed Expand AllCollapse All    COVID VACCINE CLINIC 3/22/2021                                                                           Date:  3/22/2021                                                                                            Subjective Patient is a 42 y.o. female who was seen at  COVID Vaccine Clinic today for her first  dose of the COVID 19 vaccination.    She was given the Pfizer vaccination in the right deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience racing heart and face tingling.  She denied rash, difficulty breathing, difficulty swallowing, throat tightness and facial swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to rapid progression of symptoms, respiratory distress and skin changes.   ALLERGY REVIEW OF SYSTEMS:  Patient denies chills, fever, facial swelling, cough, chest tightness, shortness of breath, wheezing, rash, hives, dizziness and headaches    +facial tingling:     Previous Reactions: Denies    Objective    Vitals Vitals:   03/22/21 0811 03/22/21 0819 03/22/21 0834 BP: (!) 153/90 134/87 118/85 Pulse: 87 80 80 SpO2: 98% 100% 99%      Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema.     Comments: No swelling or lips or tongue.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing or rales.  Skin:    General: Skin is warm and dry.  Neurological:     General: No focal deficit present.     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: water and snacks Follow up response to treatment: good. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Systemic reaction (hypoglycemia, hypotension, generalized rash) Her symptoms completely resolved prior to discharge.        PA-C Electronically Signed 3/22/2021 9:02 AM
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Swollen tongue
Clinical narrative: APPROXIMATELY 20 MINUTES AFTER RECEIVING VACCINE PT'S TONGUE BEGAN TO SWELL AND DIFFICULTY BREATHING.  EPINEPHRING INJECTION VIA AUTO-INJECTOR @0.3 MG AND DIPHYDRAMINE @ 50 MG/ML ADMINISTERED AND EMS WASS CALLED. PT EVALUATED BY EMS BUT REFUSED TO GO TO THE EMERGENCY ROOM. PT STARTED FEELING BETTER AND LEFT WITH WIFE
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral, Throat irritation, Throat tightness
Clinical narrative: Immediately following vaccine administration patient claimed had throat closing but upon further questioning, patient had a tickly throat and patient claimed tongue felt enlarged.  Gave patient 10ml of children's benadryl (25mg) and patient felt better.  Waited in store 45 minutes following vaccine but symptoms disappeared 10 minutes following shot.  Patient left pharmacy feeling fine with wife who was home with him all day to monitor symptoms. Told patient to use benadryl throughout day.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis
Clinical narrative: left side of my face is starting to droop and the beginning signs of Bell's-palsy are starting; This is a spontaneous report from a contactable consumer (patient). A 36-year-old non-pregnant female patient received her first dose of bnt162b2 (BNT162B2 reported as PFIZER COVID-19 VACCINE; lot number: ENG6202; expiration date: unknown), at vaccination age 36-year-old via an unspecified route of administration in the left arm on 02Mar2021 17:00 as a single dose for covid-19 immunisation. Medical history included pecans allergies. The patient was not diagnosed with Covid prior to vaccination. Concomitant medications included cetirizine hydrochloride (ZYRTEC), desogestrel, ethinylestradiol (ISIBLOOM), citalopram and vitamins nos (MULTIVITAMINS reported as WOMANS MULTI-VITAMIN). The patient did not receive other vaccine in four weeks The patient received the latest vaccine dose in a hospital. The patient had left side of my face is starting to droop and the beginning signs of Bell's-palsy are starting on 03Mar2021 06:00 AM. The patient did not received treatment for the adverse event. The patient has not been covid tested post vaccination. The outcome of the event was not recovered.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Part of Mass vaccination event , pt was screened several times , and age was over looked at time of vaccination, Patient was not age eligible at tiome of vaccination
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Headache
Clinical narrative: On  Thursday 01-21-2021, I started to have chills and headaches. On Saturday 01-23-2021, I had a dry cough which was uncontrollable. I also had SOB and my cough persisted. I went to see my PCP and he prescribed Prednisone and an inhaler which  helped my symptoms.  I say, I got better within a week from my chills and headaches although my cough lasted over a month.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: rash around injection site
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Injection site pain
