chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Wheezing
Clinical narrative: Headache, Myalgia, CoughWheeze, Syncope,  chest pain  Narrative:  3/12 0830 second dose of COVID-19 Pfizer vaccine. 3/12 1230 onset of headache which is persistent as of 3/19. 3/13 onset of cough, body aches, and chest pain all of which resolved within 2 days. 3/14 onset of diarrhea which  lasted through 3/17. 3/25 - Employee reports headache is better, but still has slight headache in the morning. Her diarrhea resolved as of 3/20.
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia & Fever
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Light-headed 12:35 bp 157/101 hr 83 rr 12 L arm 12:48 bp 171/105 hr 89 rr 12 R arm States BP is usually high "160 over something" Had water and felt better. Left at 12:57
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Injection site pain, Myalgia
Clinical narrative: Headache, Sedation, Myalgia, Arthralgia, Fever, Chills, Pain @ injection site
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sedation
Clinical narrative: Headache, Sedation, Myalgia, Arthralgia, Fever, Chills, Pain @ injection site
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Nausea
Clinical narrative: CHILLS, SWEATS, FATIGUE, NAUSEA
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Nausea, Pain in extremity
Clinical narrative: Arthralgia, NauseaVomiting,  NAUSEA, HA, CHILLS, KNEE, HIP AND HAND  PAIN  Narrative:  NAUSEA, HA, CHILLS, KNEE, HIP AND  HAND PAIN after 2nd Covid Pfizer vaccine
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Arthralgia, NauseaVomiting,  NAUSEA, HA, CHILLS, KNEE, HIP AND HAND  PAIN  Narrative:  NAUSEA, HA, CHILLS, KNEE, HIP AND  HAND PAIN after 2nd Covid Pfizer vaccine
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: Headache, Myalgia,  fatigue Narrative:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Chest X-ray, Dizziness, Dyspnoea, Electrocardiogram
Clinical narrative: Patient states she had a bad asthma attack, She became dizzy and heart rate was very elevated along  with shortness of breath. She then came in and was treated, she is responding well to the steroids.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Patient states she had a bad asthma attack, She became dizzy and heart rate was very elevated along  with shortness of breath. She then came in and was treated, she is responding well to the steroids.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Coating in mouth, Headache, Streptococcus test, Tongue erythema, Tongue ulceration
Clinical narrative: White film on top of tongue. White and erythematic ulcers, tiny in size on sides of tongue and hard palate. Inflamed left tonsil. No ulcers on tonsils or post pharnyx. reports headaches. sinuses are clear.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Tonsillar inflammation, Ulcer
Clinical narrative: White film on top of tongue. White and erythematic ulcers, tiny in size on sides of tongue and hard palate. Inflamed left tonsil. No ulcers on tonsils or post pharnyx. reports headaches. sinuses are clear.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Injection site erythema
Clinical narrative: Redness around the site of the vaccine
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: VASOVAGAL SNCOPE, PATIENT FAINTED WHILE SITTING A LARGE CHAIR WITH ARMS. PT REMAINED IN CHAIR, (DID NOT FALL), DID NOT RESPOND TO  A TAP ON ARM AND VOICE COMMANDS. SMELLING SALTS WERE ADMINISTERED AND PT QUICKLY REGAINED CONSCIOUSNESS. HE REMAINED UNDER OUR IMMEDIATE OBSERVATION FOR 20 MORE MINUTES, REGAINED COLOR WAS ABLE TO STAND AND LEFT WITH HIS WIFE.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Pruritus, Sedation, Urticaria
Clinical narrative: Sedation, Angioedema, UrticariaPruritus, urticaria right forearm and neck, angioedema of face and neck
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Injection site pain, Insomnia, Pyrexia
Clinical narrative: Headache, Arthralgia, Fever, tight sensation in face eyes and tongue, sweating , sleeplessness... spotting with urination , soreness at injection site ,
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Skin tightness, Urinary incontinence
Clinical narrative: Headache, Arthralgia, Fever, tight sensation in face eyes and tongue, sweating , sleeplessness... spotting with urination , soreness at injection site ,
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Laboratory test normal, Rash, Rash erythematous, Skin abrasion
Clinical narrative: Erythematous Rash with areas of excoRiation in Center. B/L thighs and behind knees. (Not LPA patient - COVID 19 clinic) ONGOING RASH.  RASH is NOT Bothersome to patient, Not itching - No dRainage. SeveRal patches B/L anteRioR/posteRioR thighs/legs/behind Knees. No treatment foR RASH. Patient seen heR PCP. - Labs/Blood WHL checked and reported + WNL to me by daughteR. Pediatrics WAS COVID vaccine clinic. I gave to patients that met phace 1A CRiteRia.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Injection site swelling, Lymphadenopathy, Pyrexia
Clinical narrative: Fever FATIGUE, INJECTION SITE PAIN & SWELLING, TENDERNESS & SWELLING OF THE LOCAL LYMPH NODES ON THE INJECTION SIDE  Narrative:  Other Relevant History:
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Headache, Myalgia, Fever & NauseaVomiting Narrative:  Other Relevant History:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site swelling, Pyrexia
Clinical narrative: Chills, fever, swelling at injection site 10 days, fatigue Narrative:  Other Relevant History:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Product administered at inappropriate site
