chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Malaise, Oedema peripheral, Renal failure
Clinical narrative: Patient stated, "I got really sick after the second shot. My legs were so huge and full of water. Now my kidneys are failing. The vaccine brought on so much water. Now, I have high blood sugar levels and I never had that before."
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site paraesthesia
Clinical narrative: Numbness and tingling in the left arm post injection, radiating up the arm.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: I experienced extreme vertigo. With standing felt as though I might faint. Felt unsafe being alone
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: I received my 2nd shot of Moderna on April 27 and experienced what I believe were mild, common side effects for several days thereafter (fatigue, fever,  chills). On May 1, the vaccination side effects were finished, but I was stung by a wasp. The sting site was on my arm, 2-3 inches away from where the vaccine was injected.  The wasp sting became infected with puss developing immediately around the sting site and redness and itching spreading throughout the majority of my arm. I went to Urgent Care and was given a steroid injection in my glute, assigned to take Sulfamethoxazole-TMP, and told to return if symptoms worsened. The above mentioned symptoms worsened after 24 hours, so I returned to urgent care. I was given another steroid injection in my glute and assigned to take Prednisone for 3 days and Doxycycline for 10 days.  After completing the 10 days of Doxycycline, the infection appears to be finally healed and all pain/itching sensations are gone.  I am reporting this adverse effect to a wasp sting in case it has any relation to my immune response to the Moderna vaccine that immediately preceded it. I have been stung by bees (not wasps) numerous times in the past (as recently as 6 months ago) and never developed such an adverse reaction as this.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperventilation, Nausea, Vomiting
Clinical narrative: Patient was observed for the full 15 minutes, was released to her car. Started feeling nauseas, returned to clinic to vomit several times, became faint, hyperventilated. Cool compress applied, EMS called. Laid of floor to prevent falling. No head injury.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Antiacetylcholine receptor antibody, Computerised tomogram head, Diplopia, Eye pain, Facial pain
Clinical narrative: Sudden onset of diplopia, blurred vision  on April 21, 2021 with frequent headaches and right orbital and eye pain.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Skeletal muscle enzymes, Vision blurred
Clinical narrative: Sudden onset of diplopia, blurred vision  on April 21, 2021 with frequent headaches and right orbital and eye pain.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Angiogram abnormal, Anticoagulant therapy, Blood alcohol increased, Confusional state
Clinical narrative: ON 5/8, this 70 year old man was in his usual state of health when he went to bed. He was awakened with "the worst leg cramping of my life". He states that his right lower extremity tightened up and the cramping extended all the way into the foot. His leg began shaking uncontrollably. Called EMS and arrived in ED for evaluation. Noted to have labored breathing and confusion. Blood alcohol 170. Elevated D-dimer. The patient was given nebulizer treatments without significant improvement. BP 119/68, HR 76, RR 19. oxygen sat 96% on room air. Speaking in short sentences, audible wheezing. CT angiogram with contrast: findings suspiscious for pulmonary embolism, involving segmental branches of both lungs. No large central embolism identified. Patient started on apixaban. No signs of hemodynamic compromise. Plan 3 months anticoagulation.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fibrin D dimer increased, Muscle spasms, Pulmonary embolism, Scan with contrast abnormal
Clinical narrative: ON 5/8, this 70 year old man was in his usual state of health when he went to bed. He was awakened with "the worst leg cramping of my life". He states that his right lower extremity tightened up and the cramping extended all the way into the foot. His leg began shaking uncontrollably. Called EMS and arrived in ED for evaluation. Noted to have labored breathing and confusion. Blood alcohol 170. Elevated D-dimer. The patient was given nebulizer treatments without significant improvement. BP 119/68, HR 76, RR 19. oxygen sat 96% on room air. Speaking in short sentences, audible wheezing. CT angiogram with contrast: findings suspiscious for pulmonary embolism, involving segmental branches of both lungs. No large central embolism identified. Patient started on apixaban. No signs of hemodynamic compromise. Plan 3 months anticoagulation.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tremor, Wheezing
Clinical narrative: ON 5/8, this 70 year old man was in his usual state of health when he went to bed. He was awakened with "the worst leg cramping of my life". He states that his right lower extremity tightened up and the cramping extended all the way into the foot. His leg began shaking uncontrollably. Called EMS and arrived in ED for evaluation. Noted to have labored breathing and confusion. Blood alcohol 170. Elevated D-dimer. The patient was given nebulizer treatments without significant improvement. BP 119/68, HR 76, RR 19. oxygen sat 96% on room air. Speaking in short sentences, audible wheezing. CT angiogram with contrast: findings suspiscious for pulmonary embolism, involving segmental branches of both lungs. No large central embolism identified. Patient started on apixaban. No signs of hemodynamic compromise. Plan 3 months anticoagulation.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Hypopnoea, Hypotension, Injection site pruritus, Loss of consciousness
Clinical narrative: Shallow breathing, low blood pressure, loss of consciousness, itchiness at site of injection.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Aches, chills, headache, fatigue
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram thorax abnormal, Deep vein thrombosis, Dyspnoea, Laboratory test abnormal
