chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pruritus, Injection site warmth, Lethargy, Malaise, Nausea
Clinical narrative: After dose 1, I became lethargic and dizzy. I left work and went home. I had a headache, nausea, stomach pains and diarrhea for 4 days. I missed a day of work. The injections site was red, hot, itchy and sore. It bruised and stayed that was for 3 weeks.  After the 2nd dose, I became ill within an hour of receiving the vaccine. I left work early b/c I was dizzy, lethargic and had a bad headache. I missed work the next day b/c I had a fever of 102, chills, vomiting, diarrhea, body aches, dizziness and a headache. I stayed in bed all day and drank water and took Tylenol. By 6pm, my temp was finally down to 99.0. For the next 3 days, I have had diarrhea. The injection site bled alot this time but surprisingly, its not as sore as the first. It is red and slightly painful.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Vomiting
Clinical narrative: After dose 1, I became lethargic and dizzy. I left work and went home. I had a headache, nausea, stomach pains and diarrhea for 4 days. I missed a day of work. The injections site was red, hot, itchy and sore. It bruised and stayed that was for 3 weeks.  After the 2nd dose, I became ill within an hour of receiving the vaccine. I left work early b/c I was dizzy, lethargic and had a bad headache. I missed work the next day b/c I had a fever of 102, chills, vomiting, diarrhea, body aches, dizziness and a headache. I stayed in bed all day and drank water and took Tylenol. By 6pm, my temp was finally down to 99.0. For the next 3 days, I have had diarrhea. The injection site bled alot this time but surprisingly, its not as sore as the first. It is red and slightly painful.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives. pt has tried benadryl with no improvement
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Malaise, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: COVID symptoms started on 9/7/21, tested covid+ on 9/8/21, scheduled to receive regeneron infusion but developed shortness of breath and oxygen saturations fell to 81 and 82% on room air, sent to ER for hospitalization
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: 2 or 3 minutes after getting  the vaccine, the patient passed out for about 40 seconds. the pharmacist called him couple times then he waked up and started to talk. He was ok after that.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Patient's mom states that the patient (20 yr old) is still having arm/shoulder pain from her 1st dose on 7/24/21. Reported on 9/14/21
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Red tender circle at injection site appeared 9 days after vaccination.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac function test, Chest X-ray, Electrocardiogram, Fatigue
Clinical narrative: Fatigue, Fever, positive COVID antibiotics given, fluids given
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Metabolic function test, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Fatigue, Fever, positive COVID antibiotics given, fluids given
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site urticaria, Rash
Clinical narrative: Patient received second Hep A vaccine, remained in office for routine lead testing. After immunization was given it was noted that patient had a large red area of hives around the area of immunization, as well as hives on face and back. Provider examined patient and he was free of edema and and difficulty breathing. Hives resolved with Benadryl treatment
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Abdominal pain upper, Chills, Diarrhoea, Dizziness
Clinical narrative: I received the J&J vaccine 4 months after I recovered from COVID-19. Within 10 minutes of receiving the vaccine, I became dizzy and developed mild stomach cramps, both of which lasted 4 hours. Later that day, I experienced uncontrollable shivering, body aches, and felt like I was burning up. The next day, I experienced extreme exhaustion, mild stomach cramps, shivering, body aches, and a headache, which lasted for three days total, improving each day. On days 4-6, I  had pain in my lower abdomen and loose stools.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Headache, Pain
Clinical narrative: I received the J&J vaccine 4 months after I recovered from COVID-19. Within 10 minutes of receiving the vaccine, I became dizzy and developed mild stomach cramps, both of which lasted 4 hours. Later that day, I experienced uncontrollable shivering, body aches, and felt like I was burning up. The next day, I experienced extreme exhaustion, mild stomach cramps, shivering, body aches, and a headache, which lasted for three days total, improving each day. On days 4-6, I  had pain in my lower abdomen and loose stools.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Amyotrophic lateral sclerosis, Death, Electromyogram, Magnetic resonance imaging spinal, Nerve conduction studies
Clinical narrative: Patient developed ALS shortly after his vaccine. He passed away within 4 months. It is unclear whether or not there is any relation to his development of ALS and his taking the vaccine - other than the association of timing.  His wife felt strongly that this should be reported.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Palpitations
Clinical narrative: After receiving 2nd dose of Moderna vaccine, pt over to observation area to sit, About 10 minutes into a 15 observation wait time, pt stated" i am beginning to feel funny and light headed, and my heart is racing", Upon assessment not palpable fast heart rate. Pt put on pulse ox, and blood pressure, heart rated to be 170bs/min. denies any chest pain,  oxygen 2 liters nasal cannula applied to pt and patient w/c to urgent care, report given to rn
