chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Body temperature, Brain natriuretic peptide, Chest X-ray, Echocardiogram, Electrocardiogram
Clinical narrative: This is a 22-year-old male without significant past medical history presenting with several days of chest pressure after coronavirus vaccination.  His vital signs are stable and he was afebrile upon arrival to the ED with a benign and reassuring physical examination.  His initial EKG does show some diffuse ST segment elevation/PR depression that was not as impressive on a repeat EKG.  Bedside point-of-care echocardiogram shows grossly normal function without obvious pericardial effusion or other acute abnormalities.  Chest x-ray unremarkable.  Laboratory work-up with undetectable troponin and normal BNP.  Incidentally patient was found to have elevated ALT and AST although he is not having any gastrointestinal symptoms.  On repeat history is not had any recent travel or risk factors for hepatitis.  He has not been taking significant amount of acetaminophen at home.  We did obtain a hepatitis panel which did not show evidence of acute infection.  Acetaminophen level was negative.  Mono and coronavirus test were negative.  A right upper quadrant ultrasound was unremarkable.  At this time I do suspect that he may have pericarditis as the underlying cause of his chest discomfort, likely in the setting of a recent coronavirus vaccination.  He does not have evidence of ACS, PE, pneumonia, pneumothorax, life-threatening arrhythmia, or other immediate life threat.  Regarding his transaminitis, he does not have evidence of choledocholithiasis, cholecystitis, acute viral hepatitis, or other acutely emergent pathology.  We will discharge him home at this time with a prescription for high-dose ibuprofen as well as extremely strict return precautions instructions to follow close with his primary care provider.  He was specifically instructed that he needs to have repeat transaminases drawn within the next several days to week and that if he has not heard from his primary care provider by Friday morning he should call his primary care provider's office or walk-in to sick call directly.  He is agreeable with this plan and all of his questions and concerns were addressed prior to discharge.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram ST segment elevation, Pericarditis, Troponin, Vital signs measurement
Clinical narrative: This is a 22-year-old male without significant past medical history presenting with several days of chest pressure after coronavirus vaccination.  His vital signs are stable and he was afebrile upon arrival to the ED with a benign and reassuring physical examination.  His initial EKG does show some diffuse ST segment elevation/PR depression that was not as impressive on a repeat EKG.  Bedside point-of-care echocardiogram shows grossly normal function without obvious pericardial effusion or other acute abnormalities.  Chest x-ray unremarkable.  Laboratory work-up with undetectable troponin and normal BNP.  Incidentally patient was found to have elevated ALT and AST although he is not having any gastrointestinal symptoms.  On repeat history is not had any recent travel or risk factors for hepatitis.  He has not been taking significant amount of acetaminophen at home.  We did obtain a hepatitis panel which did not show evidence of acute infection.  Acetaminophen level was negative.  Mono and coronavirus test were negative.  A right upper quadrant ultrasound was unremarkable.  At this time I do suspect that he may have pericarditis as the underlying cause of his chest discomfort, likely in the setting of a recent coronavirus vaccination.  He does not have evidence of ACS, PE, pneumonia, pneumothorax, life-threatening arrhythmia, or other immediate life threat.  Regarding his transaminitis, he does not have evidence of choledocholithiasis, cholecystitis, acute viral hepatitis, or other acutely emergent pathology.  We will discharge him home at this time with a prescription for high-dose ibuprofen as well as extremely strict return precautions instructions to follow close with his primary care provider.  He was specifically instructed that he needs to have repeat transaminases drawn within the next several days to week and that if he has not heard from his primary care provider by Friday morning he should call his primary care provider's office or walk-in to sick call directly.  He is agreeable with this plan and all of his questions and concerns were addressed prior to discharge.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: After receiving his second dose of vaccine, patient walked and sat down in the waiting area to be monitored and soon started feeling light headed. I approached him and he was losing consciousness and starting turning pale. He was also profusely sweating. I called 911 and EMS soon arrived and took his vitals. His wife gave EMS his history and told them this happens when he has blood drawn. This did not happen after his first dose of Moderna vaccine. He was lying down on his side. EMS took an EKG and said his heart looked good. His blood pressure was 120/90. After 10 minutes patient said he was feeling fine and did not want to go to the hospital. He answered all of EMS's questions correctly such as "Where are you?" "What year is it?" "Who is the president?" " How many quarters are in a dollar?" Patient went home with his wife and said he will follow up with his doctor. I will call him tomorrow on 6-18-21 to see how he is doing.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Condition aggravated, Dizziness, Fatigue