Clinical narrative: About 1 week following first Pfizer vaccination, I began having achiness in left leg and thought this was possibly from sitting in a chair without enough cushion.  I simply could not get leg comfortable.  Over a couple days duration the leg continued to be achy and slightly swollen.  On December 23rd at night I awoke due to such discomfort in leg and could not get comfortable enough to go to sleep.   I went to ED where I was examined and found to be mildly short of breath and in pain.  Ultrasound of leg showed large upper leg DVT.  CT of chest showed submassive Pulmonary Horseshoe Embolus.   I was placed on Heparin and anticoagulated.  Hospitalized for several days while anticoagulated and observed for any clot progression or respiratory distress and discharged home on Xarelto for anticoagulation and follow up with PCP, Hematology, Pulmonary medicine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Oxygen saturation decreased, Pain in extremity, Peripheral swelling, Pulmonary embolism
Clinical narrative: About 1 week following first Pfizer vaccination, I began having achiness in left leg and thought this was possibly from sitting in a chair without enough cushion.  I simply could not get leg comfortable.  Over a couple days duration the leg continued to be achy and slightly swollen.  On December 23rd at night I awoke due to such discomfort in leg and could not get comfortable enough to go to sleep.   I went to ED where I was examined and found to be mildly short of breath and in pain.  Ultrasound of leg showed large upper leg DVT.  CT of chest showed submassive Pulmonary Horseshoe Embolus.   I was placed on Heparin and anticoagulated.  Hospitalized for several days while anticoagulated and observed for any clot progression or respiratory distress and discharged home on Xarelto for anticoagulation and follow up with PCP, Hematology, Pulmonary medicine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Ultrasound Doppler abnormal
Clinical narrative: About 1 week following first Pfizer vaccination, I began having achiness in left leg and thought this was possibly from sitting in a chair without enough cushion.  I simply could not get leg comfortable.  Over a couple days duration the leg continued to be achy and slightly swollen.  On December 23rd at night I awoke due to such discomfort in leg and could not get comfortable enough to go to sleep.   I went to ED where I was examined and found to be mildly short of breath and in pain.  Ultrasound of leg showed large upper leg DVT.  CT of chest showed submassive Pulmonary Horseshoe Embolus.   I was placed on Heparin and anticoagulated.  Hospitalized for several days while anticoagulated and observed for any clot progression or respiratory distress and discharged home on Xarelto for anticoagulation and follow up with PCP, Hematology, Pulmonary medicine.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis, Loss of consciousness, Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Additional Details: pt fainted and fell to floor, was bleeding from nose- was picked up by ambulance following
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was 17 years old when vaccinated, verbal consent received from patient's guardian to proceed with vaccination.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Disturbance in attention, Dizziness, Fatigue, Nausea
Clinical narrative: Extreme lightheadedness. Radiating pain from arm all the way up to base of head. Nausea and fatigue. Chills to the point where my teeth were chattering. Lack of focus and attention.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pain in extremity
Clinical narrative: Extreme lightheadedness. Radiating pain from arm all the way up to base of head. Nausea and fatigue. Chills to the point where my teeth were chattering. Lack of focus and attention.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Muscle rigidity, Mydriasis
Clinical narrative: Patient received the vaccine and asked to sit down to wait for 15 minute observation period.  Pharmacy staff heard the patient fall and hit the ground. Pharmacist, reached patient first followed by pharmacist.  Patient was visualized on the ground with eyes open. Visualized the patient's neck bent backwards and muscles rigid including neck and arms.  Went to get cold compress while stayed with the patient.  At the same time, 911 was contacted by the pharmacy staff and a fire fighter in the pharmacy area was brought over to assist. Assisted the patient to a sitting position and noticed her pupils to be dilated. Returned with cold compress for neck and forehead. Went to get cold water while comforted the patient.  Fire fighters present took the patient's vitals and blood sugar and all was within normal limits.  Further questions with the patient found that she had not eaten breakfast or lunch that day.  She also indicated that she had passed out before at a concert while dehydrated in the past.  She had not passed out or reacted to any previous injections or vaccines.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Catheterisation cardiac normal, Diarrhoea, Echocardiogram abnormal, Feeling hot
Clinical narrative: She got her vaccine, she got very hot and sweaty within 10 minutes.  She was still filling out her form for the next vaccine.  She asked a paramedic some questions, and asked if anybody else had reported anybody get hot and sweaty and he directed her to go to the open door and drink some water and rest.  He asked if somebody could check her out, and came back again and asked again and they hooked her up to some electrodes and called the ambulance (somewhat foggy memory).  She was having a lot of palpitations which included PVC's, and possibly other heart arrhythmias at the same time.  He got to the hospital and could tell that she was going to the trauma room and they were waiting on her.  She had an Echocardiogram which showed that her left bundle branch was not working, her Troponin's were going up and went from very low  to high and then started trending down again.  She had a cardiac cath and was told that she had nothing wrong with her heart and had a heart of a child.   They mentioned Takotsubo's cardiomyopathy and wanted to do another in 6-8 weeks, which she had done and it is totally back to normal.   Her blood pressure was fluctuant between high and low. When she was discharged home on the 4th day she had severe diarrhea.   She was put on Plavix 75 mg, they upped her Metoprolol XL 25 mg to twice a day, they also gave her Lipitor to take briefly.  They took her off baby aspirin.     The recent echocardiogram was back to normal.    She was told she could not get the 2nd vaccine either.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Palpitations, Troponin abnormal, Ventricular extrasystoles
