chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head normal, Coordination abnormal, Diffusion-weighted brain MRI abnormal, Dysphemia
Clinical narrative: Pt was vaccinated with the Johnson and Johnson Vaccine on 5/3/21. he presented to the emergency room with a stroke on 5/15/2021. 50-year-old male presents emergency department with difficulty finding words and difficulty getting his hands to do what he wants.  Last known normal was 1030 the previous night when he went to bed. He has a past medical hx sign for controlled HTN, seasonal allergies and obesity with a bmi of 48.  Family members noticed him having difficulty finding words the morning  of admission and it got slightly worse throughout the day.  According to his wife he was holding the phone and could not dial the right numbers.  His hands were working but they could not follow instructions from what his brain wanted to do.  On evaluation the patient felt as though he was stuttering and could not get the right words.  No numbness or tingling.  No weakness on one side or the other.  wife and pt reported no prior problems with word finding or memory in the past and other than obesity and controlled HTN he was healthy. He does not smoke. he had no prior hx of atrial fibrillation. telemetry monitoring showed no atrial fibrillation. His LDL was 109, chol 167,trig 119, hdl 34. No prior hx of covid 19 infection. echo with normal EF, no thrombus. He received Physicial therapy and Occupational therapy and speech therapy.  He was discharged home on 5/17 on an aspirin. He was called on 5/22 and is still experiencing expressive aphasia and word finding difficulty. He previously worked full time as a machinist and has not been able to go back to work. He is also complaining of fatigue still.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram normal, Ejection fraction normal, Fatigue, Glycosylated haemoglobin normal, High density lipoprotein decreased
Clinical narrative: Pt was vaccinated with the Johnson and Johnson Vaccine on 5/3/21. he presented to the emergency room with a stroke on 5/15/2021. 50-year-old male presents emergency department with difficulty finding words and difficulty getting his hands to do what he wants.  Last known normal was 1030 the previous night when he went to bed. He has a past medical hx sign for controlled HTN, seasonal allergies and obesity with a bmi of 48.  Family members noticed him having difficulty finding words the morning  of admission and it got slightly worse throughout the day.  According to his wife he was holding the phone and could not dial the right numbers.  His hands were working but they could not follow instructions from what his brain wanted to do.  On evaluation the patient felt as though he was stuttering and could not get the right words.  No numbness or tingling.  No weakness on one side or the other.  wife and pt reported no prior problems with word finding or memory in the past and other than obesity and controlled HTN he was healthy. He does not smoke. he had no prior hx of atrial fibrillation. telemetry monitoring showed no atrial fibrillation. His LDL was 109, chol 167,trig 119, hdl 34. No prior hx of covid 19 infection. echo with normal EF, no thrombus. He received Physicial therapy and Occupational therapy and speech therapy.  He was discharged home on 5/17 on an aspirin. He was called on 5/22 and is still experiencing expressive aphasia and word finding difficulty. He previously worked full time as a machinist and has not been able to go back to work. He is also complaining of fatigue still.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Low density lipoprotein normal, Magnetic resonance imaging head abnormal, SARS-CoV-2 test negative, White matter lesion
Clinical narrative: Pt was vaccinated with the Johnson and Johnson Vaccine on 5/3/21. he presented to the emergency room with a stroke on 5/15/2021. 50-year-old male presents emergency department with difficulty finding words and difficulty getting his hands to do what he wants.  Last known normal was 1030 the previous night when he went to bed. He has a past medical hx sign for controlled HTN, seasonal allergies and obesity with a bmi of 48.  Family members noticed him having difficulty finding words the morning  of admission and it got slightly worse throughout the day.  According to his wife he was holding the phone and could not dial the right numbers.  His hands were working but they could not follow instructions from what his brain wanted to do.  On evaluation the patient felt as though he was stuttering and could not get the right words.  No numbness or tingling.  No weakness on one side or the other.  wife and pt reported no prior problems with word finding or memory in the past and other than obesity and controlled HTN he was healthy. He does not smoke. he had no prior hx of atrial fibrillation. telemetry monitoring showed no atrial fibrillation. His LDL was 109, chol 167,trig 119, hdl 34. No prior hx of covid 19 infection. echo with normal EF, no thrombus. He received Physicial therapy and Occupational therapy and speech therapy.  He was discharged home on 5/17 on an aspirin. He was called on 5/22 and is still experiencing expressive aphasia and word finding difficulty. He previously worked full time as a machinist and has not been able to go back to work. He is also complaining of fatigue still.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted after vaccine.  Previous history of fainting with shots
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Malaise, Orthostatic hypotension, Sitting disability, Vision blurred