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Injection site pain tiredness headache stuffiness muscle pain, pain at base of head and top of neck, hip pain, knee pain chills fever (2 days at 100F) nausea dizziness itchiness
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain, Pruritus, Pyrexia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Injection site pain tiredness headache stuffiness muscle pain, pain at base of head and top of neck, hip pain, knee pain chills fever (2 days at 100F) nausea dizziness itchiness
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Injection site pain tiredness headache stuffiness muscle pain, pain at base of head and top of neck, hip pain, knee pain chills fever (2 days at 100F) nausea dizziness itchiness
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose of Moderna was given at 22 days instead of 28 days as it should have been during a mass vaccination health department clinic.  Patient came 1 week early during a scheduling program change and it was missed that she came on the wrong date due to being between 2 computer systems.  Patient states that only side effect after both 1st and 2nd dose was that she took a nap after receiving each one.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Gait disturbance, Paraesthesia oral, Swelling face
Clinical narrative: Patient DOB 5/16/1959 received 1st dose of Pfizer Lot # ER8730 and was waiting in the 15 minute observation section when she stated that she felt "swelling of her face and tingling of her lips."  Blood pressure was 196/98, HR 85, O2 97%, Temp 98.1.  Patient was alert and oriented x 4.  Patient stated that she was very anxious today and has allergies to dairy and pollen.  Patient confirmed that her husband was on the way to pick her up and drive her home.  EMT administered 25 mg of Benadryl PO at 12:32 pm.  Patient observed for an additional 50 minutes until her husband arrived to pick her up at 1:22 p.m. Patient stated that she was feeling better and was able to walk unassisted with her husband.  informed patient to go to ER or call 911 if symptoms worsen.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Skin irritation
Clinical narrative: Patient DOB 5/16/1959 received 1st dose of Pfizer Lot # ER8730 and was waiting in the 15 minute observation section when she stated that she felt "swelling of her face and tingling of her lips."  Blood pressure was 196/98, HR 85, O2 97%, Temp 98.1.  Patient was alert and oriented x 4.  Patient stated that she was very anxious today and has allergies to dairy and pollen.  Patient confirmed that her husband was on the way to pick her up and drive her home.  EMT administered 25 mg of Benadryl PO at 12:32 pm.  Patient observed for an additional 50 minutes until her husband arrived to pick her up at 1:22 p.m. Patient stated that she was feeling better and was able to walk unassisted with her husband.  informed patient to go to ER or call 911 if symptoms worsen.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis
Clinical narrative: Shoulder hurt after shot and continued.  Saw doctor on the 19th and was diagnosed with bursitis.  No symptoms before the vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Generalized itchy/painful rash over whole body since last covid vaccine 3/5 (2nd dose in Moderna series). Adminsitered by the Center.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Cardiac arrest, SARS-CoV-2 test
Clinical narrative: Miscarriage; Heart stopped on pregnancy; This is a spontaneous report from a contactable consumer (patient). A 42-year-old female patient received her second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date were not reported), via an unspecified route of administration in the left arm on 26Feb2021 06:00 PM at a single dose for COVID-19 immunisation. The patient's medical history was not reported. The patient had no known allergies. The patient was 8 weeks pregnant at the onset of the event. Last menstrual date was on 01Jan2021. There were no concomitant medications in two weeks and no other vaccine in four weeks. The patient previously received her first dose of BNT162B2 on an unspecified date at 06:00 PM in the left arm for COVID-19 immunisation. The patient had not been diagnosed with COVID prior to vaccination. The patient experienced miscarriage and heart stopped on pregnancy on 02Mar2021 03:00 PM. Treatment was unknown. Event resulted in doctor or other healthcare professional office/clinic visit. The patient was due to deliver on an unknown date. The patient underwent Covid PCR test post vaccination on 04Mar2021, pending results. Outcome of the events was unknown.   Information on lot/ batch has been requested.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dizziness, Erythema, Nasal congestion, Nausea
