chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure fluctuation, Fall, Gait disturbance, Grip strength decreased
Clinical narrative: next morning were not able to get out of bed and fell bpm  84/56 pulse 121 oxygen 92  next day it was 96/71. Still having problems walking. Blood Pressure is fluctuating, nausea, weakness. could not hold onto objects.  Pt is having extreme reaction to Vax and is not able to perform daily duties.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Movement disorder, Nausea
Clinical narrative: next morning were not able to get out of bed and fell bpm  84/56 pulse 121 oxygen 92  next day it was 96/71. Still having problems walking. Blood Pressure is fluctuating, nausea, weakness. could not hold onto objects.  Pt is having extreme reaction to Vax and is not able to perform daily duties.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Cognitive disorder, Magnetic resonance imaging head, Tremor
Clinical narrative: A mouth or so later  told kids thought it affected my brain.   was mixed up In April started noticing Tremors
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Haematoma, Injection site extravasation, Pruritus, Swelling
Clinical narrative: Pharmacy technician administered the vaccine. The needle was not all the way in. Technician was informed. As the needle was being removed, notice some of vaccine coming out of the arm. Post vaccine, redness, swelling, itching, and a large hematoma. Concerned that it was not correctly done and if fully vaccinated.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage
Clinical narrative: Systemic: bled more than average-Mild
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: 0.3 ml of vaccine given to patient UNDILUTED
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: vaccine administered to 11 year old
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: HIVES--present X 2 weeks--Benadryl minimal effect, so Zyrtec given.  The hives started around vaccine site and spread to upper body, head --from there
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Dyspnoea, Ear pain
Clinical narrative: 7.21.21: patient seen 4 days ago by provider and tested positive for COVID-19; given azithromycin Z-pak, but not helping so came to ED with worsening shortness of breath, left ear pain, and fatigue.  patient previously received J&J COVID-19 vaccine on 4/2/2021.  Diagnosed with COVID-19 pneumonia, acute resp failure, hypoxia.  7/27/21: patient discharged
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: 7.21.21: patient seen 4 days ago by provider and tested positive for COVID-19; given azithromycin Z-pak, but not helping so came to ED with worsening shortness of breath, left ear pain, and fatigue.  patient previously received J&J COVID-19 vaccine on 4/2/2021.  Diagnosed with COVID-19 pneumonia, acute resp failure, hypoxia.  7/27/21: patient discharged
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Systemic: Numbness (specify: facial area, extremities)-Medium
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Rash, Rash pruritic, Scar, Urticaria
Clinical narrative: On April 25th, I woke up with a dry scaly rash on my face in several areas.  Over the course of the last several months, this rash along with bumps that resemble mosquito bites have appeared and healed over a couple of weeks, then appeared again and again.  Both scaly areas and welts are very itchy.    On July 13, I was seen at the doctor listed above where a biopsy of one of the scratched welts was taken; requiring 2 stitches.  Nothing of merit was found.  I have since broken out with the same rash again all over my body.  It is primarily the red welts and is very itchy.  Almost all welts appeared at once this last time while I was in my car driving home from work.  I have pictures of many of them taken that evening.   It was recommended that I return to the doctor for another biopsy.  I was told not to scratch the welts prior to that appt.  That proved to be next to impossible.  The appt was to be on July 29th; however, currently, all welts are scabbed over and healing so I cancelled the appt.  Additionally, the area where the welts have been leave what looks like a hole in my skin causing some scarring.   (I have picked at them as I would have any other blemish and have never had this result)
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Burning sensation, Fatigue, Hepatic cirrhosis, Inflammation
Clinical narrative: I felt kind of tired, my arm was really sore. I was weak for a day or day and a half. I had already been going through flare-ups with cirrhosis; burning, itching and persistent burning and itching. After the vaccine, with a couple of days my flare-ups and these symptoms got worse. I sought medical attention. As time went on, it got better. It took some time to get my immune system back to where the inflammation came down. Otezla started that a week or two before the shot. The doctor stayed the course with my medications but eventually I quit that by weaning myself off and we've been treating with steroids since, mostly due to insurance. That was in March when I got off the Otezla. I am still on steroids and I am supposed to stay on that as needed for the whole year.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus
Clinical narrative: I felt kind of tired, my arm was really sore. I was weak for a day or day and a half. I had already been going through flare-ups with cirrhosis; burning, itching and persistent burning and itching. After the vaccine, with a couple of days my flare-ups and these symptoms got worse. I sought medical attention. As time went on, it got better. It took some time to get my immune system back to where the inflammation came down. Otezla started that a week or two before the shot. The doctor stayed the course with my medications but eventually I quit that by weaning myself off and we've been treating with steroids since, mostly due to insurance. That was in March when I got off the Otezla. I am still on steroids and I am supposed to stay on that as needed for the whole year.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Generalised tonic-clonic seizure, Head injury, Panic attack
