chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Local reaction, Rash erythematous
Clinical narrative: 12 days out from vaccine, re-local reaction with itching and erythema and raised about 4 inch large at injection site.  No pain, on day 13 with brusing in the center as well and itching.  Fatigue worse both of these days, no fever.  Benadryl oral taken and helped itching, but did not change the size or erythema of rash at local injection site
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: The vaccine was administered at 11:37am. The patient experienced sweating starting at 11:54am. Sweating slowed around 12:03pm. 50 mg of oral diphenhydramine was administered at 12:15pm. Symptoms resolved and the patient left at 12:28pm.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hypoaesthesia, Mobility decreased, Pain in extremity
Clinical narrative: Experience chills during wait period about an hour and a half pain in arm increased numbness and the mobility of. Right arm was difficult to move. employee health applif ice my pain was at a ten level down to a 7 when. I was rent home. I made appt whth doctor for 1/6/21
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Chest discomfort, Dry throat, Dyspnoea, Feeling hot
Clinical narrative: 1845 PATIENT REPORTS HEART PALPITATIONS, FLUSHED FACE, FEELING WARM, ICE PACK TO NECK, FEELING NAUSEATED. 1848 BP 161/114  HR 112. 1852 BP 148/91 HR 92 PATIENT RESTING. 1900-1910 PATIENT FEELS LIKE SHES "HAVING A DRY THROAT, "A LITTLE SHORT OF BREATH,  AND TIGHT IN CHEST." BP 144/95 HR 84 SAO2 99%. ICE PACK TO NECK. PT OFFERED H20 AND JUICE. RELAXING WITH EYES CLOSED.1920-1928 BP156/97 100% PATIENT FEELING ANXIOUS. DEEP BREATHING. 1938-1949 PATIENT MOVED TO QUIET AREA UNDER OBSERVATION. BP 138/93 HR 81 SAO2 99%, FEELING BETTER, NO NAUSEA, SCRATCHY THROAT IMPROVING, DENIES SEVERE ANXIETY. 1959 PATIENT FEELING BETTER, NO RASH, THROAT TIGHTNESS OR ANXIETY, VSS, CHEST TIGHT BUT BETTER, PATIENT REPORTS SIMILIAR TO BASELINE. PATIENT STABLE WANTING TO GO HOME. AWARE OF NEEDING TO SEEK MEDICAL CARE THROUGH ER OR HER PROVIDER IF SYMPTOMS WORSEN.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flushing, Nausea, Palpitations, Throat irritation
Clinical narrative: 1845 PATIENT REPORTS HEART PALPITATIONS, FLUSHED FACE, FEELING WARM, ICE PACK TO NECK, FEELING NAUSEATED. 1848 BP 161/114  HR 112. 1852 BP 148/91 HR 92 PATIENT RESTING. 1900-1910 PATIENT FEELS LIKE SHES "HAVING A DRY THROAT, "A LITTLE SHORT OF BREATH,  AND TIGHT IN CHEST." BP 144/95 HR 84 SAO2 99%. ICE PACK TO NECK. PT OFFERED H20 AND JUICE. RELAXING WITH EYES CLOSED.1920-1928 BP156/97 100% PATIENT FEELING ANXIOUS. DEEP BREATHING. 1938-1949 PATIENT MOVED TO QUIET AREA UNDER OBSERVATION. BP 138/93 HR 81 SAO2 99%, FEELING BETTER, NO NAUSEA, SCRATCHY THROAT IMPROVING, DENIES SEVERE ANXIETY. 1959 PATIENT FEELING BETTER, NO RASH, THROAT TIGHTNESS OR ANXIETY, VSS, CHEST TIGHT BUT BETTER, PATIENT REPORTS SIMILIAR TO BASELINE. PATIENT STABLE WANTING TO GO HOME. AWARE OF NEEDING TO SEEK MEDICAL CARE THROUGH ER OR HER PROVIDER IF SYMPTOMS WORSEN.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Confusional state, Feeling cold, Flushing, Heart rate increased
Clinical narrative: 1845 PATIENT REPORTS HEART PALPITATIONS, FLUSHED FACE, FEELING WARM, ICE PACK TO NECK, FEELING NAUSEATED. 1848 BP 161/114  HR 112. 1852 BP 148/91 HR 92 PATIENT RESTING. 1900-1910 PATIENT FEELS LIKE SHES "HAVING A DRY THROAT, "A LITTLE SHORT OF BREATH,  AND TIGHT IN CHEST." BP 144/95 HR 84 SAO2 99%. ICE PACK TO NECK. PT OFFERED H20 AND JUICE. RELAXING WITH EYES CLOSED.1920-1928 BP156/97 100% PATIENT FEELING ANXIOUS. DEEP BREATHING. 1938-1949 PATIENT MOVED TO QUIET AREA UNDER OBSERVATION. BP 138/93 HR 81 SAO2 99%, FEELING BETTER, NO NAUSEA, SCRATCHY THROAT IMPROVING, DENIES SEVERE ANXIETY. 1959 PATIENT FEELING BETTER, NO RASH, THROAT TIGHTNESS OR ANXIETY, VSS, CHEST TIGHT BUT BETTER, PATIENT REPORTS SIMILIAR TO BASELINE. PATIENT STABLE WANTING TO GO HOME. AWARE OF NEEDING TO SEEK MEDICAL CARE THROUGH ER OR HER PROVIDER IF SYMPTOMS WORSEN.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Pallor, Palpitations, Paraesthesia oral, Skin warm
