chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Patient states 30 minutes after vaccine felt dizzy and headache when standing up, no improvement with sitting down. Patient alert, denies shortness of breath, or wheezing, but still lightheaded even with monitoring and fluids, so taken to ER
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received 3rd dose of Covid19 Pfizer vaccine on 3/3 due to facility not keeping proper records. Patient condition unknown at the time of reporting.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 6 days after the shot, experience itchiness, swelling at the injection site (my left arm) and injection site is hard and little warm
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Cough, Decreased appetite, Dry mouth
Clinical narrative: Fever of 101.5F, chills, migraine, severe body aches, stomach ache, nausea, no appetite, not able to sleep, constant coughing, dry mouth, short of breath, and bruising at injection site. Adverse event lasted approximately 2.5 - 3 days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Injection site bruising, Migraine, Nausea, Pain
Clinical narrative: Fever of 101.5F, chills, migraine, severe body aches, stomach ache, nausea, no appetite, not able to sleep, constant coughing, dry mouth, short of breath, and bruising at injection site. Adverse event lasted approximately 2.5 - 3 days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Fever of 101.5F, chills, migraine, severe body aches, stomach ache, nausea, no appetite, not able to sleep, constant coughing, dry mouth, short of breath, and bruising at injection site. Adverse event lasted approximately 2.5 - 3 days.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Electrocardiogram, Flushing, Presyncope
Clinical narrative: 10:00 patient received second pfizer vaccine  10:40 reported feeling a flushing sensation x 1 approx 10:30, provided bottled water to drink, denies any difficulty breathing, throat swelling, or tongue swelling 11:00 finished bottle of water feeling fine left vaccine clinic accompanied by her husband 11:30 returned to vaccine clinic c/o thick tongue and difficulty swallowing, denies difficulty breathing. Sent to ED.  ED note states that patient presented after "near syncopal episode" after developing lightheadedness and flushing after vaccination. Similar episode an hour later (prompting return to medical center). Denied chest pain or shortness of breath on presentation to ED. Described difficulty swallowing and "thick tongue" leading to her presenting back to clinic, but asymptomatic when arrived to ED. Oropharynx free of any swelling. EKG done but only showed sinus bradycardia.  Patient observed multiple hours then discharged without any medical intervention taken.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus bradycardia, Tongue disorder
Clinical narrative: 10:00 patient received second pfizer vaccine  10:40 reported feeling a flushing sensation x 1 approx 10:30, provided bottled water to drink, denies any difficulty breathing, throat swelling, or tongue swelling 11:00 finished bottle of water feeling fine left vaccine clinic accompanied by her husband 11:30 returned to vaccine clinic c/o thick tongue and difficulty swallowing, denies difficulty breathing. Sent to ED.  ED note states that patient presented after "near syncopal episode" after developing lightheadedness and flushing after vaccination. Similar episode an hour later (prompting return to medical center). Denied chest pain or shortness of breath on presentation to ED. Described difficulty swallowing and "thick tongue" leading to her presenting back to clinic, but asymptomatic when arrived to ED. Oropharynx free of any swelling. EKG done but only showed sinus bradycardia.  Patient observed multiple hours then discharged without any medical intervention taken.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Nausea, Vomiting
Clinical narrative: Weekness fatigue nausea vomiting for 24 hrs
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Vision blurred
Clinical narrative: Severe sweating, blurred vision and passing out
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dizziness, Dyspnoea, Oropharyngeal discomfort
Clinical narrative: pressure in throat, cough, difficulty breathing, dizzy. Refused transport. Evaluated by EMS-Cleared
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Electrocardiogram, Loss of consciousness, Peripheral coldness, Skin discolouration
Clinical narrative: Patient found unresponsive in recovery area at 6pm.  Patient skin color gray, cool, unresponsive, no pulse noted by writer.  Writer sternal rubbed patient and called name multiple times.  Staff arrived to assist and writer sent one to call 911 and one staff member to get wheelchair to tranport patient to recovery area.  While waiting for wheelchair after about 2 minutes patient regained consciousness, but still gray and not fully responsive.  Patient stated she could see me but vision very blurry.  Writer and  LPN tranported patient to recovery and took vitals.  Patient awake at this time.  VS 110/80, 95%SpO2, pulse 76 at 6:06pm. Recheck of BP 132/110 at 6:14pm. Patient skin PWD.  EMT's arrived assessed patient, took EKG-WNL, VSS stable, BP slightly elevated.  EMT's offered to transport patient via amb to ER, patient declined.  Writer released patient to boyfriend to drive her home.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Patient found unresponsive in recovery area at 6pm.  Patient skin color gray, cool, unresponsive, no pulse noted by writer.  Writer sternal rubbed patient and called name multiple times.  Staff arrived to assist and writer sent one to call 911 and one staff member to get wheelchair to tranport patient to recovery area.  While waiting for wheelchair after about 2 minutes patient regained consciousness, but still gray and not fully responsive.  Patient stated she could see me but vision very blurry.  Writer and  LPN tranported patient to recovery and took vitals.  Patient awake at this time.  VS 110/80, 95%SpO2, pulse 76 at 6:06pm. Recheck of BP 132/110 at 6:14pm. Patient skin PWD.  EMT's arrived assessed patient, took EKG-WNL, VSS stable, BP slightly elevated.  EMT's offered to transport patient via amb to ER, patient declined.  Writer released patient to boyfriend to drive her home.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Myalgia, Neck pain
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA caused injection site pain and soreness in left arm, muscle soreness in neck and fatigue
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Tightness in throat; BPs 152/99 (pulse 120), 138/89 (pulse 105). O2 sats 98%, 96%. History of anxiety.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Red circular area on right are.  Itchy, sore.  Appeared about 4 days after second dose of Zmoderna.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Headache, Pruritus
Clinical narrative: Severe headache, severe itchiness to scalp, eyes, ears, face, neck, chest, back, arms
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Headache, Photopsia, Vision blurred, Visual impairment
Clinical narrative: .Headache left temple. Vision loss in right eye for approximately 10 minutes. Could see only whiteness.  During that time saw flashes of blue arrows flashing facing each other?s, also 2 imagines of black shapes like fish facing each other.  As vision returned sight was shaded and hazel.  Episode lasted for period about 25 minutes .