Clinical narrative: Contracted Covid-19 on 10/24/20 from a family member who contracted it through their workplace.  Symptoms during active covid infection: - Low grade fever (topped ~ 102) - Body/muscle aches - Nausea/GI issues - ?Brain Fog? - 100% loss of smell and taste - Fatigue/Exhaustion - Sinus Congestion - Skin sensitivity Quarantined for 14 days and majority of symptoms were no longer present.   Over the next 4 months many symptoms resolved themselves while others remained present, and new symptoms became present.   It was determined by my primary healthcare providers that I am a ?long hauler?.  Symptoms remaining: - ?Brain Fog? - Fatigue/Exhaustion - Heart skipping a beat or fluttering - Feeling of ?thick blood? or low-oxygenated blood - Feeling faint/weak New Symptoms: - Unconscious deep breaths every 5-10 minutes - Difficulty swallowing/choking on non-food and non-drink swallows - Tightness in chest (usually relieved immediately by a large amount of water) - Feeling of a racing heart/skipping beats - Sinus congestion to the point of diminished hearing and ?popping? of ears - Anxiety while in public - Depression - Dry eyes/painful discharge from eyes   Received 1st  dose of Pfizer vaccine (ER8735) on 4/20/21 @ Pharmacy Received 2nd dose of Pfizer vaccine (EW0179) on 5/11/21 @ Pharmacy Effects 2+weeks after 2nd dose:   - Vertigo/Dizziness (far worse than prior to vaccine) - Tightness in chest (far worse than prior to vaccine) - ?Brain Fog? (far worse than prior to vaccine) - Fatigue/Exhaustion (fluctuates daily, in general far worse than prior to vaccine) - Intense need for hydration without the instinct of thirst - Perceived inability to regulate body temperature (often feeling hot while not hot or cold while not cold).   Sweating only in hands/feet. - Paranoia/anxiety/depression - Adverse reaction to extended sun exposure
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Paranoia, Photosensitivity reaction, Vertigo
Clinical narrative: Contracted Covid-19 on 10/24/20 from a family member who contracted it through their workplace.  Symptoms during active covid infection: - Low grade fever (topped ~ 102) - Body/muscle aches - Nausea/GI issues - ?Brain Fog? - 100% loss of smell and taste - Fatigue/Exhaustion - Sinus Congestion - Skin sensitivity Quarantined for 14 days and majority of symptoms were no longer present.   Over the next 4 months many symptoms resolved themselves while others remained present, and new symptoms became present.   It was determined by my primary healthcare providers that I am a ?long hauler?.  Symptoms remaining: - ?Brain Fog? - Fatigue/Exhaustion - Heart skipping a beat or fluttering - Feeling of ?thick blood? or low-oxygenated blood - Feeling faint/weak New Symptoms: - Unconscious deep breaths every 5-10 minutes - Difficulty swallowing/choking on non-food and non-drink swallows - Tightness in chest (usually relieved immediately by a large amount of water) - Feeling of a racing heart/skipping beats - Sinus congestion to the point of diminished hearing and ?popping? of ears - Anxiety while in public - Depression - Dry eyes/painful discharge from eyes   Received 1st  dose of Pfizer vaccine (ER8735) on 4/20/21 @ Pharmacy Received 2nd dose of Pfizer vaccine (EW0179) on 5/11/21 @ Pharmacy Effects 2+weeks after 2nd dose:   - Vertigo/Dizziness (far worse than prior to vaccine) - Tightness in chest (far worse than prior to vaccine) - ?Brain Fog? (far worse than prior to vaccine) - Fatigue/Exhaustion (fluctuates daily, in general far worse than prior to vaccine) - Intense need for hydration without the instinct of thirst - Perceived inability to regulate body temperature (often feeling hot while not hot or cold while not cold).   Sweating only in hands/feet. - Paranoia/anxiety/depression - Adverse reaction to extended sun exposure
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Corneal reflex decreased, Facial paresis, Hypoaesthesia
Clinical narrative: Patient is a 28 year old male who developed left side facial weakness and numbness a day after his second COVID-19 vaccination. His physical exam was notable for left sided forehead and mouth weakness, with loss of left side blink although forced eye closure intact on the left side.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Vein disorder
Clinical narrative: I have never seen a vein in my upper arm before. I noted in mirror on 6/14/2021 a single blue vein leading from the injection site up over my shoulder. The vein crossed my collarbone and branched out horizontally into many smaller  veins. The color was light blue. The veins were not above my skin, but flush.  By afternoon they disappeared.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Eye movement disorder, Lethargy, Posture abnormal
Clinical narrative: Patient was very nervous about the receiving the 2nd dose. We had a in depth conversation about side effects because she had a headache with the 1st dose. Mom held her hand. A few minutes post, her sister saw that she was slumped over & her eyes had rolled to the back of her head. We tried to wake her up & she was very lethargic. I gave her 2 small bottles of water, pb crackers, 3 hard candies & elevated her feet. Mom said we didn't need to get medical attention. After about 10 minutes she was still very lethargic & mom said yes to EMS when asked again. Another mom came over & helped us lay her on the floor to elevate her feet above her head. Her husband came in & assessed patient. Her pulse was 60 & when he asked her to squeeze his fingers & press against his feet it was week. She told us that she hadn't eaten a full meal since the night before, only had watermelon as a snack. The ambulance came & took her.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood test abnormal, Chest pain, Depressed mood, Electrocardiogram normal