Clinical narrative: unable to move R arm  10 days after vaccine, given too high on shoulder
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Immediate post-injection reaction, Mycobacterium tuberculosis complex test, Pulse abnormal
Clinical narrative: Patient became lightheaded, sweaty, with a weak pulse immediately after receiving COVID-19 vaccination.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Skin test
Clinical narrative: Patient became lightheaded, sweaty, with a weak pulse immediately after receiving COVID-19 vaccination.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, General symptom, Pain in extremity
Clinical narrative: 1 week after the vaccination Patient started with right hand pain,  Pt has burning and fire sensation that awakens at night, and he currently has the symptoms for about 2 weeks.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient under age 16 was vaccinated.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus Narrative:
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Injection site pain Narrative:
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Liquid product physical issue
Clinical narrative: Two vial of Moderna vaccine were identified with brow particles inside.  Product sequestered   Narrative:  On February 19, 2021 pharmacist preparing Moderna COVID-19 vaccine syringes, identify a product problem. Moderna vaccine vial with lot  number 006M20A was being used. Upon visual inspection of vial prior vial puncture, a brown particulate was noted on the bottom of the vial. The vial was gently swirl and particulate floated in the suspension confirming particulate matter was inside of the vial. Based on "Dose Preparation" section of Emergency Use Authorization fact sheet for healthcare providers administering the vaccine (vaccination providers): the vial was separated from the rest and labeled as "DO NOT USE" until further disposition is made. The remaining vials with same lot number were inspected and one additional vial was found with particulate matter but in a lesser amount when compared with the first vial. Manufacturing  company (Moderna) was notified of the situation. Both vials are currently separated from the rest and are labeled as "DO NOT USE". Current storage condition of vials with brown particulate matter is refrigerated (BUD: 3/18/2021@15:20).
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Narrative:  Patient received 1st dose COVID-19 vaccine (Pfizer) on 03/04/2021. About 1 week later, reports having heart palpitations. Patient did not receive treatment for this.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Brain fog, Dyspnoea, Panic attack, Paraesthesia
Clinical narrative: tingling in hands and feet, anxiety Narrative:  Patient had a panic attack the day after receiving the vaccine after being anxious about getting the vaccine. She was having shortness of breath, brain fog, and tingling in her fingers and toes. This led her to go to the local ED and she was diagnosed with a panic attack, which hasn't happened for a few years.
Age: 89.0
Sex: M
Vaccine: FLU4
Symptoms: Decreased appetite, Oxygen saturation decreased
Clinical narrative: loss of appetite, reduced oxygen saturation Narrative:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Basophil percentage increased, Bilirubin conjugated normal
Clinical narrative: Stiffness in knees and lower back. Muscle burning and weakness in thighs over 5-6 days  Narrative: Patient reported experiencing joint stiffness particularly in knees and in lower back. Patient also reported having muscle burning and weakness in thighs. It started slowly and had built up over the last 5-6 days. Patient self treated with anti inflammatories, ice, epsom salt baths and lots of water. Unknown if resolved, however on March 23, 2021, patient given second dose of Covid vaccine and monitored for 15 minutes without any reports of adverse effects from the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin increased, Blood chloride normal, Blood cholesterol increased
Clinical narrative: Stiffness in knees and lower back. Muscle burning and weakness in thighs over 5-6 days  Narrative: Patient reported experiencing joint stiffness particularly in knees and in lower back. Patient also reported having muscle burning and weakness in thighs. It started slowly and had built up over the last 5-6 days. Patient self treated with anti inflammatories, ice, epsom salt baths and lots of water. Unknown if resolved, however on March 23, 2021, patient given second dose of Covid vaccine and monitored for 15 minutes without any reports of adverse effects from the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood folate normal, Blood glucose normal, Blood iron, Blood magnesium normal
Clinical narrative: Stiffness in knees and lower back. Muscle burning and weakness in thighs over 5-6 days  Narrative: Patient reported experiencing joint stiffness particularly in knees and in lower back. Patient also reported having muscle burning and weakness in thighs. It started slowly and had built up over the last 5-6 days. Patient self treated with anti inflammatories, ice, epsom salt baths and lots of water. Unknown if resolved, however on March 23, 2021, patient given second dose of Covid vaccine and monitored for 15 minutes without any reports of adverse effects from the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood test abnormal, Blood triglycerides normal, Blood urea normal
