chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Chest X-ray normal, Dizziness, Fatigue
Clinical narrative: On the day of the shot My head felt slightly foggy and my arm was sore for 3 days. About 8-9 days later on the 24 of June 2021 I Was on my computer and all of a sudden I felt a rush of fatigue and felt very weak and lightheaded almost like passing out and felt dizzy and nauseous. I was taken to the ER and they ran some blood tests to see what it could be but everything came back normal. The next day I had to go back to the ER because the symptoms had not gone away. This time they did more blood tests to check my heart, lungs, stomach, liver, pancreas, etc. All the blood work came back normal according to the doctor. I even had an x-ray of my chest done and it was normal. They sent me home with just some pill for nausea. 3 days later all those symptoms just magically went away and I was back to normal, but then about 15-20 days later I was at my computer again and then all of a sudden I felt dizzy again and nauseous and weak. I waited 3 days and then went to the ER again on the 20th of June 2021. The docotr said I could be experiencing an episode of maybe vertigo so he gave me meclizine and sent me home. The meclizine did not help and made me just feel worse. I went to see a doctor at a clinic 2 days later because the symptoms were not going away and he put me on IV fluids and gave me some antibiotic shot incase I was suffering from dehydration and vertigo due to a possible ear problem. he also gave me ciprofloxacin and prednisone and some other pills like loratidine. I took the treatment but the symptoms did not go away and have not gone away and it is now 8/6/2021. this doctor also did some blood work to test my blood sugar and blood pressure and other things but it all keeps coming back normal.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Nausea, Pain in extremity
Clinical narrative: On the day of the shot My head felt slightly foggy and my arm was sore for 3 days. About 8-9 days later on the 24 of June 2021 I Was on my computer and all of a sudden I felt a rush of fatigue and felt very weak and lightheaded almost like passing out and felt dizzy and nauseous. I was taken to the ER and they ran some blood tests to see what it could be but everything came back normal. The next day I had to go back to the ER because the symptoms had not gone away. This time they did more blood tests to check my heart, lungs, stomach, liver, pancreas, etc. All the blood work came back normal according to the doctor. I even had an x-ray of my chest done and it was normal. They sent me home with just some pill for nausea. 3 days later all those symptoms just magically went away and I was back to normal, but then about 15-20 days later I was at my computer again and then all of a sudden I felt dizzy again and nauseous and weak. I waited 3 days and then went to the ER again on the 20th of June 2021. The docotr said I could be experiencing an episode of maybe vertigo so he gave me meclizine and sent me home. The meclizine did not help and made me just feel worse. I went to see a doctor at a clinic 2 days later because the symptoms were not going away and he put me on IV fluids and gave me some antibiotic shot incase I was suffering from dehydration and vertigo due to a possible ear problem. he also gave me ciprofloxacin and prednisone and some other pills like loratidine. I took the treatment but the symptoms did not go away and have not gone away and it is now 8/6/2021. this doctor also did some blood work to test my blood sugar and blood pressure and other things but it all keeps coming back normal.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: Patient develop alopecia of approximately 4 cm in diameter to L posterior scalp approximately 1 week after second dose of Pfizer vaccination. (Second dose lot # EW0175 given on 5/8/21). Symptoms persist as of 8/6/21, pt has undergone intralesional steroid injection which has helped encourage areas of new growth.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pallor, Vision blurred
Clinical narrative: Few minutes after vaccine, pt stated dizzy, lightheaded, blurred vision and was pale - placed cool rag on patients neck and monitored blood pressure. pt began felling better after a few minutes.  BP/HR reading #1 90/68BP 84 HR 2:44pm #2 111/78BP 85 HR 2:52pm #3 112/76 BP 83 HR 3:00 Offered to call 911 for EMTs to check patient out, Pt stated felt better after staying for total of approx 30 minutes and left with spouse. Called pt several hours later and pt stated felt fine and no more adverse effects.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Euphoric mood, Headache, Muscle spasms, Pain
Clinical narrative: First shot not listed on 4/27/2021: Sore arm first 30 hrs, between 30-57 hrs I had fever, Euphoria, bad muscle aches for up to 70 hrs. Second shot on 5/18/2021: No arm soreness, Fever, Sever body aches, and Euphoria started/lasted 12-72 hours after injection.  Started developing calf cramping around 24 hrs and continued to have minor bruising in both calf muscles starting around 72 hours continuing for up to a next few weeks. Calf discomfort/cramping started subsiding around a 3-4 weeks after shot but developed severe hamstring bruising (possibly clotting) around June 20 (roughly 1 month after second shot).  By second week in July bruising was gone, still have minor discomfort in both calfs but only right leg hamstring discomfort.  Only other side effect has been more frequent headaches (usually daily).  I do have some bruising pictures if needed.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: First shot not listed on 4/27/2021: Sore arm first 30 hrs, between 30-57 hrs I had fever, Euphoria, bad muscle aches for up to 70 hrs. Second shot on 5/18/2021: No arm soreness, Fever, Sever body aches, and Euphoria started/lasted 12-72 hours after injection.  Started developing calf cramping around 24 hrs and continued to have minor bruising in both calf muscles starting around 72 hours continuing for up to a next few weeks. Calf discomfort/cramping started subsiding around a 3-4 weeks after shot but developed severe hamstring bruising (possibly clotting) around June 20 (roughly 1 month after second shot).  By second week in July bruising was gone, still have minor discomfort in both calfs but only right leg hamstring discomfort.  Only other side effect has been more frequent headaches (usually daily).  I do have some bruising pictures if needed.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypersensitivity, Incomplete course of vaccination, Pharyngeal swelling, Pruritus