Clinical narrative: After receiving the vaccination, I couldn't move my head without feeling nauseous. This feeling lasted for 30 days. It affected everything that I did. My potassium dropped and that is why I ended up in the hospital. This sickness made it to where I couldn't eat or do anything. I also experienced severe chest pain. At the hospital, they checked my potassium and it was low. They gave me Phenergan for nausea and prescription for more. I followed up with my doctor and my potassium was still low, so we upped my dosage. As of today, I'm constantly feeling massively fatigued. I've started having down/depressed days. After receiving the vaccine, I am completely down and feeling awful.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Illness, Loss of personal independence in daily activities, Nausea, X-ray normal
Clinical narrative: After receiving the vaccination, I couldn't move my head without feeling nauseous. This feeling lasted for 30 days. It affected everything that I did. My potassium dropped and that is why I ended up in the hospital. This sickness made it to where I couldn't eat or do anything. I also experienced severe chest pain. At the hospital, they checked my potassium and it was low. They gave me Phenergan for nausea and prescription for more. I followed up with my doctor and my potassium was still low, so we upped my dosage. As of today, I'm constantly feeling massively fatigued. I've started having down/depressed days. After receiving the vaccine, I am completely down and feeling awful.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature decreased, Dizziness, Hyperhidrosis, Pallor, Vomiting
Clinical narrative: Patient was siting at the waiting area after about 10 minutes receiving first Covid19 Pfizer shot. Mom reported to pharmacist staff that patient turned pale and felt dizzy. Pharmacist suggested patient to drink water and continued to rest while pharmacist monitored patient. Pharmacist tried to take patient's blood pressure but pharmacy didn't have the right cuff so she was  unable to obtain patient's blood pressure. Patient then was sweating and mom continued to give her water while pharmacist checked patient's temperature (recorded 94.6'F). Few minutes later, patient vomited. Mom gave patient water after she was done vomiting. Patient reported she felt better afterwards. Patient was monitored for about 15 minutes and she was able to walk herself and left the pharmacy waiting area with mother. Pharmacist suggested mother to call doctor for follow up advice.
Age: 21.0
Sex: M
Vaccine: MNQ
Symptoms: Expired product administered, No adverse event
Clinical narrative: An expired vaccine was administered to patient on 6/17/21.  Pt did not have any adverse reaction. Expiration date of vaccine 04/14/2021.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Dyspnoea, Epistaxis, Fatigue, Thrombosis
Clinical narrative: patient stated he went to the hospital for blood clots.  Says he went in last Tuesday or Wednesday for heavy breathing.  Normal activity was making him very tired.  Had COVID infection in March.  The doctors cannot determine what other cause could have led to him having blood clots.  Patient was released yesterday from being in since last Tuesday or Wednesday.  Patient says he's having nose bleeds starting today.  He was on the blood thinner shots but not sure of the name.  Now he is on the pills (Eliquis) from pharmacy instead of the shot.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt did not show for second appt and upon contacting him- his family indicated that he got it last week. Dose 1 was 5/20/21- he got dose 2 on 6/9/21-- closer than the 28 day schedule. ( No known ADR beyond dosing  at lesser interval)
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT WAS GIVEN A DOSE THAT WAS PAST OVER EXCURSION PERIOD OF TIME THAT VACCINE IS VIABLE IN PERIOD OF 12 HOURS AFTER 1ST PUNCTURED. THE VIAL THAT THE DOSE WITHDRAWN WAS 1ST PUNCTURED AT 6/16/2021 09:30 AM. VACCINED IS  26 HOURS OF EXCURSION TABLE WHEN VACCINE WAS GIVEN.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Dyskinesia, Electrocardiogram
Clinical narrative: Nearly three week after getting the first vaccine from Pfizer, I started to experience numbness in my face.   On Saturday night (May 8th) I expressed to me wife that I noticed that I couldn't close my mouth all the way, and my face was really numb.   When I woke up Sunday morning the entire right side of my face was paralyzed. I was unable to close my right eye, flare my right nostril, open the right side of my mouth.  We went directly to the hospital thinking I was having a stroke, and it was there that I was diagnosed with Bells Palsy.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia, Magnetic resonance imaging
Clinical narrative: Nearly three week after getting the first vaccine from Pfizer, I started to experience numbness in my face.   On Saturday night (May 8th) I expressed to me wife that I noticed that I couldn't close my mouth all the way, and my face was really numb.   When I woke up Sunday morning the entire right side of my face was paralyzed. I was unable to close my right eye, flare my right nostril, open the right side of my mouth.  We went directly to the hospital thinking I was having a stroke, and it was there that I was diagnosed with Bells Palsy.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pain at injection site. Hot at injection site. Slight swelling at injection site. Mild fever. Moderate dizziness. Tired.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Pain at injection site. Hot at injection site. Slight swelling at injection site. Mild fever. Moderate dizziness. Tired.