Clinical narrative: She got her vaccine, she got very hot and sweaty within 10 minutes.  She was still filling out her form for the next vaccine.  She asked a paramedic some questions, and asked if anybody else had reported anybody get hot and sweaty and he directed her to go to the open door and drink some water and rest.  He asked if somebody could check her out, and came back again and asked again and they hooked her up to some electrodes and called the ambulance (somewhat foggy memory).  She was having a lot of palpitations which included PVC's, and possibly other heart arrhythmias at the same time.  He got to the hospital and could tell that she was going to the trauma room and they were waiting on her.  She had an Echocardiogram which showed that her left bundle branch was not working, her Troponin's were going up and went from very low  to high and then started trending down again.  She had a cardiac cath and was told that she had nothing wrong with her heart and had a heart of a child.   They mentioned Takotsubo's cardiomyopathy and wanted to do another in 6-8 weeks, which she had done and it is totally back to normal.   Her blood pressure was fluctuant between high and low. When she was discharged home on the 4th day she had severe diarrhea.   She was put on Plavix 75 mg, they upped her Metoprolol XL 25 mg to twice a day, they also gave her Lipitor to take briefly.  They took her off baby aspirin.     The recent echocardiogram was back to normal.    She was told she could not get the 2nd vaccine either.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Incorrect Reconstitution
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Ear infection, Influenza like illness, Laboratory test normal, Pain
Clinical narrative: 12 hours of expected side effects (fever, aches, flu-like symptoms) followed by persistent and constant bilateral tinnitus.  Originally treated for ear infection (antibiotics), then with steroids and anti-histimine. No improvements
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus
Clinical narrative: 12 hours of expected side effects (fever, aches, flu-like symptoms) followed by persistent and constant bilateral tinnitus.  Originally treated for ear infection (antibiotics), then with steroids and anti-histimine. No improvements
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness after injection; self-resolved after 5 minutes
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient receive dose a week too early.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Pneumonitis
Clinical narrative: Moderna vax taken and started getting chest pains. Went to ER. Doc thought blood clots in the lungs. diagonostics revealed inflamation in the lungs
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: Dizziness; feeling anxious. BP 133/64; HR 60; RR 24.  Instructed to relax & increase PO fluids.  Given 2500ml water. Pt stated feels better; released from vaccination site & recommended to f/u with PCP
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Postictal state, Tonic clonic movements, Vertigo
Clinical narrative: Patient reported as experiencing some vertigo prior to vaccination.  Approximately 10 minutes post-vaccine, patient experienced a witnessed tonic-clonic like reaction.  Vitals:  150/90, pulse 120, SaO2: 95%.  Patient was postictal approximately 10 minutes post onset.    No meds given.  EMS notified.  Transferred to the hospital.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Muscle spasms, Restlessness
Clinical narrative: After my second shot of moderna, I felt okay but towards the night I felt very restless. I looked up if restlessness is a side affect of the shot but I didn?t come up with anything. It said fatigue which I had after the first shot but this one I didn?t fall asleep until 5:30 AM. I also had cramps like period cramps as if my lungs dropped to my pelvic.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received first dose of Moderna on 03/18/2021 and received second dose on 04/01/2021 - being too soon to receive second dose of vaccine.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid increased, Blood potassium decreased, Chest X-ray abnormal, Chills, Full blood count
Clinical narrative: 01/20/21- achy fevers  ibuprofen- developed chills - temp 100.3, 01/21/21- fever 103- horrible headaches, went to hospital- tackycardia, low BP, lactic acid increases, met criteria for sepsis admitted. 01/23/21- discharged from hospital, arm of injection sweling, lymph nodes swollen,
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypotension, Lymphadenopathy, Metabolic function test, Pain
Clinical narrative: 01/20/21- achy fevers  ibuprofen- developed chills - temp 100.3, 01/21/21- fever 103- horrible headaches, went to hospital- tackycardia, low BP, lactic acid increases, met criteria for sepsis admitted. 01/23/21- discharged from hospital, arm of injection sweling, lymph nodes swollen,
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pleural effusion, Pulmonary mass, Pyrexia, Sepsis
Clinical narrative: 01/20/21- achy fevers  ibuprofen- developed chills - temp 100.3, 01/21/21- fever 103- horrible headaches, went to hospital- tackycardia, low BP, lactic acid increases, met criteria for sepsis admitted. 01/23/21- discharged from hospital, arm of injection sweling, lymph nodes swollen,
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, White blood cell count normal
Clinical narrative: 01/20/21- achy fevers  ibuprofen- developed chills - temp 100.3, 01/21/21- fever 103- horrible headaches, went to hospital- tackycardia, low BP, lactic acid increases, met criteria for sepsis admitted. 01/23/21- discharged from hospital, arm of injection sweling, lymph nodes swollen,
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Pruritus
Clinical narrative: Patient received her 1st Covid vaccine today, with a known history of anaphylaxis to the flu shot 6 months prior. She was assigned a 30 minute wait time. She received her vaccine at 1225 on 14May2021, and approximately 15 minutes later developed itchiness around her mouth and face. She reported this felt similar to the beginning of her prior episode. Physician and nurse were notified, who evaluated patient. Patient?s airway was clear, respirations unlabored and normal to auscultation. Vitals were within normal limits. EMS was notified, and 50mg Benadryl was given at 1255. At this time patient?s reaction appeared minor and stable, so epipen was at patient?s side however not given yet. EMS arrived rapidly, and repeated eval, confirming same evaluation and history. Patient was transferred in stable condition to the ER for extended monitoring.