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Headache, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Client was vaccinated with Pfizer vaccines for Covid on March 2 and March 30, 2021.  Covid symptoms started 9/10/2021 - sinus congestion, cough, headache.  Tested positive for Covid with rapid test on 9/12.  Client vaccinated x 2 and reported as a case of breakthrough Covid.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Client was vaccinated with Pfizer vaccines for Covid on March 2 and March 30, 2021.  Covid symptoms started 9/10/2021 - sinus congestion, cough, headache.  Tested positive for Covid with rapid test on 9/12.  Client vaccinated x 2 and reported as a case of breakthrough Covid.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Eczema
Clinical narrative: Worsening of Eczema within 24 hours - unresolved
Age: 57.0
Sex: F
Vaccine: FLUR4
Symptoms: Dyspnoea, Headache, Rash pruritic
Clinical narrative: Patient was given Flublok quadrivalent flu shot. Patient had anaphylactic reaction to moderna shot in April for which an SCRT/Vaers were filled out. The only reason the flu shot was given to the patient is that she said, she has always had  a flu shot with no issues. After given the flu shot, the patient was asked to wait for 30 minutes due to previous reaction to moderna shot; however, she walked around and came back and said she is experiencing itch/rash, difficulty breathing, and headache (per patient she experiences migraine). We called 911 immediately with patient permission and around 1120 am, while the pharmacist was on the phone with 911, the patient self-administered epipen with the help a technician. About 10 minutes later, the patient requested another dose. At about the same time, 911 team made it to the pharmacy and took over care. Member of management was notified. Also, DM was notified a few minutes later.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fear, Pain in extremity, Shoulder operation
Clinical narrative: Two After first dose started having pain in my surgically repaired shoulder start having a nasty pain . Before second shot I begged the Dr at the Pharmacy  not to inject my left arm. He did,  within an hour the pain got much worse. The pain lasted 3 months before it stopped. I?ve since has another shoulder surgery on other arm. I?m reluctant to get booster shot for fear of a reoccurrence. At my rehabilitation facility I mentioned the severe pain had to stop therapy for weeks until the pain subsided. Once I returned to therapy my Therapist told me there were a couple others experiencing shoulder pain after COVID 19
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna 0.5ml dose was administered to 15 year old patient.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Sore arm after each shot (5/18/21 and 6/8/21); Extremely stiff painful back/ back ache/stiffness/ immobility of back following 2nd dose on 6/8/21 that lasted a few days.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Paraesthesia
Clinical narrative: patient is still having muscle achiness and joint pain and he is getting tingling down his legs.  Told patient to consult his physician.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Skin discolouration
Clinical narrative: Woke up in the middle of the night and her left arm was really hurting. The next morning, she noticed that the backside of her shoulder/arm all the way down to her wrist was discolored, darker than the rest of her skin. It does not hurt or each. She describes it as it looks like the vaccine ran down her arm.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient presents for her second COVID-19 vaccination, she did not have her vaccine card with her at the time of her second dose and she did not remember what vaccine she received for her first dose. It was written on a sticky note that she was due for Pfizer dose today 09-14-2021. Medication removed from fridge, mixed per directions, and administered per standing orders. Writer did not check system prior to administration of vaccine. Patient monitored for 15 minutes after administration with no adverse reaction and was released back to work. After patient was released, I went to put vaccine in system it was figured out that she was administered Moderna on 08-17-2021 and Pfizer was administered today 09-14-2021. Pt notified at this time.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Employee tested positive for COVID-19 after being fully vaccinated
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Formication, Palpitations, Paraesthesia, Pruritus
Clinical narrative: Patient experienced a bumpy and swollen tongue, "raw" throat, arm tingle, cold sweats, "ant crawling itching", and heart palpitations
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Throat irritation, Tongue disorder
Clinical narrative: Patient experienced a bumpy and swollen tongue, "raw" throat, arm tingle, cold sweats, "ant crawling itching", and heart palpitations
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Erythema, Feeling hot, Vision blurred
Clinical narrative: About 2 to 5 min after vaccine administered became hot, red, dizzy, unable to focus, EMT's and RN came to aid and BP was escalated.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Sensory disturbance