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: Inappropriate schedule of product administration, No adverse event, Wrong product administered
Clinical narrative: No adverse reactions occurred with resident. We would like to report resident had gotten other brand dose. Resident did not inform staff in our facility that she already received Pfizer first dose about 2 months ago, and she consented to receive Janssen dose when agency came yesterday (6/16/2021). Resident received Janssen vaccine yesterday, there is no adverse event nor illness related to Janssen COVID vaccines. This report is to make you aware that resident didn't receive 2nd dose of Pfizer, but received Janssen instead per resident and spouse request.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Oligomenorrhoea
Clinical narrative: My normal menstrual period of 5-6 days lasted over 22 days.  16 days longer than normal.  This has never happened before.  I contacted my doctor but did not have any in person appointments.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Moaning, Presyncope
Clinical narrative: At around 9:25 am on Thursday, June 17th, 2021, a seventeen-year-old Foreign-speaking patient walked into the vaccination site. She was accompanied by two guardians, along with 14 other minors. The minors came in for their 2nd shot of Pfizer Covid-19 vaccines.  Patient signed all necessary consent forms and pre-vaccination checklist requirements with guardian and entered the vaccination section at around 9:30 am. The Pfizer vaccine was administered at 9:37 am.  Observation nurse reported that around 10:04 am the patient complained about having a severe headache. The observation nurse notified charge nurse that she needs assistance. The charge nurse immediately obtained a pulse oximetry reading of 99% and a pulse of 88. The charge nurse assessed if the patient is experiencing any symptoms of hives or redness, shortness of breath, or any difficulty breathing or swallowing. The patient stated to the observation nurse that she was having difficulty breathing.   At 10:06 am the charge nurse called 911. While the charge nurse was standing and speaking with the 911 operator, the patient started to faint and laid her head on charge nurse's stomach while she was sitting. The patient looked like she was sleeping and making some whimpering sounds for about 2 minutes.  At the same time, these events were taking place, observation nurse reported that another 17-year-old minor started complaining of a severe headache and ?seeing stars?.   First responder paramedics came on the scene at around 10:09 am and took over care of the patient. At that point charge nurse attended to another patient, 17-year-old minor. Patient was also exhibiting a reaction to the Pfizer Covid-19 vaccine.   First responder paramedics left with patient at around 10:15 am and she was taken to hospital for further observation.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Burning sensation, Electrocardiogram, Headache, Hypoaesthesia
Clinical narrative: Woke up early next morning with a blinding headache, stiff and inflamed neck, and pain, burning, numbness and tingling in both arms down to my fingertips.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Magnetic resonance imaging, Magnetic resonance imaging head, Musculoskeletal stiffness, Pain
Clinical narrative: Woke up early next morning with a blinding headache, stiff and inflamed neck, and pain, burning, numbness and tingling in both arms down to my fingertips.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Muscle rigidity, Muscle twitching, Unresponsive to stimuli
Clinical narrative: Technician (licensed to vaccinate) administered vaccine to patient near pharmacist.  20 seconds or so after administration, patient stated felt dizzy and immediately became unresponsive and head dropped to chest.  Technician stated he then lifted the patients head because he heard a "snoring" sound indicating airway may be constricted due to positioning.  Technician stated the patient's body twitched and became ridged, throwing her belongings. He called pharmacist (myself) for assistance. I immediately checked for breathing and pulse, both of which were evident.  I observed pt vitals for about 20 seconds before the pt opened her eyes and was responsive and able to talk to me.  Blood pressure was 120/69.  Pt remained in the pharmacy waiting area for 30 minutes after.  Patient said that in the past she has nearly passed out from piercings she has had, but has never fainted before and has no history of seizures.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Headache, Magnetic resonance imaging head normal, Pain
Clinical narrative: Leg pain, headaches, blurred vision, dizziness, pain traveling all over the body( from head to toes lasting a couple seconds to hours). Ultra sounds on leg and abdomen, x-ray on knee, MRI- brain,  blood tests, urine test
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Ultrasound abdomen normal, Ultrasound scan normal, Urine analysis, Vision blurred
Clinical narrative: Leg pain, headaches, blurred vision, dizziness, pain traveling all over the body( from head to toes lasting a couple seconds to hours). Ultra sounds on leg and abdomen, x-ray on knee, MRI- brain,  blood tests, urine test
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray limb normal
Clinical narrative: Leg pain, headaches, blurred vision, dizziness, pain traveling all over the body( from head to toes lasting a couple seconds to hours). Ultra sounds on leg and abdomen, x-ray on knee, MRI- brain,  blood tests, urine test
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE THAT WAS GIVEN TO PATIENT IS PASS OUT OF EXCURSION TIME TABLE OF VIABILITY. DOSE THAT WAS GIVEN IS WITHDRAWN FROM A VIAL THAT WAS 1ST PUNCTURED ON 06/16/2021 9:30 AM. VACCINE WAS GIVEN 26HOURS OUT EXCURSION TIME TABLE.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site streaking
Clinical narrative: Under the injection site it was extremely sore and red with streaking
