chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Headache
Clinical narrative: Diagnosis Plan 1. Exposure to COVID-19 virus  COVID-19 PCR   COVID-19 (SARS CoV-2,RNA Molecular Amplification)   See patient instructions.   MDM: Patient is a 49-year-old male presenting to the urgent care today requesting COVID-19 testing.  The patient started with fatigue last night and has developed a cough and headache over the course of the day.  He currently lives with 2 family members who are Covid positive.  On exam today the patient's vital signs are stable.  His resting pulse ox is 97%.  He does not report shortness of breath.  The patient has a reassuring physical exam at this time.  Today COVID-19 PCR swab was collected and sent to the lab.  We will call him with results.  I discussed with him the need to quarantine 10 days from the start of his symptoms in the event that he is positive.  I have also encouraged him to be rechecked if he would develop shortness of breath or chest tightness over the course of the next couple of days.  Patient is agreeable with the plan.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Diagnosis Plan 1. Exposure to COVID-19 virus  COVID-19 PCR   COVID-19 (SARS CoV-2,RNA Molecular Amplification)   See patient instructions.   MDM: Patient is a 49-year-old male presenting to the urgent care today requesting COVID-19 testing.  The patient started with fatigue last night and has developed a cough and headache over the course of the day.  He currently lives with 2 family members who are Covid positive.  On exam today the patient's vital signs are stable.  His resting pulse ox is 97%.  He does not report shortness of breath.  The patient has a reassuring physical exam at this time.  Today COVID-19 PCR swab was collected and sent to the lab.  We will call him with results.  I discussed with him the need to quarantine 10 days from the start of his symptoms in the event that he is positive.  I have also encouraged him to be rechecked if he would develop shortness of breath or chest tightness over the course of the next couple of days.  Patient is agreeable with the plan.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chills, Computerised tomogram, Fatigue, Headache
Clinical narrative: I experienced headaches, sinus pressure, chills and fatigue. The chills and fatigue went away in a couple of days. The headaches and sinus pressure are still ongoing. The headaches and sinus pressure aren't as bad or as constant, but still happen.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort
Clinical narrative: I experienced headaches, sinus pressure, chills and fatigue. The chills and fatigue went away in a couple of days. The headaches and sinus pressure are still ongoing. The headaches and sinus pressure aren't as bad or as constant, but still happen.
Age: 87.0
Sex: U
Vaccine: COVID19
Symptoms: Vaccination error
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Fall, Headache, Hyperhidrosis
Clinical narrative: Patient stated that overnight after receiving the vaccine side effects began. She stated that she had shooting and stabbing pain in her chest and felt extremely week and fell on the floor. Patient also had a headache, fever, sweats, and could not sleep. She stated the side effects only lasted for about a day and then stopped.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Pyrexia
Clinical narrative: Patient stated that overnight after receiving the vaccine side effects began. She stated that she had shooting and stabbing pain in her chest and felt extremely week and fell on the floor. Patient also had a headache, fever, sweats, and could not sleep. She stated the side effects only lasted for about a day and then stopped.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccination error
Clinical narrative: Today, I received a call from Walgreens saying that my two kids that received their Pfizer first shots on Sunday, need to get another shot because the vaccine was mixed with water instead of saline, so the vaccine that was administered was not going to work.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Today, I received a call from Walgreens saying that my two kids that received their Pfizer first shots on Sunday, need to get another shot because the vaccine was mixed with water instead of saline, so the vaccine that was administered was not going to work.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccination error
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Blood test, Colitis, Computerised tomogram abnormal, Dyspepsia
Clinical narrative: For last 5 weeks, since 50 minutes after my 2nd shot, I have had a disturbed digestive system ? from moderately inflamed to violently ill. ER visit CT scan displayed colitis. Stool samples negative. Course of Cipro and metronizadole have not eradicated problem. Further investigation underway with gastroenterologist.   For two weeks after my 2nd shot, my left hand developed arthritis (which I do not have) and fingers were noticeably colder than in right hand. Exactly two weeks after the shot, the pain and cold fingers disappeared.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Malaise, Pain in extremity, Peripheral coldness, Stool analysis normal