Clinical narrative: He got his vaccine, 2 days later he started having pains in the arms.  He went to UC and the lady said that it would go away by itself, and that he may get some headache.  He continues to have pain in his arm.  If he lays on it it feels like a spider web it ripping and it hurts.  If he lays close to a wall it goes away, but if he lays on it it bothers him.  The UC did not give him anything for it, and said it was nothing that they could see.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Drug screen negative, Vertigo
Clinical narrative: 02/01/2021 I had vertigo all of a sudden, so bad I had to get on the floor. I was taken to the ER Hospital. Antivert and Zophran, medrodose pack of steroids'.  It went away and came back from time to time over, it lasted for about three months.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, COVID-19, Chest X-ray, Echocardiogram, Fall
Clinical narrative: syncope, fall, COVID positive
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Metabolic function test, Respiratory viral panel, SARS-CoV-2 test positive, Syncope
Clinical narrative: syncope, fall, COVID positive
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Intensive care
Clinical narrative: Patient fully vaccinated and died of covid related causes. According to patient's wife, patient was in critical care at the hospital and also had cancer. Patient's wife says they haven't went anywhere except for their oncology visit on 8/2. Patient died 13 days later after admitted to hospital.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: I experienced pain in my left shoulder after the vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Inappropriate schedule of product administration
Clinical narrative: Nurse administered COVID Vaccine #2 @ 14 days after dose #1.  EDD: 10/18/21
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: facial twitching that has lasted 2 weeks and continues to be an issue.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Erythema, Pityriasis rosea, Pruritus, Rash
Clinical narrative: I am in month 5 of an all over body rash that doctor originally diagnosed as Pitarysis Rosea. It has continued to cover my entire body. Doctor's last diagnosis was hives. Burning and itching, skin looks like it is sunburned. Huge red welts and patches all over entire body.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin burning sensation, Urticaria
Clinical narrative: I am in month 5 of an all over body rash that doctor originally diagnosed as Pitarysis Rosea. It has continued to cover my entire body. Doctor's last diagnosis was hives. Burning and itching, skin looks like it is sunburned. Huge red welts and patches all over entire body.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy, Neoplasm skin, Pruritus, Rash, Rash macular
Clinical narrative: I am in month 5 of an all over body rash that doctor originally diagnosed as Pitarysis Rosea. It has continued to cover my entire body. Doctor's last diagnosis was hives. Burning and itching, skin looks like it is sunburned. Huge red welts and patches all over entire body.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test, Skin exfoliation
Clinical narrative: I am in month 5 of an all over body rash that doctor originally diagnosed as Pitarysis Rosea. It has continued to cover my entire body. Doctor's last diagnosis was hives. Burning and itching, skin looks like it is sunburned. Huge red welts and patches all over entire body.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac telemetry, Condition aggravated, Dyspnoea
Clinical narrative: 67 yo male hx of bronchietctasis, ILD, presents to ED for shortness of breath, found to have COVID PNA with hypoxia requiring 15L NRB mask  changed to 15L HFNC O2. Admitted to telemetry unit. Started on decadron and remdesivir 9/10/2021. Possible bacterial pneumonia.  Started on cefepime and levofloxacin, bronchodilators, BiPAP at night for sleep apnea.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer, Hypoxia, Positive airway pressure therapy, SARS-CoV-2 antibody test positive, SARS-CoV-2 test positive
Clinical narrative: 67 yo male hx of bronchietctasis, ILD, presents to ED for shortness of breath, found to have COVID PNA with hypoxia requiring 15L NRB mask  changed to 15L HFNC O2. Admitted to telemetry unit. Started on decadron and remdesivir 9/10/2021. Possible bacterial pneumonia.  Started on cefepime and levofloxacin, bronchodilators, BiPAP at night for sleep apnea.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sleep apnoea syndrome
Clinical narrative: 67 yo male hx of bronchietctasis, ILD, presents to ED for shortness of breath, found to have COVID PNA with hypoxia requiring 15L NRB mask  changed to 15L HFNC O2. Admitted to telemetry unit. Started on decadron and remdesivir 9/10/2021. Possible bacterial pneumonia.  Started on cefepime and levofloxacin, bronchodilators, BiPAP at night for sleep apnea.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Haemorrhagic stroke
Clinical narrative: Hemorrhagic Stroke on 07/30/2021 died 08/03/2021
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucination, tactile, Incoherent, Paralysis, Pyrexia
Clinical narrative: Tactile hallucination of paralysis. High fever. Incoherence. Lasted a few hours.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Incomplete course of vaccination, Pruritus