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Chest X-ray, Chest pain, Chest scan, Chills
Clinical narrative: Patient experienced fatigue and muscle aches immediately following the vaccination.  His symptoms became progressively worse as time passed and by the next day he was experiencing chills, fever, tachycardia, shortness of breath, and excruciating chest and upper back pain.  He described the pain in his chest as "stabbing" and also had a small and painful protrusion from his chest wall that was determined to be a lymph node.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Immediate post-injection reaction, Lymph node pain, Myalgia
Clinical narrative: Patient experienced fatigue and muscle aches immediately following the vaccination.  His symptoms became progressively worse as time passed and by the next day he was experiencing chills, fever, tachycardia, shortness of breath, and excruciating chest and upper back pain.  He described the pain in his chest as "stabbing" and also had a small and painful protrusion from his chest wall that was determined to be a lymph node.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Scan with contrast, Tachycardia
Clinical narrative: Patient experienced fatigue and muscle aches immediately following the vaccination.  His symptoms became progressively worse as time passed and by the next day he was experiencing chills, fever, tachycardia, shortness of breath, and excruciating chest and upper back pain.  He described the pain in his chest as "stabbing" and also had a small and painful protrusion from his chest wall that was determined to be a lymph node.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, C-reactive protein increased, Chest X-ray normal, Chest pain, Computerised tomogram thorax abnormal
Clinical narrative: Patient experienced fatigue and muscle aches immediately following the vaccination.  His symptoms became progressively worse as time passed and by the next day he was experiencing chills, fever, tachycardia, shortness of breath, and excruciating chest and upper back pain.  He described the pain in his chest as "stabbing" and also had a small and painful protrusion from his chest wall that was determined to be a lymph node.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Electrocardiogram ST segment elevation, Full blood count normal, Fungal test negative
Clinical narrative: Patient experienced fatigue and muscle aches immediately following the vaccination.  His symptoms became progressively worse as time passed and by the next day he was experiencing chills, fever, tachycardia, shortness of breath, and excruciating chest and upper back pain.  He described the pain in his chest as "stabbing" and also had a small and painful protrusion from his chest wall that was determined to be a lymph node.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test normal, Lung opacity, Lymphadenopathy, Palpitations, Pericardial effusion
Clinical narrative: Patient experienced fatigue and muscle aches immediately following the vaccination.  His symptoms became progressively worse as time passed and by the next day he was experiencing chills, fever, tachycardia, shortness of breath, and excruciating chest and upper back pain.  He described the pain in his chest as "stabbing" and also had a small and painful protrusion from his chest wall that was determined to be a lymph node.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pericarditis, Pyrexia, Red blood cell sedimentation rate increased, Troponin normal
Clinical narrative: Patient experienced fatigue and muscle aches immediately following the vaccination.  His symptoms became progressively worse as time passed and by the next day he was experiencing chills, fever, tachycardia, shortness of breath, and excruciating chest and upper back pain.  He described the pain in his chest as "stabbing" and also had a small and painful protrusion from his chest wall that was determined to be a lymph node.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Exposure to SARS-CoV-2, Respiratory tract congestion
Clinical narrative: I tested positive for Covid on June 16. I had direct exposure to someone else who had tested positive. My symptoms have been mild - primarily congestion and loss of taste and smell.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I tested positive for Covid on June 16. I had direct exposure to someone else who had tested positive. My symptoms have been mild - primarily congestion and loss of taste and smell.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Body temperature decreased, Body temperature increased, Diarrhoea
Clinical narrative: First Day: sore arm and headache Second Day: dizziness, headache, stiff neck, mild weakness, diarrhea, slightly elevated temperature Third day: dizziness, shortness of breath, back pain, nausea Forth Day: severe dizziness, nausea, back pain, low temperature 35.1 (my normal temperature is between 6-7) Fifth Day: Severe dizziness, nausea (even after taking Gravol). I am still sick (This is the fifth day)
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Headache, Malaise, Musculoskeletal stiffness
Clinical narrative: First Day: sore arm and headache Second Day: dizziness, headache, stiff neck, mild weakness, diarrhea, slightly elevated temperature Third day: dizziness, shortness of breath, back pain, nausea Forth Day: severe dizziness, nausea, back pain, low temperature 35.1 (my normal temperature is between 6-7) Fifth Day: Severe dizziness, nausea (even after taking Gravol). I am still sick (This is the fifth day)
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity
Clinical narrative: First Day: sore arm and headache Second Day: dizziness, headache, stiff neck, mild weakness, diarrhea, slightly elevated temperature Third day: dizziness, shortness of breath, back pain, nausea Forth Day: severe dizziness, nausea, back pain, low temperature 35.1 (my normal temperature is between 6-7) Fifth Day: Severe dizziness, nausea (even after taking Gravol). I am still sick (This is the fifth day)
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swollen tongue