Clinical narrative: Stiffness in knees and lower back. Muscle burning and weakness in thighs over 5-6 days  Narrative: Patient reported experiencing joint stiffness particularly in knees and in lower back. Patient also reported having muscle burning and weakness in thighs. It started slowly and had built up over the last 5-6 days. Patient self treated with anti inflammatories, ice, epsom salt baths and lots of water. Unknown if resolved, however on March 23, 2021, patient given second dose of Covid vaccine and monitored for 15 minutes without any reports of adverse effects from the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Eosinophil percentage decreased, Glomerular filtration rate normal, Granulocyte percentage, Haematocrit decreased
Clinical narrative: Stiffness in knees and lower back. Muscle burning and weakness in thighs over 5-6 days  Narrative: Patient reported experiencing joint stiffness particularly in knees and in lower back. Patient also reported having muscle burning and weakness in thighs. It started slowly and had built up over the last 5-6 days. Patient self treated with anti inflammatories, ice, epsom salt baths and lots of water. Unknown if resolved, however on March 23, 2021, patient given second dose of Covid vaccine and monitored for 15 minutes without any reports of adverse effects from the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, High density lipoprotein normal, Iron binding capacity total, Joint stiffness, Low density lipoprotein increased
Clinical narrative: Stiffness in knees and lower back. Muscle burning and weakness in thighs over 5-6 days  Narrative: Patient reported experiencing joint stiffness particularly in knees and in lower back. Patient also reported having muscle burning and weakness in thighs. It started slowly and had built up over the last 5-6 days. Patient self treated with anti inflammatories, ice, epsom salt baths and lots of water. Unknown if resolved, however on March 23, 2021, patient given second dose of Covid vaccine and monitored for 15 minutes without any reports of adverse effects from the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin increased, Mean cell volume increased
Clinical narrative: Stiffness in knees and lower back. Muscle burning and weakness in thighs over 5-6 days  Narrative: Patient reported experiencing joint stiffness particularly in knees and in lower back. Patient also reported having muscle burning and weakness in thighs. It started slowly and had built up over the last 5-6 days. Patient self treated with anti inflammatories, ice, epsom salt baths and lots of water. Unknown if resolved, however on March 23, 2021, patient given second dose of Covid vaccine and monitored for 15 minutes without any reports of adverse effects from the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Monocyte percentage increased, Muscular weakness, Musculoskeletal stiffness, Myalgia
Clinical narrative: Stiffness in knees and lower back. Muscle burning and weakness in thighs over 5-6 days  Narrative: Patient reported experiencing joint stiffness particularly in knees and in lower back. Patient also reported having muscle burning and weakness in thighs. It started slowly and had built up over the last 5-6 days. Patient self treated with anti inflammatories, ice, epsom salt baths and lots of water. Unknown if resolved, however on March 23, 2021, patient given second dose of Covid vaccine and monitored for 15 minutes without any reports of adverse effects from the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count decreased, Neutrophil percentage decreased, Platelet count normal, Red blood cell count decreased, Red blood cell nucleated morphology
Clinical narrative: Stiffness in knees and lower back. Muscle burning and weakness in thighs over 5-6 days  Narrative: Patient reported experiencing joint stiffness particularly in knees and in lower back. Patient also reported having muscle burning and weakness in thighs. It started slowly and had built up over the last 5-6 days. Patient self treated with anti inflammatories, ice, epsom salt baths and lots of water. Unknown if resolved, however on March 23, 2021, patient given second dose of Covid vaccine and monitored for 15 minutes without any reports of adverse effects from the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Red cell distribution width normal, Serum ferritin decreased, Transferrin normal, Transferrin saturation, Vitamin B12 normal
Clinical narrative: Stiffness in knees and lower back. Muscle burning and weakness in thighs over 5-6 days  Narrative: Patient reported experiencing joint stiffness particularly in knees and in lower back. Patient also reported having muscle burning and weakness in thighs. It started slowly and had built up over the last 5-6 days. Patient self treated with anti inflammatories, ice, epsom salt baths and lots of water. Unknown if resolved, however on March 23, 2021, patient given second dose of Covid vaccine and monitored for 15 minutes without any reports of adverse effects from the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin D, White blood cell count decreased
Clinical narrative: Stiffness in knees and lower back. Muscle burning and weakness in thighs over 5-6 days  Narrative: Patient reported experiencing joint stiffness particularly in knees and in lower back. Patient also reported having muscle burning and weakness in thighs. It started slowly and had built up over the last 5-6 days. Patient self treated with anti inflammatories, ice, epsom salt baths and lots of water. Unknown if resolved, however on March 23, 2021, patient given second dose of Covid vaccine and monitored for 15 minutes without any reports of adverse effects from the vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Rash