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: dizzy and throwing up from 4 pm until  2 am
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Influenza, Injection site pain, Myalgia, Nausea
Clinical narrative: Day 1: Pain at injection site  (moderna 2nd shot) Day 2: Flu symptoms; muscle pain; low fever; mild headache; queasy stomach;  lasting approx 12 hrs until it started to abate.  Symptoms gone by morning of day 3. Day 3: Rash started; heaviest on ankles and up calves and thighs;  lesser on forearms but very noticeable red minimally raised blotches.  Not painful or itchy. Mostly gone by Day 6; telltale signs of rash still present on ankles (smallish red cluster of spotting  slowly disappearing.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Rash macular
Clinical narrative: Day 1: Pain at injection site  (moderna 2nd shot) Day 2: Flu symptoms; muscle pain; low fever; mild headache; queasy stomach;  lasting approx 12 hrs until it started to abate.  Symptoms gone by morning of day 3. Day 3: Rash started; heaviest on ankles and up calves and thighs;  lesser on forearms but very noticeable red minimally raised blotches.  Not painful or itchy. Mostly gone by Day 6; telltale signs of rash still present on ankles (smallish red cluster of spotting  slowly disappearing.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased
Clinical narrative: patient had sore shoulders for a few days after the vaccine. woke up 3/3/2021 with left shoulder pain and unable to lift left arm. left arm was the vaccine site. concern for SIRVA.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient passed away after getting the 1st dose of COVID vaccine. He seemed otherwise very healthy.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: broke out in shingles from left hand to shoulder, medication precribed
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Severe head ache in the sides of my head and behind my eyes.  After 24 hours the headache is still very very intense. Tylenol didn't help, neither summatriptan, my usual medicine for migraines.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: Patient has history of fainting after vaccines,blood work,or steroids shots.  Patient started feeling nauseous after about 4 minutes then started to loose color in skin.  Placed cool compresses to patient neck and forehead.  Had patient lie down in supine position with feet elevated with cold compressed still applied.  Patient stayed in this position until started feeling better, then had patient sit for a few minutes then gradually moved patient to chair.  Observed patient in chair for around 30 minutes before patient facility.  Patient never fainted just had the feeling.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Dizziness, Erythema, Feeling hot, Hyperhidrosis
Clinical narrative: March 2, 2021 1.  At vaccination site, severe itchiness, dizzy, felt really hot, sweaty.  Nurse  took blood pressure 120 over 80.  Stayed for 1/2 hour (9:10-9:41 a.m.). 2.  Drove to work .  All symptoms persisted, entire body turned bright red (like sunburn), extreme shaking.  Checked in  with school MA (nurse) .  Blood pressure 140 over 80.  Temperature 100.  Extreme agitation and heightened senses. 3. sent me to  Urgent Care seen at 11:35 a.m..  Same symptoms persisted.  Blood pressure 143/94.  Temperature 98.8.  Was prescribed 2 Benedryl  now, 1 every 4-6 hours as long as have itching. 2 at night for next 7 days.  Prescribed Prednisone (10 mg) 4 one day, 4 next day - decrease dosage for 8 days. 4.  Took prednisone- heightened senses, agitation increased.  Migraine.  Outer body exhausted, inner pure adreneline that would not decrease.  March 3, 2021 1.  Most symptoms lessened.  Went to work .  Checked in with MA (nurse)  and told her that I wanted to stop the prednisone.  She recommended that I take the dose.  Took 4 tablets (10 mg) at 9:40 a.m.  Heightened senses (light, sound, touch, taste), agitation, shakiness.   brought me to  in .  Doctor told me to stop the prednisone as I have a history of anxiety.  Exhaustion, heightened senses, agitation remained the rest of the day.  March 4, 2021 1.  Lessened symptoms.  Four 20-minute recurrence  episodes between the hours of 9 a.m. and 5 p.m.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pruritus, Tremor