Clinical narrative: I waited at the pharmacy for 20-25 minutes after I got the first dose. I have a history of reacting to almost every medication I have been given. When I have been vaccinated in the past I haven?t had any reactions. Within the first few minutes of getting the first dose I was itching over my entire body. After an hour, my breathing began to be restricted. Over the next two days the itching got worse, no rash, but my breathing was terrible though my oxygen levels were above 90. The pharmacy suggested I contact my allergy doctor so I got in to see Dr. on Thursday of that week I believe. She put me on steroids for 10 days. The steroid didn?t help my breathing so I ended up doing breathing treatments for 10 days. The first week I did the treatments every 4 hours during the day and after that I was able to get by with 1 treatment until I felt ok. It was suggested that even though my reaction was severe, it was immediate and I couldn?t get the second dose.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Burning sensation, Condition aggravated, Migraine, Nausea
Clinical narrative: Client called and reported, "having a Lupus flare up." Client reported feeling feverish and body feels like it is on fire. Client reported experiencing migraines, nausea, and weakness. Client reported having the same thing happen after the first dose for ten days, three weeks after the second dose, and still having symptoms up to date after the third dose. Client has had a follow up with doctor. No treatments at this time.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Systemic lupus erythematosus
Clinical narrative: Client called and reported, "having a Lupus flare up." Client reported feeling feverish and body feels like it is on fire. Client reported experiencing migraines, nausea, and weakness. Client reported having the same thing happen after the first dose for ten days, three weeks after the second dose, and still having symptoms up to date after the third dose. Client has had a follow up with doctor. No treatments at this time.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Headache, Pain, Pyrexia
Clinical narrative: Chills, sweating, fever, severe body aches, headache, chest pains
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Chills, sweating, fever, severe body aches, headache, chest pains
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Accidentally administered the wrong flu vaccine to the patient. No adverse reactions have been reported so far.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Dizziness, Fatigue, Pain, Pyrexia
Clinical narrative: fever, dizziness, soreness, chills, fatigue,
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Glaucoma
Clinical narrative: Had my eyes checked for new eyeglass prescription and now have glaucoma in left eye. My optometrist has never mentioned this before - I never had glaucoma before the vaccine
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: reported swelling at injection site starting 2 to 3 days after vaccine. also redness that traveled down the arm (maybe halfway to elbow). took almost 5 days to mostly resolve.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Blood glucose normal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7° 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Death, Lethargy, Metabolic encephalopathy, SARS-CoV-2 test positive
Clinical narrative: Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7° 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan normal, Urinary tract infection
Clinical narrative: Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7° 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Balance disorder, Sensation of foreign body, Throat irritation
Clinical narrative: Female patient refers feeling agitated and itchy in the throat. Patient refers feeling unsteady and feels a lump in the throat. Vitals are BP 120/80, Sat02 97%. Paramedic and voice personnel talked with the patient, and she was given prep alcohol treated with breathing exercises for 30min. They recommended to calm down and practice breathing exercises. She was referred to primary doctor.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Headache, Myalgia, Pyrexia
Clinical narrative: Dizziness, headache, muscle ache, joint ache, fever
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient requested a booster (third) dose of Covid-19 vaccine, the pharmacy did not provide his first dose. The pharmacy administered a Pfizer dose a.  It is our understanding that the patient received Moderna series, however, we only were aware of this after the patient received the vaccination. Ultimately the patient received a Moderna series and a Pfizer third dose due to self-attesting he was immune compromised.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypersensitivity, Nervousness, Swelling face, Throat tightness
Clinical narrative: ED c/o allergic reaction the second Covid vaccine.  Patient states she received her second dose of Pfizer Covid vaccine this morning and about 5 minutes later began to feel shaky, then lightheaded and dizzy and felt like she was going to pass out.  She notified the nurse who felt the patient had some facial swelling and tightening of the throat and thus she was given an EpiPen.  EMS was called and the patient was transported to the emergency room and states she is feeling much better but is not at baseline.  Currently the patient denies headache, neck pain, sore throat, throat swelling, lip swelling, chest pain, fevers, chills, cough, shortness of breath, abdominal pain, vomiting, diarrhea, rash or focal neuro deficit
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Chills, Erythema, Feeling hot, Nausea, Pyrexia
Clinical narrative: Vomiting, nausea, chills, shivers, fever, large rash on each arm where each shot was given, swelling, heat, and redness. Vomiting subsided within 15 hours. Rashes persisted about a week.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Rash, Swelling, Vomiting