Clinical narrative: Pt informed pharmacy via email to provider on 08/4/2021 of the following: Wed 8/4/2021 9:24 AM I recently got my moderna vaccine at from you and had a really bad allergic reaction to it after leaving the hospital. My throat got swollen and itchy and it became really hard to breathe. After I took a Benadryl at home the symptoms subsided slightly. For this reason I am not comfortable getting the second dose of moderna. I am wondering what type of  you can put on my vaccination card to wave the second dose? Please let me know what you think.  Thank you, The provider called the patient on 08/04/2021 at 1:05 pm. Patient stated that after the dose was administered in her left arm, confirmed she waited 30 minutes with her friend Redcap record ID: 556); pt was indicated for 30 min wait period due to hx penicillin allergy (anaphylaxis). Today, patient confirms that PCN is her only known allergy.  Per pt, no ADR experienced during 30 min wait period. Pt reports that she first felt sxs of allergic reaction on her car ride home (lives 15 mins away from pharmacy). Reports left arm and hand became "hot and itchy", followed by throat feeling swollen and tight. States she was "wheezing" but denies loss of consciousness. Arrived home after her 15 min drive, and took 2 tablets of "regular dose" Benadryl (patient unable to confirm dose via phone today. Per pt, symptoms began resolving, with full resolution by 2 hrs. Patient did NOT report symptoms to any healthcare provider until today. She has not experienced any further ADR after initial resolution at 2 hrs.   Patient was informed that she experienced an immediate type severe allergic reaction and that further immunization with Moderna or any other COVID-19 vaccine is contraindicated at this time. Patient understands she should not be receiving her second dose. Patient school requires completion of immunization, and patient will be submitting a medical waiver signed.  Discussed and emphasized with the patient that the symptoms she was experiencing are considered urgent, and must be assessed by a provider immediately. Patient understands that any future incidence of allergic type reactions resembling this one are extremely urgent. She confirms understanding and agrees to call providers/go to urgent care or ER ASAP if ever experiencing severe allergic reactions again.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Throat irritation, Throat tightness, Wheezing
Clinical narrative: Pt informed pharmacy via email to provider on 08/4/2021 of the following: Wed 8/4/2021 9:24 AM I recently got my moderna vaccine at from you and had a really bad allergic reaction to it after leaving the hospital. My throat got swollen and itchy and it became really hard to breathe. After I took a Benadryl at home the symptoms subsided slightly. For this reason I am not comfortable getting the second dose of moderna. I am wondering what type of  you can put on my vaccination card to wave the second dose? Please let me know what you think.  Thank you, The provider called the patient on 08/04/2021 at 1:05 pm. Patient stated that after the dose was administered in her left arm, confirmed she waited 30 minutes with her friend Redcap record ID: 556); pt was indicated for 30 min wait period due to hx penicillin allergy (anaphylaxis). Today, patient confirms that PCN is her only known allergy.  Per pt, no ADR experienced during 30 min wait period. Pt reports that she first felt sxs of allergic reaction on her car ride home (lives 15 mins away from pharmacy). Reports left arm and hand became "hot and itchy", followed by throat feeling swollen and tight. States she was "wheezing" but denies loss of consciousness. Arrived home after her 15 min drive, and took 2 tablets of "regular dose" Benadryl (patient unable to confirm dose via phone today. Per pt, symptoms began resolving, with full resolution by 2 hrs. Patient did NOT report symptoms to any healthcare provider until today. She has not experienced any further ADR after initial resolution at 2 hrs.   Patient was informed that she experienced an immediate type severe allergic reaction and that further immunization with Moderna or any other COVID-19 vaccine is contraindicated at this time. Patient understands she should not be receiving her second dose. Patient school requires completion of immunization, and patient will be submitting a medical waiver signed.  Discussed and emphasized with the patient that the symptoms she was experiencing are considered urgent, and must be assessed by a provider immediately. Patient understands that any future incidence of allergic type reactions resembling this one are extremely urgent. She confirms understanding and agrees to call providers/go to urgent care or ER ASAP if ever experiencing severe allergic reactions again.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lacrimation increased, Odynophagia, Pain in jaw