Clinical narrative: March 2, 2021 1.  At vaccination site, severe itchiness, dizzy, felt really hot, sweaty.  Nurse  took blood pressure 120 over 80.  Stayed for 1/2 hour (9:10-9:41 a.m.). 2.  Drove to work .  All symptoms persisted, entire body turned bright red (like sunburn), extreme shaking.  Checked in  with school MA (nurse) .  Blood pressure 140 over 80.  Temperature 100.  Extreme agitation and heightened senses. 3. sent me to  Urgent Care seen at 11:35 a.m..  Same symptoms persisted.  Blood pressure 143/94.  Temperature 98.8.  Was prescribed 2 Benedryl  now, 1 every 4-6 hours as long as have itching. 2 at night for next 7 days.  Prescribed Prednisone (10 mg) 4 one day, 4 next day - decrease dosage for 8 days. 4.  Took prednisone- heightened senses, agitation increased.  Migraine.  Outer body exhausted, inner pure adreneline that would not decrease.  March 3, 2021 1.  Most symptoms lessened.  Went to work .  Checked in with MA (nurse)  and told her that I wanted to stop the prednisone.  She recommended that I take the dose.  Took 4 tablets (10 mg) at 9:40 a.m.  Heightened senses (light, sound, touch, taste), agitation, shakiness.   brought me to  in .  Doctor told me to stop the prednisone as I have a history of anxiety.  Exhaustion, heightened senses, agitation remained the rest of the day.  March 4, 2021 1.  Lessened symptoms.  Four 20-minute recurrence  episodes between the hours of 9 a.m. and 5 p.m.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscle spasms, Nausea, Pain, Pyrexia
Clinical narrative: Muscle spasms overnight, vertigo with headache, nausea, body aches, and fever the next day
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Muscle spasms overnight, vertigo with headache, nausea, body aches, and fever the next day
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Syncope
Clinical narrative: Patient with no history of fainting after receiving vaccines reported feeling faint 15 minutes after receiving first COVID vaccine. When patient was unable to clearly answer the pharmacist, 911 was called. Patient was assessed by EMS and it was determined patient experienced a vagal response. Patient remained in pharmacy until she felt better, approximately 1 hour after the side effect initially occurred.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient seemed otherwise healthy before the vaccination. Patient was hospitalized then shortly passed after getting the 1st dose.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia eye, Hypoaesthesia oral
Clinical narrative: An hour after my shot my left check was numb, lower left eye numb, left ear numb and left side of my tongue is numb. It is still numb as I type this.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a 3rd dose of the Covid19 Pfizer vaccine due to facilities incomplete record keeping. Patient condition unknown at the time of reporting.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Confusional state, Dizziness, Loss of consciousness, Ophthalmological examination
Clinical narrative: lightheadedness after about 5 minutes followed by confusion and loss of consciousness. Brief seizure and short-term aphasia.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: lightheadedness after about 5 minutes followed by confusion and loss of consciousness. Brief seizure and short-term aphasia.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site rash
Clinical narrative: Rash (almost blister) on upper arm on either side of injection site.   Still mark and small bruise today March 4, 20121
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Otitis externa, Tinnitus
Clinical narrative: About 30 minutes after shot started having the sensation of swimmers ear(only in left ear/shot was given in left arm. This continued for a couple hours and then started having ringing in both ears(gradually increased in loudness and then that nite abt 530 increased to loud chirping).Has not stopped so far. Know it?s not adverse but side effect of shot. Hopefully will subside.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Ocular hyperaemia
Clinical narrative: Cough and eye redness (may have begun before vaccine dose). BP 138/93 (pulse 74), 98% O2 sat.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Erythema, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: woke up in night with a lot of pain in my left arm. 3 days later and my upper arm is red, very sore from shoulder to elbow and underneath my arm-armpit area, and a raised area.  i have been taking ES tylenol every 5 hours and icing it.  if im late taking a dose, my arm starts throbbing.  if not better in next couple days, I will make dr apt to have evaluated.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dyspnoea, Fall, Injection site pain
Clinical narrative: When I got the vaccine it hurt so much that I jumped. It felt like it burned for like 3min. The next day I had shortness of breath & I fainted the next thing I seen when I woke up was the paramedics taking me in to the ambulance to do an EKG. Everything was good except my blood pressure dropped. I was not taken to the hospital.