Clinical narrative: Less than a minute after administration patient started to feel not well. Patient displayed symptoms of possible syncope. Eyes were unfocused and unable to sit up straight. Epipen was administered immediately. EMS was called. Patient's blood pressurewas taken multiple times and was low at each reading . Patient's blood pressure would also drop upon standing up. After about half an hour of not resolving EMS took patient to hospital for further evaluation.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was to receive dose #2 of Moderna, and was inadvertently vaccinated with Pfizer dose. Patient was informed, education on Pfizer and Moderna vaccines provided, patient was observed for 30 minutes.  Patient was in no observed or stated distress on discharge.  Vital signs on discharge: BP 120/79, HR 60, SaO2 98%, T=98.5.  Pt given PH number to call if questions, and education provided as to when to seek emergency care if experiencing signs of anaphylactic reaction.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Flushing, Hyperhidrosis, Urticaria
Clinical narrative: Developed red, facial flush and sweated 15 minutes after 1st dose. Resolved same evening. Developed small number of hive-like sores (2-days later) on anterior neck, upper abdomen and one on the back. One sore still remains on front of his neck as of 5/22/2021.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient felt dizzy and we made the patient lie down on her back and elevated her feet. She fainted for few seconds and was back to normal in couple of seconds.. we applied cold compress on her face, neck and wrist. Observed her more than 45 minutes
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Ear pruritus, Fatigue, Muscle spasms, Muscle twitching
Clinical narrative: Itching on arms, ears, scalp,  stomach and legs. twitching under skin like a spasm.  Fatigue.  Stomach cramps.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itching on arms, ears, scalp,  stomach and legs. twitching under skin like a spasm.  Fatigue.  Stomach cramps.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Malaise, Vaccination site erythema, Vaccination site swelling
Clinical narrative: Patient reports severe fatigue, and feeling unwell; as well as warm red spot at site of vaccination and a lump under the skin at the vaccine site; patient also reports redness in the face
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site warmth
Clinical narrative: Patient reports severe fatigue, and feeling unwell; as well as warm red spot at site of vaccination and a lump under the skin at the vaccine site; patient also reports redness in the face
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness, Tinnitus
Clinical narrative: 1422: Pt reports  "ringing in ears and throat tightness"  1422- Pt taken to ER for further evaluation
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Bone pain, Headache, Heart rate irregular, Nausea
Clinical narrative: Powerful pain in the bones, strong headache, irregular heartbeat and nausea.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: Husband told me he was going to pass out within a few minutes of receiving the shot, I called for the pharmacy tech to come help me before he fell off of the chair.  They called for EMS to come and check him out, his bp was 118 over 78.  He is home now feeling tired . We can follow up with his doctor if her is not feeling better.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Feeding disorder, Fluid intake reduced, Nausea
Clinical narrative: shivering, general body pain, extreme weakness, severe sleepiness ( sleeping 24 hours ), nausea (unable to drink water or eat) , no fever
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Somnolence
Clinical narrative: shivering, general body pain, extreme weakness, severe sleepiness ( sleeping 24 hours ), nausea (unable to drink water or eat) , no fever
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Syncope
Clinical narrative: Patient observed at 1442 sliding down in his observation chair. Observation nurse helped lower patient to the floor. Patient had a syncopal episode for a few seconds. Patient woke up, assisted into wheelchair, and taken to private room for further assessment. Full set of vitals obtained as follows: O2 sat 99% RA, HR 66, BP 138/80, RR 18. Patient stated he was feeling fine and that he previously was outside today and was very hot before receiving his vaccine. Patient also stated he had a historyof  syncopal episodes from being over heated. Monitored pt for another 10 minutes and took another set of vitals at 1452 as follows: O2 sat 99% RA, HR 83, BP 135/85, RR 17. Assessed patient vitals 10 minutes later at 1502...
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Blood culture, Blood thyroid stimulating hormone, Brain natriuretic peptide, Chest X-ray
Clinical narrative: Tachycardia began at 27 hours after vaccine with hear rate up to the 160s . Fever developed after the tachycardia 31 hours after vaccine. Patient was monitored in the hospital on propranolol and was sent home on propranolol.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Full blood count, Heart rate increased, Metabolic function test, Pyrexia
Clinical narrative: Tachycardia began at 27 hours after vaccine with hear rate up to the 160s . Fever developed after the tachycardia 31 hours after vaccine. Patient was monitored in the hospital on propranolol and was sent home on propranolol.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Thyroxine free, Toxicologic test, Troponin, Urine analysis
Clinical narrative: Tachycardia began at 27 hours after vaccine with hear rate up to the 160s . Fever developed after the tachycardia 31 hours after vaccine. Patient was monitored in the hospital on propranolol and was sent home on propranolol.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: 5 days after the first dose I had a lump in my left arm pit which was sore.  It lasted about 4 days.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral
Clinical narrative: lip swelling, tongue tingling
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation delayed, Menstruation irregular