Clinical narrative: Vomiting, nausea, chills, shivers, fever, large rash on each arm where each shot was given, swelling, heat, and redness. Vomiting subsided within 15 hours. Rashes persisted about a week.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site warmth, Rash
Clinical narrative: Patient presents today for evaluation of rash after receiving COVID vaccine. On 8/25/21 received Pfizer COVID vaccine at in left arm. Within 40min had a red, hot to touch rash around injection site and down most of left arm. The rash was not itchy or painful. No paresthesia. No swelling. Then last week, the rash has went to stomach, legs, right arm and face. Most spots have improved yet new areas develop. Again no itching or pain. Unsure if Zyrtec or Benadryl help which she already routinely takes for allergies. Has a history of multiple allergies but never to a vaccine. Prior to vaccine was feeling well and feels well besides rash. No fever. No lip, tongue, facial swelling, wheezing or SOB.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Computerised tomogram, Dyspnoea
Clinical narrative: Started feeling tired, fever, severe body aches.  Drank lots of fluids and took Tylenol.  Was told one fever was gone I could return to work per employee health (nurse at Ortho office). I went back to work after missing 2 days (short staff as everyone) because fever had come down but still could not get over the exhaustion. Came home went to sleep till morning which is completely abnormal for me. I made it through the next two days of work feeling like I couldn't breath well but figured it was hustling with the masks on and then I woke up with the post severe pain in my chest and struggling to breath. Went to Emergency Dept. And was diagnosed with pneumonia 3 lobes and what Dr. Called what looks to be an inflammatory response in addition which may be a results of the 3rd vaccine but no data to compare. I was the first in my health system to have the 3 vaccine
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Extra dose administered, Fatigue, Fibrin D dimer, Hypersomnia
Clinical narrative: Started feeling tired, fever, severe body aches.  Drank lots of fluids and took Tylenol.  Was told one fever was gone I could return to work per employee health (nurse at Ortho office). I went back to work after missing 2 days (short staff as everyone) because fever had come down but still could not get over the exhaustion. Came home went to sleep till morning which is completely abnormal for me. I made it through the next two days of work feeling like I couldn't breath well but figured it was hustling with the masks on and then I woke up with the post severe pain in my chest and struggling to breath. Went to Emergency Dept. And was diagnosed with pneumonia 3 lobes and what Dr. Called what looks to be an inflammatory response in addition which may be a results of the 3rd vaccine but no data to compare. I was the first in my health system to have the 3 vaccine
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Inflammation, Pain, Pneumonia, Pyrexia
Clinical narrative: Started feeling tired, fever, severe body aches.  Drank lots of fluids and took Tylenol.  Was told one fever was gone I could return to work per employee health (nurse at Ortho office). I went back to work after missing 2 days (short staff as everyone) because fever had come down but still could not get over the exhaustion. Came home went to sleep till morning which is completely abnormal for me. I made it through the next two days of work feeling like I couldn't breath well but figured it was hustling with the masks on and then I woke up with the post severe pain in my chest and struggling to breath. Went to Emergency Dept. And was diagnosed with pneumonia 3 lobes and what Dr. Called what looks to be an inflammatory response in addition which may be a results of the 3rd vaccine but no data to compare. I was the first in my health system to have the 3 vaccine
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Urine analysis
Clinical narrative: Started feeling tired, fever, severe body aches.  Drank lots of fluids and took Tylenol.  Was told one fever was gone I could return to work per employee health (nurse at Ortho office). I went back to work after missing 2 days (short staff as everyone) because fever had come down but still could not get over the exhaustion. Came home went to sleep till morning which is completely abnormal for me. I made it through the next two days of work feeling like I couldn't breath well but figured it was hustling with the masks on and then I woke up with the post severe pain in my chest and struggling to breath. Went to Emergency Dept. And was diagnosed with pneumonia 3 lobes and what Dr. Called what looks to be an inflammatory response in addition which may be a results of the 3rd vaccine but no data to compare. I was the first in my health system to have the 3 vaccine
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Nausea
Clinical narrative: Chills, fever, headache, nausea, weak and fatigue 8 hours after the 2nd dose
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, fever, headache, nausea, weak and fatigue 8 hours after the 2nd dose
Age: 84.0
Sex: M
Vaccine: UNK
Symptoms: Encephalopathy, Hypomagnesaemia, Mental status changes, Pyrexia
Clinical narrative: hospitalized for fever,  AMS, encephalopathy, hypomagnesemia
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: My menstrual cycle came 14 days earlier than what is normal. It also happened after my first dose.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I experienced shingles on my face
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Polymenorrhoea, Thrombosis