Age: 19.0
Sex: F
Vaccine: UNK
Symptoms: Fall, Head injury, Seizure, Syncope
Clinical narrative: 11A1 19 y old pt received 1 st dose Moderna vaccine, after 5 mins she had episode of syncope, fell from her chair and bump her head. She had seizure for about 10 seconds.  After seizure she was A/O x4 , neurologically intact, good PERRLA.  Her BP was 95/65, HR 59, O2 sat 98 RA.  Pt able to speak and was aware of the situation.  911 was called to take the pt to the hospital for head injury to R/O any abnormality.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Pharyngeal swelling
Clinical narrative: Throat swelling, dysphagia, shortness of breath
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Feeling abnormal, Nausea, Pain
Clinical narrative: I have felt horrible since receiving the second dose of Moderna. I felt profoundly fatigued, sore all over, and nauseated for 18 or so hours. Since then I have been feeling nauseated after I eat. I cannot eat like I normally do and it has been almost five days. If this persists through the weekend I will visit my doctor next week.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: Covid Arm- large red hive at injection sight 8 days after injection. Itchy and warm to the touch.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: 0805 pt received second dose pfizer vaccine  0810 pt reports "right afterward" noticing that her tongue felt numb. denies respiratory distress. No previous history of anaphylaxis with any vaccine or medication or other source. No problem with first dose pfizer other than sore arm, fatigue. 0825 pt states numbness progressing toward back of tongue 0830 pt escorted to ED  Per ED note: Patient received second Covid vaccine at 8:05 AM, noted onset of central, not lateralized, tongue tingling without swelling/pain after receiving the shot, still notes able to feel pressure on tongue.  Has never had a reaction to previous vaccines, including first dose of Covid vaccine 3 weeks ago.  Denies any tongue biting or recent trauma to the tongue.  She does feel as if the tingling is extending further back since onset...Patient states she can swallow fine without pain, no vision changes, hearing changes, taste changes, lesions in her mouth, facial asymmetry, shortness of breath, headache, rashes, swelling.  Denies fevers, chills, URI symptoms, chest pain, palpitations, lightheadedness, nausea, vomiting, abdominal pain, change in bowel habits, change in urination.   Vitals stable, no evidence of anaphylaxis on exam.  Ruled out CVA, atypical MI, migraine, GERD, trauma. Thought possibly vaccine reaction. Patient was monitored in the emergency department for 4 hours after vaccine, without airway swelling or compromise. Discharged home but still with continued tongue tingling with preserved sensation.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Laryngitis
Clinical narrative: laryngitis - I haven't been able to talk all week.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Chills started 14 hours after and lasted for 4 hours.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Mental impairment
Clinical narrative: Son/caregiver called to report patient was experiencing a decreased mental acuity accompanied with fatigue and loss of appetite after receiving her 2nd dose of Moderna Covid 19 vaccine since Febuary 27th, 2021. Son describer the symptoms as progressive starting after receiving the vaccine.  It was recommend the patient's primary care provider be contacted to receive further advice.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmological examination, Vision blurred
Clinical narrative: Blurred vision  left eye
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dyspnoea, Feeling abnormal, Flushing, Hypoaesthesia
Clinical narrative: 3/4/21 1005am pt started complaining of feeling flush, restless, and anxious.  pt states that she does not feel right and that there is something wrong.  then pt reported that her legs felt numb.First RN and Second, RN was present to assist pt.  pt was put on 4L of O2 by mask.  Dr  was called to assist.  pt was moved from sitting in chair to laying on floor with legs elevated.  pt reporting that her hands and legs were feeling numb.  per Dr  pts lungs were clear with good air exchange.  pt alert and oriented to self, place, and time. 1012am BP 141/81 P 71 SaO2- 100% BS 99 pt still feeling flush and restless with anxiousness increasing.  upper lip swelling.  questionable tongue swelling.  hand and feet numbness.  pt states does not feel right. V.O. Dr 25mg Benadryl IM now administered to the right deltoid IM, RN 1020am BP- 162/100 P- 72 SaO2- 100% pt still feeling flush and restless with anxiousness.  still with some upper lip swelling.  questionable tongue swelling.  hand and feet numbness is still reported.  pt states she still does not feel right.  husband is now with pt at her side and trying to calm her.  pt is c/o some SOB, per Dr  pts lungs are still clear. pt remained alert to self, time, and place. V.O. Dr. Albuterol neb treatment now attempted to start neb treatment however pt was not tolerating neb.  ok by Dr  to stop neb treatment. 1025am called AMR V.O. Dr 1mg Epinephrine now administered 1mg Epinephrine IM right deltoid. P. , RN 1027am pt wanting to sit up. states cannot get comfortable laying down.  assisted pt to sit up.  pt is less anxious.  reports to feel less restless.  decrease upper lip swelling and tongue swelling.  pt reports that she is starting to feel a little better.  pt is feeling less numbness in hands and feet. BP-141/58 P-99 SaO2-100% 1037am pt starting to complain of feeling flush, restless, and anxious again  pt states that she does not feel right and that there is something wrong again.  pt again reporting that her hands and feet felt numb.  per Dr - pts lungs still clear with good air exchange.  pt remains alert to self, place, and time.   per Dr  draw up another dose of Epi  while waiting for AMR, AMR arrived prior to drawing up second dose of Epi.   1039am AMR arrived.  transferd pt from floor to gurney and trnsported pt to ER. ................................................................... RN  March  4, 2021 3:20 PM