Clinical narrative: i skipped my period, my period is usually very regular and i missed an entire cycle. currently having a very intense, heavy, and cramp filled period which is irregular
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Limb mass, Peripheral swelling, Skin discolouration
Clinical narrative: Swelling in both legs below the knee (all the way). Lumps under the skin of both legs below the knee in calves and below. Skin discoloration (like bruises) in places where the lumps are as well as other areas. Compression socks and elevating the feet helped. These symptoms lasted for 4 weeks- up until the day before the 2nd dose.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Vertigo
Clinical narrative: Severe and persistent vertigo, especially when lying down
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Feeling hot, Hypoaesthesia oral, Paraesthesia oral, Pyrexia
Clinical narrative: Patient received her first dose Pfizer vaccine (LOT#: EW0185 EXP: 8/2021) at 0925 on 5/19/21. Patient alerted  EMT at 0940. Patient stated that she felt a strange sensation in her mouth/ throat region. Patient then stated that her tongue was numb and tingly. Patient also stated that she felt hot in body temperature. EMT took patients vital signs at 0940. BP: 108/78, pulse: 69, O2: 99%. Patient received water. Patient was offered diphenhydramine at 0946. Patient refused diphenhydramine at 0946. EMT retook vital signs and reassessed patient at 0950. BP: 98/68, pulse: 69, O2: 99%. Patient stated that she felt slightly better. EMT retook vital signs and reassessed patient at 0957 BP: 110/78, pulse: 67, O2: 98%. Patient stated that she felt no symptoms. EMT retook vital signs and reassessed patient at 1010. BP: 108/70, pulse: 62, 02: 98%. Patient stated she felt no symptoms and felt good to leave vaccination site. Patient stated that she had not eaten breakfast. PHN educated patient on worsening signs and symptoms and when to call EMS or go to emergency room/urgent care. Patient verbalized understanding of education. Patient completed observation time. Patient left vaccination site unassisted and with a steady gait at 1015.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Headache, Hypoaesthesia, Insomnia
Clinical narrative: I am her mother reporting and also an RN.  She rarely complains of symptoms whenever I?ll.  C/O 12 hours post vaccination began feeling of throat closing- able to breath ok/safely but short of breath (O2 says 99% HR 60?s - WNL), feeling floaty and light- as if not on ground, body feels tingling and numb, difficulty sleeping, right pupil dilated greater than left but both pupils reacted to light appropriately with check.  Pupil over dilation one side resolved by next morning.  Other symptoms still continue.  Other SE?s are common: HA, low grade fever 100.9, body aches.  Currently 33.5 hours post vaccination at submission. Pfizer #1 on 4/30/21  Lot# EW0173 Pfizer #2 of 5/21/21. Lot# EW0187
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Mydriasis, Pain, Paraesthesia, Pyrexia, Throat tightness
Clinical narrative: I am her mother reporting and also an RN.  She rarely complains of symptoms whenever I?ll.  C/O 12 hours post vaccination began feeling of throat closing- able to breath ok/safely but short of breath (O2 says 99% HR 60?s - WNL), feeling floaty and light- as if not on ground, body feels tingling and numb, difficulty sleeping, right pupil dilated greater than left but both pupils reacted to light appropriately with check.  Pupil over dilation one side resolved by next morning.  Other symptoms still continue.  Other SE?s are common: HA, low grade fever 100.9, body aches.  Currently 33.5 hours post vaccination at submission. Pfizer #1 on 4/30/21  Lot# EW0173 Pfizer #2 of 5/21/21. Lot# EW0187
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Bursitis, Haematoma, Peripheral swelling
Clinical narrative: Pt she's experiencing bruisitis and swelling on her arm and elbow. states she has a hematoma on elbow.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Nausea
Clinical narrative: My sense of taste and smell has become distorted. I never tested positive for COVID-19 or had any symptoms of the virus at all, which is what makes this change in taste and smell so weird. I did not lose my sense of taste or smell, but there are many foods and smells that now either smell sickly sweet or too earthy. I hoped that this issue would resolve after getting the second dose of the vaccine, but two weeks after my second dose, I am still dealing with this side effect. It has been several weeks now and my sense of taste and smell are sometimes so distorted that it is nauseating.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chills, Headache, Hypoaesthesia
Clinical narrative: Numbness on the side where the vaccine was administered: Left arm, left leg and calf, left palate, left cheek, left side of the skin of the head. Headache. Especially on the forehead. Shooting pains in left leg and calf. Pain in knee and elbow on the left side. Sensation of compression in the chest. Fever and chills. Decline. Generalized muscle pain. Upper extremities pale especially in the hands.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Myalgia, Pain, Pain in extremity, Pallor
Clinical narrative: Numbness on the side where the vaccine was administered: Left arm, left leg and calf, left palate, left cheek, left side of the skin of the head. Headache. Especially on the forehead. Shooting pains in left leg and calf. Pain in knee and elbow on the left side. Sensation of compression in the chest. Fever and chills. Decline. Generalized muscle pain. Upper extremities pale especially in the hands.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Numbness on the side where the vaccine was administered: Left arm, left leg and calf, left palate, left cheek, left side of the skin of the head. Headache. Especially on the forehead. Shooting pains in left leg and calf. Pain in knee and elbow on the left side. Sensation of compression in the chest. Fever and chills. Decline. Generalized muscle pain. Upper extremities pale especially in the hands.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Cyanosis, Injection site rash, Syncope