Clinical narrative: I started my menstrual cycle on Monday, September 6th. My period consistently lasts 6-7 days. On Thursday, September 9th (4th day of my period), I received my Janssen COVID-19 vaccine in the morning. My menstrual flow ceased the remainder of the day on 9/9. I had no flow on 9/10 or 9/11. On 9/12 (day 6), my period began again, after 4 days of bleeding, and 3 days of no bleeding. It wasn't heavy, just very light. On 9/13 and today 9/14, my period has been so heavy that I am emptying a 30 mL menstrual cup every 50 minutes. It typically takes me 6-12 hours to fill that depending on the day. My period flow consistency right now is extremely abnormal in that it is bright red and watery, with 2-3 quarter sized clots being passed every hour. This is not normal for me. I have had consistently 26-30 day cycles with dark red thick flow for years. Someone has to look into this. Please.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dry eye, Ocular discomfort, Ocular hyperaemia, Retinogram
Clinical narrative: Very red and dry eyes, looking at computer screen discomforting, minor headaches, eyedrops for antihistamine. 08/03/2021 ongoing. Discomfort has improved
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Electromyogram, Magnetic resonance imaging, Pain in extremity, Paraesthesia
Clinical narrative: "VERY BAD PAIN STARTED WITHIN 40 HOURS OF 2ND SHOT"  OPPOSITE ARM FROM WHERE SHOT WAS GIVEN. PULSING PAIN IN ARMPIT, WEAKNESS , TINGLING RIGHT ARM.  HAS HAD ABOUT 50% IMPROVEMENT BUT WEAKNESS /TINGLING STILL THERE.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Sensation of blood flow, X-ray
Clinical narrative: "VERY BAD PAIN STARTED WITHIN 40 HOURS OF 2ND SHOT"  OPPOSITE ARM FROM WHERE SHOT WAS GIVEN. PULSING PAIN IN ARMPIT, WEAKNESS , TINGLING RIGHT ARM.  HAS HAD ABOUT 50% IMPROVEMENT BUT WEAKNESS /TINGLING STILL THERE.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular, Oligomenorrhoea
Clinical narrative: Menstrual cycle very heavy, comes earlier then normal, worse cramps. I've been regular my whole life and it wasn't until the vaccine that I have had extremely heavy periods (soaking through clothes and bed sheets), my cycles last longer and start earlier.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Blood lactic acid increased, Blood magnesium normal, Blood test
Clinical narrative: In the emergency room workup, patient was found to have metabolic  acidosis also COVID-19 positive on August 5, 2021.  The patient admitted for  acute respiratory failure due to COVID-19 pneumonia requiring mechanical  ventilation.  CT of the chest showing ground-glass opacities demonstrated  likely due to pulmonary edema.  Patient was started on IV vancomycin and  Zosyn.  Also found to have diabetic crisis DKA.  Patient was started on DKA  protocol, insulin drip, also started on Decadron and remdesivir, concern for  sepsis due to COVID-19 pneumonia.  Lactic acid was elevated with possible  superimposed gram-negative rods and pneumonia.  During hospital stay, D-dimer  significantly elevated.  Lower extremity ultrasound showing a nonocclusive DVT  in the right femoral vein and left femoral vein.  Patient started on full  anticoagulation, Lovenox per ICU, acute respiratory failure, likely due to  metabolic acidosis from DKA.  Patient was extubated on August 7, 2021. Patient started on sliding scale.  Per chart review, shortness of  breath likely due to metabolic acidosis from DKA, Decadron and remdesivir were  stopped.  Hospital stay complicated with hypernatremia and hypokalemia.   Patient was started on D5W and sodium corrected.  Magnesium was normal limits  but patient was refusing to take potassium tablets.  Wide-spectrum antibiotics  were de-escalated.  *** urine and blood.  Patient did test positive for MRSA  on nares and received vancomycin.  Patient was started on long-acting insulin  b.i.d.  For his lower extremity DVT, plan is to discharge him on Xarelto.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray normal, Computerised tomogram thorax abnormal, Diabetic ketoacidosis
Clinical narrative: In the emergency room workup, patient was found to have metabolic  acidosis also COVID-19 positive on August 5, 2021.  The patient admitted for  acute respiratory failure due to COVID-19 pneumonia requiring mechanical  ventilation.  CT of the chest showing ground-glass opacities demonstrated  likely due to pulmonary edema.  Patient was started on IV vancomycin and  Zosyn.  Also found to have diabetic crisis DKA.  Patient was started on DKA  protocol, insulin drip, also started on Decadron and remdesivir, concern for  sepsis due to COVID-19 pneumonia.  Lactic acid was elevated with possible  superimposed gram-negative rods and pneumonia.  During hospital stay, D-dimer  significantly elevated.  Lower extremity ultrasound showing a nonocclusive DVT  in the right femoral vein and left femoral vein.  Patient started on full  anticoagulation, Lovenox per ICU, acute respiratory failure, likely due to  metabolic acidosis from DKA.  Patient was extubated on August 7, 2021. Patient started on sliding scale.  Per chart review, shortness of  breath likely due to metabolic acidosis from DKA, Decadron and remdesivir were  stopped.  Hospital stay complicated with hypernatremia and hypokalemia.   Patient was started on D5W and sodium corrected.  Magnesium was normal limits  but patient was refusing to take potassium tablets.  Wide-spectrum antibiotics  were de-escalated.  *** urine and blood.  Patient did test positive for MRSA  on nares and received vancomycin.  Patient was started on long-acting insulin  b.i.d.  For his lower extremity DVT, plan is to discharge him on Xarelto.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Extubation, Fibrin D dimer increased, Hypernatraemia, Hypokalaemia