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Restlessness, Swollen tongue
Clinical narrative: 3/4/21 1005am pt started complaining of feeling flush, restless, and anxious.  pt states that she does not feel right and that there is something wrong.  then pt reported that her legs felt numb.First RN and Second, RN was present to assist pt.  pt was put on 4L of O2 by mask.  Dr  was called to assist.  pt was moved from sitting in chair to laying on floor with legs elevated.  pt reporting that her hands and legs were feeling numb.  per Dr  pts lungs were clear with good air exchange.  pt alert and oriented to self, place, and time. 1012am BP 141/81 P 71 SaO2- 100% BS 99 pt still feeling flush and restless with anxiousness increasing.  upper lip swelling.  questionable tongue swelling.  hand and feet numbness.  pt states does not feel right. V.O. Dr 25mg Benadryl IM now administered to the right deltoid IM, RN 1020am BP- 162/100 P- 72 SaO2- 100% pt still feeling flush and restless with anxiousness.  still with some upper lip swelling.  questionable tongue swelling.  hand and feet numbness is still reported.  pt states she still does not feel right.  husband is now with pt at her side and trying to calm her.  pt is c/o some SOB, per Dr  pts lungs are still clear. pt remained alert to self, time, and place. V.O. Dr. Albuterol neb treatment now attempted to start neb treatment however pt was not tolerating neb.  ok by Dr  to stop neb treatment. 1025am called AMR V.O. Dr 1mg Epinephrine now administered 1mg Epinephrine IM right deltoid. P. , RN 1027am pt wanting to sit up. states cannot get comfortable laying down.  assisted pt to sit up.  pt is less anxious.  reports to feel less restless.  decrease upper lip swelling and tongue swelling.  pt reports that she is starting to feel a little better.  pt is feeling less numbness in hands and feet. BP-141/58 P-99 SaO2-100% 1037am pt starting to complain of feeling flush, restless, and anxious again  pt states that she does not feel right and that there is something wrong again.  pt again reporting that her hands and feet felt numb.  per Dr - pts lungs still clear with good air exchange.  pt remains alert to self, place, and time.   per Dr  draw up another dose of Epi  while waiting for AMR, AMR arrived prior to drawing up second dose of Epi.   1039am AMR arrived.  transferd pt from floor to gurney and trnsported pt to ER. ................................................................... RN  March  4, 2021 3:20 PM
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Renal pain
Clinical narrative: "moderna COVID-19 vaccine          "  7 days acute right kidney pain for 24 hrs
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Pruritus, Throat irritation, Urticaria
Clinical narrative: After about 2 minutes of receiving the vaccine, patient started to feel itchy, developed hives, and had an "itchy throat"... about a minute later she went into anaphylaxis
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Oropharyngeal pain, Pain in extremity, Paraesthesia
Clinical narrative: Tightness in left bicep (frontnot where shot administered) and forearm and tingling in hand (left side where shot administered.  Tightness has dissipated somewhat, but tingling in hand continues  to be present  Sore throat right after administration Extremely sore arm for 2 days after administration
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash erythematous, Skin exfoliation, Throat irritation, Whole body scan
Clinical narrative: On the 3rd day after the vaccine, I noticed a splotchy red rash on my left buttock after getting out of the shower. It was not itchy. This is the same side where I experience herpes breakouts.  Also, my neck and throat are very itchy, and have been since the first dose of Moderna. I think that itchiness started prior to the vaccine, but can't be certain. After the vaccine, however, it became more red and now the skin is starting to be flakey.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Eyelid rash, Injection site rash, Rash
Clinical narrative: patient stated she had rash at injection site, and on the opposite arm and rash on legs and under eyes
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypertension
Clinical narrative: Patient had just received the vaccine.  I walked by and he indicated that he was feeling light headed.   I asked my pharmacy staff to call 911 and attend the patient.  I was attending a patient who was feeling faint after her vaccination.  Staff was in contact with 911 and were attending patient.   His initial blood pressure reading was 138/92. He was sweating profusely.  He was no longer talking.  his next blood pressure reading was higher in the 160's according to our other pharmacist who was attending him.  The paramedics were here very quickly and took the patient to a local hospital.  I believe the attending pharmacist will also be reporting this.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient administered 1st covid 19 moderna dose on 2/11/2021 and administered 2nd dose on 3/4/2021. Patient was notified and informed to contact clinic if she develops any adverse reaction , also advised on ER precautions. Patient verbalized understanding.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Chest discomfort, Cough, Dyspnoea, Oxygen saturation
Clinical narrative: Chest tightness, Asthma, difficulty breathing
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Vomiting
Clinical narrative: Chest tightness, Asthma, difficulty breathing
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Red bump at injection site that is painful and hard.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received 3rd dose of Covid19 Pfizer vaccine due to facilities incomplete record keeping. Patient condition unknown at the time of reporting.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Dizziness, Head discomfort, Headache
Clinical narrative: Nausea, headache- constant pressure, feet feel like blocks of ice, temperature is 2degrees above normal, chills, fever blisters inside mouth, sore arm at injection site, pins and needles feeling in my fingers and fingers are swollen-  can close my fingers but tight and lightheaded .