Clinical narrative: Slightly lightheaded immediate afterwards.  Fine with a few minutes.  Sunday woke up stuffed up, with cough and nausea.  Felt better.  Today, face is extremely red.  Cough is present.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: On 3/16/21 left arm began itching. On 3/18/21 small bumps (not hives) appeared and began to spread.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram head normal, Eyelid function disorder, Facial paralysis, Headache
Clinical narrative: Early next morning noted to have difficulty with lisp which progressed over several hours to full left sided facial paralysis including eye, cheek, and lip.  Also swelling and pain from top of head all the way to neck on left side.  Still unable to drive or use left eye.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiplegia, Impaired driving ability, Neck pain, Speech disorder, Swelling
Clinical narrative: Early next morning noted to have difficulty with lisp which progressed over several hours to full left sided facial paralysis including eye, cheek, and lip.  Also swelling and pain from top of head all the way to neck on left side.  Still unable to drive or use left eye.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Early next morning noted to have difficulty with lisp which progressed over several hours to full left sided facial paralysis including eye, cheek, and lip.  Also swelling and pain from top of head all the way to neck on left side.  Still unable to drive or use left eye.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell?s palsy
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Eye swelling, Lymphadenopathy, Ocular hyperaemia, Pruritus
Clinical narrative: 3/8 Red rash on the chest and abdominal area. Itching at groin and rectal area. Injection site looks fine. Took Allegra at 10 AM. 3/9 Called PCP to report. Continue Allegra until it disappears. 3/10  Saw Allergist/Immunologist Red rash continue on the chest and lower abdomen and both hands. Changed Allegra to Zyrtec. 3/12 Rash spread to legs, face and tongue.Rash on chest and ab area unchanged. MD classified the incident as Mild rash. Continue with same treatment. May increase Zyrtec 2x/day. 3/17 Rash gone but hyperpigmented areas on the affected areas. Continue with Zyrtec 3/18 Dicontinued Zyetec 3/21 Woke with face hot, red and feels tight. Rash seen on face. Eyes look swollen and  redness. Lymph
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Skin hyperpigmentation
Clinical narrative: 3/8 Red rash on the chest and abdominal area. Itching at groin and rectal area. Injection site looks fine. Took Allegra at 10 AM. 3/9 Called PCP to report. Continue Allegra until it disappears. 3/10  Saw Allergist/Immunologist Red rash continue on the chest and lower abdomen and both hands. Changed Allegra to Zyrtec. 3/12 Rash spread to legs, face and tongue.Rash on chest and ab area unchanged. MD classified the incident as Mild rash. Continue with same treatment. May increase Zyrtec 2x/day. 3/17 Rash gone but hyperpigmented areas on the affected areas. Continue with Zyrtec 3/18 Dicontinued Zyetec 3/21 Woke with face hot, red and feels tight. Rash seen on face. Eyes look swollen and  redness. Lymph
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Passed out 9 hours after injection on 03Mar2021; This is a spontaneous report from a contactable consumer. A 43-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration on 03Mar2021 18:00 (Batch/Lot number was not reported) as SINGLE DOSE, and dose 1 via an unspecified route of administration, administered in Arm Right on 10Feb2021 18:00 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously took amoxicillin and experienced drug hypersensitivity. The patient experienced passed out 9 hours after injection/also reported as 03Mar2021 03:30. The outcome of the event was recovering. The patient did not receive treatment for the event.  Information on the Lot/Batch number has been requested.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncopal episode post vaccine administration
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pt was inadvertently given undiluted vaccine
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Pruritic rash on face and bilateral forearms, slowly developing over 48 to 72 hours from vaccination.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Rash
Clinical narrative: Face rash around the eyes started about 4 hours later.  Injection site pain the next day. Patient was fine the next day with the rash.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lymph node pain, Lymphadenopathy, Pyrexia
Clinical narrative: Chills, low grade fever, soreness Enlarged and painful lymph node in the left axilla (size of large egg or baseball); enlarged lymph nodes in the clavicle area