Clinical narrative: Blinding headache left side, moving to pain in temple, left eye watering, jaw pain, pain swallowing.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Headache, Influenza like illness, Joint noise, Loss of personal independence in daily activities
Clinical narrative: Flu like symptoms reported daily on CDC vaccine follow up app.  Headache, body aches, random pin pricks of pain throughout body, joint pain in toes, knees, elbows, neck, stiff muscles.  Stiffness and joint pain worsened weekly and still continues.  Can't do yoga due to pain.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Neck pain, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Flu like symptoms reported daily on CDC vaccine follow up app.  Headache, body aches, random pin pricks of pain throughout body, joint pain in toes, knees, elbows, neck, stiff muscles.  Stiffness and joint pain worsened weekly and still continues.  Can't do yoga due to pain.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Laboratory test normal, Musculoskeletal stiffness
Clinical narrative: Flu like symptoms reported daily on CDC vaccine follow up app.  Headache, body aches, random pin pricks of pain throughout body, joint pain in toes, knees, elbows, neck, stiff muscles.  Stiffness and joint pain worsened weekly and still continues.  Can't do yoga due to pain.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Encephalopathy, Metabolic encephalopathy
Clinical narrative: profound acute renal failure, acute respiratory failure, acute metabolic encephalopathy
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient was given the shot and was telling the immunizer that this was his first time getting a shot when he suddenly stopped and said he was feeling light headed and then passed out. The immunizer came and got me and when I entered the room the patient was bent forward and slightly swaying and unresponsive. I was about to call 911 when the patient finally came to. He said he was still a little dizzy so I had him continue to sit in the chair. upon talking to the patient I found out that he had not eaten yet and was outside painting in the hot weather. When I checked on him a little bit later he said he was feeling much better. I called him a little later to check on him and he told me he had eaten and was doing much better.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Dose given to 17 by mistake.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pain, Stomatitis
Clinical narrative: Sore in roof of mouth, painful like a blister.  No treatment; symptom still present
Age: 55.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Altered state of consciousness, Dizziness, Nausea, Presyncope, Vomiting
Clinical narrative: Pt experienced a Vasovagal response including dizziness, brief altered conscientiousness,  nausea and vomiting.  We laid him down on his side and he spent 45 minutes recovering, was examined by EMS, drank electrolytes and left with a family member.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: PATIENT ATTESTED ON HER VACCINE INTAKE FORM THAT SHE HAD NEVER RECEIVED A COVID19 VACCINE. WE GAVE THE VACCINE AS REQUESTED. UPON ENTERING THE VACCINE IN OUR PHARMACY SOFTWARE, WE SAW THAT SHE HAD RECEIVED A 2 DOSE SERIES OF MODERNA VACCINE AT ANOTHER LOCATION WITHIN OUR COMPANY IN DECEMBER 2020 - JANUARY 2021.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Breast enlargement, Breast pain, Mammogram normal, Ultrasound breast normal
Clinical narrative: I received Moderna vaccine. The first shot on 2/25/21 010A21A on right arm. The second shot on 3/25/21 016B21A on left arm. I have enlarged breasts. They have gone from a size B to a size D.  I recently got a mammogram and ultrasound on July 30th and the results came back as no sign of breast cancer. I didn't know that larger breasts were an adverse reaction until I recently did a Google search recently. They are also hurting a lot and have been hurting for months which is why I went for a mammogram.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient claimed this was his first COVID 19 vaccination however upon processing vaccination we found that patient received Moderna 12/26/20 and 1/25/21. Patient marked NO on questionnaire if he had ever received a COVID 19 vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Blood test, Contusion, Differential white blood cell count, Full blood count
Clinical narrative: Day of vaccine and day after- elevated heart rate, 100 bpm. Approximately 8-10 days after vaccine, bruising on left and right legs, and inner thighs, and persistent itching all throughout body without rash.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, International normalised ratio, Metabolic function test, Platelet count, Prothrombin level
Clinical narrative: Day of vaccine and day after- elevated heart rate, 100 bpm. Approximately 8-10 days after vaccine, bruising on left and right legs, and inner thighs, and persistent itching all throughout body without rash.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Day of vaccine and day after- elevated heart rate, 100 bpm. Approximately 8-10 days after vaccine, bruising on left and right legs, and inner thighs, and persistent itching all throughout body without rash.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Patient received the vaccine on 7/14/21 in the evening. Patient said he woke up on 7/15/21 with a red dot rash on his body that did not itch. He said it lasted for 1 week and resolved on its own.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Breast cyst, Breast mass, Gynaecological examination abnormal, Heavy menstrual bleeding, Mammogram abnormal