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Mouth ulceration, Musculoskeletal stiffness, Nausea, Paraesthesia
Clinical narrative: Nausea, headache- constant pressure, feet feel like blocks of ice, temperature is 2degrees above normal, chills, fever blisters inside mouth, sore arm at injection site, pins and needles feeling in my fingers and fingers are swollen-  can close my fingers but tight and lightheaded .
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral coldness, Peripheral swelling
Clinical narrative: Nausea, headache- constant pressure, feet feel like blocks of ice, temperature is 2degrees above normal, chills, fever blisters inside mouth, sore arm at injection site, pins and needles feeling in my fingers and fingers are swollen-  can close my fingers but tight and lightheaded .
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Lacrimation increased
Clinical narrative: My eyes began watering and began to burn. This lasted 5 minutes. It has happened two more times since I got the vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient had numbness and tingling on the left side of her face
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pyrexia
Clinical narrative: Started sweating at 10:30 pm 3/3/2021, fever started 3/4/2021 around 2 pm  400 mg taken at that time.  At 5:00 pm 3/4/2021 fever seemed to be rising., 400 mg ibuprofen taken. At 5:30 pm fever was 105.7, additional 500 mg extra strength Tylenol, and 25 mg Benadryl.  At 6:09 pm temperature was 104.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Abdominal pain upper, Dizziness, Flushing, Pruritus, Rash
Clinical narrative: Within 2 minutes of Pneumovax, pt felt strong stomach pain, became lightheaded and feeling faint, started to develop hives on face, flushing and itching on arms, started to see spots Immediately treated with epinephrine IM, followed by Zyrtec 20 mg PO, Pepcid 20 mg PO, Depo-medrol 80 mg IM  Pt declined ambulance, was observed for 30 minutes with improvement in symptoms, stable vitals and discharged to care of her husband
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria, Visual impairment
Clinical narrative: Within 2 minutes of Pneumovax, pt felt strong stomach pain, became lightheaded and feeling faint, started to develop hives on face, flushing and itching on arms, started to see spots Immediately treated with epinephrine IM, followed by Zyrtec 20 mg PO, Pepcid 20 mg PO, Depo-medrol 80 mg IM  Pt declined ambulance, was observed for 30 minutes with improvement in symptoms, stable vitals and discharged to care of her husband
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Dizziness
Clinical narrative: Started to experience anxiety and dizziness approx 1 hour after receiving vaccine. BP elevated at time of observation (168/102). Obesrvation time extended to 1.5 hours. Provided hydration and light meal. Discharged per team member request after she stated she felt better. Encouraged to take BP meds as directed per PCP.  Encouraged to go to ER for symptom return or additional adverse reactions per handout/Agency guidelines.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic shock, Discomfort, Ear discomfort, Throat irritation
Clinical narrative: Went into anaphylactic shock with 5 minutes.  Throat started to itch, ears were popping and the left side of my face began to feel pressure.  My wife injected me with my EpiPen.  Within 10-15 minutes, the symptoms began to recede.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Flushing
Clinical narrative: PATIENT GOT ADVERSE REACTIONS 10 MINUTES AFTER SHOT. SHE FEEL FACE FLUSHING. PULSE RATE 88 PER MINUTES. BLOOD PRESSURE 189/89. SHE STATES SHE DOES NOT HAVE ANY HYPERTENSION.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Headache, Pain, Somnolence
Clinical narrative: symptoms: cold sweats, headache, dizziness, light-headed, chills, body aches, drowsiness time course: 24 hrs.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Breast pain, Muscle tightness, Pain, Sensory disturbance
Clinical narrative: Pain started in left underarm area and radiated to left breast causing breast and nipple sensitivity.  That resolved in about a week, then after started to have pain, tightness in left side of neck area that still persists.  My dr advised she doesn?t feel any swollen lymph nodes and it?s likely a reaction to the vaccine. Taken Tylenol and naproxen with limited relief.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain, Injection site pain, Injection site swelling, Ultrasound scan
Clinical narrative: Sore, painful and swelling aroubd injection site.  Painful  lump  in right armpit.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Fever - 100.7,  Chills, Mild Headache Taking ibuprofen and acetaminophen ,  and rest