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Hypoaesthesia, Injection site bruising, Injection site haemorrhage, Injection site irritation
Clinical narrative: Patient is a 39 y.o. male who was seen at COVID Vaccine Clinic today for his second dose of the COVID 19 vaccination.    He was given the Pfizer vaccination in the left deltoid muscle.   During his 15 minute waiting period after the injection, the patient began to experience numbness and tingling in the left arm and aching in left hand.  He denied rash, hives, difficulty breathing, wheezing and lightheadedness. He takes no daily prescription medications.    This provider was notified of patient reaction and he was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality , rapid progression of symptoms and skin changes.     ALLERGY REVIEW OF SYSTEMS:  Patient denies chills, fever, facial swelling, cough, chest tightness, shortness of breath, wheezing, dizziness and headaches    +numbness and tingling of left arm/hand:     Previous Reactions: Denies reactions to prior vaccines.     Objective    Vitals Vitals:   03/22/21 1025 03/22/21 1042 03/22/21 1054 BP: (!) 165/93 (!) 153/95 (!) 138/92 Pulse: 79 70 72 SpO2: 97%   98%      Blood Sugar 286 collected at 10:29am.      Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing or rales.  Musculoskeletal:     Comments: Equal grip strength in bilateral hands. No weakness noted in upper extremities.   Skin:    General: Skin is warm and dry.     Findings: No erythema or rash.  Neurological:     General: No focal deficit present.     Mental Status: He is alert and oriented to person, place, and time.      Assessment/Plan  Treatment included: no therapy Follow up response to treatment: good. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash) Encouraged patient to follow up with PCP for annual labs and physical. BP improved prior to discharge.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Paraesthesia, Skin reaction
Clinical narrative: Patient is a 39 y.o. male who was seen at COVID Vaccine Clinic today for his second dose of the COVID 19 vaccination.    He was given the Pfizer vaccination in the left deltoid muscle.   During his 15 minute waiting period after the injection, the patient began to experience numbness and tingling in the left arm and aching in left hand.  He denied rash, hives, difficulty breathing, wheezing and lightheadedness. He takes no daily prescription medications.    This provider was notified of patient reaction and he was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality , rapid progression of symptoms and skin changes.     ALLERGY REVIEW OF SYSTEMS:  Patient denies chills, fever, facial swelling, cough, chest tightness, shortness of breath, wheezing, dizziness and headaches    +numbness and tingling of left arm/hand:     Previous Reactions: Denies reactions to prior vaccines.     Objective    Vitals Vitals:   03/22/21 1025 03/22/21 1042 03/22/21 1054 BP: (!) 165/93 (!) 153/95 (!) 138/92 Pulse: 79 70 72 SpO2: 97%   98%      Blood Sugar 286 collected at 10:29am.      Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing or rales.  Musculoskeletal:     Comments: Equal grip strength in bilateral hands. No weakness noted in upper extremities.   Skin:    General: Skin is warm and dry.     Findings: No erythema or rash.  Neurological:     General: No focal deficit present.     Mental Status: He is alert and oriented to person, place, and time.      Assessment/Plan  Treatment included: no therapy Follow up response to treatment: good. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash) Encouraged patient to follow up with PCP for annual labs and physical. BP improved prior to discharge.
Age: 103.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NA - Reaction  Age 103.dementia
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Dyspnoea, Headache, Throat tightness
Clinical narrative: Dizziness within 10 seconds.  Throat closing, difficulty swallowing, and difficulty breathing within first two minutes.  EpiPen administered by pharmacist.  That reopened the throat. EMT gave benadryl,  IV fluids, ER gave IV steroids, Pepcid, Benadryl and later Tylenol for headache. Sent home with orders to continue steroids, Pepcid and Benadryl.  Follow up with primary care physician in 2 days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dermatitis acneiform, Pruritus
Clinical narrative: Rash that includes itching, burning, and small raised bumps all over skin
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on elbows, knees, neck, chest, arms, hands
Age: 0.75
Sex: U