Clinical narrative: patient was given shot and fainted and started rash at site lips turned blue also shot was given at 10:23am and at 10:26am adverse event started epipen was given at 10:26am paramedics  called and patient was taken to hospital for followup
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site infection, Injection site pain, Injection site swelling
Clinical narrative: Below the injection site- the arm became red and a bit swollen, firm, painful when touched, very warm to the touch at the spot, painful when raised the arm up - went to the doctor and he said its an infection and recommended an antibiotic dose
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pain
Clinical narrative: Below the injection site- the arm became red and a bit swollen, firm, painful when touched, very warm to the touch at the spot, painful when raised the arm up - went to the doctor and he said its an infection and recommended an antibiotic dose
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oligomenorrhoea, Pain, Pain in extremity
Clinical narrative: Prolonged menstrual cycle- 11 day flow  Headache Body aches  Sore arm  Fatigue
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt fainted shortly after the vaccine, regained consciousness immediately. Patient was given an ice pack and water. There was no  harm to patient.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Cardiac flutter, Chest discomfort, Cold sweat
Clinical narrative: BP was racing all night with heart flutters, chest tightness, chronic migraine, seizure, cold sweats, fever, joint pain, and throat issues. fatigue
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Migraine, Oropharyngeal discomfort, Pyrexia, Seizure
Clinical narrative: BP was racing all night with heart flutters, chest tightness, chronic migraine, seizure, cold sweats, fever, joint pain, and throat issues. fatigue
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Pfizer for second dose inadvertently when they should have received Moderna.  No adverse effects noted.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: Normal side effects until it came time for my period. It?s 3 weeks late and I?m not pregnant.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye pain, Headache, Hypoaesthesia oral, Immediate post-injection reaction
Clinical narrative: Headache, light-headed and swollen tongue were first symptoms almost immediately (3:17pm), followed by swollen lips & itchy throat at about 15 mins after the injection (~3:30pm), watery eyes and eye pain around 20 mins (~3:35pm), itchy tongue and lip numbness around 40 mins after the injection (~3:55pm). This is when I requested a Benadryl & was directed that I had to purchase my own in order to take. One dose of Benadryl was taken at 45 mins (~4:02pm), with symptoms slowly subsiding by 30 mins (~4:30pm) after taking Benadryl. I waited an additional 10 mins as symptoms continued to subside (~4:40pm). At 2 hrs & 45 mins after injection (~6pm),I still have some slight symptoms but they appear to be under control by Benadryl.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lacrimation increased, Lip swelling, Swollen tongue, Throat irritation, Tongue pruritus
Clinical narrative: Headache, light-headed and swollen tongue were first symptoms almost immediately (3:17pm), followed by swollen lips & itchy throat at about 15 mins after the injection (~3:30pm), watery eyes and eye pain around 20 mins (~3:35pm), itchy tongue and lip numbness around 40 mins after the injection (~3:55pm). This is when I requested a Benadryl & was directed that I had to purchase my own in order to take. One dose of Benadryl was taken at 45 mins (~4:02pm), with symptoms slowly subsiding by 30 mins (~4:30pm) after taking Benadryl. I waited an additional 10 mins as symptoms continued to subside (~4:40pm). At 2 hrs & 45 mins after injection (~6pm),I still have some slight symptoms but they appear to be under control by Benadryl.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt received Pfizer COVID vaccine for second dose inadvertently when they should have received Moderna.  No adverse effects noted.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Polymenorrhoea
Clinical narrative: Typical menstrual cycle is 31 days. Since the 2nd vaccine my cycles have been 29 days, 27 days, and 21 days.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Platelet count decreased, Thrombocytopenia, Vaginal haemorrhage
Clinical narrative: thrombocytopenia, vaginal bleeding
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Dyspnoea, Electrocardiogram, Hypoaesthesia
Clinical narrative: Chest pain. Difficulty breathing, upper back pain, numbness and tingling in right arm.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Chest pain. Difficulty breathing, upper back pain, numbness and tingling in right arm.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Dizziness/vertigo
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Vision blurred
Clinical narrative: During her observational 15 minutes, patient was having dizziness and blurred vision. Patient had a loss of consciousness for 30 seconds. After regaining, patient was alert and oriented. Patient was given water and asked to sit for 15 minutes.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chronic obstructive pulmonary disease, Dyspnoea, Hypoxia, Leukocytosis