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Enlarged painful lymph node in left arm pit. Node still enlarged but maybe smaller and no longer painful after two days.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Vasovagal reaction.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling to right side of face began 20 minutes after vaccine. The next day had tingling in muscles of right arm and leg.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: I woke up on 2/27/2021 with a red rash on my neck, chest, stomach, back, arms, legs, bottom and pelvic area.  I called the on call physician. Took over the counter Benadryl. The rash cleared up on Monday, 3/1/2021.  Still feel itchy on 3/1/21, 3/2/21, 3/3/21, 3/4/21. Used over the counter hydrocortisone cream.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Dizziness, Feeling of body temperature change, Paraesthesia
Clinical narrative: Within seven minutes of vaccine administered, patient cried out that she thought she would pass out. She was lightheaded, arms tingling, felt hot then cold. We had her lay down on the floor and held her feet in the air. Within three minutes of doing this, she felt much better. She sat up on the floor and ate some Chex-mix and drank some water. She stayed thirty  minutes and felt good. She left and we made sure she made it home.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Migraine, Nausea, Pyrexia
Clinical narrative: 24 hours of Fever from 100.2 to 102 degrees  Enlarged lymph node near collarbone  Migraine (most days)  Vestibular migraine (14 days after vaccine - 12 hours)  Nausea (with vestibular migraine on 2/29)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Urticaria
Clinical narrative: Raised rash with hives on thighs. Took Benadryl will go to hospital if hives get worse
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Currently no adverse event reported after 3 hours and 45 minutes.  Vaccine diluted with  1.3 ml instead of 1.8 ml or 38 mcg instead or 30 mcg  dose.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Thrombocytopenia
Clinical narrative: new onset severe thrombocytopenia, unexplained by extensive hospital work-up by hemotologist
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Painful red rash at injection site appeared the next morning.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cold-stimulus headache, Dehydration, Fatigue, Laboratory test normal
Clinical narrative: The next day of the vaccine I had fever, felt really fatigued, I felt very low of energy, my head felt like I had brain freeze it felt was worse every time I stood up, I saw my doctor he ordered lab work & urine test my urine test comeback as I was a little dehydrated & lab work came back normal. This has not resolved as it right now I still feel very low of energy. My energy is still not the same.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urine analysis abnormal
Clinical narrative: The next day of the vaccine I had fever, felt really fatigued, I felt very low of energy, my head felt like I had brain freeze it felt was worse every time I stood up, I saw my doctor he ordered lab work & urine test my urine test comeback as I was a little dehydrated & lab work came back normal. This has not resolved as it right now I still feel very low of energy. My energy is still not the same.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: mixed series administered- second dose administered 3/4/21  Pfizer, first dose received Moderna 4 weeks ago.  Administration nurse stated they did not confirm manufacturer of first dose prior to administration of second dose, assumed it was asked earlier in the process.  Pt. did not have vaccination card at time of second appt to confirm manufacturer, caregiver stated "it was too big to fit in his wallet so we didn't bring it."   Site manager called Regional Medical Consultation Coordinator, to verify next steps.  Advised per CDC not to re-vaccinate.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Bursa injury
Clinical narrative: pt called pharmacy on Monday March 1 and stated that she visited her orthopedic doctor who stated that she suffered a minor Bursa injury from the vaccine injection. Pt stated she "was fine though."
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash few weeks later formed on left elbow where moderna vaccine was injected.  Small red bumps that after few days turned to small red circle.   Bumps now forming on right arm elbow on 3/4/21.   No pain. only itching at location site of bumps. I have pictures if needed email me
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Human chorionic gonadotropin
Clinical narrative: This was an IVF pregnancy.  My 2nd pregnancy.  I got my first positive pregnancy test on Jan. 27th at exactly 4 weeks pregnant.  I received my first vaccine  at 4 weeks 4 days.  I then went in for my first ultrasound at 6 weeks 5 days.  The doctor told me the baby wasn?t developed normally and a miscarriage had already started.  I believe the gestational sac measured about 5 weeks 3 days.