Clinical narrative: For last 5 weeks, since 50 minutes after my 2nd shot, I have had a disturbed digestive system ? from moderately inflamed to violently ill. ER visit CT scan displayed colitis. Stool samples negative. Course of Cipro and metronizadole have not eradicated problem. Further investigation underway with gastroenterologist.   For two weeks after my 2nd shot, my left hand developed arthritis (which I do not have) and fingers were noticeably colder than in right hand. Exactly two weeks after the shot, the pain and cold fingers disappeared.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, White blood cell count increased
Clinical narrative: For last 5 weeks, since 50 minutes after my 2nd shot, I have had a disturbed digestive system ? from moderately inflamed to violently ill. ER visit CT scan displayed colitis. Stool samples negative. Course of Cipro and metronizadole have not eradicated problem. Further investigation underway with gastroenterologist.   For two weeks after my 2nd shot, my left hand developed arthritis (which I do not have) and fingers were noticeably colder than in right hand. Exactly two weeks after the shot, the pain and cold fingers disappeared.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Paraesthesia
Clinical narrative: tingling in left leg along with swollen ankles
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Feeding disorder, Swollen tongue
Clinical narrative: tongue swelled up and nothing would help the swelling at the same facility i was vaccinated at. i could not drink water or eveneat applesauce. the swelling did not go down for at 2 weeks until i demanded a referral to a better facility. i ended up being admitted to the hospital 3 times in 2 weeks. my tongue is still swollen as of today
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Lip swelling, Paraesthesia, Skin warm
Clinical narrative: Patient had history of allergic reaction to percocet per  pt. Had EpiPen in her purse. Asked pt to remain after shot, She become "warm" and anxious, described feeling as having too much caffeine.  Also said she was light headed, she remained seated for a while longer with a cold compress on her forehead.   She later reported feeling her lips tighten and arms and feet tingling. Asked if she was ok to take benadryl, she was, so we gave 10cc of benadryl liquid and asked her to lay day behind the cash wrap area. We elevated her feet and seemed to make her feel better.  We  called 911  and EMS arrived. Patient was still alert and conscious.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood folate, Blood thyroid stimulating hormone, C-reactive protein, Full blood count, Glycosylated haemoglobin
Clinical narrative: Next day after first dose of Moderna vaccine patient noticed that things would fall out of his hands for now reason, for example the phone while talking on it.  Lasted for 2 days then resolved.  Had 2nd dose of vaccine and then the next day noticed numbness in hands and tingling in hands and feet that began the next day and has not resolved since . Symptoms are worse when washes hands with hot water.  Symptoms as of 5/19/2021 are either the same or worsening, no improvement.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Lipids, Metabolic function test, Paraesthesia, Vitamin B12
Clinical narrative: Next day after first dose of Moderna vaccine patient noticed that things would fall out of his hands for now reason, for example the phone while talking on it.  Lasted for 2 days then resolved.  Had 2nd dose of vaccine and then the next day noticed numbness in hands and tingling in hands and feet that began the next day and has not resolved since . Symptoms are worse when washes hands with hot water.  Symptoms as of 5/19/2021 are either the same or worsening, no improvement.
Age: 78.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Pulmonary embolism
Clinical narrative: Pulmonary Embolism, blood clot left lung. Put on Eliqust 10 mgs a day.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Flushing, Pharyngeal swelling, Swollen tongue
Clinical narrative: About 5 to 10 minutes after receiving her first dose of the Pfizer covid vaccine, the patient reported slight difficulty breathing, throat/tongue swelling and a flush face. She said that she felt the same as when she eats peppers, which is a known allergy to her. We administered an epipen and called 911. Medics arrived in about 10 minutes and took the patient off in the ambulance.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Chest pain, Dyspnoea, Full blood count, Metabolic function test
Clinical narrative: About 5 to 10 minutes after receiving her first dose of the Pfizer covid vaccine, the patient reported slight difficulty breathing, throat/tongue swelling and a flush face. She said that she felt the same as when she eats peppers, which is a known allergy to her. We administered an epipen and called 911. Medics arrived in about 10 minutes and took the patient off in the ambulance.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Swelling face, Throat tightness
Clinical narrative: About 5 to 10 minutes after receiving her first dose of the Pfizer covid vaccine, the patient reported slight difficulty breathing, throat/tongue swelling and a flush face. She said that she felt the same as when she eats peppers, which is a known allergy to her. We administered an epipen and called 911. Medics arrived in about 10 minutes and took the patient off in the ambulance.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Paraesthesia