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Pyrexia
Clinical narrative: Chills for 3 hours followed by fever up to 101.9 for a couple of hours   Tylenol brought it down to normal   lasted abouth 14 hours total
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: about 10 minutes after receiving the vaccine the patient started sweating and vomiting
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on both arms, chest and face. Used over the counter allergy meds and creams.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypotension, Syncope
Clinical narrative: dizziness, faint, low blood pressure, sweating.   patient laid down and put legs up on a chair, blood pressure returned to normal and patient felt better
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given outside of age parameter.  The mother made an appointment stating it is for her adult autistic child.  When the nurse came to give the vaccine, the mother said again this for her adult autistic child.  The mother signed the consent and answered the pre-vaccination health checklist.  The nurse reviewed the two forms and administered the vaccine.  When the nurse went to document the vaccine, it was discovered the patient was 17.  Upon review, this facility is placing age and date of birth on the consent and checklist.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Cough, Ear pain, Erythema, Feeling cold
Clinical narrative: 4/27/21 @ 0825  She had small bumps on her injection arm and subsequently had more appear on her left arm. RN administered 25mg of Benedryl @ 830. Employee complained that she was beginning to feel sweaty. Accompanied her to a private room where she could remove her mask. Employee noted that her legs were slight swollen and red. Her lower extremities were blanchable. She c/o that her legs were beginning to "burn"  4/27/21 1109 Taken to ED. RLE edema> LLE Edema.  was given 25mg IV benedryl, Solu-medrol 125mg IV, Pepcid 20 mg IV. D/C'd with prednisone & Epi pen 5/7/21 She reports- Sore throat (I never had it except when I was extremely sick) - Pain in left ear while swallow - Sometimes I feel I don?t have enough oxygen and it provokes cough. I never had it in my life even if I had allergy. It might happened several times in week but not daily. 5/13/21 Seen by MD - HENT: Positive for sore throat - Respiratory: Positive for cough - Cardiovascular: Positive for leg swelling (right leg, the same one which got more swollen during the first 15-20 min of vaccine.) - Comments: Cobblestoning present. Trace nonpitting edema on the top of the right foot, just below the ankle. - High dose steroids can also cause some swelling and theses should be near done washing out of system. Associated tingling and feeling of coolness may be coming from deep peroneal nerve irritation in setting of swelling.  Blood tests were collected for LAB. prescribe a nasal spray for treatment of allergy.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, Hyperhidrosis, Metabolic function test, Oedema, Oropharyngeal pain
Clinical narrative: 4/27/21 @ 0825  She had small bumps on her injection arm and subsequently had more appear on her left arm. RN administered 25mg of Benedryl @ 830. Employee complained that she was beginning to feel sweaty. Accompanied her to a private room where she could remove her mask. Employee noted that her legs were slight swollen and red. Her lower extremities were blanchable. She c/o that her legs were beginning to "burn"  4/27/21 1109 Taken to ED. RLE edema> LLE Edema.  was given 25mg IV benedryl, Solu-medrol 125mg IV, Pepcid 20 mg IV. D/C'd with prednisone & Epi pen 5/7/21 She reports- Sore throat (I never had it except when I was extremely sick) - Pain in left ear while swallow - Sometimes I feel I don?t have enough oxygen and it provokes cough. I never had it in my life even if I had allergy. It might happened several times in week but not daily. 5/13/21 Seen by MD - HENT: Positive for sore throat - Respiratory: Positive for cough - Cardiovascular: Positive for leg swelling (right leg, the same one which got more swollen during the first 15-20 min of vaccine.) - Comments: Cobblestoning present. Trace nonpitting edema on the top of the right foot, just below the ankle. - High dose steroids can also cause some swelling and theses should be near done washing out of system. Associated tingling and feeling of coolness may be coming from deep peroneal nerve irritation in setting of swelling.  Blood tests were collected for LAB. prescribe a nasal spray for treatment of allergy.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pallor, Paraesthesia, Peripheral swelling, Radiculopathy, Rash