Clinical narrative: Patient had tonic clonic seizure activity for 20 seconds after walking back to waiting area post vaccine. Patient also fell out of chair and bumped his head. Patient stated he had feels of a panic attack coming on prior to falling out of his chair. Patient was not well hydrated prior to vaccine. He was brought water, and felt better shortly after getting back into his chair.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: COVID + result on 7/30/2021, symptom onset on 7/29/2021
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac stress test, Computerised tomogram, Dyspnoea, Electrocardiogram
Clinical narrative: Rapid heart neat fatigue shortness of breath
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased
Clinical narrative: Rapid heart neat fatigue shortness of breath
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: vial of pfizer covid vaccine was diluted with too much diluent.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging normal, Tinnitus
Clinical narrative: Pulsatile tinnitus
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dysphagia, Dyspnoea, Fatigue, Flushing
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Mild, Additional Details: Patient complained of heat on the arm and neck of the left side (side of vaccination). EMS contacted but patient refused treatment. Patient recovered and left under his own power.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypotension, Lethargy, Skin warm, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Mild, Additional Details: Patient complained of heat on the arm and neck of the left side (side of vaccination). EMS contacted but patient refused treatment. Patient recovered and left under his own power.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, HEPA, PNC13, VARCEL
Symptoms: No adverse event, Product administered at inappropriate site
Clinical narrative: Varicella vaccine was administered with a 5/8" needle syringe intramuscularly in the right deltoid rather than subcutaneously. The patient did not experience any adverse effects. The manufacturer was contacted to confirm if series needed to be repeated, which they confirmed that it would not. The patient's guardian was notified of the administration error and recommended to return in the specified timeframe to receive the second vaccine in the series.
Age: 16.0
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Incorrect vaccine given to patient. Patient is 16 years old and was given Flublok
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse event after waiting 15 minutes. But patient was under age of 18.  Parents came up to the site and requested Moderna. medic was overwhelmed at the time and did not check patients age before administering shot
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Computerised tomogram, Dyspnoea, Pneumonia, Pulmonary thrombosis
Clinical narrative: Difficulty breathing, treated for pneumonia, did not get better. Is currently in hospital with blood clots in lungs and legs. Difficulty breathing started not long after second dosage of vaccine.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thrombosis, X-ray
Clinical narrative: Difficulty breathing, treated for pneumonia, did not get better. Is currently in hospital with blood clots in lungs and legs. Difficulty breathing started not long after second dosage of vaccine.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Chill, fever, fatigue, headache; symptoms lasting 24 hrs with no treatment given
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Dysphagia, Swollen tongue
Clinical narrative: Approximately 13 minutes after pt received her first dose, she got my attention as I was walking by and notified me she felt like her tongue was swelling, she had a bad taste in her mouth, and it was getting hard to swallow. She was very calm, and her breathing was normal. Rapid Response initiated. The doctor assessed the pt, they gave her oral Benadryl, and the pt was able to walk out about an hour later after additional monitoring by the UC nurse.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: she started vomiting few minutes after she got the vaccine and she was dizzy. she waited 20 minutes until she felt better the, left with her mother
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram normal, Ejection fraction normal, Electrocardiogram abnormal, Myocarditis
Clinical narrative: Presented with left-sided chest pain 2 days after second dose of vaccine. Remained afebrile. Elevated troponin levels and EKG suggest myopericarditis. Echo showed normal ejection fraction. Received Toradol and aspirin at outside hospital, and then received ibuprofen at ED. He is now stable and under close cardiac monitoring.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Presented with left-sided chest pain 2 days after second dose of vaccine. Remained afebrile. Elevated troponin levels and EKG suggest myopericarditis. Echo showed normal ejection fraction. Received Toradol and aspirin at outside hospital, and then received ibuprofen at ED. He is now stable and under close cardiac monitoring.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anosmia, COVID-19, Ear congestion, Headache, Pyrexia