Clinical narrative: Patient received 2nd Pfizer COVID Vaccine on 05/07/2021 and patient reports two days later she began to feel increasingly short of breath and was found to be hypoxic at 66% requiring increased supplemental oxygen, thought to be due to sudden COPD exacerbation, requiring IV Solu-medrol, Duo-nebs and Albuterol. Required hospitalization for 2 days and discharged on antibiotics and prednisone.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Patient  came to pharmacy to receive second Moderna covid shot.  Patient received shot and asked to stay for 15 minute for observation. While waiting, patient complaint chest pain when he breathe in deeply.  Patient waited little longer and felt symptom was getting worse so patient wanted pharmacy to call 911.  The paramedics came soon after and patient left with them.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Contusion, Dehydration, Fatigue
Clinical narrative: 100+ degree Fever for two days + chills + throwing up + dehydration + intense migraine + COVID arm + rashes all over the body that turn to bruises + aches and pains where bruises are located + fatigue throughout
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain, Rash, Vomiting
Clinical narrative: 100+ degree Fever for two days + chills + throwing up + dehydration + intense migraine + COVID arm + rashes all over the body that turn to bruises + aches and pains where bruises are located + fatigue throughout
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: She came by after a couple of hours and said she had tingling in fingers and sense of numbness in arm. Called her a little after get info about health conditions and she said it had gotten little better.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Vital signs measurement
Clinical narrative: Situation: Patient, 36yo male came in for second dose Moderna vaccine (Lot# 007C21A). Within 5 mins after receiving vaccine, patient began to have localized itching in the right arm.   Background: Patient stated that she experienced an allergic reaction during her first vaccine. She stated she saw her PCP and they recommended the second Moderna vaccine with Benadryl before and after if needed.    Assessment: The patient began to experience itching within 5 mins of receiving the vaccine. She was prepared with her own medication, including Benadryl and an Epi pen. The patient had localized itching in the right arm with no signs or symptoms of edema, redness, or swelling. She was placed on a gurney and moved to room 6 for closer observation for 30 mins.  Moderna vaccine administered on 5/22/21 at 12:11 PM 1220 vitals ? 133/61(85), 97.9F, 100% O2 1226 vitals ? 125/66(88), 100% O2  Recommendation: Patient stated her MD recommended taking Benadryl  post vaccination. She self-medicated and was monitored for 30 minutes with no other issues.   The patient was taken out via wheelchair.
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin reaction
Clinical narrative: Female person who's 13 years old has had a skin reaction in both arms after getting vaccinated.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Arthralgia, Arthritis, Asthenia, Atrial fibrillation
Clinical narrative: Pt recivied her 2nd covid 19 vaccine on 3/26. Patient is a 76-year-old female with a past medical history significant for hypertension, depression, hypothyroidism 2nd covid 19 vaccine on 3/26 who presented on 5/18  to the ER with complaints of lightheadedness and nausea that occurred over the weekend and was diagnosed with new onset rapid atrial fibrillation.  She denied chest pain or shortness of breath but noticed intermittent bouts of palpitations.  She went to see her PCP who referred her to the emergency room.  EKG and telemetry  in the emergency room were significant for new onset rapid atrial fib.  She was given diltiazem and admitted to the hospitalist service.  CT of the chest was negative for pulmonary emboli or focal consolidation.  She had no electrolyte derangements she has no history of sleep apnea and no history of obesity.  Her troponin and delta were unremarkable.  She was subsequently admitted to the hospitalist service.  She was treated with metoprolol and amiodarone  along with Eliquis.  She was seen by her cardiologist.  Her recent echocardiogram was normal.  Her TSH was actually elevated at 11.0 so her levothyroxine dose was increased to 175 mcg daily with a TSH in 6 weeks.  At this time patient's rate is much better controlled but she remains in atrial fib.  She will be following up with her cardiologist closely post discharge. She is also complaining of persistent R shoulder pain and weakness since her vaccine. Her shoulder x ray showed arthritic changes. She also c/o the worst headache of her life that lasted a week starting on May 4th. CT head was neg.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone increased, Cardiac telemetry abnormal, Cardiovascular examination, Computerised tomogram head normal, Computerised tomogram thorax normal
Clinical narrative: Pt recivied her 2nd covid 19 vaccine on 3/26. Patient is a 76-year-old female with a past medical history significant for hypertension, depression, hypothyroidism 2nd covid 19 vaccine on 3/26 who presented on 5/18  to the ER with complaints of lightheadedness and nausea that occurred over the weekend and was diagnosed with new onset rapid atrial fibrillation.  She denied chest pain or shortness of breath but noticed intermittent bouts of palpitations.  She went to see her PCP who referred her to the emergency room.  EKG and telemetry  in the emergency room were significant for new onset rapid atrial fib.  She was given diltiazem and admitted to the hospitalist service.  CT of the chest was negative for pulmonary emboli or focal consolidation.  She had no electrolyte derangements she has no history of sleep apnea and no history of obesity.  Her troponin and delta were unremarkable.  She was subsequently admitted to the hospitalist service.  She was treated with metoprolol and amiodarone  along with Eliquis.  She was seen by her cardiologist.  Her recent echocardiogram was normal.  Her TSH was actually elevated at 11.0 so her levothyroxine dose was increased to 175 mcg daily with a TSH in 6 weeks.  At this time patient's rate is much better controlled but she remains in atrial fib.  She will be following up with her cardiologist closely post discharge. She is also complaining of persistent R shoulder pain and weakness since her vaccine. Her shoulder x ray showed arthritic changes. She also c/o the worst headache of her life that lasted a week starting on May 4th. CT head was neg.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Echocardiogram normal, Electrocardiogram abnormal, Full blood count normal, Headache