Clinical narrative: In the emergency room workup, patient was found to have metabolic  acidosis also COVID-19 positive on August 5, 2021.  The patient admitted for  acute respiratory failure due to COVID-19 pneumonia requiring mechanical  ventilation.  CT of the chest showing ground-glass opacities demonstrated  likely due to pulmonary edema.  Patient was started on IV vancomycin and  Zosyn.  Also found to have diabetic crisis DKA.  Patient was started on DKA  protocol, insulin drip, also started on Decadron and remdesivir, concern for  sepsis due to COVID-19 pneumonia.  Lactic acid was elevated with possible  superimposed gram-negative rods and pneumonia.  During hospital stay, D-dimer  significantly elevated.  Lower extremity ultrasound showing a nonocclusive DVT  in the right femoral vein and left femoral vein.  Patient started on full  anticoagulation, Lovenox per ICU, acute respiratory failure, likely due to  metabolic acidosis from DKA.  Patient was extubated on August 7, 2021. Patient started on sliding scale.  Per chart review, shortness of  breath likely due to metabolic acidosis from DKA, Decadron and remdesivir were  stopped.  Hospital stay complicated with hypernatremia and hypokalemia.   Patient was started on D5W and sodium corrected.  Magnesium was normal limits  but patient was refusing to take potassium tablets.  Wide-spectrum antibiotics  were de-escalated.  *** urine and blood.  Patient did test positive for MRSA  on nares and received vancomycin.  Patient was started on long-acting insulin  b.i.d.  For his lower extremity DVT, plan is to discharge him on Xarelto.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Lung opacity, Mechanical ventilation, Metabolic acidosis, Peripheral artery thrombosis
Clinical narrative: In the emergency room workup, patient was found to have metabolic  acidosis also COVID-19 positive on August 5, 2021.  The patient admitted for  acute respiratory failure due to COVID-19 pneumonia requiring mechanical  ventilation.  CT of the chest showing ground-glass opacities demonstrated  likely due to pulmonary edema.  Patient was started on IV vancomycin and  Zosyn.  Also found to have diabetic crisis DKA.  Patient was started on DKA  protocol, insulin drip, also started on Decadron and remdesivir, concern for  sepsis due to COVID-19 pneumonia.  Lactic acid was elevated with possible  superimposed gram-negative rods and pneumonia.  During hospital stay, D-dimer  significantly elevated.  Lower extremity ultrasound showing a nonocclusive DVT  in the right femoral vein and left femoral vein.  Patient started on full  anticoagulation, Lovenox per ICU, acute respiratory failure, likely due to  metabolic acidosis from DKA.  Patient was extubated on August 7, 2021. Patient started on sliding scale.  Per chart review, shortness of  breath likely due to metabolic acidosis from DKA, Decadron and remdesivir were  stopped.  Hospital stay complicated with hypernatremia and hypokalemia.   Patient was started on D5W and sodium corrected.  Magnesium was normal limits  but patient was refusing to take potassium tablets.  Wide-spectrum antibiotics  were de-escalated.  *** urine and blood.  Patient did test positive for MRSA  on nares and received vancomycin.  Patient was started on long-acting insulin  b.i.d.  For his lower extremity DVT, plan is to discharge him on Xarelto.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive, Staphylococcal infection, Staphylococcus test positive, Ultrasound Doppler abnormal
Clinical narrative: In the emergency room workup, patient was found to have metabolic  acidosis also COVID-19 positive on August 5, 2021.  The patient admitted for  acute respiratory failure due to COVID-19 pneumonia requiring mechanical  ventilation.  CT of the chest showing ground-glass opacities demonstrated  likely due to pulmonary edema.  Patient was started on IV vancomycin and  Zosyn.  Also found to have diabetic crisis DKA.  Patient was started on DKA  protocol, insulin drip, also started on Decadron and remdesivir, concern for  sepsis due to COVID-19 pneumonia.  Lactic acid was elevated with possible  superimposed gram-negative rods and pneumonia.  During hospital stay, D-dimer  significantly elevated.  Lower extremity ultrasound showing a nonocclusive DVT  in the right femoral vein and left femoral vein.  Patient started on full  anticoagulation, Lovenox per ICU, acute respiratory failure, likely due to  metabolic acidosis from DKA.  Patient was extubated on August 7, 2021. Patient started on sliding scale.  Per chart review, shortness of  breath likely due to metabolic acidosis from DKA, Decadron and remdesivir were  stopped.  Hospital stay complicated with hypernatremia and hypokalemia.   Patient was started on D5W and sodium corrected.  Magnesium was normal limits  but patient was refusing to take potassium tablets.  Wide-spectrum antibiotics  were de-escalated.  *** urine and blood.  Patient did test positive for MRSA  on nares and received vancomycin.  Patient was started on long-acting insulin  b.i.d.  For his lower extremity DVT, plan is to discharge him on Xarelto.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine analysis