Clinical narrative: 7/20/21 runny nose, ear congestion, loss of smell 7/22/21 fever, headache 7/28/21 symptoms resolving 7/30/21 fully recovered, sense of smell returned
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 7/20/21 runny nose, ear congestion, loss of smell 7/22/21 fever, headache 7/28/21 symptoms resolving 7/30/21 fully recovered, sense of smell returned
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Flushing, Hyperhidrosis, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness/Lightheadedness-Medium, Systemic: Exhaustion/Lethargy-Medium, Systemic: Flushed/Sweating-Mild, Additional Details: It was 100 degree temperature outside. Patient said she had been outside all day. I fanned her, gave her water to drink and observed her for 20 minutes. She was fine in 15 minutes.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness/Lightheadedness-Medium, Systemic: Exhaustion/Lethargy-Medium, Systemic: Flushed/Sweating-Mild, Additional Details: It was 100 degree temperature outside. Patient said she had been outside all day. I fanned her, gave her water to drink and observed her for 20 minutes. She was fine in 15 minutes.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Blood test normal, Bone pain, Dysstasia
Clinical narrative: It started in both collar bones, they were so sore, when I would go to sleep, they felt like they were going to break. I went to the doctor and had some blood work done, which came back normal. Then I went to another doctor and by that time it went to my right shoulder, then to my hips, then to my left knee, and now my left shoulder. I am unable to sleep most nights because I am in so much pain. I am unable to do my landscaping business because of the pain. I also drive a school bus and it is difficult to sit down and drive and stand up. Even my personal vehicle is very difficult to drive. I have done heat therapy on my right shoulder. I am seeing a chiropractor now. Basically I have been living on Advil and Tylenol since I got the vaccine. If I do not take it, I am in horrendous amount of pain that I cannot stand it. I had x-rays done on my hips and shoulders and it showed some arthritis but nothing major that would explain this much pain. They sent me to a rheumatologist and they looked at my blood work and did some exams and said everything looks fine. I am doing an Ondamed treatment also, it's a pulsating electromagnetic frequency. On 03/10/2021 they gave me a prescription for meloxicam 15mg tablets. My doctor wants to send me to another rheumatologist and orthopedic surgeon but I refused because there is no point on seeing another doctor if they are going to tell me the same thing.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Impaired work ability, Magnetic therapy, Rheumatological examination, Sleep disorder
Clinical narrative: It started in both collar bones, they were so sore, when I would go to sleep, they felt like they were going to break. I went to the doctor and had some blood work done, which came back normal. Then I went to another doctor and by that time it went to my right shoulder, then to my hips, then to my left knee, and now my left shoulder. I am unable to sleep most nights because I am in so much pain. I am unable to do my landscaping business because of the pain. I also drive a school bus and it is difficult to sit down and drive and stand up. Even my personal vehicle is very difficult to drive. I have done heat therapy on my right shoulder. I am seeing a chiropractor now. Basically I have been living on Advil and Tylenol since I got the vaccine. If I do not take it, I am in horrendous amount of pain that I cannot stand it. I had x-rays done on my hips and shoulders and it showed some arthritis but nothing major that would explain this much pain. They sent me to a rheumatologist and they looked at my blood work and did some exams and said everything looks fine. I am doing an Ondamed treatment also, it's a pulsating electromagnetic frequency. On 03/10/2021 they gave me a prescription for meloxicam 15mg tablets. My doctor wants to send me to another rheumatologist and orthopedic surgeon but I refused because there is no point on seeing another doctor if they are going to tell me the same thing.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray limb abnormal, X-ray of pelvis and hip abnormal
Clinical narrative: It started in both collar bones, they were so sore, when I would go to sleep, they felt like they were going to break. I went to the doctor and had some blood work done, which came back normal. Then I went to another doctor and by that time it went to my right shoulder, then to my hips, then to my left knee, and now my left shoulder. I am unable to sleep most nights because I am in so much pain. I am unable to do my landscaping business because of the pain. I also drive a school bus and it is difficult to sit down and drive and stand up. Even my personal vehicle is very difficult to drive. I have done heat therapy on my right shoulder. I am seeing a chiropractor now. Basically I have been living on Advil and Tylenol since I got the vaccine. If I do not take it, I am in horrendous amount of pain that I cannot stand it. I had x-rays done on my hips and shoulders and it showed some arthritis but nothing major that would explain this much pain. They sent me to a rheumatologist and they looked at my blood work and did some exams and said everything looks fine. I am doing an Ondamed treatment also, it's a pulsating electromagnetic frequency. On 03/10/2021 they gave me a prescription for meloxicam 15mg tablets. My doctor wants to send me to another rheumatologist and orthopedic surgeon but I refused because there is no point on seeing another doctor if they are going to tell me the same thing.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Extreme fatigue. Tired all the time. Waymore than usual.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Hallucination, Hallucination, auditory