Clinical narrative: 70 yo Female experiencing left leg tingling after vaccination. Otherwise well. No rash, vomiting, swelling, weakness. Patient did state that she was nervous about her vaccine today. Vitals RR 20 HR 94 BP 140/90  Oxygen 97% GCS 15, patient is alert and oriented, lungs clear, heart RRR, no murmur, strength bilaterally 5/5. Patient was observed for a total of 45 min and she felt better, tingling diminished. Patient declined going to hospital. Since patient improved and was feeling well discharged to go home with anticipatory guidance.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Given Moderna as second vaccination after receiving Pfizer prior.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin warm
Clinical narrative: 11 days after receiving my first dose of the Moderna Covid-19 vaccine I developed the "covid-arm" rash on my left arm and shoulder. The rash was warm to the touch and slightly itchy, but otherwise not painful. It lasted a week.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort
Clinical narrative: Patient states she had irritation across her shoulders and had to sit with the paramedics for 30 minutes
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: During  mass vaccine patient received 2nd dose early.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: wheezing starting 4 hours after vaccine, did not take anything, came to urgent care the day after when symptoms subsided, prescribed albuterol inhaler with improvement
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna given to client under the age of 18 at time of administration.  No adverse events noted.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo, Vision blurred
Clinical narrative: Severe vertigo started approximately 3 weeks after 2nd dose. Everything spins, I cannot focus my eyes, and it is accompanied by mild nausea. So far, it primarily occurs when laying down or when getting up from a laying down position. I have never experienced vertigo in my lifetime, so I?m convinced that this is related to the vaccine. Many others are reporting the same issue.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Underdose
Clinical narrative: When I went to administer the vaccine into the deltoid the syringe was defective and most of the vaccine went out the side of the syringe and not into the patient's muscle. At least more than half of the dose was not administered.  After verifying the patient was okay I administered another dose as indicated.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: PT RECEIVED 1ST PFIZER COVID VACCINE ON 5/5/21 (LOT ER8736), ACCIDENTALLY RECEIVED 2ND PFIZER COVID VACCINE EARLY TODAY 5/19/21 (LOT EW0179).  DISCOVERED EARLY 2ND DOSE 5 MINUTES AFTER GIVEN. PT IS FEELING FINE.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: certain foods started tasting like metal. Chicken Eggs & some pork.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Peripheral swelling
Clinical narrative: 9 days since Moderna vaccine. Left upper arm is swollen.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose of Moderna given too soon.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Aggression, Agitation, Asthenia, COVID-19
Clinical narrative: ED to Hosp-Admission Discharged  3/8/2021 - 3/9/2021 (14 hours) Hospital MD Last attending ? Treatment team Dementia without behavioral disturbance (CMS/HCC) Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine    Inpatient Discharge Summary   BRIEF OVERVIEW Admitting Provider: MD Discharge Provider: MD Primary Care Physician at Discharge: CRNP    Admission Date: 3/8/2021     Discharge Date: 3/27/2021   Discharge Diagnosis  Hospital Problems          POA   * (Principal) Dementia without behavioral disturbance (CMS/HCC) Yes       Aortic stenosis Yes       Atrial fibrillation (CMS/HCC) Yes       Chronic obstructive pulmonary disease (CMS/HCC) Yes       Congestive heart failure (CMS/HCC) Yes       Coronary artery disease with history of myocardial infarction without history of CABG Not Applicable       Depression Yes       History of aortic valve replacement Not Applicable       Hyperlipidemia Yes       Hypertension Yes       Peripheral vascular disease (CMS/HCC) Yes       Ambulatory dysfunction Yes       Dementia (CMS/HCC) Yes       CKD (chronic kidney disease) Yes       History of TIA (transient ischemic attack) Not Applicable       Dementia with behavioral disturbance (CMS/HCC) Unknown             DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission AKI (acute kidney injury) (CMS/HCC) [N17.9] Dementia with behavioral disturbance (CMS/HCC) [F03.91] Generalized weakness [R53.1] Patient is an 87 y.o. male with past medical history of hypertension, hyperlipidemia AFib not on anticoagulation, sick sinus syndrome status post pacemaker, aortic stenosis status post valve replacement.Coronary artery disease status post CABG, CHF, history of peripheral vascular disease, history of carotid stenosis, severe vertebral artery stenosis, diabetes, CKD, dementia, chronic respiratory failure on 2 L nasal cannula post COVID-19 pneumonia 11/2020 was brought to the emergency room by the family due to worsening confusion and agitation, as per wife after the patient was discharged back in November in few weeks patient dementia started to get worse, more confused, more agitated and few times he was violent to his family members, well for the last few days patient's wife reported that his confusion was very bad so she decided to bring him to the ED for further evaluation management.     