Clinical narrative: 4/27/21 @ 0825  She had small bumps on her injection arm and subsequently had more appear on her left arm. RN administered 25mg of Benedryl @ 830. Employee complained that she was beginning to feel sweaty. Accompanied her to a private room where she could remove her mask. Employee noted that her legs were slight swollen and red. Her lower extremities were blanchable. She c/o that her legs were beginning to "burn"  4/27/21 1109 Taken to ED. RLE edema> LLE Edema.  was given 25mg IV benedryl, Solu-medrol 125mg IV, Pepcid 20 mg IV. D/C'd with prednisone & Epi pen 5/7/21 She reports- Sore throat (I never had it except when I was extremely sick) - Pain in left ear while swallow - Sometimes I feel I don?t have enough oxygen and it provokes cough. I never had it in my life even if I had allergy. It might happened several times in week but not daily. 5/13/21 Seen by MD - HENT: Positive for sore throat - Respiratory: Positive for cough - Cardiovascular: Positive for leg swelling (right leg, the same one which got more swollen during the first 15-20 min of vaccine.) - Comments: Cobblestoning present. Trace nonpitting edema on the top of the right foot, just below the ankle. - High dose steroids can also cause some swelling and theses should be near done washing out of system. Associated tingling and feeling of coolness may be coming from deep peroneal nerve irritation in setting of swelling.  Blood tests were collected for LAB. prescribe a nasal spray for treatment of allergy.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Erythema, Oropharyngeal pain, Peripheral swelling, Rash
Clinical narrative: 4/27/21 @ 0825  She had small bumps on her injection arm and subsequently had more appear on her left arm. RN administered 25mg of Benedryl @ 830. Employee complained that she was beginning to feel sweaty. Accompanied her to a private room where she could remove her mask. Employee noted that her legs were slight swollen and red. Her lower extremities were blanchable. She c/o that her legs were beginning to "burn"  4/27/21 1109 Taken to ED. RLE edema> LLE Edema.  was given 25mg IV benedryl, Solu-medrol 125mg IV, Pepcid 20 mg IV. D/C'd with prednisone & Epi pen 5/7/21 She reports- Sore throat (I never had it except when I was extremely sick) - Pain in left ear while swallow - Sometimes I feel I don?t have enough oxygen and it provokes cough. I never had it in my life even if I had allergy. It might happened several times in week but not daily. 5/13/21 Seen by MD - HENT: Positive for sore throat - Respiratory: Positive for cough - Cardiovascular: Positive for leg swelling (right leg, the same one which got more swollen during the first 15-20 min of vaccine.) - Comments: Cobblestoning present. Trace nonpitting edema on the top of the right foot, just below the ankle. - High dose steroids can also cause some swelling and theses should be near done washing out of system. Associated tingling and feeling of coolness may be coming from deep peroneal nerve irritation in setting of swelling.  Blood tests were collected for LAB. prescribe a nasal spray for treatment of allergy.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: 4/27/21 @ 0825  She had small bumps on her injection arm and subsequently had more appear on her left arm. RN administered 25mg of Benedryl @ 830. Employee complained that she was beginning to feel sweaty. Accompanied her to a private room where she could remove her mask. Employee noted that her legs were slight swollen and red. Her lower extremities were blanchable. She c/o that her legs were beginning to "burn"  4/27/21 1109 Taken to ED. RLE edema> LLE Edema.  was given 25mg IV benedryl, Solu-medrol 125mg IV, Pepcid 20 mg IV. D/C'd with prednisone & Epi pen 5/7/21 She reports- Sore throat (I never had it except when I was extremely sick) - Pain in left ear while swallow - Sometimes I feel I don?t have enough oxygen and it provokes cough. I never had it in my life even if I had allergy. It might happened several times in week but not daily. 5/13/21 Seen by MD - HENT: Positive for sore throat - Respiratory: Positive for cough - Cardiovascular: Positive for leg swelling (right leg, the same one which got more swollen during the first 15-20 min of vaccine.) - Comments: Cobblestoning present. Trace nonpitting edema on the top of the right foot, just below the ankle. - High dose steroids can also cause some swelling and theses should be near done washing out of system. Associated tingling and feeling of coolness may be coming from deep peroneal nerve irritation in setting of swelling.  Blood tests were collected for LAB. prescribe a nasal spray for treatment of allergy.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle contractions involuntary, Muscle spasms