Clinical narrative: Hearing voices, hallucinations, mild degree of vision loss
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood glucose decreased, Blood potassium increased, Blood sodium decreased, Blood urea increased
Clinical narrative: Pt found unresponsive at home and confused. Enroute to hospital by EMS, pt respiratory arrested. ROSC was achieved.  Pt cardiac arrested 2nd time, with ROSC.  Pt critical upon admission.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Confusional state, Critical illness, Respiratory arrest, Unresponsive to stimuli
Clinical narrative: Pt found unresponsive at home and confused. Enroute to hospital by EMS, pt respiratory arrested. ROSC was achieved.  Pt cardiac arrested 2nd time, with ROSC.  Pt critical upon admission.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Pt found unresponsive at home and confused. Enroute to hospital by EMS, pt respiratory arrested. ROSC was achieved.  Pt cardiac arrested 2nd time, with ROSC.  Pt critical upon admission.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer covid vaccine diluted with too much diluent.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient contracted COVID-19 on 7/29/2021
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, COVID-19 pneumonia, Chest pain, Cough
Clinical narrative: 7.17.21: patient diagnosed with COVID-19 3 days prior, presents to ED with worsening "flu like symptoms" over past 2 weeks including fatigue, malaise, generalized body aches, dyspnea, dry cough, and CP, and hallucinations over last 24 hrs. Patient was previously vaccinated with COVID-19 J&J vaccine on 4/6/21. Diagnosed with: COVID-19 pneumonia, acute resp distress with hypoxia, poorly controlled DM. received remdesivir. 7/22/21: discharged
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Diabetes mellitus inadequate control, Dyspnoea, Fatigue, Hallucination, Hypoxia
Clinical narrative: 7.17.21: patient diagnosed with COVID-19 3 days prior, presents to ED with worsening "flu like symptoms" over past 2 weeks including fatigue, malaise, generalized body aches, dyspnea, dry cough, and CP, and hallucinations over last 24 hrs. Patient was previously vaccinated with COVID-19 J&J vaccine on 4/6/21. Diagnosed with: COVID-19 pneumonia, acute resp distress with hypoxia, poorly controlled DM. received remdesivir. 7/22/21: discharged
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Malaise, Pain
Clinical narrative: 7.17.21: patient diagnosed with COVID-19 3 days prior, presents to ED with worsening "flu like symptoms" over past 2 weeks including fatigue, malaise, generalized body aches, dyspnea, dry cough, and CP, and hallucinations over last 24 hrs. Patient was previously vaccinated with COVID-19 J&J vaccine on 4/6/21. Diagnosed with: COVID-19 pneumonia, acute resp distress with hypoxia, poorly controlled DM. received remdesivir. 7/22/21: discharged
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, COVID-19, Chest pain, Computerised tomogram thorax abnormal, Cough
Clinical narrative: Hospitalization for COVID-19 Repiratory Infection with hypoxemia treated with redmdesivir. .   Symptoms: right side chest pain, cough, body aches for 2 days prior to hospitalization. Hospitalized for 5 days
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Pain, Respiratory tract infection, Soft tissue inflammation
Clinical narrative: Hospitalization for COVID-19 Repiratory Infection with hypoxemia treated with redmdesivir. .   Symptoms: right side chest pain, cough, body aches for 2 days prior to hospitalization. Hospitalized for 5 days
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Throat tightness
Clinical narrative: Approximately 10 minutes after administration, patient stated that their throat felt tight and that they were having difficulty swallowing.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Condition aggravated, Maternal exposure during breast feeding, Nausea, Palpitations
Clinical narrative: Pt is about 10-12 weeks post partum. Breast fed exclusively. Reports still having vaginal bleeding post delivery. Hx of palpitations triggered by anxiety. Last episode was "several years ago". Used to take propanolol for control (not currently). Palpitations were treated with rest and propanolol. No other known medical conditions or medications.  Denies any cardio/pulm/endocrine issues.   Five minutes post vaccination with dose #1, she started to feel "chest discomfort like sharp, localized discomfort (not pain) on left upper chest. They occurred every 3 min and lasted about 40 seconds.   After 20 min observation, she reports that she "feels better". Palpitations occurred every 3-5 mins but lasted less than 20 seconds. Pt also c/o nausea.  vitals @12:30 BP 121/71, HR 70, RR 14, SpO2 100% -- > @12:40 117/68, 66,14, 100%, Temp 98.2 -- > @12:45 120/66, 66, 14, 100%, 98.2 -- > @12:55 111/65, 66, 14, 100%, 98.2 -- > @13:00 110/65, 66, 14, 100%, 98.2 -- >@13:03 108/63, 63, 14, 98.2 -- > 13:12 119/68, 100%   Denies SOB, CP, HA, or dizziness. Pt given water and laid down on cot.  Pt speaking in full sentences and sipping water.  Patient stable, released from vaccination site. Patient was discharged at 13:15. Reports she "feels better". Palpitations have improved significantly. ?Recommended patient follow up with their healthcare provider. Follow up instructions provided. Go to Urgent Care if palpitations worsening or new sx such as dizziness, HA, or syncope.  FU with pcp if sx persists after 72 hours.   Patient agreed and verbalized understanding. Husband drove her home.