Clinical narrative: Swelling of tongue (subjective)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling hot, Head discomfort, Headache, Influenza
Clinical narrative: The pins and needles and nerve impulses going down to hands got worse since symptoms after previous vaccine. My muscles in shoulders and neck tightened up. I had fluttering in my chest. I had nerve pulsing through my body followed with heat sensations. I have headaches and pressure in head that feels fuzzy. All of those symptoms are all continuing today. I am still seeing a doctor and I have a neurology appointment in October, I've been seeing Physical Therapy, and they are going to do a lyme disease blood test. I've been to chiropractor for consult. The tingling in addition to both arms, it once in awhile goes down to left side of my body.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Musculoskeletal discomfort, Neuralgia, Paraesthesia
Clinical narrative: The pins and needles and nerve impulses going down to hands got worse since symptoms after previous vaccine. My muscles in shoulders and neck tightened up. I had fluttering in my chest. I had nerve pulsing through my body followed with heat sensations. I have headaches and pressure in head that feels fuzzy. All of those symptoms are all continuing today. I am still seeing a doctor and I have a neurology appointment in October, I've been seeing Physical Therapy, and they are going to do a lyme disease blood test. I've been to chiropractor for consult. The tingling in addition to both arms, it once in awhile goes down to left side of my body.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: When receiving the vaccination some of the vaccine leaked out from the base of the syringe.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor, Posture abnormal, Vomiting
Clinical narrative: Patient received Janssen vaccine and passed out/threw up after receiving vaccine. She told us ahead of time that she occasionally passes out with blood draws, but never had any issue after a vaccine. About 3-5 minutes after the vaccine, the patient turned very pale and passed out in her chair. She did not fall on the floor but slumped to the side as we held her in place. After she came to she threw up. We had called 911 because it took her a while to wake up. EMS arrived and she was already feeling much better. They took her blood pressure and cleared her. Patient waited another 30 minutes after they left to make sure she was still feeling okay.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Less than 50% of the vaccine dose was administered and a full dose was immediately given in the opposite arm according to CDC Medication Error and Deviation Guidelines.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse outcomes
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pain, Pyrexia, Syncope
Clinical narrative: The mom mentioned that the pt was experiencing fever of 102 which was not going down even after taking motrin. The pt fainted almost and the pts heart was having rapid heart beat. She had soreness as well and was concerned about heart conditions linked with this vaccine whether this was the situation.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blindness, Eye swelling, Fatigue, Herpes zoster
Clinical narrative: Patient was seen by primary care physician and opthamologist. Patient was diagnosed with shingles (also ocular shingles). Patient reported a rash  from top of head to eye, and from nose to ear  on the right side of the body. He experienced swollen lymph nodes on the right side and eye swelling. He lost half of his vision in the right eye that has still not returned at this time. In addition to the shingles, he experienced an excrutiating mgiraine (10/10 on pain scale) which he described as the worst he has ever experienced. He also expreinced joint pain and fatigue. At this time, he is being treated with a course of valacyclovir.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Migraine, Ophthalmic herpes zoster, Rash
Clinical narrative: Patient was seen by primary care physician and opthamologist. Patient was diagnosed with shingles (also ocular shingles). Patient reported a rash  from top of head to eye, and from nose to ear  on the right side of the body. He experienced swollen lymph nodes on the right side and eye swelling. He lost half of his vision in the right eye that has still not returned at this time. In addition to the shingles, he experienced an excrutiating mgiraine (10/10 on pain scale) which he described as the worst he has ever experienced. He also expreinced joint pain and fatigue. At this time, he is being treated with a course of valacyclovir.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: THE PATIENT WAS GIVEN A PFIZER AS A 2ND DOSE WHEN 1ST DOSE WAS MODERNA.  SHE WAS OBSERVED FOR 15 MINUTES AND THERE WERE NO ADVERSE EVENTS NOTED.  THE MISTAKE WAS NOTICED WHEN THE PATIENT WAS CHECKING OUT.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest X-ray, Electrocardiogram, Electrocardiogram ambulatory, Palpitations
Clinical narrative: Heart palpitations started 4/11/21 and have continued consistently to this reporting date.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Case was hospitalized.          **date of 2nd vaccine was 2/11/2021
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt had a 2nd dose Pfizer order 0.3 mL for June 16, 2021 prior to discharge.  Pharmacy inadvertently used Janssen COVID Vaccine in lieu of Pfizer, and gave 0.3 mL of Janssen (Wrong Drug/Wrong Dose).   Pt monitored for reaction.  Pt informed of the wrong medication/wrong dose.  MD aware.  ID contacted.  Pt discharged home.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Patient came in for 2nd dose and mentioned a rash showed up on arm approximately 7 days after immunization and resolved on its own. Rash was about 1 inch from the injection site.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure like phenomena, Syncope