Clinical narrative: 1845 PATIENT REPORTS HEART PALPITATIONS, FLUSHED FACE, FEELING WARM, ICE PACK TO NECK, FEELING NAUSEATED. 1848 BP 161/114  HR 112. 1852 BP 148/91 HR 92 PATIENT RESTING. 1900-1910 PATIENT FEELS LIKE SHES "HAVING A DRY THROAT, "A LITTLE SHORT OF BREATH,  AND TIGHT IN CHEST." BP 144/95 HR 84 SAO2 99%. ICE PACK TO NECK. PT OFFERED H20 AND JUICE. RELAXING WITH EYES CLOSED.1920-1928 BP156/97 100% PATIENT FEELING ANXIOUS. DEEP BREATHING. 1938-1949 PATIENT MOVED TO QUIET AREA UNDER OBSERVATION. BP 138/93 HR 81 SAO2 99%, FEELING BETTER, NO NAUSEA, SCRATCHY THROAT IMPROVING, DENIES SEVERE ANXIETY. 1959 PATIENT FEELING BETTER, NO RASH, THROAT TIGHTNESS OR ANXIETY, VSS, CHEST TIGHT BUT BETTER, PATIENT REPORTS SIMILIAR TO BASELINE. PATIENT STABLE WANTING TO GO HOME. AWARE OF NEEDING TO SEEK MEDICAL CARE THROUGH ER OR HER PROVIDER IF SYMPTOMS WORSEN.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Jan 05, 2021 : Dr.: Established Patient Video Consult :Video Consult Search Notes EditExportPrintReportsFaxRx1 of 1 Age29Visit TypeEstablished Patient Video Consult DateJan 05, 2021StatusUnsignedProviderDr. Signed by-- Subjective Chief Complaints Pfizer vaccine last Tuesday on Left arm.. 1.5 days later on opposite arm around elbow. Chief Complaint Rash History of Present Illness Location of symptoms: Generalized body, Chest, Abdomen, Upper Extremities, Right, Left Timing: Worsening  on prednisone and famotidine oral treatment
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Somnolence
Clinical narrative: 1 hour post vaccine, started extreme fatigue and nodding off/sleeping which lasted 4 hours. Experienced chills 3 hours post vaccine which lasted 1 hour. The treatments I used were rest and warming myself.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Paraesthesia oral
Clinical narrative: Patient presented to receive COVID-19 vaccine, received vaccine at approximately 10 am. Patient waited 15 minutes for observation and left observation area without complaining of any sx. Patient returned a few minutes after reporting tongue tingling which eventually got to her lips. . No difficulty breathing or any other sx. No history of allergies. NP/RN administered PO Benadryl 25 mg. As of report of this iReport no additional symptoms or intervention needed. Last vitals: 131/83 75spo2. BP higher than usual per patient, sp02 normal.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypoaesthesia oral, Myalgia, Paraesthesia oral
Clinical narrative: Patient presented to receive COVID-19 vaccine, received vaccine at approximately 10 am. Patient waited 15 minutes for observation and left observation area without complaining of any sx. Patient returned a few minutes after reporting tongue tingling which eventually got to her lips. . No difficulty breathing or any other sx. No history of allergies. NP/RN administered PO Benadryl 25 mg. As of report of this iReport no additional symptoms or intervention needed. Last vitals: 131/83 75spo2. BP higher than usual per patient, sp02 normal.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin lesion inflammation
Clinical narrative: A week after the vaccine, my smallpox vaccine scar started getting red and inflamed.  It was on the same side as the vaccine but not really near the shot.  I had the smallpox vaccine as a child in the early 1980s when I was a kid.  Have never had this problem before with any other vaccine.  Now, a week after this reaction started the redness has mostly subsided but not completely.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain
Clinical narrative: I have preexisting chronic neck pain that prior to the vaccine rated 0-2 on  a daily basis. A MRI was obtained in approx 2015 that showed encroachment in the cervical spine. Since the day after the 1 dose the pain daily has rated from 2-5 and has been persistent.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: C-reactive protein, Muscular weakness, Pain, Paraesthesia, Red blood cell sedimentation rate
Clinical narrative: tinglling, intermittat pain and intermittant weakkess L arm
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Nausea, Pain in extremity, Peripheral swelling, Vomiting
Clinical narrative: 24 hours after vax, injected arm painful, swollen, immobile. Nausea/vomitting. All lasted 14 hours, then normal vaccine pain.
Age: 69.0
Sex: M
Vaccine: FLUA4
Symptoms: Hypoaesthesia oral, Lip swelling
Clinical narrative: Patients lips swelled and became so numb he was unable to move them. This was his first flu shot ever.