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Pt is about 10-12 weeks post partum. Breast fed exclusively. Reports still having vaginal bleeding post delivery. Hx of palpitations triggered by anxiety. Last episode was "several years ago". Used to take propanolol for control (not currently). Palpitations were treated with rest and propanolol. No other known medical conditions or medications.  Denies any cardio/pulm/endocrine issues.   Five minutes post vaccination with dose #1, she started to feel "chest discomfort like sharp, localized discomfort (not pain) on left upper chest. They occurred every 3 min and lasted about 40 seconds.   After 20 min observation, she reports that she "feels better". Palpitations occurred every 3-5 mins but lasted less than 20 seconds. Pt also c/o nausea.  vitals @12:30 BP 121/71, HR 70, RR 14, SpO2 100% -- > @12:40 117/68, 66,14, 100%, Temp 98.2 -- > @12:45 120/66, 66, 14, 100%, 98.2 -- > @12:55 111/65, 66, 14, 100%, 98.2 -- > @13:00 110/65, 66, 14, 100%, 98.2 -- >@13:03 108/63, 63, 14, 98.2 -- > 13:12 119/68, 100%   Denies SOB, CP, HA, or dizziness. Pt given water and laid down on cot.  Pt speaking in full sentences and sipping water.  Patient stable, released from vaccination site. Patient was discharged at 13:15. Reports she "feels better". Palpitations have improved significantly. ?Recommended patient follow up with their healthcare provider. Follow up instructions provided. Go to Urgent Care if palpitations worsening or new sx such as dizziness, HA, or syncope.  FU with pcp if sx persists after 72 hours.   Patient agreed and verbalized understanding. Husband drove her home.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: sore arm that prevents her from using it. Has been improving with bedrest.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Vomiting
Clinical narrative: vagal response and emesis rest and hydration with snack
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Breast pain, Breast swelling, Erythema, Fatigue
Clinical narrative: Swollen of breast, redness around areolas and pain on both breasts. Also nipples were very sensitive. I starting having vaginal bleeding. I am on menopause (without my period for the last 4 years). Feeling very tired in the middle of the day and I have no strength to do anything.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Sensory disturbance
Clinical narrative: Swollen of breast, redness around areolas and pain on both breasts. Also nipples were very sensitive. I starting having vaginal bleeding. I am on menopause (without my period for the last 4 years). Feeling very tired in the middle of the day and I have no strength to do anything.
Age: 11.0
Sex: F
Vaccine: COVID19, HPV9, MNQ, TDAP
Symptoms: Incomplete course of vaccination, Product administered to patient of inappropriate age
Clinical narrative: Father completed paperwork indicating client was 12 yrs of age, correct DOB 9/21/2009 given also at time of registration.  Nurse preparing vaccine noted age as 12 as indicated by father and did not calculate age using DOB.  Pfizer COVID vaccine offered to parent and accepted.  COVID and other vaccines administered.  Client returned with parent at appropriate time for second dose.  Nurse administering vaccine at that time noted age was 11 yrs. and vaccine not given and why.  Mother contacted office the following day to discuss COVID being given.  Mother informed according to current CDC guidelines, dose # 1 was valid and that second dose should be given when the client turns 12 yrs of age.  Mother also told that if CDC guidance changes she would be contacted.   Mom verbalized understanding
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on 1/20/21; 2/18/21 Tested positive for COVID by PCR on 7/30/21 Unknown if symptomatic or further details.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Bell's palsy, Gastrooesophageal reflux disease, Laboratory test normal
Clinical narrative: esophageal reflux (accompanied by severe upper back pain)  and Bells Palsy
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Acute sinusitis, Oropharyngeal pain, Pharyngitis, Rhinorrhoea, Throat irritation
Clinical narrative: 7/17 Acute maxillary sinusitis (5 days), runny nose, watery eyes 7/20 Acute pharyngitis (1 day), throat pain, white spots at the back of my throat  Both these events were possibly a result of an RSV infection
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: COVID Pfizer diluted with too much diluent.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysgeusia, Malaise, Rhinorrhoea
Clinical narrative: For both injections, I have, within an hour, a metalic taste that last, at least for the first dose, approimately 36 hours. The second dose, just today, has the same effect on my taste - matallic taste. Also, not too sure if connected, a runny nose. I know the matallic taste is both benign & rare, just thought it important to get the reaction on record.   Curious to know the cuase(s) of this adverse effect.   Also, feeling a bit under the weather after each shot.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Arm soreness and couldn't raise my arm above the shoulder
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cataract, Cyanopsia, Ophthalmological examination abnormal, Scan, Visual field defect
Clinical narrative: I developed a sudden scotoma in my left eye. I also see blue blobs of light from my left eye a 1-3 times per day on average that come and go.  There is no treatment. After visits to a opthamologist and retina specialists, the ophthamologist diagnosed Acute Ideopathic Blind Spot Enlargement. She said it's unusual, but she's apparently not concerned about it.  I still have the scotoma and blue blobs.  The information Dr. gave me on AIBSE states it is can be from a viral illness or from vaccination.