Clinical narrative: Vaccine was administered to patient.  He had a history of fear of needles, fainting, etc.  Approximately 5 minutes after administration, patient did faint with possible seizure activity.  Paramedics were called.  No further adverse events were observed.  Patient was conversational and walked out on his own power.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-thyroid antibody positive, Hyperthyroidism, Neck mass, Pyrexia, Thyroxine free increased
Clinical narrative: On June 7th, I took the Second Dose Moderna, after that I have fever on the next two day, which is the 8 and the 9. Nothing happens on the 10, however after my mom came home from work she recognized a strange circle on my neck, it seems like an Adam?s apple. But it is really big. And I visited my doctor at the 14th the same month at 3:45, at first he suspect that I have a Thyromegaly.  And I took the Blood Test. However after a several day, the test came out and it says I have a Hyperthyroidism. He advice me to report to VAERS and give me an orders to take the Thyroid Ultrasound, and the Thyroid Uptake Scan. I already made appointments, and I will do it the next 2 weeks.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Tri-iodothyronine free increased
Clinical narrative: On June 7th, I took the Second Dose Moderna, after that I have fever on the next two day, which is the 8 and the 9. Nothing happens on the 10, however after my mom came home from work she recognized a strange circle on my neck, it seems like an Adam?s apple. But it is really big. And I visited my doctor at the 14th the same month at 3:45, at first he suspect that I have a Thyromegaly.  And I took the Blood Test. However after a several day, the test came out and it says I have a Hyperthyroidism. He advice me to report to VAERS and give me an orders to take the Thyroid Ultrasound, and the Thyroid Uptake Scan. I already made appointments, and I will do it the next 2 weeks.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Confusional state, Disorientation, Dizziness, Dyspnoea
Clinical narrative: At around 9:25 am on Thursday, June 17th, 2021, seventeen-year-old patient walked into the vaccination site. She was accompanied by two guardians, along with 14 other minors. The minors came in for their 2nd shot of Pfizer Covid-19 vaccines.  Patient signed all necessary consent forms and pre-vaccination checklist requirements with guardian and entered the vaccination section at around 9:35 am. The Pfizer vaccine was administered at 9:39 am.  Observation nurse reported that around 10:06 am the patient complained about having a severe headache, ?seeing stars?, feeling very dizzy, and not feeling well. Nurse assisted patient to lay down on the mat in case the patient may faint. Charge nurse obtained a pulse oximetry reading of 95% and a pulse of 96.   Charge nurse checked if the patient experienced any symptoms of hives/redness, shortness of breath, or any difficulty breathing or swallowing. The patient complained to observation nurse that she was having a hard time breathing, severe headache, and chest pain.   Observation nurse instructed patient to be calm and to relax. Charge nurse instructed the patient to take deep slow breaths to help increase O2 levels but the patient complained to the observation nurse that she cannot breathe through her nose.   At 10:15 am charge nurse continuously monitored the patient?s B/P, pulse, and O2 level readings. The BP reading was 117/64 with a pulse of 78 and an O2 level of 100%. At approximately 10:16 am, patient started showing signs of change in LOC and lost consciousness for a few seconds. First responder paramedics from the first minor incident were still at the scene waiting for the 2nd ambulance to arrive. The first responder paramedic did a sternum rub using his knuckles with a closed fist to the center of the patient?s chest and immediately after the patient gasped for air and regained consciousness. The patient remained in a sitting position on the floor to be able to breathe easier. At approximately, 10:18 am charge nurse took another BP reading of 121/76, a pulse of 96, and O2 level of 99%.   At approximately 10:20 am, patient started exhibiting a change in LOC and was very disoriented again. Observation nurse kept calling the patient?s name but did not get a response. This lasted for around 30 seconds while the patient gasped for air before becoming responsive again. At this time observation nurse observed that patient could not recall her name and did not know how she got there.   At approximately 10:22 am, charge nurse took another BP reading of 165/133, a pulse of  122, and an O2 level of 96%.   At around 10:24 am, the charge nurse took another BP reading of 112/78 and pulse of 112 with an O2 level of 96%. The second ambulance arrived at approximately 10:26 am and took over.   The second ambulance?s first responder paramedics left with patient at approx. 10:29 am and took her to hospital for further observation.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of consciousness, Malaise, Unresponsive to stimuli, Visual impairment
Clinical narrative: At around 9:25 am on Thursday, June 17th, 2021, seventeen-year-old patient walked into the vaccination site. She was accompanied by two guardians, along with 14 other minors. The minors came in for their 2nd shot of Pfizer Covid-19 vaccines.  Patient signed all necessary consent forms and pre-vaccination checklist requirements with guardian and entered the vaccination section at around 9:35 am. The Pfizer vaccine was administered at 9:39 am.  Observation nurse reported that around 10:06 am the patient complained about having a severe headache, ?seeing stars?, feeling very dizzy, and not feeling well. Nurse assisted patient to lay down on the mat in case the patient may faint. Charge nurse obtained a pulse oximetry reading of 95% and a pulse of 96.   Charge nurse checked if the patient experienced any symptoms of hives/redness, shortness of breath, or any difficulty breathing or swallowing. The patient complained to observation nurse that she was having a hard time breathing, severe headache, and chest pain.   