Age: 0.58
Sex: M
Vaccine: FLU4
Symptoms: Irritability, Urticaria
Clinical narrative: About 15 mins of receiving flu vaccine patient was noted to be irritable then later developed generalized hives.  No respiratory distress/lethargy/vomiting noted. Patient was initially given Zyrtec 1.25 ml po but he vomited more than 1/2 of it, was given another 1ml after 7 minutes and was able to keep it down
Age: 1.33
Sex: M
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Injection site reaction, Injection site swelling, Rash vesicular
Clinical narrative: At site of Varivax vaccine about 1 wk. later, patient developed a bump and then a vesicular lesion (mom took picture w/ cell phone) Then developed vesicular lesions on back.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Blood pressure decreased, Syncope
Clinical narrative: Approx. 5 hours after vaccine an arrhythmia began + lasted through next day. UpoN waking + standing, I experienced multiple near - syncopal episodes throughout the day. Arrhythmia continued with decreased blood pressure. No fever, vomiting or diarrhea.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Within 72 hrs. of receiving the first dose of her Pfizer vaccine she developed sharp headache unlike any headaches that she has had in the past, located bilateral frontal and on top of her head. Not associated with photophobia, phonophobia, nausea, vomiting, or vision changes, but can be severe enough that she has to sit down
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cough, Dizziness, Fatigue
Clinical narrative: 6:30am 12/31/20 pt c/o stiffness, dizziness, injectionsite pain, cough, runny ose, mental fog. Temp 100.1. Given 2 tylenol 500mg c/o chills and weakness and fatigue - continues through the day. 7:30 pm pt oriented to person and place but not time could not follow direction to check blood sugar extreme chills. Temp 102.3 called on call internist and was instructed to give 400 mg motrin with 2 tylenol fever roke at 9pm pt was lucid.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Injection site pain, Musculoskeletal stiffness, Pyrexia, Rhinorrhoea
Clinical narrative: 6:30am 12/31/20 pt c/o stiffness, dizziness, injectionsite pain, cough, runny ose, mental fog. Temp 100.1. Given 2 tylenol 500mg c/o chills and weakness and fatigue - continues through the day. 7:30 pm pt oriented to person and place but not time could not follow direction to check blood sugar extreme chills. Temp 102.3 called on call internist and was instructed to give 400 mg motrin with 2 tylenol fever roke at 9pm pt was lucid.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Time perception altered
Clinical narrative: 6:30am 12/31/20 pt c/o stiffness, dizziness, injectionsite pain, cough, runny ose, mental fog. Temp 100.1. Given 2 tylenol 500mg c/o chills and weakness and fatigue - continues through the day. 7:30 pm pt oriented to person and place but not time could not follow direction to check blood sugar extreme chills. Temp 102.3 called on call internist and was instructed to give 400 mg motrin with 2 tylenol fever roke at 9pm pt was lucid.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Sat required 15 minutes on site. Left facility and shopping on way home with my husband, when checking out felt light headed, dizzy - if I would pass out. Once home ate something as had only small breakfast - symptoms passed.  Gavie it no more thought until talking with a co-worker. She experienced same thing along with another co-worker
Age: 38.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Pain in extremity, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 01/01/2021 - pt developed R arm pain, fever up to 102+ on 01/02/2021  seen in MedXpress - neg covid & rapd covid. Developed significant  redness in L upper arm that spread. Fever continued but  controlled with tylenol & ibuprofen. Redness, temp & pain improving on visit 01/04/2021.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site swelling, Injection site warmth
Clinical narrative: Pt developed cellulitis @ site of injection. Developed later that night. hot & swollen
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Confusional state, Decreased appetite, Dizziness, Feeling of body temperature change
Clinical narrative: headache, right arm to leg sore, sweating dizzy, hot & cold, want to throw up, loss of appetite, some chest pain, feel woosy, felt confussed right after vaccine,
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Nausea, Pain in extremity
Clinical narrative: headache, right arm to leg sore, sweating dizzy, hot & cold, want to throw up, loss of appetite, some chest pain, feel woosy, felt confussed right after vaccine,
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU4, PNC13
Symptoms: Chills, Febrile convulsion, Pyrexia, Seizure like phenomena
Clinical narrative: Child received 6 mo imms and flu#1 on 1/4/21 am. About 6pm child had fever, chills and a seizure-like epside. He returned to baseline shortly after the event. He was taken by ambulance to MC ER and discharged with diagnosis of suspected febrile seizure. A follow-up phone visit on 1/5/21 was done. Baby continued to have borderline fever (T99) but was otherwise doing well.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Myalgia
Clinical narrative: I have had whole body myalgias since the first day of the vaccine. I am now 19 days since the vaccine and continue to feel them most of the day. They were the most intense the first weeks but have improved slightly since then. I also have had fatigue during this time period with occasional headaches. I have had lightheadedness for the past week.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest pain, Chills, Electrocardiogram normal
Clinical narrative: Vaccine received at 215pm on 12/30/20. Arm pain 8PM. Chills and aches at 10PM. Awoke at 115AM on 12/31/20 with heart rate of 150 beats per minute and chest pain persisting for 30+ minutes. Went to ER at 2AM. Heart rate recorded at ER was 124. Hydroxyzine and fluids given. Patient sent home from ER.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pain, Pain in extremity
Clinical narrative: Vaccine received at 215pm on 12/30/20. Arm pain 8PM. Chills and aches at 10PM. Awoke at 115AM on 12/31/20 with heart rate of 150 beats per minute and chest pain persisting for 30+ minutes. Went to ER at 2AM. Heart rate recorded at ER was 124. Hydroxyzine and fluids given. Patient sent home from ER.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Bone pain, Fatigue, Feeling abnormal, Headache, Pain