Clinical narrative: On 4/9/2021 (approximately two weeks after my first dose of the Moderna COVID-19 vaccine) I felt a large lump in my left breast near the nipple on the side opposite my armpit (closest to the center of my body). My gynecologist completed an exam and confirmed a ~ 2cm lump. I was then referred for a mammogram and a sonogram. The lump began to decrease in size leading up to the exams, but the exams were still able to detect a small cyst at the location described above. The tests confirmed the lump was neither cancer nor a swollen lymph node. Shortly after my second dose of the Moderna vaccination on 4/22/2021, the cyst began to increase in size again. By mid-May I could no longer feel the cyst and it has not been large enough for me to notice ever since. I had never experienced a breast cyst in my life until receiving my first COVID vaccine on 3/25/2021. In addition to the cyst, I experienced heavier than normal vaginal bleeding with my seasonal birth control sugar pills beginning around 5/7/2021 and lasting for several days. This was the first time I had experienced vaginal bleeding on the sugar pills for approximately 1.5 years. Because I have been taking seasonal birth control for so many years, I no longer experience bleeding even while on the sugar pills. I will not know if this phenomenon will recur because I have not yet taken additional sugar pills since 5/7.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound breast abnormal, Vaginal haemorrhage
Clinical narrative: On 4/9/2021 (approximately two weeks after my first dose of the Moderna COVID-19 vaccine) I felt a large lump in my left breast near the nipple on the side opposite my armpit (closest to the center of my body). My gynecologist completed an exam and confirmed a ~ 2cm lump. I was then referred for a mammogram and a sonogram. The lump began to decrease in size leading up to the exams, but the exams were still able to detect a small cyst at the location described above. The tests confirmed the lump was neither cancer nor a swollen lymph node. Shortly after my second dose of the Moderna vaccination on 4/22/2021, the cyst began to increase in size again. By mid-May I could no longer feel the cyst and it has not been large enough for me to notice ever since. I had never experienced a breast cyst in my life until receiving my first COVID vaccine on 3/25/2021. In addition to the cyst, I experienced heavier than normal vaginal bleeding with my seasonal birth control sugar pills beginning around 5/7/2021 and lasting for several days. This was the first time I had experienced vaginal bleeding on the sugar pills for approximately 1.5 years. Because I have been taking seasonal birth control for so many years, I no longer experience bleeding even while on the sugar pills. I will not know if this phenomenon will recur because I have not yet taken additional sugar pills since 5/7.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Extra dose administered, Fatigue, Interchange of vaccine products, Wrong product administered
Clinical narrative: Patient came in for a shingles shot, but was accidentally given a covid shot.  Patient had already received 2 doses of Moderna on 3/9/21 and 4/6/21, so this was his third dose of the covid vaccine.  The patient said he felt a little dizzy and a little tired and I will be following up with him and his daughter  over the weekend.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Inappropriate schedule of product administration, Pain in extremity
Clinical narrative: Patient was administered the Pfizer vaccine a week early (2 weeks after 1st dose). Patient was scheduled for 2nd dose on Thursday 8/12/21, but arrived at the pharmacy on Thursday 8/5/21. Patient called the pharmacy a few hours after receiving the vaccine to notify us that she mistakenly thought it was 8/12/21 and that she had received the vaccine a week early.  We noted down the error and have been following up with the patient to monitor  any side effects that she is experiencing. Patient has only reported arm soreness and fatigue since receiving the vaccine.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: NONE
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient was revaccinated. She requested and was administered the first dose of Pfizer COVID-19 because her PCP told her to get it to give her better protection from the Delta variant. She had already received Janssen COVID-19 vaccine five months earlier at a different facility. The first vaccine was not in the  database. No adverse effects have been reported.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphthous ulcer, Blood pressure increased, Blood test normal, Chills, Faeces hard
Clinical narrative: Patient became ill the evening after getting the vaccine. She started feeling like a flu was coming on. The next day, 08/03, she had chills, fever, and began shaking. On 8/4/21, she began feeling better, but had canker sores throughout her mouth and a swollen lip. On 8/5/21, she noticed blood in her stool and went to the hospital. They performed blood tests (nothing abnornal) and released her. She had blood in her stool on 8/6/21 consisting of hard clumps of blood. The hospital told her her blood pressure was reading high and told her to see an endocrinologist.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haematochezia, Illness, Influenza, Lip swelling, Pyrexia