Hospital Course -For the above presentation patient was admitted to the hospital services, patient was started on oxygen supplementation, Covid repeat test continue to be positive, started on IV antibiotics, IV hydration due to worsening kidney function, in the evening of 3/8 patient was found without any spontaneous respiration, patient was pronounced dead by the RN and CRNP finished the discharge defecate, please refer to RN documentation for more details.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Confusional state, Death, Influenza A virus test negative, Influenza B virus test
Clinical narrative: ED to Hosp-Admission Discharged  3/8/2021 - 3/9/2021 (14 hours) Hospital MD Last attending ? Treatment team Dementia without behavioral disturbance (CMS/HCC) Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine    Inpatient Discharge Summary   BRIEF OVERVIEW Admitting Provider: MD Discharge Provider: MD Primary Care Physician at Discharge: CRNP    Admission Date: 3/8/2021     Discharge Date: 3/27/2021   Discharge Diagnosis  Hospital Problems          POA   * (Principal) Dementia without behavioral disturbance (CMS/HCC) Yes       Aortic stenosis Yes       Atrial fibrillation (CMS/HCC) Yes       Chronic obstructive pulmonary disease (CMS/HCC) Yes       Congestive heart failure (CMS/HCC) Yes       Coronary artery disease with history of myocardial infarction without history of CABG Not Applicable       Depression Yes       History of aortic valve replacement Not Applicable       Hyperlipidemia Yes       Hypertension Yes       Peripheral vascular disease (CMS/HCC) Yes       Ambulatory dysfunction Yes       Dementia (CMS/HCC) Yes       CKD (chronic kidney disease) Yes       History of TIA (transient ischemic attack) Not Applicable       Dementia with behavioral disturbance (CMS/HCC) Unknown             DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission AKI (acute kidney injury) (CMS/HCC) [N17.9] Dementia with behavioral disturbance (CMS/HCC) [F03.91] Generalized weakness [R53.1] Patient is an 87 y.o. male with past medical history of hypertension, hyperlipidemia AFib not on anticoagulation, sick sinus syndrome status post pacemaker, aortic stenosis status post valve replacement.Coronary artery disease status post CABG, CHF, history of peripheral vascular disease, history of carotid stenosis, severe vertebral artery stenosis, diabetes, CKD, dementia, chronic respiratory failure on 2 L nasal cannula post COVID-19 pneumonia 11/2020 was brought to the emergency room by the family due to worsening confusion and agitation, as per wife after the patient was discharged back in November in few weeks patient dementia started to get worse, more confused, more agitated and few times he was violent to his family members, well for the last few days patient's wife reported that his confusion was very bad so she decided to bring him to the ED for further evaluation management.     Hospital Course -For the above presentation patient was admitted to the hospital services, patient was started on oxygen supplementation, Covid repeat test continue to be positive, started on IV antibiotics, IV hydration due to worsening kidney function, in the evening of 3/8 patient was found without any spontaneous respiration, patient was pronounced dead by the RN and CRNP finished the discharge defecate, please refer to RN documentation for more details.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: ED to Hosp-Admission Discharged  3/8/2021 - 3/9/2021 (14 hours) Hospital MD Last attending ? Treatment team Dementia without behavioral disturbance (CMS/HCC) Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine    Inpatient Discharge Summary   BRIEF OVERVIEW Admitting Provider: MD Discharge Provider: MD Primary Care Physician at Discharge: CRNP    Admission Date: 3/8/2021     Discharge Date: 3/27/2021   Discharge Diagnosis  Hospital Problems          POA   * (Principal) Dementia without behavioral disturbance (CMS/HCC) Yes       Aortic stenosis Yes       Atrial fibrillation (CMS/HCC) Yes       Chronic obstructive pulmonary disease (CMS/HCC) Yes       Congestive heart failure (CMS/HCC) Yes       Coronary artery disease with history of myocardial infarction without history of CABG Not Applicable       Depression Yes       History of aortic valve replacement Not Applicable       Hyperlipidemia Yes       Hypertension Yes       Peripheral vascular disease (CMS/HCC) Yes       Ambulatory dysfunction Yes       Dementia (CMS/HCC) Yes       CKD (chronic kidney disease) Yes       History of TIA (transient ischemic attack) Not Applicable       Dementia with behavioral disturbance (CMS/HCC) Unknown             DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission AKI (acute kidney injury) (CMS/HCC) [N17.9] Dementia with behavioral disturbance (CMS/HCC) [F03.91] Generalized weakness [R53.1] Patient is an 87 y.o. male with past