Clinical narrative: SEVER HEADACHE SEVERE BODY ACHES SEVERE BONE ACHES FEVER FATIGUE - STAYED IN BED 1 WEEK STILL HAVE ISSUES
Age: 41.0
Sex: U
Vaccine: COVID19
Symptoms: Paraesthesia, Urticaria
Clinical narrative: About 5 minutes after vaccine was given, tingling sensation occurred on left arm down to left hand (Thumb, index, middle finger.) Grip is good both hands On 12/31/2020 Patient experienced "Nickle sized welts on her elbow, wrist and stomach. She also experienced more tingling in her left arm. There was 2 welts on her left wrist and 1 welt on her left elbow. The welt on her stomach was on her right side. She took some Zyrtec and applied warm packs. The welts resembled an "ant bite", "raise but no pus" in them. As of today 1/5/2021, They are resolved and patient feels better.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot
Clinical narrative: Pt vaccinated at 8:40 Am. Pt reported feelings of warmth, dizziness, and lightheadness 5 minutes post vaccination. Pt assisted to stretcher, B/P 129/95 HR 65 RR 20 O2 Sat 99% RA. Pt hydrated with electrolytes/water. Pt reports prior episodes of same symptoms outside of vaccinations. Pt reported resolution of symptoms  after prolonged monitoring. d/c'cd at 10:08 Am.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: W/in 10 minutes of receiving vaccine of reported SOB Felt like she couldn't get enough air - removed mask - still SOB - took BP 110/72 @ 1045am- pt waited to make sure she was sure she was having a RxN before taking Benadryl. Took 50mg Benadryl @1115 D/C 1145 Feeling Normal
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Paraesthesia, Pharyngeal swelling
Clinical narrative: W/in 10 minutes of receiving vaccine of reported SOB Felt like she couldn't get enough air - removed mask - still SOB - took BP 110/72 @ 1045am- pt waited to make sure she was sure she was having a RxN before taking Benadryl. Took 50mg Benadryl @1115 D/C 1145 Feeling Normal
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Wheezing
Clinical narrative: W/in 10 minutes of receiving vaccine of reported SOB Felt like she couldn't get enough air - removed mask - still SOB - took BP 110/72 @ 1045am- pt waited to make sure she was sure she was having a RxN before taking Benadryl. Took 50mg Benadryl @1115 D/C 1145 Feeling Normal
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Nausea
Clinical narrative: Fatigue, Headache, Chills, Nausea, joint pain began on Friday Jan. 1, 2021 symptoms started about 0800. All symptoms have continued through today Jan. 4, 2021. Taking tylenol 500mg for headache Symptoms lasted for 4 days
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Myalgia, Pain
Clinical narrative: Myalgia & whole body aches/pain
Age: 40.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Myalgia, Pain
Clinical narrative: Myalgia, Arthralgia & whole body aches/pain INFLUENZA 0.5 ML ONCE
Age: 70.0
Sex: M
Vaccine: FLU4
Symptoms: Myalgia, Nausea, Vomiting
Clinical narrative: Myalgia & NauseaVomiting
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Angioedema, Lip swelling, Swelling face
Clinical narrative: Narrative:  swollen face and lips,was classified as angioedema like by medical provider. Reason for Call : Reported that she went to the ER for reaction to flu shot Spoke With : Patient Follow-Up Needed : Was given prescription for benadryl and pepcid. Will order benadryl 25mg every 6 hours as needed,and pepcid 20mg daily to be sent overnight. Patient denied being sent home from the ER with any medication. Was given prescriptions only. Advised to get medications OTC today. If condition gets worse to go back to the ER. Will see patient 9/27/18. Patient stated she verbally understood.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Skin warm
Clinical narrative: Narrative: Per nurse; Patient is 54 yo female here today as nurse visit. she is alert and oriented x3, nad. She ambulates self with steady gait unassisted, she denies and chest pain, no sob, no n/v/d. Patient presents with left upper arm area warm and itching, red area measures 18cm x 13cm. She had shingrix dose #1 on 2/27. noticed the red area about one day ago as it became itchy. She denies any facial swelling, no swelling or enlarged lymph nodes in left arm   plan:  patient evaluated with MD. instructed to take Zyrtec until symptoms resolve.  if  rash spreads, or develop fever, or developes SOB to go to the ER for further evaluation Symptoms:   SkinRash & urticaria Treatme nt:CETIRIZINE N/A
Age: 83.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Myalgia, Skin warm, Swelling
Clinical narrative: Myalgia & Skin was red, swollen, warm
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Influenza like illness
Clinical narrative: & INFLUENZA-LIKE ILLNESS
Age: 82.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: & Fever
Age: 50.0
Sex: M
Vaccine: FLUX
Symptoms: Dyspnoea, Respiratory depression
Clinical narrative: RespDepression & Dyspnea
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Myalgia, Fever, NauseaVomiting & HYPERtension
Age: 40.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: SkinRash
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema multiforme
Clinical narrative: ErythemaMultiform
Age: 80.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Cellulitis
Clinical narrative: & CELLULITIS  CEFTRIAXONE 2 GM EVERY DAY ,CEPHALEXIN 500 MG TID
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Insomnia, Pruritus, Rash
Clinical narrative: Narrative: Per clinic, "The patient is a 72 year old MALE with c/o's of rash after recieving the shingrix shot yesterday morning. He states he developed itching and rash last night . The itchiing kept him up all night long. HE has no difficulty swallowing, no shortness of breath, no swelling of his tongue. Rash allergy to shringx given Medrol dose ack, no systemic signs of illness."  Symptoms:   Rash & RASH  Treatment:   METHYLPREDNISOLONE TAKE 6-5-4-3-2-1 TABLETS BY MOUTH AS DIRECTED ON INSTRUCTION SHEET
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood glucose increased, Blood urea increased, Brain natriuretic peptide increased, Hypermagnesaemia
Clinical narrative: Pt is being treated for suspected pneumonia with antibiotics Fever
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Hypocalcaemia, Hypokalaemia, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative
Clinical narrative: Pt is being treated for suspected pneumonia with antibiotics Fever
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, White blood cell count increased