Clinical narrative: Narrative:  Per MD note: 59yo man received COVID vaccine #1 (Pfizer) on 3/4 in the left deltoid and developed a rash in the left armpit some time later (likely >4hours). it was treated with clotrimazole so the assumption is that it looked like a  fungal rash. Of note, Surgery note form 3/9 suggest that the patient has had left axillary swelling for years. Recommendations: It is unlikely that the rash is an  allergic reaction. We have seen descriptions of axillary swelling from the vaccine which may have contributed to the rash. This is a typical reaction and would not be concerning." Rec patient to get 2nd dose.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Disturbance in attention, Dysphagia, Fatigue
Clinical narrative: Throat pain, difficulty swallowing, fatigue Narrative:  69 y/o M received COVID vaccine dose #1 on 1/15/21 (Moderna LOT 026L20A exp 6/28/2021) at 11:35am. Patient visited ED on 1/19/21 w/o c/o of pain in throat, difficulty swallowing for 3 days. Upon evaluation, no stridor swelling, or SOB found and pat was d/c'd on 1/19/21 w/ instruction to return w/ new or worsening symptoms. Patient called ED 1/20/21 at 15:28 reporting chills,fatigue following vaccination and pt was instructed to folllow home care measures. On 1/29/21, patient called again reporting not feeling well the past 2 weeks since taking vaccine with cold sweats, chills, numbness over hands & feet, and BP>200 2 days prior (ran out of BP meds). Patient was instructed to take BP reading but could not obtain value and patient reported constant headache, difficulty concentrating, blurry vision, BG 319mg/dL. Patient was instructed to go to ER immediately but refused and said he'll go in the morning; no ED note avail following this. Patient proceeded to receive COVID vaccine dose#2 (Moderna Lot 031L20A exp 7/22/21) on 2/15/21.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Malaise, Oropharyngeal pain, Vision blurred
Clinical narrative: Throat pain, difficulty swallowing, fatigue Narrative:  69 y/o M received COVID vaccine dose #1 on 1/15/21 (Moderna LOT 026L20A exp 6/28/2021) at 11:35am. Patient visited ED on 1/19/21 w/o c/o of pain in throat, difficulty swallowing for 3 days. Upon evaluation, no stridor swelling, or SOB found and pat was d/c'd on 1/19/21 w/ instruction to return w/ new or worsening symptoms. Patient called ED 1/20/21 at 15:28 reporting chills,fatigue following vaccination and pt was instructed to folllow home care measures. On 1/29/21, patient called again reporting not feeling well the past 2 weeks since taking vaccine with cold sweats, chills, numbness over hands & feet, and BP>200 2 days prior (ran out of BP meds). Patient was instructed to take BP reading but could not obtain value and patient reported constant headache, difficulty concentrating, blurry vision, BG 319mg/dL. Patient was instructed to go to ER immediately but refused and said he'll go in the morning; no ED note avail following this. Patient proceeded to receive COVID vaccine dose#2 (Moderna Lot 031L20A exp 7/22/21) on 2/15/21.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: chills Narrative: patient developed chills at 15 minutes after vaccine administration that slowly resolved without intervention
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fear, Heart rate increased, Nervousness, Sensation of foreign body
Clinical narrative: Throat irritation Narrative:  A few minutes after vaccine administration, while being monitored, provider was called to evaluate patient for increased heart rate,  nervousness and lightheadedness and scratchy throat 3 minutes after vaccination.  Nothing on the first vaccine. Hx of anxiety, no GERD and the scratchy throat scared him. T 98.7, R 16, P 97 and B/P 177/108. Last cigarette 1 hour ago, he at lunch (no caffeine or alcohol) and was hydrated with water. At 12:54 pm felt better just a nervous lump in his throat able to swallow water w/o difficulty and  no angioedema, rash or itching. P: 88, R 16, BP 148/86 . Had another glass of water and felt much better, all symptoms resolved. At 1:15 pm after additional monitoring time another set of vitals done - T 98, P 76, BP 135/81. Flagging PCP for continuity.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Throat irritation Narrative:  A few minutes after vaccine administration, while being monitored, provider was called to evaluate patient for increased heart rate,  nervousness and lightheadedness and scratchy throat 3 minutes after vaccination.  Nothing on the first vaccine. Hx of anxiety, no GERD and the scratchy throat scared him. T 98.7, R 16, P 97 and B/P 177/108. Last cigarette 1 hour ago, he at lunch (no caffeine or alcohol) and was hydrated with water. At 12:54 pm felt better just a nervous lump in his throat able to swallow water w/o difficulty and  no angioedema, rash or itching. P: 88, R 16, BP 148/86 . Had another glass of water and felt much better, all symptoms resolved. At 1:15 pm after additional monitoring time another set of vitals done - T 98, P 76, BP 135/81. Flagging PCP for continuity.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: congestion Narrative: Patient experienced congestion post vaccine administration
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Dizziness, Dry mouth, Fatigue, Feeling hot