Vaccine: DTAP, DTAPIPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: patient received Quadracel rather than intended Daptacel; with no reported AE; Initial information was received on 05-Oct-2020 regarding an unsolicited valid non-serious case from nurse.  This case involves a nine-month-old patient (gender unknown) who received DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE [QUADRACEL] (lot C5772AA, expiry date not reported) via an intramuscular route in the left thigh for prophylactic vaccination on 02-Mar-2021 instead of DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (wrong product administered).  Medical history, concomitant therapy, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included HIB VACCINE and PNEUMOCOCCAL VACCINE CONJ 13V (CRM197) (PREVNAR 13).  It was reported that, the patient receiving her six-month series late. The office was out of Pentacel, so they administered HIB-PRPT with Quadracel vaccine in error (intended Daptacel) and Prevnar-13. Nurse reports that they typically use Pentacel for children's 6-month vaccines.  This was a case of actual medication error due to wrong vaccine administered (latency same day).  At the time of report, no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lymph node pain, Lymphadenopathy, Neck pain
Clinical narrative: 12 hours after the vaccine- high fever (101.5), chills, severe body aches, headache, very sore arm (gone in 36 hours) 1 week after the 2nd dose- swollen, painful  lymph nodes (lasted 7-10 days) 4 weeks after the 2nd vaccine- a strange knot developed by my left elbow (cyst-like) slightly larger than pea size (still have it) 6 weeks after 2nd vaccine- posterior right sided neck pain (annoying) 7 weeks after 2nd vaccine- anterior and posterior right sided neck pain (severe)- feels like I have a tumor in my neck (current)
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pain, Pain in extremity, Pyrexia
Clinical narrative: 12 hours after the vaccine- high fever (101.5), chills, severe body aches, headache, very sore arm (gone in 36 hours) 1 week after the 2nd dose- swollen, painful  lymph nodes (lasted 7-10 days) 4 weeks after the 2nd vaccine- a strange knot developed by my left elbow (cyst-like) slightly larger than pea size (still have it) 6 weeks after 2nd vaccine- posterior right sided neck pain (annoying) 7 weeks after 2nd vaccine- anterior and posterior right sided neck pain (severe)- feels like I have a tumor in my neck (current)
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Sinus disorder
Clinical narrative: Client was alert and oriented after the vaccine but stated shortness of breath due to Sinus issues.  she asked a question about using a  inhaler and was allowed to do so. Client did state that she has had previous reactions to vaccines and was in the 30 minute  observation line.   She also reported a history of  tachycardia.  she felt better after using the inhaler and  was monitored by EMS and Dr.  Blood pressure was 157/76 pulse 80 RR 20 and 97% oxygen saturation.  she was advised to seek medical attention post release if needed.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Left arm induration, red/hot 1" at injection site worsened by day 9 to 3" diameter with itching and radiation of pain/itching to left inner aspect and chest.  Day 10 was the worse and then started to improve.  No SOB or breathing difficulties.  No hives reported.  No other symptoms.    Telehealth visit with her personal provider - who is reluctant to advise 2nd dose.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Left arm induration, red/hot 1" at injection site worsened by day 9 to 3" diameter with itching and radiation of pain/itching to left inner aspect and chest.  Day 10 was the worse and then started to improve.  No SOB or breathing difficulties.  No hives reported.  No other symptoms.    Telehealth visit with her personal provider - who is reluctant to advise 2nd dose.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Formication, Pruritus, Skin burning sensation, Throat tightness
Clinical narrative: Approximately 6 hours after injection I began to feel as if my skin was burning and itching.  Had crawling sensation throughout body and throat felt a little tight/dry.  The burning, itching and crawling feeling continued for a couple weeks.  Had to take Allegra and Benadryl and currently am still taking it to ward of symptoms.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Acute Diarrhea
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Throat tightness, Urticaria
Clinical narrative: Reported on located rash and itchiness on the injection site about 12 minutes post vaccination, developed hives to the RUE to right side of chest, received Benadryl at 11:52am, and  Pepcid PO at 12:23pm, transported to a clinic at 12:25pm, reported throat tightness and received EPI at 12:37pm and solumedrol at 12:39pm, 2nd EPI administered around 12:44pm and called 911, ambulance arrived on 13:05pm and left to  ED at 13:09pm.