Clinical narrative: Pt is being treated for suspected pneumonia with antibiotics Fever
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Fever 100.4 on 12/22/20 13:33 and vomited x 1 on 12/22/20 s/p COVID-19 vaccine received on 12/21/20 @ 15:22. Acetaminophen 650mg administered 12/22/20 @ 17:44 with resolution of symptoms w/in 1-2 days; Vancomycin 1 gm once and Ceftazidime 2gm once post dialysis also given empirically. Fever & NauseaVomiting. ACETAMINOPHEN 650 MG ONCE, VANCOMYCIN 1 GM ONCE POST DIALYSIS ,CEFTAZIDIME 2 GM ONCE POST DIALYSIS
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory depression, SARS-CoV-2 test positive
Clinical narrative: Fever, RespDepression & COVID positive REMDESIVIR (EUA) 200 mg x1 then 100 mg daily
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Slightly below low grade fever at 99.2F on 12/23/20 @ 1:15 s/p COVID-19 vaccine received on 12/21/20 @ 14:43. Acetaminophen 650mg administered once on 12/23/20 @1:15 with resolution of symptoms by morning 12/23/20 @ 7:30. Fever ACETAMINOPHEN 650 MG ONCE
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Pharyngeal swelling, Rash
Clinical narrative: Narrative: Symptoms:  Rash & SHORTNESS OF BREATH AND SWELLING OF THROAT Treatment:  METHYLPREDNISOLONE 125 MG ONCE ,FAMOTIDINE 20MG MG ONCE
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hyperhidrosis, Rash
Clinical narrative: Rapid response called at 16:47, Care escalated to ED. Dizziness, Headache, Rash & diaphoresis
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Fever & fatigue
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abscess, Cellulitis, Pyrexia
Clinical narrative: Fever 100.1F on 12/30/20 13:20 s/p COVID-19 vaccine received on 12/28 @13:03. Acetaminophen 650mg oral liquid administered 12/30 13:30 and 18:42 with resolution of fever. Patient experienced fever 100.1F again on 12/31 @11:31 and refused Acetaminophen; fevers also may be attributed to patient's current abscess/cellulitis Fever & 100.1F ACETAMINOPHEN 650 MG ONCE X 2
Age: 63.0
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Pyrexia
Clinical narrative: Narrative:  Patient administered 3 vaccines on 9/28/2020, with patient reporting a fever on 10/2/2020 to staff. Patient contacted on 12/4/2020-to review reported side effect. Patient received Pneumococcal PPSV23 (Pneumovax), Shingrix injection (Recombinant Zoster Vaccine) and Influenza Quadrivalent PF (Fluarix) on 9/28/2020, which all have the potential to cause a fever, especially right after administration. Patient indicated a low grade fever, maybe around 101 degrees for up to 4 days after receiving the vaccines, with no other adverse effects noted (esp with 3 vaccines given on one day) Patient would prefer to avoid the flu vaccine in the future.
Age: 66.0
Sex: M
Vaccine: FLUX
Symptoms: Skin irritation
Clinical narrative: & SKIN IRRITATION
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: & injection site redness
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever 99.6F on 12/29/20 @22:41 and on 12/31/20 @03:52 s/p COVID-19 vaccine received on 12/28/20 @13:39. Patient is on standing Acetaminophen 650mg q6h for pain/fever. Acetaminophen 650mg administered 12:29 @22:41 and 12/31 @06:02 with resolution of symptoms. Fever ACETAMINOPHEN 650 MG QID FOR PAIN/FEVER
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Myalgia
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Rash
Clinical narrative: Headache & Rash DIPHENHYDRAMINE 50 MG QID
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Headache
Clinical narrative: Headache & FACIAL FLUSHING
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema multiforme, Myalgia, Pyrexia
Clinical narrative: Myalgia, Fever & ErythemaMultiform
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Low grade fever 99.2 on 12/29/20 09:23 s/p COVID-19 vaccine received on 12/28 @13:05. Acetaminophen 650mg oral liquid administered 12/29 05:11 and 13:56 with resolution of fever (patient on standing q8h order for pain/fever) Fever & 99.2F ACETAMINOPHEN 650 MG TID VIA PEG
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dizziness, Dysphagia, Dyspnoea, Erythema
Clinical narrative: Anaphylaxis Narrative: 12/22 received COVID-19 vaccine at 1209 and developed SOB at 12:15. Took her own albuterol inhaler without relief. Transported to ED. PE: red hands with swelling, throat and lip swelling with difficulty swallowing. Later developed headache and dizziness then tachypnea and stridor. Meds given - See section 5 PLUS epinephrine IM and infusion @ 0.05 mcg/kg/min, Alb and ipratropium negs, racemic epi nebs. Admitted to the hospital on 12/22 and still hospitalized at the time of this report on 12/23. She remains on an epinephrine drip and was given methylprednisolone 125 mg IV x 2. No previous history of anaphylaxis. History of Reye's syndrome as a child when given aspirin.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lip swelling, Peripheral swelling, Pharyngeal swelling, Stridor
Clinical narrative: Anaphylaxis Narrative: 12/22 received COVID-19 vaccine at 1209 and developed SOB at 12:15. Took her own albuterol inhaler without relief. Transported to ED. PE: red hands with swelling, throat and lip swelling with difficulty swallowing. Later developed headache and dizziness then tachypnea and stridor. Meds given - See section 5 PLUS epinephrine IM and infusion @ 0.05 mcg/kg/min, Alb and ipratropium negs, racemic epi nebs. Admitted to the hospital on 12/22 and still hospitalized at the time of this report on 12/23. She remains on an epinephrine drip and was given methylprednisolone 125 mg IV x 2. No previous history of anaphylaxis. History of Reye's syndrome as a child when given aspirin.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tachypnoea
Clinical narrative: Anaphylaxis Narrative: 12/22 received COVID-19 vaccine at 1209 and developed SOB at 12:15. Took her own albuterol inhaler without relief. Transported to ED. PE: red hands with swelling, throat and lip swelling with difficulty swallowing. Later developed headache and dizziness then tachypnea and stridor. Meds given - See section 5 PLUS epinephrine IM and infusion @ 0.05 mcg/kg/min, Alb and ipratropium negs, racemic epi nebs. Admitted to the hospital on 12/22 and still hospitalized at the time of this report on 12/23. She remains on an epinephrine drip and was given methylprednisolone 125 mg IV x 2. No previous history of anaphylaxis. History of Reye's syndrome as a child when given aspirin.