Clinical narrative: Anxiety, dry mouth Narrative: Patient received her #2 COVID-19 Immunization and while in the observation area about 10 minutes after receiving her vaccine she offered a complaint of rapid heart rate, dry mouth, itchy (R) arm (location of vaccination). Vitals were obtained and patient was moved to the observation stretcher. Patient complained of feeling dizzy during ambulation and nausea. Will attach observation room provider to this note. 2 minutes post vaccine patient noticed itching at injection site and was worried about angioedema, hx of angioedema with antibiotics and need for epi. VSS and transferred from chair to stretcher via two nurses. Nausea began 4 minutes post vaccine and she was given an emesis basin and cold wet towels around her neck and we removed her sweatshirt d/t feeling hot, vitals taken again all stable. Itching worsened and she felt like her tongue was starting to itch and swell, no eye or lip edema and we trialed a PO benadryl which she spit out and we then injected IM benadryl 50 mg and called 911, paramedic and EMTs arrived and report was given and she was transferred to ER for higher level of care, IV fluids, Zofran, Solu-Medrol. Her daughter was here with her, she drove her knowing a reaction would take place like after her 1st COVID vaccine. History of allergies and anaphylaxis to Penicillin, Morphine, Amoxicillin, Cephalexin, Cipro, Bactrim, Gatifloxain. No pertinent labs available. Blood pressure of 131/57 at 8:37A, 3/20/21. Patient was contacted by facility provider on 3/22/21 after ER visit. Patient told facility provider she is feeling much better and all side effects had resolved expect the fatigue. Treatment given to patient at ER is unknown.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Injection site pruritus, Nausea, Pruritus, Swollen tongue
Clinical narrative: Anxiety, dry mouth Narrative: Patient received her #2 COVID-19 Immunization and while in the observation area about 10 minutes after receiving her vaccine she offered a complaint of rapid heart rate, dry mouth, itchy (R) arm (location of vaccination). Vitals were obtained and patient was moved to the observation stretcher. Patient complained of feeling dizzy during ambulation and nausea. Will attach observation room provider to this note. 2 minutes post vaccine patient noticed itching at injection site and was worried about angioedema, hx of angioedema with antibiotics and need for epi. VSS and transferred from chair to stretcher via two nurses. Nausea began 4 minutes post vaccine and she was given an emesis basin and cold wet towels around her neck and we removed her sweatshirt d/t feeling hot, vitals taken again all stable. Itching worsened and she felt like her tongue was starting to itch and swell, no eye or lip edema and we trialed a PO benadryl which she spit out and we then injected IM benadryl 50 mg and called 911, paramedic and EMTs arrived and report was given and she was transferred to ER for higher level of care, IV fluids, Zofran, Solu-Medrol. Her daughter was here with her, she drove her knowing a reaction would take place like after her 1st COVID vaccine. History of allergies and anaphylaxis to Penicillin, Morphine, Amoxicillin, Cephalexin, Cipro, Bactrim, Gatifloxain. No pertinent labs available. Blood pressure of 131/57 at 8:37A, 3/20/21. Patient was contacted by facility provider on 3/22/21 after ER visit. Patient told facility provider she is feeling much better and all side effects had resolved expect the fatigue. Treatment given to patient at ER is unknown.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tongue pruritus
Clinical narrative: Anxiety, dry mouth Narrative: Patient received her #2 COVID-19 Immunization and while in the observation area about 10 minutes after receiving her vaccine she offered a complaint of rapid heart rate, dry mouth, itchy (R) arm (location of vaccination). Vitals were obtained and patient was moved to the observation stretcher. Patient complained of feeling dizzy during ambulation and nausea. Will attach observation room provider to this note. 2 minutes post vaccine patient noticed itching at injection site and was worried about angioedema, hx of angioedema with antibiotics and need for epi. VSS and transferred from chair to stretcher via two nurses. Nausea began 4 minutes post vaccine and she was given an emesis basin and cold wet towels around her neck and we removed her sweatshirt d/t feeling hot, vitals taken again all stable. Itching worsened and she felt like her tongue was starting to itch and swell, no eye or lip edema and we trialed a PO benadryl which she spit out and we then injected IM benadryl 50 mg and called 911, paramedic and EMTs arrived and report was given and she was transferred to ER for higher level of care, IV fluids, Zofran, Solu-Medrol. Her daughter was here with her, she drove her knowing a reaction would take place like after her 1st COVID vaccine. History of allergies and anaphylaxis to Penicillin, Morphine, Amoxicillin, Cephalexin, Cipro, Bactrim, Gatifloxain. No pertinent labs available. Blood pressure of 131/57 at 8:37A, 3/20/21. Patient was contacted by facility provider on 3/22/21 after ER visit. Patient told facility provider she is feeling much better and all side effects had resolved expect the fatigue. Treatment given to patient at ER is unknown.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture positive, Culture urine, Pyrexia, Sepsis, Staphylococcal bacteraemia
Clinical narrative: Narrative:  Received second covid vaccine dose (Pfizer) on 3/8/21 and developed a fever on 3/9/21. Pt with fever on 03/10/21 at 101.4 F and he didn't take any anti-pyretics at home. He has a chronic foley catheter (lasted changed out on 3/8/21) and he denies urinary pain or abdominal pain but states that his urine looked cloudy on 3/8/21 so a urine culture was sent. Pt admitted and treated for severe sepsis 2/2 MSSA bacteremia. Likely bacteremia was the source of fevers on 3/9. 1 of 4 blood cultures positive for bacteremia 3/10. Treated with ceftriaxone, vanco, cefezaloin. Discharged on linezolid po for 14 days.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Urine abnormality