Clinical narrative: Pt recivied her 2nd covid 19 vaccine on 3/26. Patient is a 76-year-old female with a past medical history significant for hypertension, depression, hypothyroidism 2nd covid 19 vaccine on 3/26 who presented on 5/18  to the ER with complaints of lightheadedness and nausea that occurred over the weekend and was diagnosed with new onset rapid atrial fibrillation.  She denied chest pain or shortness of breath but noticed intermittent bouts of palpitations.  She went to see her PCP who referred her to the emergency room.  EKG and telemetry  in the emergency room were significant for new onset rapid atrial fib.  She was given diltiazem and admitted to the hospitalist service.  CT of the chest was negative for pulmonary emboli or focal consolidation.  She had no electrolyte derangements she has no history of sleep apnea and no history of obesity.  Her troponin and delta were unremarkable.  She was subsequently admitted to the hospitalist service.  She was treated with metoprolol and amiodarone  along with Eliquis.  She was seen by her cardiologist.  Her recent echocardiogram was normal.  Her TSH was actually elevated at 11.0 so her levothyroxine dose was increased to 175 mcg daily with a TSH in 6 weeks.  At this time patient's rate is much better controlled but she remains in atrial fib.  She will be following up with her cardiologist closely post discharge. She is also complaining of persistent R shoulder pain and weakness since her vaccine. Her shoulder x ray showed arthritic changes. She also c/o the worst headache of her life that lasted a week starting on May 4th. CT head was neg.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test normal, Nausea, Palpitations, Troponin normal, Urine delta aminolevulinate normal
Clinical narrative: Pt recivied her 2nd covid 19 vaccine on 3/26. Patient is a 76-year-old female with a past medical history significant for hypertension, depression, hypothyroidism 2nd covid 19 vaccine on 3/26 who presented on 5/18  to the ER with complaints of lightheadedness and nausea that occurred over the weekend and was diagnosed with new onset rapid atrial fibrillation.  She denied chest pain or shortness of breath but noticed intermittent bouts of palpitations.  She went to see her PCP who referred her to the emergency room.  EKG and telemetry  in the emergency room were significant for new onset rapid atrial fib.  She was given diltiazem and admitted to the hospitalist service.  CT of the chest was negative for pulmonary emboli or focal consolidation.  She had no electrolyte derangements she has no history of sleep apnea and no history of obesity.  Her troponin and delta were unremarkable.  She was subsequently admitted to the hospitalist service.  She was treated with metoprolol and amiodarone  along with Eliquis.  She was seen by her cardiologist.  Her recent echocardiogram was normal.  Her TSH was actually elevated at 11.0 so her levothyroxine dose was increased to 175 mcg daily with a TSH in 6 weeks.  At this time patient's rate is much better controlled but she remains in atrial fib.  She will be following up with her cardiologist closely post discharge. She is also complaining of persistent R shoulder pain and weakness since her vaccine. Her shoulder x ray showed arthritic changes. She also c/o the worst headache of her life that lasted a week starting on May 4th. CT head was neg.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray limb abnormal
Clinical narrative: Pt recivied her 2nd covid 19 vaccine on 3/26. Patient is a 76-year-old female with a past medical history significant for hypertension, depression, hypothyroidism 2nd covid 19 vaccine on 3/26 who presented on 5/18  to the ER with complaints of lightheadedness and nausea that occurred over the weekend and was diagnosed with new onset rapid atrial fibrillation.  She denied chest pain or shortness of breath but noticed intermittent bouts of palpitations.  She went to see her PCP who referred her to the emergency room.  EKG and telemetry  in the emergency room were significant for new onset rapid atrial fib.  She was given diltiazem and admitted to the hospitalist service.  CT of the chest was negative for pulmonary emboli or focal consolidation.  She had no electrolyte derangements she has no history of sleep apnea and no history of obesity.  Her troponin and delta were unremarkable.  She was subsequently admitted to the hospitalist service.  She was treated with metoprolol and amiodarone  along with Eliquis.  She was seen by her cardiologist.  Her recent echocardiogram was normal.  Her TSH was actually elevated at 11.0 so her levothyroxine dose was increased to 175 mcg daily with a TSH in 6 weeks.  At this time patient's rate is much better controlled but she remains in atrial fib.  She will be following up with her cardiologist closely post discharge. She is also complaining of persistent R shoulder pain and weakness since her vaccine. Her shoulder x ray showed arthritic changes. She also c/o the worst headache of her life that lasted a week starting on May 4th. CT head was neg.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: The patient broke out into a sweat and became lightheaded and dizzy just a couple of minutes after receiving the vaccine.  We evaluated her pulse, blood pressure, and respirations which were all normal.  She laid down with her feet raised for about 10 minutes before the paramedics arrived and she left with them for further evaluation.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: Covid Arm, extreme fatigue, body aches, and headaches