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Headache, Injection site muscle weakness, Muscle fatigue, Muscular weakness
Clinical narrative: extreme muscle fatigue, esp at site but extends into entire body mainly shoulder, arms and hands, headache, no energy
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Depressed level of consciousness, Dizziness, Fall, Muscle rigidity, Musculoskeletal stiffness
Clinical narrative: During the monitoring period after receiving the vaccine, the patient was casually chatting with co-workers. Approximately 15 minutes later, she mentioned "I am dizzy" while seated on a chair, then she immediately fell off the chair to the side.  The pharmacist rushed to support her head, and she did not hit her head against any objects around. With assistance she was laid flat on the floor. When asked "can you hear me" she responded "yes". She did not entirely lose consciousness, however she had a brief seconds of pre-syncope and body stiffness, rigidity. Pharmacist requested to call 911 to evaluate her. Upon arrival of emergency team, her vitals were stable, BP 130/82 and normal HR and RR. She continued to report feeling shaky but with no difficulty breathing. She was able to stand and walk approximately 20-25 minutes after the onset of symptoms.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Presyncope
Clinical narrative: During the monitoring period after receiving the vaccine, the patient was casually chatting with co-workers. Approximately 15 minutes later, she mentioned "I am dizzy" while seated on a chair, then she immediately fell off the chair to the side.  The pharmacist rushed to support her head, and she did not hit her head against any objects around. With assistance she was laid flat on the floor. When asked "can you hear me" she responded "yes". She did not entirely lose consciousness, however she had a brief seconds of pre-syncope and body stiffness, rigidity. Pharmacist requested to call 911 to evaluate her. Upon arrival of emergency team, her vitals were stable, BP 130/82 and normal HR and RR. She continued to report feeling shaky but with no difficulty breathing. She was able to stand and walk approximately 20-25 minutes after the onset of symptoms.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: covid Pfizer diluted with too much diluent
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Electrocardiogram normal, Fatigue, Headache, Hyponatraemia
Clinical narrative: He didn't have irritation or redness at the injection site. The next morning at 7:45 am feeling really tired had headache he had a fever of 100. He went to bed his fever worsened that evening (on 7/19 100.4,5:25 PM ET,100.8, 8:30 PM ET ). At that point he was given cold compress to lower the temperature. On 7/20 at 3:23 PM  temperature was 101 and 7:43 PM 103.1. We spoke with his pediatrician was advised to get him a 97.2 degree bath.His temperature went from 102.8 to 100.9.Then on 7/21 he became coherent in a state of confusion I gave him some Advil. Before we got to the hospital his temperature continued to elevate 103.8.  At the hospital around 6:45 pm his temperature read 103.1 when we arrived they gave him Tylenol admitted him right away he was given IV fluids,pulse rate 189, platelets (150 to 112) was dropping and Tylenol was given every 4 hrs. On 7/23 8:24 AM still in the hospital rash started appearing all over his body and white of his eyes (both) developed red veins headache worsened was seen by a Infectious disease doctor. He was discharged on 7/24 diagnosis of Thrombocytopenia, Leukopenia and Acute hyponatremia.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Leukopenia, Ocular hyperaemia, Platelet count decreased, Pyrexia, Rash
Clinical narrative: He didn't have irritation or redness at the injection site. The next morning at 7:45 am feeling really tired had headache he had a fever of 100. He went to bed his fever worsened that evening (on 7/19 100.4,5:25 PM ET,100.8, 8:30 PM ET ). At that point he was given cold compress to lower the temperature. On 7/20 at 3:23 PM  temperature was 101 and 7:43 PM 103.1. We spoke with his pediatrician was advised to get him a 97.2 degree bath.His temperature went from 102.8 to 100.9.Then on 7/21 he became coherent in a state of confusion I gave him some Advil. Before we got to the hospital his temperature continued to elevate 103.8.  At the hospital around 6:45 pm his temperature read 103.1 when we arrived they gave him Tylenol admitted him right away he was given IV fluids,pulse rate 189, platelets (150 to 112) was dropping and Tylenol was given every 4 hrs. On 7/23 8:24 AM still in the hospital rash started appearing all over his body and white of his eyes (both) developed red veins headache worsened was seen by a Infectious disease doctor. He was discharged on 7/24 diagnosis of Thrombocytopenia, Leukopenia and Acute hyponatremia.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Thrombocytopenia
Clinical narrative: He didn't have irritation or redness at the injection site. The next morning at 7:45 am feeling really tired had headache he had a fever of 100. He went to bed his fever worsened that evening (on 7/19 100.4,5:25 PM ET,100.8, 8:30 PM ET ). At that point he was given cold compress to lower the temperature. On 7/20 at 3:23 PM  temperature was 101 and 7:43 PM 103.1. We spoke with his pediatrician was advised to get him a 97.2 degree bath.His temperature went from 102.8 to 100.9.Then on 7/21 he became coherent in a state of confusion I gave him some Advil. Before we got to the hospital his temperature continued to elevate 103.8.  At the hospital around 6:45 pm his temperature read 103.1 when we arrived they gave him Tylenol admitted him right away he was given IV fluids,pulse rate 189, platelets (150 to 112) was dropping and Tylenol was given every 4 hrs. On 7/23 8:24 AM still in the hospital rash started appearing all over his body and white of his eyes (both) developed red veins headache worsened was seen by a Infectious disease doctor. He was discharged on 7/24 diagnosis of Thrombocytopenia, Leukopenia and Acute hyponatremia.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Lip blister, Oral herpes