Clinical narrative: Severe muscle spasms, loss of muscle control throughout the body.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness bilateral, Deafness unilateral, Dizziness, Dysstasia
Clinical narrative: I awoke on April 5th at 6 am.  I was deaf in both ears except the sound of my own saliva in the right ear.  Upon attempting to rise I was exceedingly dizzy/light-headed.  I went to the ground and then extreme loud - extremely loud sound in head.  I held my head in my hands and attempted to stand again and could not.  Finally I was able to stand and get myself to the bathroom.  The loud sound and deafness continued for about 20 to 30 minutes at that intensity, then lessened.  Was back to "normal" about an hour later, except fullness in right ear.  I really should have called 911, yet I was in a rural area with my 99 year old mother and did not want to startle her.  One week later, April 13th, tinnitus, lower volume, and vertigo returned.  Vertigo was intermittent; tinnitus has been 24/7 since April 13th.  I saw ENT, on April 7th.  He thought I either had a stroke or a vestibular migraine, yet he was not aware of the 24/7 tinnitus.  He ordered MRI.  Results negative for stroke or tumor.  I have an appointment with ENT next week. (Was visiting my mom and family at time of initial acute onset.)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Ear, nose and throat examination normal, Magnetic resonance imaging head normal, Scan with contrast, Tinnitus
Clinical narrative: I awoke on April 5th at 6 am.  I was deaf in both ears except the sound of my own saliva in the right ear.  Upon attempting to rise I was exceedingly dizzy/light-headed.  I went to the ground and then extreme loud - extremely loud sound in head.  I held my head in my hands and attempted to stand again and could not.  Finally I was able to stand and get myself to the bathroom.  The loud sound and deafness continued for about 20 to 30 minutes at that intensity, then lessened.  Was back to "normal" about an hour later, except fullness in right ear.  I really should have called 911, yet I was in a rural area with my 99 year old mother and did not want to startle her.  One week later, April 13th, tinnitus, lower volume, and vertigo returned.  Vertigo was intermittent; tinnitus has been 24/7 since April 13th.  I saw ENT, on April 7th.  He thought I either had a stroke or a vestibular migraine, yet he was not aware of the 24/7 tinnitus.  He ordered MRI.  Results negative for stroke or tumor.  I have an appointment with ENT next week. (Was visiting my mom and family at time of initial acute onset.)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: I awoke on April 5th at 6 am.  I was deaf in both ears except the sound of my own saliva in the right ear.  Upon attempting to rise I was exceedingly dizzy/light-headed.  I went to the ground and then extreme loud - extremely loud sound in head.  I held my head in my hands and attempted to stand again and could not.  Finally I was able to stand and get myself to the bathroom.  The loud sound and deafness continued for about 20 to 30 minutes at that intensity, then lessened.  Was back to "normal" about an hour later, except fullness in right ear.  I really should have called 911, yet I was in a rural area with my 99 year old mother and did not want to startle her.  One week later, April 13th, tinnitus, lower volume, and vertigo returned.  Vertigo was intermittent; tinnitus has been 24/7 since April 13th.  I saw ENT, on April 7th.  He thought I either had a stroke or a vestibular migraine, yet he was not aware of the 24/7 tinnitus.  He ordered MRI.  Results negative for stroke or tumor.  I have an appointment with ENT next week. (Was visiting my mom and family at time of initial acute onset.)
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Paraesthesia oral
Clinical narrative: Patient came in on 5/7 for 2nd dose. During this appt she stated that when she received the 1st dose she felt dizzy and her lips a little tingly. Patient was advised she would have to sit for 30 minutes after receiving 2nd dose.  Within the 30 minutes of patient receiving her 2nd dose, she stated that her lips and tongue were tingly again. We got patient water and advised to take Benadryl we had on hand however patient stated she could not take Benadryl but she had Zyrtec. Consulted with Dr. who advised Zyrtec was fine. Patient took medication and sat for an additional 20 minutes. Stated that the tingling in her mouth/lips had subsided almost 100%.