Clinical narrative: In the emergency room workup, patient was found to have metabolic  acidosis also COVID-19 positive on August 5, 2021.  The patient admitted for  acute respiratory failure due to COVID-19 pneumonia requiring mechanical  ventilation.  CT of the chest showing ground-glass opacities demonstrated  likely due to pulmonary edema.  Patient was started on IV vancomycin and  Zosyn.  Also found to have diabetic crisis DKA.  Patient was started on DKA  protocol, insulin drip, also started on Decadron and remdesivir, concern for  sepsis due to COVID-19 pneumonia.  Lactic acid was elevated with possible  superimposed gram-negative rods and pneumonia.  During hospital stay, D-dimer  significantly elevated.  Lower extremity ultrasound showing a nonocclusive DVT  in the right femoral vein and left femoral vein.  Patient started on full  anticoagulation, Lovenox per ICU, acute respiratory failure, likely due to  metabolic acidosis from DKA.  Patient was extubated on August 7, 2021. Patient started on sliding scale.  Per chart review, shortness of  breath likely due to metabolic acidosis from DKA, Decadron and remdesivir were  stopped.  Hospital stay complicated with hypernatremia and hypokalemia.   Patient was started on D5W and sodium corrected.  Magnesium was normal limits  but patient was refusing to take potassium tablets.  Wide-spectrum antibiotics  were de-escalated.  *** urine and blood.  Patient did test positive for MRSA  on nares and received vancomycin.  Patient was started on long-acting insulin  b.i.d.  For his lower extremity DVT, plan is to discharge him on Xarelto.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased
Clinical narrative: After 1 week my fingers were not moving right so I called my doctor. My left hand had difficulty moving all of the fingers. My doctor gave me a steroid injection. After 2 days my fingers began to move properly again. Currently I am having issues with my left which are similar to what I initially experienced. I am also currently having issues with my middle finger on my left hand which are causing more difficulty moving it now than before.  I have a history of movement issues with my right hand but I never had issues with the left hand. My doctor advised me that in that same day she had 4 patients who were experiencing the same issues.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Myocarditis
Clinical narrative: Chest pain similar to myocarditis that lasted a couple weeks. Has resolved now, but most likely lasted around 3 weeks total.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Day 1: fatigue, headache, chills, mild fever treated with Tylenol Day 2: fatigue, severe nausea, severe vomiting treated with Tylenol and ondansetron odt from ER Day 3: fatigue, slight nausea treated with Tylenol Day 4: fatigue and headache treated with Tylenol
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge, Vomiting
Clinical narrative: Day 1: fatigue, headache, chills, mild fever treated with Tylenol Day 2: fatigue, severe nausea, severe vomiting treated with Tylenol and ondansetron odt from ER Day 3: fatigue, slight nausea treated with Tylenol Day 4: fatigue and headache treated with Tylenol
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sensation in eye, Blood glucose normal, Chest discomfort, Dysphagia
Clinical narrative: 31 year old female, after the vaccine administration refers to the nurse feeling pressure in the chest and difficulty swallowing and warmth in the eye are. Patient does not present difficulty in breathing, clear lungs not obstructed, intact skin, no edema in the airway visual inspection. Vital signs are taken, BP 120/80, P72, DXT 96MG/ DL, R 16. Consultation with Doctor is made, she indicates to keep patient under observation for 30 minutes. At 30 minutes, vitals are taken. P 70. BP 110/70, R16, Doctor indicates the patient can leave the vaccination center.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cardiac flutter, Dizziness, Head discomfort, Joint noise
Clinical narrative: Immediate lightheadedness and heart fluttering.  Heaviness in head feels like a band around my eyes. Joint popping and soreness in wrists almost immediately.  Blurred vision.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Immediate lightheadedness and heart fluttering.  Heaviness in head feels like a band around my eyes. Joint popping and soreness in wrists almost immediately.  Blurred vision.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hypoaesthesia, Nausea, Pain in extremity
Clinical narrative: 9/14/21 Pt received 1st dose of Moderna vaccine at 10:45 AM . After 15 mins of observation, patient  started to have Rt arm soreness and nausea. Then patient developed Rt arm numbness  and chest pressure.  Patient had some crackers and orange juice . Observed patient until 11:55 AM with no symptoms  improvement , then RN  transported patient to ER for further evaluation.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Incoherent, Laboratory test normal, Pyrexia, Somnolence
Clinical narrative: Pt received her 2nd covid vaccine on 9/10/21 at 1700. She reports she had apt to donate plasma on 9/11 but center was not able to perform plasma donation due to fever of 102-103 F BP of 180/110.  Pt took her BP meds, but her Bp did not respond and she remained febrile at home.  She  reports she fell asleep after this and was not able to wake up. After multiple family members tried to reach the employee, the fire department had to come to her home and break down the door to access her as she was not responsive. Once she was woken by fire department she was incoherent and had to be taken to the emergency dept for treatment. Temp was 101.8 and Bp remained in 180s/110s HR in 120s .  She was given tylenol in the ER, labs were drawn and CXR performed.  She is not sure how long she was in the ER, but she regained normal mentation, BP was in 140's and tests negative so MD released her to home She reports that the physician in ER told the her  that she probably had a reaction from the covid vaccine.