Clinical narrative: Narrative:  Received second covid vaccine dose (Pfizer) on 3/8/21 and developed a fever on 3/9/21. Pt with fever on 03/10/21 at 101.4 F and he didn't take any anti-pyretics at home. He has a chronic foley catheter (lasted changed out on 3/8/21) and he denies urinary pain or abdominal pain but states that his urine looked cloudy on 3/8/21 so a urine culture was sent. Pt admitted and treated for severe sepsis 2/2 MSSA bacteremia. Likely bacteremia was the source of fevers on 3/9. 1 of 4 blood cultures positive for bacteremia 3/10. Treated with ceftriaxone, vanco, cefezaloin. Discharged on linezolid po for 14 days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Injection site pain, Injection site reaction, Nausea
Clinical narrative: Injection site pain Narrative: Patient reported a "weird feeling" at the injection site on the left deltoid within about 8 minutes post vaccine injection. She also reported brief and transient nausea. Vitals were normal. Patient was monitored for an additional 15 minutes at Facility and reported feeling comfortable and left. Husband drove patient to Facility and back home again. Patient in vaccine research study.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Dizziness, Heart rate decreased, Presyncope
Clinical narrative: Light headedness Narrative: Per MD note, "58yo man receive COVID vaccine #1 (Pfizer) on 3/4 and developed light headedness and BP change and sent to the ED. ER triage documentation showed a normal BP and a slowish heart rate. No intervention was given and patient was sent home....Reaction appears to be most consistent with a vaso-vagal reaction." MD recommended patients to receive 2nd dose of COVID vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Throat irritation Narrative: Patient was evaluated after reporting a "scratchy throat" at Facility post injection. He reports that this happened with his first vaccine as well, but it resolved after 10 minutes. His symptoms again resolved after 10 minutes. He takes anti-histamines daily for allergies and uses a nasal spray. T 99.2 F, O2 Sat 96% RA, R 16, P 81 and Alert. It started after he sat in the chair and stopped in 10 minutes. He was monitored for 15 additional minutes at the Facility and the scratchy throat never returned. He feels comfortable to drive home. Flagging PCP for continuity.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Throat irritation Narrative:  Patient complained of a "scratchy throat" and mentioned that he had a similar reaction with his first dose. Patient was evaluated and showed no signs of difficulty breathing and no swelling in the face, lips, or tongue. He denied shortness of breath and itching. Denied post nasal drip. He reported feeling better immediately after assessment.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Head discomfort, Pain, Pyrexia
Clinical narrative: Flu like symptoms including fever, chills, fatigue, body aches started after 12 hours and lasted for 36 hours. Then hives and flushing on day 2-3, intermittently. Swollen lymph nodes in armpit, neck, groin, jaw and tooth pain. Continuous headaches, congestion, and worsening fatigue for weeks. At week 3, started having increased shortness of breath, nocturnal hypoxemia, cough, chest tightness, fatigue, increased heart rate with exertion. These symptoms worsened over the next three weeks.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Flu like symptoms including fever, chills, fatigue, body aches started after 12 hours and lasted for 36 hours. Then hives and flushing on day 2-3, intermittently. Swollen lymph nodes in armpit, neck, groin, jaw and tooth pain. Continuous headaches, congestion, and worsening fatigue for weeks. At week 3, started having increased shortness of breath, nocturnal hypoxemia, cough, chest tightness, fatigue, increased heart rate with exertion. These symptoms worsened over the next three weeks.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide, Chest X-ray, Chest discomfort, Chills, Cough
Clinical narrative: Flu like symptoms including fever, chills, fatigue, body aches started after 12 hours and lasted for 36 hours. Then hives and flushing on day 2-3, intermittently. Swollen lymph nodes in armpit, neck, groin, jaw and tooth pain. Continuous headaches, congestion, and worsening fatigue for weeks. At week 3, started having increased shortness of breath, nocturnal hypoxemia, cough, chest tightness, fatigue, increased heart rate with exertion. These symptoms worsened over the next three weeks.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram, Fatigue, Fibrin D dimer, Flushing
Clinical narrative: Flu like symptoms including fever, chills, fatigue, body aches started after 12 hours and lasted for 36 hours. Then hives and flushing on day 2-3, intermittently. Swollen lymph nodes in armpit, neck, groin, jaw and tooth pain. Continuous headaches, congestion, and worsening fatigue for weeks. At week 3, started having increased shortness of breath, nocturnal hypoxemia, cough, chest tightness, fatigue, increased heart rate with exertion. These symptoms worsened over the next three weeks.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Headache, Heart rate increased, Hypoxia, Influenza like illness
Clinical narrative: Flu like symptoms including fever, chills, fatigue, body aches started after 12 hours and lasted for 36 hours. Then hives and flushing on day 2-3, intermittently. Swollen lymph nodes in armpit, neck, groin, jaw and tooth pain. Continuous headaches, congestion, and worsening fatigue for weeks. At week 3, started having increased shortness of breath, nocturnal hypoxemia, cough, chest tightness, fatigue, increased heart rate with exertion. These symptoms worsened over the next three weeks.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Metabolic function test, Pain, Pain in jaw, Pyrexia