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site rash, Injection site warmth, Pruritus, Sensitive skin
Clinical narrative: Seven days after the first dose, rash developed on left arm near the injection site and lasted about 5-7 days. Itchy and warm. Did not like sunlight.   Three days after second shot, rash developed on the left arm near the injection site and lasted 3-5 days. Itch and warm. Did not like sunlight.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Condition aggravated, Dysmenorrhoea
Clinical narrative: Severe back pain during the menstrual period. I always have back pain during the period but is always bearable. This time I am experiencing worse pain than I have ever experienced during perios.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient's friend reported to pharmacy patient passed out as they walked out the store about 15 minutes after the shot, and someone already called 911.  Pharmacist walked out to check on patient, paramedics were already there checking on her.  Paramedics said patient is ok, and they will release her.    Patient came back to the pharmacy about 10-15min later to tell us she is ok.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature decreased, Burning sensation, Erythema, Eye pain
Clinical narrative: 2-11-21 - 12:45 am called nurse line about severe headache and excessive pain following covid vaccination (took place 2-10, 10:30am).   By 5pm, right hand was experiencing extreme burning neuropathy, which then traveled down right leg into right foot, so arm, hand, leg, and foot were involved. No fever.   By 8pm, body aches were really bad, and the beginning of a severe headache was showing. Temperature was 96.8.  Headache continued to get worse - centered around area of previous head injury (1982) above and just behind left ear.   Left ear was red and hot. Over time, pain radiated down back of head and down back of neck on left side. Also into left eye socket. Continued to increase area, involving jaw on left side and to lesser extent jaw on right side - both TMJs involved. Pain was 9 on pain scale.  It hurt less to stand up - sitting and lying down made pain much greater. Because of fatigue and body pain, I had to stand and walk all night ? I was exhausted.   12:45am Called a nurse hot line. They told me I need to get to ER. I said I?m stuck ? I live on an island with no hospital and there?s no ferry at that time. Nurse said I needed to speak with an on call doctor as soon as possible.   Began calling on-call doctor 1am. (It appeared to me that, where my new doctor practices, didn't have an on-call doctor.) said to call back in 10 minutes if I didn't get a call from the doctor. Called at 1:15am, then 1:30am, 2:00am, 2:30am, 2:45am. Still hadn?t gotten a call from the on-call doctor.  Body temperature fell under 96. I used 2 different digital thermometers, and even tried a glass/mercury one, which when shaken all the way down, never moved (lowest register is 96). At the lowest, at 4:15am, my body temperature was 95 degrees.  Finally around 4:30am, I took  tramadol and wrapped my feet in a heating pad set on high. Was finally able to lie down, but extreme head and neck pain continued.   On-call doctor finally called me just after 5am. By then, my temperature was at 96 again. He said the tramadol was a good idea, and said to take another. Told me to keep an eye on my temperature. Spent the next 2 days in bed. I could feel the incredibly strong body pain moving from place to place in my body, like someone walking on a path. For the next 2 weeks, I was fatigued and had brain fog.   Because I heard that people had a stronger reaction to the second dose, I was apprehensive about it, considering how strong my reaction was to the first dose.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Neck pain, Neuropathy peripheral
Clinical narrative: 2-11-21 - 12:45 am called nurse line about severe headache and excessive pain following covid vaccination (took place 2-10, 10:30am).   By 5pm, right hand was experiencing extreme burning neuropathy, which then traveled down right leg into right foot, so arm, hand, leg, and foot were involved. No fever.   By 8pm, body aches were really bad, and the beginning of a severe headache was showing. Temperature was 96.8.  Headache continued to get worse - centered around area of previous head injury (1982) above and just behind left ear.   Left ear was red and hot. Over time, pain radiated down back of head and down back of neck on left side. Also into left eye socket. Continued to increase area, involving jaw on left side and to lesser extent jaw on right side - both TMJs involved. Pain was 9 on pain scale.  It hurt less to stand up - sitting and lying down made pain much greater. Because of fatigue and body pain, I had to stand and walk all night ? I was exhausted.   12:45am Called a nurse hot line. They told me I need to get to ER. I said I?m stuck ? I live on an island with no hospital and there?s no ferry at that time. Nurse said I needed to speak with an on call doctor as soon as possible.   Began calling on-call doctor 1am. (It appeared to me that, where my new doctor practices, didn't have an on-call doctor.) said to call back in 10 minutes if I didn't get a call from the doctor. Called at 1:15am, then 1:30am, 2:00am, 2:30am, 2:45am. Still hadn?t gotten a call from the on-call doctor.  Body temperature fell under 96. I used 2 different digital thermometers, and even tried a glass/mercury one, which when shaken all the way down, never moved (lowest register is 96). At the lowest, at 4:15am, my body temperature was 95 degrees.  Finally around 4:30am, I took  tramadol and wrapped my feet in a heating pad set on high. Was finally able to lie down, but extreme head and neck pain continued.   On-call doctor finally called me just after 5am. By then, my temperature was at 96 again. He said the tramadol was a good idea, and said to take another. Told me to keep an eye on my temperature. Spent the next 2 days in bed. I could feel the incredibly strong body pain moving from place to place in my body, like someone walking on a path. For the next 2 weeks, I was fatigued and had brain fog.   Because I heard that people had a stronger reaction to the second dose, I was apprehensive about it, considering how strong my reaction was to the first dose.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in jaw, Skin warm