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Pain in extremity, Peripheral swelling, X-ray limb
Clinical narrative: Pain and swollen arm/shoulder right away, been to orthodontist, physical therapy and still can fully recover. I have pain when I move my left arm/shoulder, specially when getting dress or any movements going across and over my head.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: LIGHT HEADED
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Peripheral swelling, Vomiting
Clinical narrative: Patient called to report that his arm had swollen, he also experienced back pain, and vomiting the morning following the vaccination. He went to the nurse at his workplace, she advised him to take benadryl and tylenol, which has helped.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient got his vaccine and was waiting in the waiting area and about five minutes later, he temporary loss consciousness for about a minutes. After about a minute, he full regained consciousness and EMS was called. He was taken to the hospital for further evaluation.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received first dose of Moderna on 3/18/21 and received second dose of vaccine on 4/1/2021 - being too soon to receive second dose of vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing
Clinical narrative: Flushing; HR 88; RR 16; O2 sat 99%.  Given 16 oz water & 1 pack graham crackers. Pt stable & released from vaccination site with sister.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: Th, e patient is on her 3 weeks post partum. She felt dizzy, anxiety. She takes lLmictal for seizers. Pulse 64  respiration 10 spo2 98% bp 90/55 at 12:10 pm She felt better and her husband took her to door on wheelchair to discharge on 12:36pm
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased activity, Headache, Hypersomnia, Laboratory test
Clinical narrative: I received the vaccine on March 13, 2021. I did not have an immediate reaction, but began breaking out in hives all over my body 24 hours later. I was lethargic, wanted to sleep all the time, and had no energy. This is gradually getting better, but still occurs. I periodically have headaches. After two full months I continue to have regular eruptions of hives on my arms. Prior to taking the vaccine I had no health issues, ran daily,  and worked out regularly. I have just recently started walking, but have not been able to run.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Mobility decreased, Urticaria
Clinical narrative: I received the vaccine on March 13, 2021. I did not have an immediate reaction, but began breaking out in hives all over my body 24 hours later. I was lethargic, wanted to sleep all the time, and had no energy. This is gradually getting better, but still occurs. I periodically have headaches. After two full months I continue to have regular eruptions of hives on my arms. Prior to taking the vaccine I had no health issues, ran daily,  and worked out regularly. I have just recently started walking, but have not been able to run.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered invalid 2nd dose of Pfizer vaccine (vaccine was stored 5 days beyond recommended freezing time). Pfizer was contacted and recommended that the patient receive a booster in the opposite arm. Patient can receive booster immediately and will be contacted to schedule booster dose.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient reports fainting after receiving any inject.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Tinnitus
Clinical narrative: My previously manageable tinnitus has become unmanageable starting within a week of the second Pfizer shot. The tinnitus is extremely loud 24/7 making my days feel like I have PTSD and my nights difficult to sleep. I need music, TV, or white noise on 24/7. The elevated level of tinnitus has not subsided since it ramped up.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Fatigue, Headache, Influenza like illness
Clinical narrative: Headache, pain at injection site for multiple days, fever, cold chills, fatigue, cold sweats, flu like symptoms, shivers.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Headache, pain at injection site for multiple days, fever, cold chills, fatigue, cold sweats, flu like symptoms, shivers.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: deatb
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Chills, Dyspnoea, Fatigue
Clinical narrative: High fever 104 degrees Loss of Taste Loss of smell Body aches Sore throat Nausea Chills Fatigue Shortness of Breath  - trouble breathing Headache runny nose
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hospitalisation, Nausea, Oropharyngeal pain, Pain
Clinical narrative: High fever 104 degrees Loss of Taste Loss of smell Body aches Sore throat Nausea Chills Fatigue Shortness of Breath  - trouble breathing Headache runny nose
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: High fever 104 degrees Loss of Taste Loss of smell Body aches Sore throat Nausea Chills Fatigue Shortness of Breath  - trouble breathing Headache runny nose
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Pneumonia
Clinical narrative: Pneumonia s/p Covid-19 resulting in hospitalization
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Paraesthesia oral
Clinical narrative: Signed        Hide copied text  Hover for details 1327 pt began to c/o tingling in her lips, c/o sob, no vomiting, no rash noted, Davinia Yarde, NP at chair side to evaluated. Medical first respose called as pt did not answer questions, remained alert and oriented. pt remained alert and oriented during transport
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: death
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Fatigue, Feeling abnormal, Injection site pain, Lethargy
Clinical narrative: Mild overall, but more pronounced than the first vaccination in the series, and definitely the result of the vaccination.  Reporting just as an FYI. Soreness at the site of injection on my right arm starting several hours after, (Friday), and lasting through two days (Sunday).  Took a Tylenol a day. Extreme lethargy/tiredness for several days, and somewhat "off", the first day being the worst. Wasn't really "myself" again until about Tuesday (fourth day). "Off" meaning tired and not 100% clear-thinking. Worst on Saturday and gradually better each day after.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Headache, Inflammation, Memory impairment, Photopsia