Sex: U
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: Systemic rash, primarily focused on upper thighs; This spontaneous case was received on 02-Mar-2021 from other non-health professional (consumer) via Communication (reference number: SEQW21-00859) and concerned a patient of an unknown age and gender.  The patient's medical history and concomitant medications were not reported.  On 18-Oct-2018, the patient was vaccinated with Afluria Quadrivalent (influenza vaccine, anatomical location, route of administration, indication and dose: not reported). The batch number was not reported.  On an unspecified day, an unknown amount of time after receiving influenza virus vaccine polyvalent, the patient had a reaction which included systemic rash, primarily focused on the patient's upper thighs.   The outcome of the event was not reported.  The reporter did not provide a causality assessment.  The case was assessed as non-serious.  Company comment: The event of 'generalized rash' is considered to be unassesseable to influenza virus vaccine polyvalent.; Sender's Comments: The event of 'generalized rash' is considered to be unassassable to influenza virus vaccine polyvalent.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash macular, Urticaria
Clinical narrative: Rash/hives on left lower leg around scare tissue from Pyoderma Gangrenosum. Using Benedryl cream and capsule.  Came about 5 days   after dose 2. Itching and read splotches.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Peripheral swelling
Clinical narrative: Left arm swelled up tight and injection site hot.  Arm swelling reduced but injection site still hot.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Asthenia, Cardiac flutter, Dizziness, Heart rate increased
Clinical narrative: Received shot ~12:15pm on March 21st. Only symptom throughout the day was sore arm, but tolerable. Around 10:30 PM, I was in bed and noticed that I feel "agitated" and restless. Looked at my FitBit and noticed that my heartrate was unusually high and climbing. My normal resting heartrate is 60-70 bpm. Last night from 10 PM and onward, it rose from 75 pm up to 130  bpm while I was laying down in bed. Soreness in my arm became much worse and more uncomfortable. I focused on breathing slowly and deeply to try to relax myself but did not have any effect. Throughout the night I could feel my heart racing, fluttering and palpitating. Sometimes I could feel "pinching" like sensations too. Every time I was able to fall asleep, I was quickly jolted awake by those fluttering and racing sensations in my chest. I got up ~2 hours later to get a drink of water and had a low-grade panic attack (lost sense of hearing), felt very weak and light-headed, started sweating profusely. Those symptoms let up a bit around 4AM and I was able to sleep lightly. I continued to feel "agitated" and restless all morning until about noon today, a full 24 hours after the shot, 12 hours after symptoms started. My resting heart rate finally started to return to normal at about that time as well. Felt fine and pretty normal by about 1:30ish PM today.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pain in extremity, Palpitations, Panic attack, Restlessness
Clinical narrative: Received shot ~12:15pm on March 21st. Only symptom throughout the day was sore arm, but tolerable. Around 10:30 PM, I was in bed and noticed that I feel "agitated" and restless. Looked at my FitBit and noticed that my heartrate was unusually high and climbing. My normal resting heartrate is 60-70 bpm. Last night from 10 PM and onward, it rose from 75 pm up to 130  bpm while I was laying down in bed. Soreness in my arm became much worse and more uncomfortable. I focused on breathing slowly and deeply to try to relax myself but did not have any effect. Throughout the night I could feel my heart racing, fluttering and palpitating. Sometimes I could feel "pinching" like sensations too. Every time I was able to fall asleep, I was quickly jolted awake by those fluttering and racing sensations in my chest. I got up ~2 hours later to get a drink of water and had a low-grade panic attack (lost sense of hearing), felt very weak and light-headed, started sweating profusely. Those symptoms let up a bit around 4AM and I was able to sleep lightly. I continued to feel "agitated" and restless all morning until about noon today, a full 24 hours after the shot, 12 hours after symptoms started. My resting heart rate finally started to return to normal at about that time as well. Felt fine and pretty normal by about 1:30ish PM today.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Received shot ~12:15pm on March 21st. Only symptom throughout the day was sore arm, but tolerable. Around 10:30 PM, I was in bed and noticed that I feel "agitated" and restless. Looked at my FitBit and noticed that my heartrate was unusually high and climbing. My normal resting heartrate is 60-70 bpm. Last night from 10 PM and onward, it rose from 75 pm up to 130  bpm while I was laying down in bed. Soreness in my arm became much worse and more uncomfortable. I focused on breathing slowly and deeply to try to relax myself but did not have any effect. Throughout the night I could feel my heart racing, fluttering and palpitating. Sometimes I could feel "pinching" like sensations too. Every time I was able to fall asleep, I was quickly jolted awake by those fluttering and racing sensations in my chest. I got up ~2 hours later to get a drink of water and had a low-grade panic attack (lost sense of hearing), felt very weak and light-headed, started sweating profusely. Those symptoms let up a bit around 4AM and I was able to sleep lightly. I continued to feel "agitated" and restless all morning until about noon today, a full 24 hours after the shot, 12 hours after symptoms started. My resting heart rate finally started to return to normal at about that time as well. Felt fine and pretty normal by about 1:30ish PM today.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Syncope
Clinical narrative: Moderna COVD-19 Vaccine  The morning post second dose of vaccine, I felt nausea like symptoms which followed by fainting spell. In the afternoon had similar nausea like symptoms but felt okay after few minutes without fainting.  Next day, 2 days post second dose of vaccine, felt like little nausea like symptoms but resolved quickly.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Member was only 17 year of age.  Fist dose in series was administered on 20 FEB 2021 and was not identified until 2 dose was given on 22 MAR 2021.  Member reported no adverse events from the first dose and has had not had any adverse events from 2nd dose at this time.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Facial paresis, Headache
Clinical narrative: 3/12/21-HEADACHE BEGAN; 3/15/2021- FACIAL WEAKNESS; 3/16/2021- ER VISIT TO HOSPITAL; 3/18/2021- OV TO DR.