Clinical narrative: Developed fever blister on the right side of my lower lip
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Cardiovascular symptom, Dizziness, Dyspnoea, Laboratory test
Clinical narrative: Dizzy difficult breathing. Hair loss, I felt like I was having a heart attack. It lasted for several weeks
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Exposure to SARS-CoV-2, Myalgia
Clinical narrative: Received Pfizer vaccines on 4/1/21, 4/22/21 tested positive for COVID by PCR on 7/29/21 Onset date 7/26/21 w/  cough, fever, chills, myalgias, congestion; known exposure to COVID
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on 4/1/21, 4/22/21 tested positive for COVID by PCR on 7/29/21 Onset date 7/26/21 w/  cough, fever, chills, myalgias, congestion; known exposure to COVID
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Pyrexia
Clinical narrative: Dizziness, Fatigue and low grade fever(max 100.0) starting within hours of vaccination, lasting 48hours. Motrin was taken which helped symptoms.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: 7/20/2021: Patient presents with progressive shortness of breath, associated hypoxemia necessitation oxygen supplements. Patient previously received the Pfizer COVID-19 vaccine on 1/19/2021 and 2/10/2021. Patient tested positive for COVID-19 3 days ago and again on admission.  7/21/21: patient discharged back to assisted living facility. Chest X-ray does not identify any significant infiltrates.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Urticaria
Clinical narrative: patient received her COVID vaccine elsewhere (unknown) - she presented to our Emergency Department on 4/8/2021 with complaints of hives and redness to arms and legs.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, Extraocular muscle paresis, Eye pain, Neck pain, Ophthalmological examination normal
Clinical narrative: I had bad neck pain the day after the first and second vaccine. It lasted 3-5 days. I don't know how soon after, because I don't know if it's related or not but I've had a lot of eye strain and eye pain. I'm up-to-date on my eye exams and I've never had this issue before but several days a week since early in the year, I get very bad eye strain, like my eye muscles are so sore. I also have a harder time changing focus from one thing to another. I can't control it and my eyes adjust/focus/get big, without me trying. The eye problems listed, I still have.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: I had bad neck pain the day after the first and second vaccine. It lasted 3-5 days. I don't know how soon after, because I don't know if it's related or not but I've had a lot of eye strain and eye pain. I'm up-to-date on my eye exams and I've never had this issue before but several days a week since early in the year, I get very bad eye strain, like my eye muscles are so sore. I also have a harder time changing focus from one thing to another. I can't control it and my eyes adjust/focus/get big, without me trying. The eye problems listed, I still have.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hypoacusis, Loss of consciousness, Malaise, Muscle rigidity
Clinical narrative: During vaccination, patient stated she was anxious about getting vaccinated and exclaimed that it "wasn't so bad" after administration was complete. Patient and her parent were informed to stay in the store for 15 minutes to monitor for signs/symptoms of a reaction.  After about 5 minutes passed, patient stated the back of her neck started to ache and her vision was starting to go black.  The mother notified the pharmacy staff that her daughter didn't feel well, and I left the pharmacy to see what was going on.  As soon as I reached the patient, she lost consciousness and unresponsive for about a minute and a half.  At that time I noticed her skin was pale and her body had become rigid.  She regained consciousness and seemed to be functioning in a normal capacity but explained she still felt off (her earing was muffled and she was still experiencing the visual disturbances).  EMS was called to the scene and when they evaluated her, she appeared to have normal vital signs.  The mother decided to have her go with EMS to be evaluated at the hospital to confirm everything was okay.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pallor, Unresponsive to stimuli, Visual impairment
Clinical narrative: During vaccination, patient stated she was anxious about getting vaccinated and exclaimed that it "wasn't so bad" after administration was complete. Patient and her parent were informed to stay in the store for 15 minutes to monitor for signs/symptoms of a reaction.  After about 5 minutes passed, patient stated the back of her neck started to ache and her vision was starting to go black.  The mother notified the pharmacy staff that her daughter didn't feel well, and I left the pharmacy to see what was going on.  As soon as I reached the patient, she lost consciousness and unresponsive for about a minute and a half.  At that time I noticed her skin was pale and her body had become rigid.  She regained consciousness and seemed to be functioning in a normal capacity but explained she still felt off (her earing was muffled and she was still experiencing the visual disturbances).  EMS was called to the scene and when they evaluated her, she appeared to have normal vital signs.  The mother decided to have her go with EMS to be evaluated at the hospital to confirm everything was okay.