Clinical narrative: Patient became ill the evening after getting the vaccine. She started feeling like a flu was coming on. The next day, 08/03, she had chills, fever, and began shaking. On 8/4/21, she began feeling better, but had canker sores throughout her mouth and a swollen lip. On 8/5/21, she noticed blood in her stool and went to the hospital. They performed blood tests (nothing abnornal) and released her. She had blood in her stool on 8/6/21 consisting of hard clumps of blood. The hospital told her her blood pressure was reading high and told her to see an endocrinologist.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: Patient became ill the evening after getting the vaccine. She started feeling like a flu was coming on. The next day, 08/03, she had chills, fever, and began shaking. On 8/4/21, she began feeling better, but had canker sores throughout her mouth and a swollen lip. On 8/5/21, she noticed blood in her stool and went to the hospital. They performed blood tests (nothing abnornal) and released her. She had blood in her stool on 8/6/21 consisting of hard clumps of blood. The hospital told her her blood pressure was reading high and told her to see an endocrinologist.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I was diagnosed with shingles 6 days after receiving first injection.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Inflammatory marker increased, Interstitial lung disease, Red blood cell sedimentation rate increased
Clinical narrative: we reviewed COVID shot record and timeline today         pt had pneumonia on 3-1-2021 and he had started to get better and was on on 3-16-2021.         Then pt had first covid shot on 3-18-2021         he was in on 3-29-2021 and reported getting better but was still SOB         pt went to the ED on 4-6-2021 and because he could not breathe and this is when the extensive interstitial lung disease was Dx         then he got second covid shot on 4-16-2021         inflammatory blood markers positive on 4-21-2021, RF 46
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Rheumatoid factor increased
Clinical narrative: we reviewed COVID shot record and timeline today         pt had pneumonia on 3-1-2021 and he had started to get better and was on on 3-16-2021.         Then pt had first covid shot on 3-18-2021         he was in on 3-29-2021 and reported getting better but was still SOB         pt went to the ED on 4-6-2021 and because he could not breathe and this is when the extensive interstitial lung disease was Dx         then he got second covid shot on 4-16-2021         inflammatory blood markers positive on 4-21-2021, RF 46
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Fatigue, Feeling cold, Headache, Insomnia
Clinical narrative: Headache, fever, extremely cold, stiffness in body, arms and legs(especially right leg). Anxiety, Sleeplessness, Fatigue
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pyrexia
Clinical narrative: Headache, fever, extremely cold, stiffness in body, arms and legs(especially right leg). Anxiety, Sleeplessness, Fatigue
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram, Electrocardiogram, Magnetic resonance imaging, X-ray
Clinical narrative: I had pain in my chest on the left side. I called the EMT to take me to hospital.  I thought I was having a heart attack.  The pain got worse when I arrived at the hospital. I know they gave me a nitro-glycerin pill when I arrived.  I don't remember any other medications except for pain relievers. I was admitted and stayed overnight . The pain subsided the next day and they discharged me.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Euphoric mood, Feeling abnormal, Head discomfort
Clinical narrative: Constant dizziness and pressure in head, giving a lightheaded or high feeling. Occasional nausea. Trouble concentrating and foggy thinking. Not going away as of 1 week after the shot.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Constant dizziness and pressure in head, giving a lightheaded or high feeling. Occasional nausea. Trouble concentrating and foggy thinking. Not going away as of 1 week after the shot.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swollen lymph nodes in injected arm
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Cough, Decreased appetite, Headache
Clinical narrative: Headache, vaccine site pain, nausea, weakness, anorexia, dry cough, myalgia, joint pain. My spouse had onset of symptoms at the same time post-vaccination (about 11 hours).  He has malaise, myalgia, partial anorexia, acute recurrence of shingles with generalized stabbing pains. Age 78. We are now 31 hours post vaccination and our symptoms have not improved.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Vaccination site pain
Clinical narrative: Headache, vaccine site pain, nausea, weakness, anorexia, dry cough, myalgia, joint pain. My spouse had onset of symptoms at the same time post-vaccination (about 11 hours).  He has malaise, myalgia, partial anorexia, acute recurrence of shingles with generalized stabbing pains. Age 78. We are now 31 hours post vaccination and our symptoms have not improved.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dizziness postural, Feeling abnormal, Hyperhidrosis, Malaise
Clinical narrative: after giving Pfizer shot within 5 minutes patient site on bench and watching phone and per him he feel not well so stood up and complaint about having dizziness fuzzy sweating, chest pain and wants to call EMS, called EMS informed member of management she was at pharmacy, paramedics came in at the pharmacy and checked patient by that time he said he started feeling better and he went with paramedics to sign paper and at same time they are also checking on him ,he don't want to go hospital in ambulance because he was feeling better per him ,informed mother he is waiting in his truck, left message  to mother per patient instruction, called mom at 9:30 pm to get update ,paramedics told vital signs are good no need to go to hospital, go home and watch him and if need then contact hospital ,per her he was doing well
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac stress test, Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: started having sharp chest pains, shortness of breath, tightness in chest made breathing difficult