Sex: F
Vaccine: FLUX
Symptoms: Allergy to vaccine
Clinical narrative: Allergic to the flu shot; This spontaneous case was received on 02-Mar-2021 from other non-health professional (consumer) via company (reference number: NUS2021US032466) and concerned a female patient of an unreported age.  The patient's medical history and concomitant medications were not reported.   On an unspecified date, the patient was vaccinated with influenza virus vaccine polyvalent (brand not specified; indication, dose, route of administration and anatomical location: not reported). The batch number was not reported.  On an unspecified date, unknown amount of time after receiving influenza virus vaccine polyvalent, the patient was allergic to the flu shot and her mother was the same way (refer to the case 202101644).  The outcome of the event was not reported.  The reporter assessed the event of 'allergy to vaccine' as related to influenza virus vaccine polyvalent.  The case was assessed as non-serious.  This case is linked with case 202101644 (due to the same reporter).  Company comment: The event of 'allergy to vaccine' is considered as unassessable to influenza virus vaccine polyvalent.; Reporter's Comments: Patient said that she's even allergic to the flu shot.; Sender's Comments: The event of 'allergy to vaccine' is considered as unassessable to influenza virus vaccine polyvalent.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received vaccine on 18MAR2021. Unfortunately, he made it through our intake process and the nurse that administered the vaccine did not confirm the age. The nurse did try to reach the patient to confirm that there were no adverse reactions at home. She left a message.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: Had Covid 19 December 2020 with severe Total Body Aches, Headache, fatigue.  Recovered after 4 weeks bedrest.  I had no pain at injection site till the next morning.  I also felt I had Covid 19 all over again with fever 100.3 X 3 days. Tylenol would not take the symptoms away.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Death
Clinical narrative: DECEDENT WAS NOTED TO BE COUGHING FOLLOWING THE ADMINISTERING OF THE VACCINE. FAMILY INTERVIEWED COULD NOT RECALL WHETHER THE DECEDENT WAS COUGHING PRIOR TO RECEIVING THE VACCINE.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Injection site paraesthesia, Nausea
Clinical narrative: 6 days of issues. Started with headache, nausea, tired, weak, off/on feverish,   body aches and left arm hurt and tingled from shoulder to finger tips all 6 days.  Still feel some off and on tingling where I received shot as of today's date.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia, Pyrexia
Clinical narrative: 6 days of issues. Started with headache, nausea, tired, weak, off/on feverish,   body aches and left arm hurt and tingled from shoulder to finger tips all 6 days.  Still feel some off and on tingling where I received shot as of today's date.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chlamydia test, Culture urine, Enterovirus test negative, Fatigue
Clinical narrative: Two weeks after receiving the first Moderna vaccine for COVID-19, patient started to have a fever of 102, muscle aches, extreme fatigue, and extreme joint pain bad enough that she is suddenly needing to use a walker and a wheelchair (5 days on from onset of these symptoms). ? ?She had received the shingles vaccine 21 days prior to the first Moderna vaccine (she was told it was ok if it was at least 14 days prior). ? ?She has been tested three times for COVID-19 (multiple strains) since the onset of her symptoms (all negative) and her doctor, sent her for a bunch of follow-up tests at  Hospital over the weekend (all normal).  Patient has only ever had slight osteo-arthritis starting in her hands before, so this issue with suddenly not being able to walk is coming completely out of the blue. ? ?Have you heard of any delayed reactions to the vaccine like this? ? ?Is it possible? ?