Clinical narrative: Flu like symptoms including fever, chills, fatigue, body aches started after 12 hours and lasted for 36 hours. Then hives and flushing on day 2-3, intermittently. Swollen lymph nodes in armpit, neck, groin, jaw and tooth pain. Continuous headaches, congestion, and worsening fatigue for weeks. At week 3, started having increased shortness of breath, nocturnal hypoxemia, cough, chest tightness, fatigue, increased heart rate with exertion. These symptoms worsened over the next three weeks.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, Sleep disorder, Toothache, Urticaria
Clinical narrative: Flu like symptoms including fever, chills, fatigue, body aches started after 12 hours and lasted for 36 hours. Then hives and flushing on day 2-3, intermittently. Swollen lymph nodes in armpit, neck, groin, jaw and tooth pain. Continuous headaches, congestion, and worsening fatigue for weeks. At week 3, started having increased shortness of breath, nocturnal hypoxemia, cough, chest tightness, fatigue, increased heart rate with exertion. These symptoms worsened over the next three weeks.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Two events: 1. reported that injection was administered "well below my deltoid, mid way between my shoulder and elbow" and was concerned that she did not receive full dose and that additional education to administrator was needed. 2. During interview for above concern, noted that she developed "Covid arm" which she describes as occurring 8 days after injection: pruritic, warm, "hard", swollen, painful and about "10cm" spread. Consulted with her MD via email, sent photo and was prescribed topical steroids. Resolved after several days with no further impairment.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site warmth, Product administered at inappropriate site
Clinical narrative: Two events: 1. reported that injection was administered "well below my deltoid, mid way between my shoulder and elbow" and was concerned that she did not receive full dose and that additional education to administrator was needed. 2. During interview for above concern, noted that she developed "Covid arm" which she describes as occurring 8 days after injection: pruritic, warm, "hard", swollen, painful and about "10cm" spread. Consulted with her MD via email, sent photo and was prescribed topical steroids. Resolved after several days with no further impairment.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: Two events: 1. reported that injection was administered "well below my deltoid, mid way between my shoulder and elbow" and was concerned that she did not receive full dose and that additional education to administrator was needed. 2. During interview for above concern, noted that she developed "Covid arm" which she describes as occurring 8 days after injection: pruritic, warm, "hard", swollen, painful and about "10cm" spread. Consulted with her MD via email, sent photo and was prescribed topical steroids. Resolved after several days with no further impairment.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Induration, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: Two events: 1. reported that injection was administered "well below my deltoid, mid way between my shoulder and elbow" and was concerned that she did not receive full dose and that additional education to administrator was needed. 2. During interview for above concern, noted that she developed "Covid arm" which she describes as occurring 8 days after injection: pruritic, warm, "hard", swollen, painful and about "10cm" spread. Consulted with her MD via email, sent photo and was prescribed topical steroids. Resolved after several days with no further impairment.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient received his first dose of COVID-19 vaccine, Pfizer  around 1400 on 02/08/2021, and waited at clinic for 15 minutes without problems. Per his granddaughter, who I spoke with on 02/09/2021, they left the vaccine clinic around 1430 and he continued to do well shortly after his vaccine so they went out to eat for lunch and they shared an order of beer battered fish. She states that patient is allergic to fish, with history of respiratory distress upon exposure, but that he often eats small amounts of fish without problem. She states if he eats fish and starts to feel any tingling in his lips or mouth, he stops immediately and this did not occur at the restauraunt. They got in the car to drive home just after 4 PM and she said that he started to complain of some shortness of breath. She looked over and he appeared to possibly be having a seizure. She said he continued  to look like this after several seconds and then started vomiting. She started driving towards the nearest ER and they called 911. Per hospital report, patient arrived at ER in full cardiopulmonary arrest. CPR was performed for 25 minutes with intubation and suction as continuous amounts of vomitus were observed. ACLS protocol was followed and CPR continued for 20 minutes. After 20 minutes, a bedside US showed no cardiac motility and time of death was called at 4:54 PM.  