Clinical narrative: 6 hours post shot patient had a severe headache that she had not had before . While falling asleep has flashing light. Inflammation flair.  She had abdominal cramping 1-2 days later.  Feels memory and cognition is off.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Nausea. BP 127/81; HR 76; RR 16; O2 sat 99%. Pt provided 16 oz water & time to rest in observation room.  Sx resolve. Pt stable & released
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: I started to get mild, dizzy spells about 2 weeks after the first dose. They only lasted a moment, and it only happened a few times a day.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute hepatic failure, Alanine aminotransferase increased, Ammonia increased, Aspartate aminotransferase increased, Biopsy skin abnormal
Clinical narrative: fulminant liver failure (INR 3.0, AST and ALT > 2600, Tbili 2.0) without identifiable autoantibodies expected for autoimmune hepatitis, course complicated by retiform purpura and digital/acral lower extremity necrosis, dermatologic biopsy confirmed thromboembolic vaso-occlusion throughout the superficial and mid-dermal vessels without evidence for vasculitis, rheumatologic evaluation without cause, hereditary and acquired thrombophilia evaluation without cause
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood bilirubin increased, Blood creatinine increased, Embolism, Extremity necrosis, International normalised ratio decreased
Clinical narrative: fulminant liver failure (INR 3.0, AST and ALT > 2600, Tbili 2.0) without identifiable autoantibodies expected for autoimmune hepatitis, course complicated by retiform purpura and digital/acral lower extremity necrosis, dermatologic biopsy confirmed thromboembolic vaso-occlusion throughout the superficial and mid-dermal vessels without evidence for vasculitis, rheumatologic evaluation without cause, hereditary and acquired thrombophilia evaluation without cause
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Purpura
Clinical narrative: fulminant liver failure (INR 3.0, AST and ALT > 2600, Tbili 2.0) without identifiable autoantibodies expected for autoimmune hepatitis, course complicated by retiform purpura and digital/acral lower extremity necrosis, dermatologic biopsy confirmed thromboembolic vaso-occlusion throughout the superficial and mid-dermal vessels without evidence for vasculitis, rheumatologic evaluation without cause, hereditary and acquired thrombophilia evaluation without cause
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood pressure increased, Burning sensation, Diarrhoea, Feeling abnormal, Fine motor skill dysfunction
Clinical narrative: fulminant liver failure (INR 3.0, AST and ALT > 2600, Tbili 2.0) without identifiable autoantibodies expected for autoimmune hepatitis, course complicated by retiform purpura and digital/acral lower extremity necrosis, dermatologic biopsy confirmed thromboembolic vaso-occlusion throughout the superficial and mid-dermal vessels without evidence for vasculitis, rheumatologic evaluation without cause, hereditary and acquired thrombophilia evaluation without cause
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Gait disturbance, Headache, Intensive care, Laboratory test, Skin discolouration
Clinical narrative: fulminant liver failure (INR 3.0, AST and ALT > 2600, Tbili 2.0) without identifiable autoantibodies expected for autoimmune hepatitis, course complicated by retiform purpura and digital/acral lower extremity necrosis, dermatologic biopsy confirmed thromboembolic vaso-occlusion throughout the superficial and mid-dermal vessels without evidence for vasculitis, rheumatologic evaluation without cause, hereditary and acquired thrombophilia evaluation without cause
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: fulminant liver failure (INR 3.0, AST and ALT > 2600, Tbili 2.0) without identifiable autoantibodies expected for autoimmune hepatitis, course complicated by retiform purpura and digital/acral lower extremity necrosis, dermatologic biopsy confirmed thromboembolic vaso-occlusion throughout the superficial and mid-dermal vessels without evidence for vasculitis, rheumatologic evaluation without cause, hereditary and acquired thrombophilia evaluation without cause
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Activated partial thromboplastin time shortened, Acute hepatic failure, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased
Clinical narrative: fulminant liver failure (INR 3.0, AST and ALT > 2600, Tbili 2.0) without identifiable autoantibodies expected for autoimmune hepatitis, course complicated by retiform purpura and digital/acral lower extremity necrosis, dermatologic biopsy confirmed thromboembolic vaso-occlusion throughout the superficial and mid-dermal vessels without evidence for vasculitis, rheumatologic evaluation without cause, hereditary and acquired thrombophilia evaluation without cause
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood creatine phosphokinase increased, Dry gangrene, Fatigue, International normalised ratio increased, Peripheral ischaemia
Clinical narrative: fulminant liver failure (INR 3.0, AST and ALT > 2600, Tbili 2.0) without identifiable autoantibodies expected for autoimmune hepatitis, course complicated by retiform purpura and digital/acral lower extremity necrosis, dermatologic biopsy confirmed thromboembolic vaso-occlusion throughout the superficial and mid-dermal vessels without evidence for vasculitis, rheumatologic evaluation without cause, hereditary and acquired thrombophilia evaluation without cause
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Platelet count normal, Skin discolouration, Tuberculosis
Clinical narrative: fulminant liver failure (INR 3.0, AST and ALT > 2600, Tbili 2.0) without identifiable autoantibodies expected for autoimmune hepatitis, course complicated by retiform purpura and digital/acral lower extremity necrosis, dermatologic biopsy confirmed thromboembolic vaso-occlusion throughout the superficial and mid-dermal vessels without evidence for vasculitis, rheumatologic evaluation without cause, hereditary and acquired thrombophilia evaluation without cause
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: PATIENT GOT HER SHOT AT 10:55 AM . SHE HAS HX OF PANIC ATTACK ASTHMA AND DEPRESSION. PT SHOWED AT PHARMACY COUNTER AFTER SITTING FOR 20 MINS . CHECKED BP 11:25 151/111, GAVE HER BENADRYL 25MG (10 MLS PO ONCE ). PT WAS ASKED TO SIT ANOTHER 15MINS AND RECHECKED HER BP IT WAS STILL HIGH, OFFERED EMS SERVICE PT INITIALLY DECLINED BUT THEN SHE STILL WAS NOT FEELING ANY DIFFERENT SHE TOOK EMS. PT WAS TRANSPORTED TO THE HOSPITAL