Observation nurse instructed patient to be calm and to relax. Charge nurse instructed the patient to take deep slow breaths to help increase O2 levels but the patient complained to the observation nurse that she cannot breathe through her nose.   At 10:15 am charge nurse continuously monitored the patient?s B/P, pulse, and O2 level readings. The BP reading was 117/64 with a pulse of 78 and an O2 level of 100%. At approximately 10:16 am, patient started showing signs of change in LOC and lost consciousness for a few seconds. First responder paramedics from the first minor incident were still at the scene waiting for the 2nd ambulance to arrive. The first responder paramedic did a sternum rub using his knuckles with a closed fist to the center of the patient?s chest and immediately after the patient gasped for air and regained consciousness. The patient remained in a sitting position on the floor to be able to breathe easier. At approximately, 10:18 am charge nurse took another BP reading of 121/76, a pulse of 96, and O2 level of 99%.   At approximately 10:20 am, patient started exhibiting a change in LOC and was very disoriented again. Observation nurse kept calling the patient?s name but did not get a response. This lasted for around 30 seconds while the patient gasped for air before becoming responsive again. At this time observation nurse observed that patient could not recall her name and did not know how she got there.   At approximately 10:22 am, charge nurse took another BP reading of 165/133, a pulse of  122, and an O2 level of 96%.   At around 10:24 am, the charge nurse took another BP reading of 112/78 and pulse of 112 with an O2 level of 96%. The second ambulance arrived at approximately 10:26 am and took over.   The second ambulance?s first responder paramedics left with patient at approx. 10:29 am and took her to hospital for further observation.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Malaise, Posture abnormal, Vomiting
Clinical narrative: Pt said he didn't feel so well a couple of minutes after administering his first Covid Moderna vaccine at 2:10 PM on 6/16/2021. Pt then staggered toward a chair and slumped down in chair. Pharmacy called 911. Pt was given supportive care and became alert in about 15 seconds. Pt taken to counseling where he vomited for approximately 8 minutes. Squad arrived and patient cared for by EMS. Patient taken to hospital, fully responsive.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: bruising to abdomen , thighs
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine off site - the vaccine was transported in a certified vaccine pack out cooler  with a data logger at refrigerated temperature (2 to 8 C). A temperature excursion occurred while vaccine was off site between 1052 to 1222 with temperature between 1.6 C and 2.0 C. It was unclear the exact time the patient received the vaccine but the vaccinator estimated that patient received vaccine between 1100 and 1135. Patient received the 2nd dose of vaccine dose of vaccine drawn from the vial and the vial was opened only a few minutes prior to that. Contacted manufacturer for guidance the have excursion data for an unopened vial stored at 0 to 1 C which states 'no restriction in duration provided the product is not expired'. Since the vial had been opened briefly before the dose was drawn for this patient we discussed the situation with our overseeing physician and recommendation was to notify patient of excursion and let patient decide if he would like to be revaccinated. Notified patient of the situation the next day via Spanish translator (he is Spanish speaking) and also asked if we could remember the time he received the vaccine and he thought it was just before 1100. Patient decided not to be revaccinated at this time.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Malaise, Palpitations, Syncope
Clinical narrative: PATIENT STATED THAT HE RECEIVED THE VACCINE ON FRIDAY, AT THE END OF THE DAY ON SATURDAY, HIS CHEST STARTED TO FEEL HEAVY AND HE HAS LABOR BREATHING. HE WOKE UP SUNDAY AND DIDN'T FEEL WELL. HE TOOK A NAP AT AROUND 4PM ,THEN WOKE UP AND COULDN'T BREATH WITH HEART PALPITATIONS. HE WAS ABLE TO ARRIVE TO THE EMERGENCY ROOM AND TRIED TO WALK HIMSELF IN. HE COLLAPSED ON THEIR YARD.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Pt passed out 5 minutes after shot
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Oral pruritus, Pruritus, Rash macular
Clinical narrative: About 20 minutes after patient received the vaccine her face appeared red and blotchy. Patient stated itching all over her body and itching in the mouth. Patient was advised to go to emergency department (ED) at Hospital, 1.5 blocks away from the store. Pharmacy staff contacted patient about a half hour later and patient stated that she was in the ED being checked out.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, Laboratory test, Magnetic resonance imaging spinal, Physical disability, Spinal X-ray
Clinical narrative: Approximately 1 month later, severe joint flare up resulting in almost total disability patient now on a walker and physical therapy required
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Walking aid user
Clinical narrative: Approximately 1 month later, severe joint flare up resulting in almost total disability patient now on a walker and physical therapy required
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Cholecystectomy, Cholecystitis
Clinical narrative: pt began having abdominal and back pain the next day after vaccination, pt presented to emergency room the day after , pt had inflamed gallbladder where they removed it during surgery
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Beginning day two my face and neck, which are typically completely clear, broke out into bumps resembling heat rash. This breakout has yet to clear following my normal routine. The only change in my normal activities in that time was the vaccine. The breakout may have started earlier, but I had no need to check a mirror while resting from other side effects.