Age: 71.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site reaction, Rash pruritic, Urticaria
Clinical narrative: Narrative: Patient receive flu vaccine on 10/06/2020 and came in on 10/30/2020 complaining of an itchy rash at the injection site. Physician prescribed diphenhydramine for patient to take. Was still having itchy rash after visit. Seen by dermatology on 11/17/2020 and they prescribed cetirizine 20 mg daily instead to help with rash. Was seen again on 12/27/20 where patient reported that condition is improving. Symptoms: Rash, UrticariaPruritus & RASH Treatment: DIPHENHYDRAMINE 1 TAB QID Take one capsule by mouth every 6 hours as needed
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Blood test abnormal, Computerised tomogram head, Computerised tomogram normal, Confusional state
Clinical narrative: Narrative: Physician: "Patient with diffuse symptoms for upwards of a week including weakness, confusion, vomiting and diarrhea. Here in the urgent care vital signs are stable and his physical exam is benign. CT brain negative. EKG sinus rhythm. Blood work significant for hyponatremia, hypokalemia and renal insufficiency all likely secondary to dehydration from diarrhea and vomiting. Patient was given 1 L of IV fluid here in the urgent care. I spoke with the pt about his electrolyte abnormalities and how that could be affecting his energy level. Regarding his confusion, he says that has largely resolved. He is neurologically intact and his CT brain was negative. Not sure the cause of that but he said it started right after he got the influenza vaccine. I spoke with the patient about admission to the hospital but he would like to go home. He was given potassium chloride 40 mEq orally here in urgent care. I will start him on 40 mEq twice a day and would like him to return to in 3 days for a recheck of his chemistry. I will also empirically place him on 3 days of Zithromax." Symptoms: Confusion, Myalgia, NauseaVomiting & DELIRIUM; FEVER; MUSCLE PAIN Treatment: POTASSIUM CHLORIDE 40 MEQ BID ,AZITHROMYCIN 500 MG EVERY DAY
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Delirium, Diarrhoea, Electrocardiogram, Hypokalaemia, Hyponatraemia
Clinical narrative: Narrative: Physician: "Patient with diffuse symptoms for upwards of a week including weakness, confusion, vomiting and diarrhea. Here in the urgent care vital signs are stable and his physical exam is benign. CT brain negative. EKG sinus rhythm. Blood work significant for hyponatremia, hypokalemia and renal insufficiency all likely secondary to dehydration from diarrhea and vomiting. Patient was given 1 L of IV fluid here in the urgent care. I spoke with the pt about his electrolyte abnormalities and how that could be affecting his energy level. Regarding his confusion, he says that has largely resolved. He is neurologically intact and his CT brain was negative. Not sure the cause of that but he said it started right after he got the influenza vaccine. I spoke with the patient about admission to the hospital but he would like to go home. He was given potassium chloride 40 mEq orally here in urgent care. I will start him on 40 mEq twice a day and would like him to return to in 3 days for a recheck of his chemistry. I will also empirically place him on 3 days of Zithromax." Symptoms: Confusion, Myalgia, NauseaVomiting & DELIRIUM; FEVER; MUSCLE PAIN Treatment: POTASSIUM CHLORIDE 40 MEQ BID ,AZITHROMYCIN 500 MG EVERY DAY
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Myalgia, Pyrexia, Renal failure, Vomiting
Clinical narrative: Narrative: Physician: "Patient with diffuse symptoms for upwards of a week including weakness, confusion, vomiting and diarrhea. Here in the urgent care vital signs are stable and his physical exam is benign. CT brain negative. EKG sinus rhythm. Blood work significant for hyponatremia, hypokalemia and renal insufficiency all likely secondary to dehydration from diarrhea and vomiting. Patient was given 1 L of IV fluid here in the urgent care. I spoke with the pt about his electrolyte abnormalities and how that could be affecting his energy level. Regarding his confusion, he says that has largely resolved. He is neurologically intact and his CT brain was negative. Not sure the cause of that but he said it started right after he got the influenza vaccine. I spoke with the patient about admission to the hospital but he would like to go home. He was given potassium chloride 40 mEq orally here in urgent care. I will start him on 40 mEq twice a day and would like him to return to in 3 days for a recheck of his chemistry. I will also empirically place him on 3 days of Zithromax." Symptoms: Confusion, Myalgia, NauseaVomiting & DELIRIUM; FEVER; MUSCLE PAIN Treatment: POTASSIUM CHLORIDE 40 MEQ BID ,AZITHROMYCIN 500 MG EVERY DAY
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Tachypnoea, Throat tightness
Clinical narrative: Tachypnea throat tightness, short of breath, concern for anaphylaxis Narrative: Present to ED five days after vaccine w/c/o tightness in throat and shortness of breath; treated in the ED w/epinephrine, benadryl, famotidine and methylprednisolone and observed for two hours; prescribed Epi-pen for take-home. Discharged home.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: Fever & SkinRash
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Mood altered, Stridor
Clinical narrative: Dizzy, altered, stridor. No oral swelling observed.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio, Amylase normal, Anion gap, Aspartate aminotransferase normal