Age: 55.0
Sex: M
Vaccine: FLUA4
Symptoms: Inappropriate schedule of product administration
Clinical narrative: A Long term care Resident was seen for pre-surgical consultations at the Clinic on 02/11/2021. He was administered an influenza vaccine on his word that he has not received one for this season. He is a poor historian due to traumatic brain injury. Patient recently received his second COVID-19 vaccination on 02/01/2021 and therefore 14 days had not passed between influenza vaccine and 2nd COVID vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood electrolytes normal, Disorientation, Dizziness, Electrocardiogram normal, Inflammation
Clinical narrative: Dizziness and trembling following shot.  Slight sinus inflammation.  Steroids prescribed.  Dizziness and head disorientation continued after prescription over.  Took blood.  Everything including thyroid and electrolytes were normal.  Dizziness and unsteadiness left after 19 days.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test normal, Tremor, Urine analysis normal
Clinical narrative: Dizziness and trembling following shot.  Slight sinus inflammation.  Steroids prescribed.  Dizziness and head disorientation continued after prescription over.  Took blood.  Everything including thyroid and electrolytes were normal.  Dizziness and unsteadiness left after 19 days.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nasal congestion, Somnolence
Clinical narrative: Stuffy nose, headache, grogginess
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Eye movement disorder, Pallor, Syncope
Clinical narrative: Pt. stated he was feeling "woozy" to RN, pt. appeared pale and and his eyes were closing.  Moments later pt. had syncopal episode, Pt. was sitting in chair and was held in place by RN.  Syncopal episode lasted about 30 seconds.  His legs were elevated on nearby chair, inital BP was 71/36. NC cannula with 2 liter 02 placed. Pt. slowly woke up but blood pressure dipped to 51/21, HR 48, at that time pt was assisted to the floor and his legs were raised above his heart.  3 minutes later BP was 90/50 HR 55, and pt. was completely awake.  3 minutes later BP 103/57 HR 67, 5 minutes still on the floor, but sitting up BP 119/73 HR 74, given juice, pt. talking, laughing, color returned to normal.  5 minutes later, pt. sitting up in chair, BP 109/73 HR 73, 98% RA. During entire event SPO2 did not drop below 98%, Observed for total of 45 minutes.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Itchy  Redness
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Currently no adverse event reported after 3 hours and 45 minutes.  Vaccine diluted with  1.3 ml instead of 1.8 ml or 38 mcg instead or 30 mcg  dose.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Eye movement disorder
Clinical narrative: Pts SO stated that the pt was focused on something in the distance and the pts eyes rolled
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymphadenopathy, Myalgia, Nausea
Clinical narrative: Swollen Lympf Nodes(7 days), slight headache(two weeks) tiredness(1 week)muscle aches(1 week),severe itching on back (no rash(2 weeks)nausea(1 day)  Tylenol for headache, rest for tiredness, caladryl, Zyrtec, Pepcid for severe itchiness, Dr visit on Feb.22 - had me take a flu/covid test came back negative.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Swollen Lympf Nodes(7 days), slight headache(two weeks) tiredness(1 week)muscle aches(1 week),severe itching on back (no rash(2 weeks)nausea(1 day)  Tylenol for headache, rest for tiredness, caladryl, Zyrtec, Pepcid for severe itchiness, Dr visit on Feb.22 - had me take a flu/covid test came back negative.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received 3rd dose of Covid19 Pfizer vaccine due to incomplete record keeping by the facility. Patient condition unknown at the time of reporting.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Injection site pain, Migraine, SARS-CoV-2 antibody test negative
Clinical narrative: Migraine,  vomiting, intense injection arm pain ( unable to lift arm),  joint pain,  diarrhea
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Migraine,  vomiting, intense injection arm pain ( unable to lift arm),  joint pain,  diarrhea
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Currently no adverse event reported after 3 hours and 45 minutes.  Vaccine diluted with  1.3 ml instead of 1.8 ml or 38 mcg instead or 30 mcg  dose.  I was not able to reach customer. Wireless customer unavailable try back later. Tried 4 times.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Loss of consciousness
Clinical narrative: In chair immediately following injection, patient completely lost consciousness and slumped against table.  Nurses moved patient into wheelchair, then to gurney where patient was monitored.  Patient woke up and returned to being awake, alert and fully oriented in roughly 3 minutes.  Patient was seen by Dr and monitored for additional 30 minutes.  No medications were given and patient was discharged to home with family member.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: 2nd dose given sooner than 28 days, no adverse reaction
Age: 5.0
Sex: F
Vaccine: DTAP, MMRV, VARCEL
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: A 3.5-4 inch swollen, red, hot circle appeared at the injection sight that was itchy. We noticed it after school on 3/2/21 and it didn?t increase of decrease in size over night so we took her back to the doctor
Age: 84.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Loss of personal independence in daily activities, Pyrexia, Somnolence
Clinical narrative: About 8:00 pm the day of the injection I had trouble staying awake. I ended up sleeping almost continuously until about 9:00 pm of day two. I was awakened perhaps 20 times to urinate throughout that time, which is extremely often compared to my normal. I would lay back down and be asleep almost immediately. I tried to eat and drink during one of my awake times, but I had no appetite and no desire to drink. Throughout day two I had a fever. I was totally unable to function on day two. About 10:00 pm of day two my appetite returned. About 11:00 pm I returned to bed and had a full night's sleep.