Clinical narrative: 2-11-21 - 12:45 am called nurse line about severe headache and excessive pain following covid vaccination (took place 2-10, 10:30am).   By 5pm, right hand was experiencing extreme burning neuropathy, which then traveled down right leg into right foot, so arm, hand, leg, and foot were involved. No fever.   By 8pm, body aches were really bad, and the beginning of a severe headache was showing. Temperature was 96.8.  Headache continued to get worse - centered around area of previous head injury (1982) above and just behind left ear.   Left ear was red and hot. Over time, pain radiated down back of head and down back of neck on left side. Also into left eye socket. Continued to increase area, involving jaw on left side and to lesser extent jaw on right side - both TMJs involved. Pain was 9 on pain scale.  It hurt less to stand up - sitting and lying down made pain much greater. Because of fatigue and body pain, I had to stand and walk all night ? I was exhausted.   12:45am Called a nurse hot line. They told me I need to get to ER. I said I?m stuck ? I live on an island with no hospital and there?s no ferry at that time. Nurse said I needed to speak with an on call doctor as soon as possible.   Began calling on-call doctor 1am. (It appeared to me that, where my new doctor practices, didn't have an on-call doctor.) said to call back in 10 minutes if I didn't get a call from the doctor. Called at 1:15am, then 1:30am, 2:00am, 2:30am, 2:45am. Still hadn?t gotten a call from the on-call doctor.  Body temperature fell under 96. I used 2 different digital thermometers, and even tried a glass/mercury one, which when shaken all the way down, never moved (lowest register is 96). At the lowest, at 4:15am, my body temperature was 95 degrees.  Finally around 4:30am, I took  tramadol and wrapped my feet in a heating pad set on high. Was finally able to lie down, but extreme head and neck pain continued.   On-call doctor finally called me just after 5am. By then, my temperature was at 96 again. He said the tramadol was a good idea, and said to take another. Told me to keep an eye on my temperature. Spent the next 2 days in bed. I could feel the incredibly strong body pain moving from place to place in my body, like someone walking on a path. For the next 2 weeks, I was fatigued and had brain fog.   Because I heard that people had a stronger reaction to the second dose, I was apprehensive about it, considering how strong my reaction was to the first dose.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pain, Pain in extremity
Clinical narrative: Splitting headache and achy body for two days.  Over the counter painkillers did little to ease the pain, like a hatchet chopping my head repeatedly.    Still lingering soreness in left arm at injection site.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Injection site bruising, Injection site reaction
Clinical narrative: Skin on left arm at injection site bruised immediately, next day it formed a 3?x6? red raised rash. 12 hours after injections fever and chills started, along with a headache and lightheadedness, unable to sleep at all.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash erythematous, Rash papular, Sleep disorder
Clinical narrative: Skin on left arm at injection site bruised immediately, next day it formed a 3?x6? red raised rash. 12 hours after injections fever and chills started, along with a headache and lightheadedness, unable to sleep at all.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Confusional state, Delusion, Dizziness
Clinical narrative: Immediately - dizziness, heart racing, difficulty breathing, lightheadedness, pain in arm, slight trembling, moderate chest pain.   20 minutes afterward - confusion, delusions, trembling, chills, uncontrolled teeth chattering, tensed muscles, uneven gait, arm pain slowed body mechanics. Persistent day of to 3 days after - low grade fever 101.3F, chills, excessive thirst, stiff joints, loss of range of mobility in finger movements, enduring  arm pain, exhaustion, fatigue, muscle aches, photophobia, headaches, swollen glands, red mark on arm lasted for days. Longer range changes - persistent chills and fatigue. Menstrual cycle disrupted. Menstrual-like bleeding  but 2 weeks early.  Still bleeding.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Fatigue, Gait disturbance, Headache
Clinical narrative: Immediately - dizziness, heart racing, difficulty breathing, lightheadedness, pain in arm, slight trembling, moderate chest pain.   20 minutes afterward - confusion, delusions, trembling, chills, uncontrolled teeth chattering, tensed muscles, uneven gait, arm pain slowed body mechanics. Persistent day of to 3 days after - low grade fever 101.3F, chills, excessive thirst, stiff joints, loss of range of mobility in finger movements, enduring  arm pain, exhaustion, fatigue, muscle aches, photophobia, headaches, swollen glands, red mark on arm lasted for days. Longer range changes - persistent chills and fatigue. Menstrual cycle disrupted. Menstrual-like bleeding  but 2 weeks early.  Still bleeding.