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pruritus, Erythema, Feeling hot, Injection site erythema, Throat irritation
Clinical narrative: Pt arm began turning red below the vaccination site and the right arm began turning red as well. Patient complained of feeling warm and was given diphenhydramine liquid 50mg .Began complaining of itching in ears and throat. After approximately fifteen minutes after taking the medication she started feeling better. Remained in the store approximately 45 min to and hour after receiving the vaccine. She left with husband and children feeling better.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging normal
Clinical narrative: Pt states that he has had a headache for 2 months since his 2nd dose of the Moderna vaccine. He has seen his doctor about this, who has prescribed amitriptyline & ibuprofen. He has had an MRI done & pt states the prescriber did not find anything. Pt stated that he used to take heart medications but he stopped them...I advised following up w/ the doc who prescribed the heart medications as having uncontrolled blood pressure can cause headache. He however states that his blood pressure is not currently high.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Back pain, Cardiac disorder, Posture abnormal
Clinical narrative: After 2 days of vaccination, there are continuous pain around joints all over the body and especially on the back. In the extreme case, I can only fold like a shrimp.   Also I feel like my heart is being grasped hard and therefore the whole body is weak, this happens like once a week.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Ultrasound Doppler normal
Clinical narrative: Severe left arm swelling from shoulders into arm and hand. Started Medrol Dose pack  today 08/06/2021.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Nausea, Vomiting
Clinical narrative: Mom says patient became nauseated evening of 8/4 and threw up a few times. She kept patient home, Thursday 8/5 for monitoring.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed Shingles. Was prescribed medication to treat shingles and after a few weeks shingles went away.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling and numbness in feet.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Pruritus, Rash, Rash erythematous
Clinical narrative: Itchy swollen knees with a bright red rash concentrated at the knees first noted approximately 5 minutes after showering. The rash slightly spread up and down both legs but was paler than at the knees. Rash, swelling, and itching increased then ultimately subsided within 2 hours.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Optic ischaemic neuropathy
Clinical narrative: Had a TIA in my right eye.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Acidosis, Ammonia increased, Anion gap decreased, Blood calcium decreased, Blood chloride normal
Clinical narrative: Patient received vaccine on 7/28/21 at clinic. Presented to ER on 7/31/21 after vomiting large amount of bright red blood 1 hour PTA.  She was admitted to ICU, required 8 units PRBSx, 3 units FFP, and 1 unit platelets with poor response in Hgb and Hct. Required pressors  up to maintain BP.  EGD revealed bleeding varices which were banded.  On ICU day 2 patient became increasingly acidotic and began to desaturate. Oxygenation improved with increased sedation and 2 additional units PRBC.  On ICU day 3 patient became hypertensive, pressors were stopped.  There was acute change in LOC with decreased responsiveness to painful stimuli and nonreactive pupils. Head CT showed severe diffuse cerebral edema c/w hypoxic brain injury.  Patient continued to deteriorate and decision made for compassionate extubation. Pateint  expired at 2110.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine increased, Blood glucose normal, Blood lactic acid increased, Blood magnesium increased, Blood potassium normal
Clinical narrative: Patient received vaccine on 7/28/21 at clinic. Presented to ER on 7/31/21 after vomiting large amount of bright red blood 1 hour PTA.  She was admitted to ICU, required 8 units PRBSx, 3 units FFP, and 1 unit platelets with poor response in Hgb and Hct. Required pressors  up to maintain BP.  EGD revealed bleeding varices which were banded.  On ICU day 2 patient became increasingly acidotic and began to desaturate. Oxygenation improved with increased sedation and 2 additional units PRBC.  On ICU day 3 patient became hypertensive, pressors were stopped.  There was acute change in LOC with decreased responsiveness to painful stimuli and nonreactive pupils. Head CT showed severe diffuse cerebral edema c/w hypoxic brain injury.  Patient continued to deteriorate and decision made for compassionate extubation. Pateint  expired at 2110.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Blood sodium decreased, Blood urea increased, Brain injury, Brain oedema
Clinical narrative: Patient received vaccine on 7/28/21 at clinic. Presented to ER on 7/31/21 after vomiting large amount of bright red blood 1 hour PTA.  She was admitted to ICU, required 8 units PRBSx, 3 units FFP, and 1 unit platelets with poor response in Hgb and Hct. Required pressors  up to maintain BP.  EGD revealed bleeding varices which were banded.  On ICU day 2 patient became increasingly acidotic and began to desaturate. Oxygenation improved with increased sedation and 2 additional units PRBC.  On ICU day 3 patient became hypertensive, pressors were stopped.  There was acute change in LOC with decreased responsiveness to painful stimuli and nonreactive pupils. Head CT showed severe diffuse cerebral edema c/w hypoxic brain injury.  Patient continued to deteriorate and decision made for compassionate extubation. Pateint  expired at 2110.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Computerised tomogram head abnormal, Condition aggravated, Death, Depressed level of consciousness