Clinical narrative: 66 you female who presented to to infusion clinic for lung cancer treatment. Pt received apap 650mg po, diphenhydramine 50mg PO at 1000. She also was administered NaCL 0.9% as a carrier for durvalumab as an infusion between 1000-1200. Pt was administered COVID19 vaccine at 1110. At 1120 patient called out stating "I just don't feel right". Pt was diaphoretic/weak/hypotensive. No swelling or respiratory distress noted during the episode. Attending physician and PharmD alerted and were at bedside. Per note, pt has needle phobia. Please refer to relevant history below for information regarding BP. Patient was monitored closely at the infusion clinic. She was able to receive her chemo agent as planned after she felt better from eating. Patient does not wish to get the second dose of covid vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal
Clinical narrative: 66 you female who presented to to infusion clinic for lung cancer treatment. Pt received apap 650mg po, diphenhydramine 50mg PO at 1000. She also was administered NaCL 0.9% as a carrier for durvalumab as an infusion between 1000-1200. Pt was administered COVID19 vaccine at 1110. At 1120 patient called out stating "I just don't feel right". Pt was diaphoretic/weak/hypotensive. No swelling or respiratory distress noted during the episode. Attending physician and PharmD alerted and were at bedside. Per note, pt has needle phobia. Please refer to relevant history below for information regarding BP. Patient was monitored closely at the infusion clinic. She was able to receive her chemo agent as planned after she felt better from eating. Patient does not wish to get the second dose of covid vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: 66 you female who presented to to infusion clinic for lung cancer treatment. Pt received apap 650mg po, diphenhydramine 50mg PO at 1000. She also was administered NaCL 0.9% as a carrier for durvalumab as an infusion between 1000-1200. Pt was administered COVID19 vaccine at 1110. At 1120 patient called out stating "I just don't feel right". Pt was diaphoretic/weak/hypotensive. No swelling or respiratory distress noted during the episode. Attending physician and PharmD alerted and were at bedside. Per note, pt has needle phobia. Please refer to relevant history below for information regarding BP. Patient was monitored closely at the infusion clinic. She was able to receive her chemo agent as planned after she felt better from eating. Patient does not wish to get the second dose of covid vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea increased, Carbon dioxide normal, Feeling abnormal, Glomerular filtration rate decreased, Hyperhidrosis
Clinical narrative: 66 you female who presented to to infusion clinic for lung cancer treatment. Pt received apap 650mg po, diphenhydramine 50mg PO at 1000. She also was administered NaCL 0.9% as a carrier for durvalumab as an infusion between 1000-1200. Pt was administered COVID19 vaccine at 1110. At 1120 patient called out stating "I just don't feel right". Pt was diaphoretic/weak/hypotensive. No swelling or respiratory distress noted during the episode. Attending physician and PharmD alerted and were at bedside. Per note, pt has needle phobia. Please refer to relevant history below for information regarding BP. Patient was monitored closely at the infusion clinic. She was able to receive her chemo agent as planned after she felt better from eating. Patient does not wish to get the second dose of covid vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Lipase normal, Protein total normal
Clinical narrative: 66 you female who presented to to infusion clinic for lung cancer treatment. Pt received apap 650mg po, diphenhydramine 50mg PO at 1000. She also was administered NaCL 0.9% as a carrier for durvalumab as an infusion between 1000-1200. Pt was administered COVID19 vaccine at 1110. At 1120 patient called out stating "I just don't feel right". Pt was diaphoretic/weak/hypotensive. No swelling or respiratory distress noted during the episode. Attending physician and PharmD alerted and were at bedside. Per note, pt has needle phobia. Please refer to relevant history below for information regarding BP. Patient was monitored closely at the infusion clinic. She was able to receive her chemo agent as planned after she felt better from eating. Patient does not wish to get the second dose of covid vaccine.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood bilirubin increased, Blood magnesium normal
Clinical narrative: Fever, NauseaVomiting & chills, abdominal pain
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Differential white blood cell count, Full blood count, Liver function test increased, Nausea
Clinical narrative: Fever, NauseaVomiting & chills, abdominal pain
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Protein total decreased, Pyrexia, Vomiting, White blood cell count increased
Clinical narrative: Fever, NauseaVomiting & chills, abdominal pain
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Low grade temp 99 F on 12/30/20 1:12 s/p COVID-19 vaccine [Moderna] received on 12/28 @13:08. Acetaminophen 650mg administered once on 12/30 2:09 with resolution of symptoms.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite
Clinical narrative: 89 y/o M with PHM of HTN, CAD, cardiomyopathy, HFrEF (EF 30%), Right Lobe thyroid nodule / L lobe cyst (declined biopsy), subclinical Hyperthyroidism, A fib, TIA, remote h/o PUD (bleeding ulcer s/p pyloroplasty and vagotomy 1999), internal hemorrhoids, spinal stenosis of lumbar region, HLD, asbestosis, BPH, anemia, goiter, osteoporosis, vitamin D deficiency, who underwent Right Hip Intertrochanteric ORIF on 6/11/20 s/p R hip fracture on 5/28/20 and was admitted to nursing home for SAR on 6/25/20.Patient reported weakness and loss of appetite on 12/29/20 18:36 s/p COVID- 19 vaccine received on 12/28 @13:09. Patient is being monitored.
Age: 57.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: Rash.