Age: 56.0
Sex: F
Vaccine: PNC13
Symptoms: No adverse event
Clinical narrative: No reaction reported via patient.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Ear pain, Pain of skin
Clinical narrative: Severe ear pain on the right side. Tender scalp.  Visited the ER and urgent care to get pain relief.  Prednisone was prescribed and helped ease the pain bug pain is still persisting after medication was consisted.  Went to the ENT and am following up with sinus catscan, chiropractor, dental specialist, allergy treatment, and neurologist.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus
Clinical narrative: Patient stated she felt tingly and her back felt itchy
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough Case. Positive 7/30/21
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Lethargy, Pyrexia
Clinical narrative: Shortness of breath, fever, lethargic, admitted to the hospital on 7/27, discharged 7/29
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Lymphadenopathy, Neck pain, Throat irritation
Clinical narrative: Throat itchy and Thick swollen glands, neck pain
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Individual is a physician who presented for vaccination , completed the consent vaccine form and was given the vaccine.  Later upon entering the vaccine into the system for the state - it seems he has already been vaccinated with the 2 dose Pfizer series
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Pericardial effusion
Clinical narrative: Pericardial effusion
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dehydration, Eye swelling, Headache, Lymphadenopathy, Rash
Clinical narrative: 3 day headache, dehydration (slight kidney issue), swollen left eyelid and left gland (behind ear), rash on forehead
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Renal disorder
Clinical narrative: 3 day headache, dehydration (slight kidney issue), swollen left eyelid and left gland (behind ear), rash on forehead
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: At 1412 , patient was vaccinated in anti-gravity chair. At 1427, patient reported dizziness to EMT. Patient reported dizziness after her first dose. Patient reported she did not alert EMTs on site and dizziness went away when she got home. Patient reported not following up with primary care provider for her first dose reaction. At 1427, EMT assessed patient vitals: blood pressure 130/89 mmHg and pulse 82 beats/minute. RN assessed patient. Patient denied itchiness, rashes, hives, difficulty swallowing, and difficulty breathing. Patient advised to drink water. Patient offered water. Patient drank water. At 1432, EMT assessed patient vitals: blood pressure 124/94 mmHg and pulse 88 beats/minute. Patient reported feeling less dizziness. At 1441, EMT reassessed patient vital signs: blood pressure 133/87 mmHg and pulse 84 beats/minute. Patient reported feeling less dizziness and stated she was "feeling better". At 1451, EMT reassessed patient vital signs: blood pressure 128/88 mmHg and pulse 88 beats/minute. Patient reported feeling less dizziness. Patient reported she can drive herself home and stated "I'm okay". RN educated patient on signs/symptoms of when to seek emergency care, to follow up with primary care provider and to register with v-safe. At approximately 1257, patient left facility with unlabored respirations and steady gait.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Electrocardiogram normal, Pallor, Presyncope
Clinical narrative: "10 minutes after first pfizer vaccine shot (11:32), pt started having blurry vision, dizziness, and per staff, pt was pale. Per witnesses, pt had a near syncope. Never fully passed out. Helped to the ground.  Initial vitals BP 102/74, HR 64-174, RR 18.  911 called @ 11:35. In the ED: Pt feels better now upon arrival to ED. No seizure-like activity or convulsions.  Patient has no complaints at this time, states he feels back to normal.  He denies injury or pain. POC Glucose - 90 12 lead EKG Normal @12:47. Vitals BP 112/61, HR 67, RR 22, SpO2 100%, Temp 98.4. ED MD concludes that the episode was likely vasovagal syndrome."
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: "10 minutes after first pfizer vaccine shot (11:32), pt started having blurry vision, dizziness, and per staff, pt was pale. Per witnesses, pt had a near syncope. Never fully passed out. Helped to the ground.  Initial vitals BP 102/74, HR 64-174, RR 18.  911 called @ 11:35. In the ED: Pt feels better now upon arrival to ED. No seizure-like activity or convulsions.  Patient has no complaints at this time, states he feels back to normal.  He denies injury or pain. POC Glucose - 90 12 lead EKG Normal @12:47. Vitals BP 112/61, HR 67, RR 22, SpO2 100%, Temp 98.4. ED MD concludes that the episode was likely vasovagal syndrome."
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Retching, Vomiting
Clinical narrative: Headaches, dizziness, nausea and vomiting (w/dry heaving)
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anosmia, COVID-19, Headache, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated w/ Pfizer vaccines on 1/18/21, 2/8/21 Tested positive for COVID19 by PCR on 7/29/21 after 2-3 wk h/o loss of smell, headache. To receive monoclonal antibodies on 7/30/21.