Clinical narrative: Patient received vaccine on 7/28/21 at clinic. Presented to ER on 7/31/21 after vomiting large amount of bright red blood 1 hour PTA.  She was admitted to ICU, required 8 units PRBSx, 3 units FFP, and 1 unit platelets with poor response in Hgb and Hct. Required pressors  up to maintain BP.  EGD revealed bleeding varices which were banded.  On ICU day 2 patient became increasingly acidotic and began to desaturate. Oxygenation improved with increased sedation and 2 additional units PRBC.  On ICU day 3 patient became hypertensive, pressors were stopped.  There was acute change in LOC with decreased responsiveness to painful stimuli and nonreactive pupils. Head CT showed severe diffuse cerebral edema c/w hypoxic brain injury.  Patient continued to deteriorate and decision made for compassionate extubation. Pateint  expired at 2110.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Glomerular filtration rate decreased, Haematemesis, Haematocrit decreased, Haemoglobin increased
Clinical narrative: Patient received vaccine on 7/28/21 at clinic. Presented to ER on 7/31/21 after vomiting large amount of bright red blood 1 hour PTA.  She was admitted to ICU, required 8 units PRBSx, 3 units FFP, and 1 unit platelets with poor response in Hgb and Hct. Required pressors  up to maintain BP.  EGD revealed bleeding varices which were banded.  On ICU day 2 patient became increasingly acidotic and began to desaturate. Oxygenation improved with increased sedation and 2 additional units PRBC.  On ICU day 3 patient became hypertensive, pressors were stopped.  There was acute change in LOC with decreased responsiveness to painful stimuli and nonreactive pupils. Head CT showed severe diffuse cerebral edema c/w hypoxic brain injury.  Patient continued to deteriorate and decision made for compassionate extubation. Pateint  expired at 2110.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Intensive care, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume normal
Clinical narrative: Patient received vaccine on 7/28/21 at clinic. Presented to ER on 7/31/21 after vomiting large amount of bright red blood 1 hour PTA.  She was admitted to ICU, required 8 units PRBSx, 3 units FFP, and 1 unit platelets with poor response in Hgb and Hct. Required pressors  up to maintain BP.  EGD revealed bleeding varices which were banded.  On ICU day 2 patient became increasingly acidotic and began to desaturate. Oxygenation improved with increased sedation and 2 additional units PRBC.  On ICU day 3 patient became hypertensive, pressors were stopped.  There was acute change in LOC with decreased responsiveness to painful stimuli and nonreactive pupils. Head CT showed severe diffuse cerebral edema c/w hypoxic brain injury.  Patient continued to deteriorate and decision made for compassionate extubation. Pateint  expired at 2110.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Oesophageal variceal ligation, Oesophageal varices haemorrhage, Oesophagogastroduodenoscopy abnormal, Oxygen saturation decreased, Packed red blood cell transfusion
Clinical narrative: Patient received vaccine on 7/28/21 at clinic. Presented to ER on 7/31/21 after vomiting large amount of bright red blood 1 hour PTA.  She was admitted to ICU, required 8 units PRBSx, 3 units FFP, and 1 unit platelets with poor response in Hgb and Hct. Required pressors  up to maintain BP.  EGD revealed bleeding varices which were banded.  On ICU day 2 patient became increasingly acidotic and began to desaturate. Oxygenation improved with increased sedation and 2 additional units PRBC.  On ICU day 3 patient became hypertensive, pressors were stopped.  There was acute change in LOC with decreased responsiveness to painful stimuli and nonreactive pupils. Head CT showed severe diffuse cerebral edema c/w hypoxic brain injury.  Patient continued to deteriorate and decision made for compassionate extubation. Pateint  expired at 2110.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased, Platelet transfusion, Pupil fixed, Red blood cell count decreased, Red cell distribution width increased
Clinical narrative: Patient received vaccine on 7/28/21 at clinic. Presented to ER on 7/31/21 after vomiting large amount of bright red blood 1 hour PTA.  She was admitted to ICU, required 8 units PRBSx, 3 units FFP, and 1 unit platelets with poor response in Hgb and Hct. Required pressors  up to maintain BP.  EGD revealed bleeding varices which were banded.  On ICU day 2 patient became increasingly acidotic and began to desaturate. Oxygenation improved with increased sedation and 2 additional units PRBC.  On ICU day 3 patient became hypertensive, pressors were stopped.  There was acute change in LOC with decreased responsiveness to painful stimuli and nonreactive pupils. Head CT showed severe diffuse cerebral edema c/w hypoxic brain injury.  Patient continued to deteriorate and decision made for compassionate extubation. Pateint  expired at 2110.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Transfusion, Unresponsive to stimuli, White blood cell count increased
Clinical narrative: Patient received vaccine on 7/28/21 at clinic. Presented to ER on 7/31/21 after vomiting large amount of bright red blood 1 hour PTA.  She was admitted to ICU, required 8 units PRBSx, 3 units FFP, and 1 unit platelets with poor response in Hgb and Hct. Required pressors  up to maintain BP.  EGD revealed bleeding varices which were banded.  On ICU day 2 patient became increasingly acidotic and began to desaturate. Oxygenation improved with increased sedation and 2 additional units PRBC.  On ICU day 3 patient became hypertensive, pressors were stopped.  There was acute change in LOC with decreased responsiveness to painful stimuli and nonreactive pupils. Head CT showed severe diffuse cerebral edema c/w hypoxic brain injury.  Patient continued to deteriorate and decision made for compassionate extubation. Pateint  expired at 2110.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Nausea, Paraesthesia