ER notes report primary presentation of cardiopulmonary arrest with note from provider that "I suspect that with this incident happened shortly after eating and initially with some shortness of breath and then vomiting, that this most likely is an allergic reaction that led to anaphylaxis and ultimate death." granddaughter and family state they did request an autopsy, and they filed 1-2 reports online - with V-Safe App and a VAERS. We reviewed some information on clinical study trials for Pfizer vaccine, and I provided them with the website information for the study data that shows no significant risk of adverse event, but clinical study notes mention 3 instances of acute MI in vaccine group compared to 0 in placebo group and 3 instances of acute CVA in vaccine group compared to 1 in placebo group. I explained that hopefully we might be able to learn more through autopsy or additional testing, but that these situations are sometimes difficult to determine exact causes or associations.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Cardio-respiratory arrest, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: Patient received his first dose of COVID-19 vaccine, Pfizer  around 1400 on 02/08/2021, and waited at clinic for 15 minutes without problems. Per his granddaughter, who I spoke with on 02/09/2021, they left the vaccine clinic around 1430 and he continued to do well shortly after his vaccine so they went out to eat for lunch and they shared an order of beer battered fish. She states that patient is allergic to fish, with history of respiratory distress upon exposure, but that he often eats small amounts of fish without problem. She states if he eats fish and starts to feel any tingling in his lips or mouth, he stops immediately and this did not occur at the restauraunt. They got in the car to drive home just after 4 PM and she said that he started to complain of some shortness of breath. She looked over and he appeared to possibly be having a seizure. She said he continued  to look like this after several seconds and then started vomiting. She started driving towards the nearest ER and they called 911. Per hospital report, patient arrived at ER in full cardiopulmonary arrest. CPR was performed for 25 minutes with intubation and suction as continuous amounts of vomitus were observed. ACLS protocol was followed and CPR continued for 20 minutes. After 20 minutes, a bedside US showed no cardiac motility and time of death was called at 4:54 PM.  ER notes report primary presentation of cardiopulmonary arrest with note from provider that "I suspect that with this incident happened shortly after eating and initially with some shortness of breath and then vomiting, that this most likely is an allergic reaction that led to anaphylaxis and ultimate death." granddaughter and family state they did request an autopsy, and they filed 1-2 reports online - with V-Safe App and a VAERS. We reviewed some information on clinical study trials for Pfizer vaccine, and I provided them with the website information for the study data that shows no significant risk of adverse event, but clinical study notes mention 3 instances of acute MI in vaccine group compared to 0 in placebo group and 3 instances of acute CVA in vaccine group compared to 1 in placebo group. I explained that hopefully we might be able to learn more through autopsy or additional testing, but that these situations are sometimes difficult to determine exact causes or associations.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypersensitivity, Paraesthesia oral, Resuscitation, Seizure like phenomena, Ultrasound scan abnormal
Clinical narrative: Patient received his first dose of COVID-19 vaccine, Pfizer  around 1400 on 02/08/2021, and waited at clinic for 15 minutes without problems. Per his granddaughter, who I spoke with on 02/09/2021, they left the vaccine clinic around 1430 and he continued to do well shortly after his vaccine so they went out to eat for lunch and they shared an order of beer battered fish. She states that patient is allergic to fish, with history of respiratory distress upon exposure, but that he often eats small amounts of fish without problem. She states if he eats fish and starts to feel any tingling in his lips or mouth, he stops immediately and this did not occur at the restauraunt. They got in the car to drive home just after 4 PM and she said that he started to complain of some shortness of breath. She looked over and he appeared to possibly be having a seizure. She said he continued  to look like this after several seconds and then started vomiting. She started driving towards the nearest ER and they called 911. Per hospital report, patient arrived at ER in full cardiopulmonary arrest. CPR was performed for 25 minutes with intubation and suction as continuous amounts of vomitus were observed. ACLS protocol was followed and CPR continued for 20 minutes. After 20 minutes, a bedside US showed no cardiac motility and time of death was called at 4:54 PM.  ER notes report primary presentation of cardiopulmonary arrest with note from provider that "I suspect that with this incident happened shortly after eating and initially with some shortness of breath and then vomiting, that this most likely is an allergic reaction that led to anaphylaxis and ultimate death." granddaughter and family state they did request an autopsy, and they filed 1-2 reports online - with V-Safe App and a VAERS. We reviewed some information on clinical study trials for Pfizer vaccine, and I provided them with the website information for the study data that shows no significant risk of adverse event, but clinical study notes mention 3 instances of acute MI in vaccine group compared to 0 in placebo group and 3 instances of acute CVA in vaccine group compared to 1 in placebo group. I explained that hopefully we might be able to learn more through autopsy or additional testing, but that these situations are sometimes difficult to determine exact causes or associations.