Age: 71.0
Sex: M
Vaccine: FLU4
Symptoms: Dyspnoea, Respiratory depression
Clinical narrative: ER for shortness of breathe RespDepression
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Anaphylactic reaction, Hypotension, Rash, Sedation
Clinical narrative: Agitation, Sedation, Anaphylaxis, Rash & HYPOtension
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dry mouth, Dyspnoea, Tachycardia, Throat tightness
Clinical narrative: Anaphylaxis Patient was vaccinated and within just a few minutes of vaccine administration began to feel throat tightening, difficultly getting air, tachycardia, and dry mouth. Admitted to a past history of anaphylaxis with shell fish and endorses similar symptoms. Employee was treated with an epi pen and taken to the emergency room for additional monitoring and treatment as needed
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Headache, Nausea, Pruritus, Urticaria
Clinical narrative: Headache, Anaphylaxis, UrticariaPruritus & NauseaVomiting
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache, Anaphylaxis, UrticariaPruritus & NauseaVomiting
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Ear discomfort, Nasal congestion, Throat irritation, Throat tightness
Clinical narrative: Anaphylaxis throat itchiness, throat tightness, sinus swelling, ear fullness  Narrative:  Patient reported throat itchiness, throat tightness, sinus swelling, ear fullness. Transported via EMS to nearest ER
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Myalgia, Peripheral swelling, Skin warm
Clinical narrative: Right arm swelling, golf ballsized on 12/31/2020. Redness, tenderness. By 1/1/21 swelling increased to entre arm, red, not to the touch. By 1/3/21 swelling was gone, redness still there, no pain. Muscle tenderness to the right arm still present
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Axillary pain, Chills, Headache, Hyperhidrosis
Clinical narrative: 12 hours after vaccine: Fever 104°F Day 2: 103° fever, no energy, body aches, chills, headache, swollen lymph node, pain in left armpit, sweats, slept all weekend.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersomnia, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: 12 hours after vaccine: Fever 104°F Day 2: 103° fever, no energy, body aches, chills, headache, swollen lymph node, pain in left armpit, sweats, slept all weekend.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Cyst, Haemorrhage, Pruritus
Clinical narrative: 1. SHOT - SEVERE ITCHING uppER ARM  2 START OF CYST ON MIDDLE BACK  CYST GETTING BIGGER AND BIGGER UNTIL IT FINALLY BURST WITH  A LOT OF BLOOD + PUSS
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Ear swelling, Erythema, Flushing, Hypersensitivity, Rash
Clinical narrative: received vaccine 12/21 and on 12/29 noted bilateral ear lobe swelling redness and facial flushing. on 12/30/2020 patient reports increased hive like rash on abdomen, trunk arms, and neck redness. Patient seen at her PCP and diagnosed with allergic reaction. Patient has taken benadryl and clariten and symptoms resolving.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: received vaccine 12/21 and on 12/29 noted bilateral ear lobe swelling redness and facial flushing. on 12/30/2020 patient reports increased hive like rash on abdomen, trunk arms, and neck redness. Patient seen at her PCP and diagnosed with allergic reaction. Patient has taken benadryl and clariten and symptoms resolving.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Rash, Urticaria
Clinical narrative: received vaccine 1600 and then developed hive like rash on anterior neck only which has continued and patient will be evaluated today 12/24/2020. She did not develop any other allergic reaction symptoms and only other symptom is mild soreness to her arm where she received the vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dizziness, Hypoaesthesia, Injection site erythema, Injection site pruritus
Clinical narrative: Dizziness, Anaphylaxis, UrticariaPruritus & NauseaVomiting Narrative:  Patient complained of nausea and numbness and tingling in fingertips 5 minutes after administration of vaccine and proceeded to bathroom. Patient with unwitnessed vomiting prior to RN assessment. RN assessed patient and taken safely to private evaluation room. AED pads applied per protocol. Epi-Pen administered. EMS called. Vital signs stable. Patient complained of itching and erythema in left arm around injection site. MD evaluated patient and advised to be further assessed in ER. Patient continuously evaluated by RN and EMS. Patient transported to ER in stable condition.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia, Pruritus, Urticaria, Vomiting
Clinical narrative: Dizziness, Anaphylaxis, UrticariaPruritus & NauseaVomiting Narrative:  Patient complained of nausea and numbness and tingling in fingertips 5 minutes after administration of vaccine and proceeded to bathroom. Patient with unwitnessed vomiting prior to RN assessment. RN assessed patient and taken safely to private evaluation room. AED pads applied per protocol. Epi-Pen administered. EMS called. Vital signs stable. Patient complained of itching and erythema in left arm around injection site. MD evaluated patient and advised to be further assessed in ER. Patient continuously evaluated by RN and EMS. Patient transported to ER in stable condition.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Cough, Pruritus, Urticaria, Wheezing
Clinical narrative: Anaphylaxis, CoughWheeze & UrticariaPruritus History of asthma, Epipen given with good improvement.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Anxiety, Fatigue, Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Anaphylaxis, Tachycardia, Lips numbness, tingling, Throat feels full, increased saliva Narrative: employee with an adverse reaction to the Covid vaccination. Reported to RN 10 minutes post vaccination Lips numbness/ tingling, throat fullness and slightly anxious. NP assessed employee and 50mg of IM Benadryl given in the opposite arm (right). No SOB or wheezing noted. VS pre treatment 158/99, 98%-RA, 98-HR, 18-RR. Ten minutes post treatment Lip tingling and throat fullness improving. At 20 minutes post treatment all S&S of adverse reaction resolved VS taken throughout even with 60 minutes of observation time total VS 139/84, 99%-RA, 81-HR, 14-RR. She is feeling tired and will consider calling for a ride to go home as advised by staff.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Salivary hypersecretion, Tachycardia, Throat tightness
Clinical narrative: Anaphylaxis, Tachycardia, Lips numbness, tingling, Throat feels full, increased saliva Narrative: employee with an adverse reaction to the Covid vaccination. Reported to RN 10 minutes post vaccination Lips numbness/ tingling, throat fullness and slightly anxious. NP assessed employee and 50mg of IM Benadryl given in the opposite arm (right). No SOB or wheezing noted. VS pre treatment 158/99, 98%-RA, 98-HR, 18-RR. Ten minutes post treatment Lip tingling and throat fullness improving. At 20 minutes post treatment all S&S of adverse reaction resolved VS taken throughout even with 60 minutes of observation time total VS 139/84, 99%-RA, 81-HR, 14-RR. She is feeling tired and will consider calling for a ride to go home as advised by staff.