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Two weeks after receiving the first Moderna vaccine for COVID-19, patient started to have a fever of 102, muscle aches, extreme fatigue, and extreme joint pain bad enough that she is suddenly needing to use a walker and a wheelchair (5 days on from onset of these symptoms). ? ?She had received the shingles vaccine 21 days prior to the first Moderna vaccine (she was told it was ok if it was at least 14 days prior). ? ?She has been tested three times for COVID-19 (multiple strains) since the onset of her symptoms (all negative) and her doctor, sent her for a bunch of follow-up tests at  Hospital over the weekend (all normal).  Patient has only ever had slight osteo-arthritis starting in her hands before, so this issue with suddenly not being able to walk is coming completely out of the blue. ? ?Have you heard of any delayed reactions to the vaccine like this? ? ?Is it possible? ?
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Myalgia, Mycoplasma test negative, Pyrexia, Respiratory syncytial virus test
Clinical narrative: Two weeks after receiving the first Moderna vaccine for COVID-19, patient started to have a fever of 102, muscle aches, extreme fatigue, and extreme joint pain bad enough that she is suddenly needing to use a walker and a wheelchair (5 days on from onset of these symptoms). ? ?She had received the shingles vaccine 21 days prior to the first Moderna vaccine (she was told it was ok if it was at least 14 days prior). ? ?She has been tested three times for COVID-19 (multiple strains) since the onset of her symptoms (all negative) and her doctor, sent her for a bunch of follow-up tests at  Hospital over the weekend (all normal).  Patient has only ever had slight osteo-arthritis starting in her hands before, so this issue with suddenly not being able to walk is coming completely out of the blue. ? ?Have you heard of any delayed reactions to the vaccine like this? ? ?Is it possible? ?
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Two weeks after receiving the first Moderna vaccine for COVID-19, patient started to have a fever of 102, muscle aches, extreme fatigue, and extreme joint pain bad enough that she is suddenly needing to use a walker and a wheelchair (5 days on from onset of these symptoms). ? ?She had received the shingles vaccine 21 days prior to the first Moderna vaccine (she was told it was ok if it was at least 14 days prior). ? ?She has been tested three times for COVID-19 (multiple strains) since the onset of her symptoms (all negative) and her doctor, sent her for a bunch of follow-up tests at  Hospital over the weekend (all normal).  Patient has only ever had slight osteo-arthritis starting in her hands before, so this issue with suddenly not being able to walk is coming completely out of the blue. ? ?Have you heard of any delayed reactions to the vaccine like this? ? ?Is it possible? ?
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Blood lactic acid
Clinical narrative: 29 y/o female presented to hospital with complaints of SOB, skin flares secondary to history of discoid lupus, protracted vomiting, and joint pain. Side effects began 2 days after her 2nd COVID vaccine. Pt was transferred to hospital from another institution due to O2 sat in the 60s (room air), leukocytosis, and AKI. Patient was treated empirically for sepsis/pneumonia as well as lupus flare. She was also initiated on high dose steroids. Possible reaction to vaccine. Chest CT showed diffuse ground-glass opacities and no signs of pulmonary embolism. Pt was transferred from hospital to another facility given progressive organ failure, most specifically liver failure.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Computerised tomogram thorax abnormal, Condition aggravated, Dermatitis, Dyspnoea
Clinical narrative: 29 y/o female presented to hospital with complaints of SOB, skin flares secondary to history of discoid lupus, protracted vomiting, and joint pain. Side effects began 2 days after her 2nd COVID vaccine. Pt was transferred to hospital from another institution due to O2 sat in the 60s (room air), leukocytosis, and AKI. Patient was treated empirically for sepsis/pneumonia as well as lupus flare. She was also initiated on high dose steroids. Possible reaction to vaccine. Chest CT showed diffuse ground-glass opacities and no signs of pulmonary embolism. Pt was transferred from hospital to another facility given progressive organ failure, most specifically liver failure.