Clinical narrative: Client after 5 minutes of administration of the vaccine, she reported a feeling of initial dizziness and nausea. Then, she reported a tingling sensation throughout her body.  I call 911. An EMS Unit arrived 10 minutes after. The lead responder with another team member. Client's vitals were: BP 128/84, HR 82, Glucose level 79 mg/dl, Oxygenation rate of 100%. She ate pizza at 1:15pm, her weight was 170 lbs 4 months post gravidarum. The EMS team asked her to stand without assistance. She did without any trouble. She was not dizzy then . The team asked her if she wanted to go to  the hospital. The client refused and was against medical advice. I asked her if needed to go to the hospital. She declined also. The EMS team asked her to stand up again. She did without feeling dizzy or faint. She wanted to have her sister escort her to her house. The EMS team and I asked again if her wanted to go to the hospital, she refused again. She was able to stand and walk without assistance. The EMS team asked when will her sister arrive. She said that she will arrive in 10 minutes. Then, they left. Her sister, arrived in 10 minutes, to take her home.  She had no trouble standing or walking. I escorted the client and her sister to the door of the store.  The client was contacted twice at 8:30pm, and at 9:11pm. She reported that she was a lot better.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Immediate post-injection reaction, Nausea
Clinical narrative: Within one minute of vaccine administration the client stated he felt lightheaded and "faint". Lead RN called EMT over to assist. Client became unresponsive while sitting in the vaccination chair at approximately 1151. Client regained responsiveness in less than 10 seconds and was A&Ox4. Client denied any pertinent medical history and regular medication use. Client stated he was allergic to cephalexin but denied any other allergies to medications/food/environment. A first set of vitals were taken at 1152 BP: 120/80, HR: 60, RR 12, skins pale, cool and clammy. Client was sweating profusely and stated he felt nauseous at a level 1/10. Client stated his last oral intake was at 0930 when he had eggs for breakfast. Client was given a Nutrigrain bar and bottle of water and instructed to slip slowly and eat slowly. Client stated he had a "severe aversion" to needles. Client was transferred to a wheelchair and then the zero gravity chair in the observation area without incidence. A second set of vitals taken at 1200:  BP 122/80, HR: 70, RR 20, skins normal color for ethnicity, cool and clammy, A&Ox4. Client instructed to rest and relax in zero gravity chair for continued monitoring. At 1205 a third set of vitals taken: BP 132/90, HR 62, RR 18, skins normal color for ethnicity, warm and dry. Client stated he felt, "much better". He stated he felt, "a little weak, but the lightheadedness was gone". At 1220 a fourth set of vitals taken: BP 134/88, HR 60, RR 14, A&Ox4, skins warm, dry and normal color for ethnicity. Client stated he still felt a little weak but otherwise was fine. At 1245 client stated he felt ready to leave. A final set of vitals were taken at 1245 BP: 134/82, HR 60, RR 16 skins warm and dry. Lead RN educated client on ED precautions. At 1250 client left the observation site on his own accord and with a steady gait.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Within one minute of vaccine administration the client stated he felt lightheaded and "faint". Lead RN called EMT over to assist. Client became unresponsive while sitting in the vaccination chair at approximately 1151. Client regained responsiveness in less than 10 seconds and was A&Ox4. Client denied any pertinent medical history and regular medication use. Client stated he was allergic to cephalexin but denied any other allergies to medications/food/environment. A first set of vitals were taken at 1152 BP: 120/80, HR: 60, RR 12, skins pale, cool and clammy. Client was sweating profusely and stated he felt nauseous at a level 1/10. Client stated his last oral intake was at 0930 when he had eggs for breakfast. Client was given a Nutrigrain bar and bottle of water and instructed to slip slowly and eat slowly. Client stated he had a "severe aversion" to needles. Client was transferred to a wheelchair and then the zero gravity chair in the observation area without incidence. A second set of vitals taken at 1200:  BP 122/80, HR: 70, RR 20, skins normal color for ethnicity, cool and clammy, A&Ox4. Client instructed to rest and relax in zero gravity chair for continued monitoring. At 1205 a third set of vitals taken: BP 132/90, HR 62, RR 18, skins normal color for ethnicity, warm and dry. Client stated he felt, "much better". He stated he felt, "a little weak, but the lightheadedness was gone". At 1220 a fourth set of vitals taken: BP 134/88, HR 60, RR 14, A&Ox4, skins warm, dry and normal color for ethnicity. Client stated he still felt a little weak but otherwise was fine. At 1245 client stated he felt ready to leave. A final set of vitals were taken at 1245 BP: 134/82, HR 60, RR 16 skins warm and dry. Lead RN educated client on ED precautions. At 1250 client left the observation site on his own accord and with a steady gait.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Allergic reaction at injection site. Arm looks swollen around site, feels hot, big bumps and feels hard.