medical history of hypertension, hyperlipidemia AFib not on anticoagulation, sick sinus syndrome status post pacemaker, aortic stenosis status post valve replacement.Coronary artery disease status post CABG, CHF, history of peripheral vascular disease, history of carotid stenosis, severe vertebral artery stenosis, diabetes, CKD, dementia, chronic respiratory failure on 2 L nasal cannula post COVID-19 pneumonia 11/2020 was brought to the emergency room by the family due to worsening confusion and agitation, as per wife after the patient was discharged back in November in few weeks patient dementia started to get worse, more confused, more agitated and few times he was violent to his family members, well for the last few days patient's wife reported that his confusion was very bad so she decided to bring him to the ED for further evaluation management.     Hospital Course -For the above presentation patient was admitted to the hospital services, patient was started on oxygen supplementation, Covid repeat test continue to be positive, started on IV antibiotics, IV hydration due to worsening kidney function, in the evening of 3/8 patient was found without any spontaneous respiration, patient was pronounced dead by the RN and CRNP finished the discharge defecate, please refer to RN documentation for more details.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Pain in extremity, Pyrexia
Clinical narrative: pt had rash around injection site and swelling along with fever.  Her arm hurt really badly also - the area continued to grow - it is about the size of a tortilla now on her arm around the injection site.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Deafness, Ear infection, Ear pain, Facial paralysis
Clinical narrative: Initially developed earache, fever sore throat so went to Urgicenter on 3/19. Diagnosed with ear infection and given prescriptions for Cefdinir and Dexmethasone. On 3/27 had not improved & had a rash on left side of face, in/out ear and scalp. Earache had intensified to a stabbing pain. Returned to same Urgent care and was diagnosed with shingles in my left ear. Left side of face had started to droop, particularly left side of mouth and jaw was sagging and swelling. Had lost hearing in left ear. This was if most concern since I already have hearing loss and wear hearing aids. Follow up visit with Audiologist revealed no additional hearing loss from previous tests. After changing medications
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Oropharyngeal pain, Pyrexia, Rash, Swelling face
Clinical narrative: Initially developed earache, fever sore throat so went to Urgicenter on 3/19. Diagnosed with ear infection and given prescriptions for Cefdinir and Dexmethasone. On 3/27 had not improved & had a rash on left side of face, in/out ear and scalp. Earache had intensified to a stabbing pain. Returned to same Urgent care and was diagnosed with shingles in my left ear. Left side of face had started to droop, particularly left side of mouth and jaw was sagging and swelling. Had lost hearing in left ear. This was if most concern since I already have hearing loss and wear hearing aids. Follow up visit with Audiologist revealed no additional hearing loss from previous tests. After changing medications
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Hypoxia
Clinical narrative: J&J vaccine was administered to patient. Consent form states that patient will be receiving J&J vaccine today. Pt is confused per medical baseline. Notified facility nurse, RN that I will be given J&J to patient and was okay with giving. After vaccine was given a second facility nurse, RN confirmed that pt was supposed to received second dose of Pfizer vaccine today. Pt was closely monitored in area for 30 minutes, facility Dr was notified. No acute distress noted, vital sign stable,  no reactions noted, no active bleeding noted during 30 minutes of observation. Pt was taken back to her room and 15 minutes after observation at around 09:35AM, facility staff notified pt was desatting, was placed on oxygen and ambulance was called and taken to emergency room.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hyperhidrosis, Syncope
Clinical narrative: Post vaccination pt began s/s lightheaded ness, anxious and diaphoretic. RN and I transferred patient into cot, patient had syncopal episode of 2min, paramedics on site. Vital signs stable, patient states feeling, ? a lot better? after a few minutes. Patient and mother refuse going to the hospital. AMA was signed. Patient then transferred himself into wheelchair with minimal assistance. Patient waited in observation for 30min and left home with mom.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Cough
Clinical narrative: Having slight chest tightness coupled with urge to cough.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water).
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chest pain, Chills, Dizziness, Fatigue
Clinical narrative: Sharp left-sided chest pain 3-5 hours after injection, felt on "full breaths," felt similar to a pulled muscle, on the same side as my cardiac pacemaker- subsided after 24 hours  Fever of 100-101 degrees F beginning within 2 hours of injection, intense and severe body aches and chills for 24 hours, nausea and upset stomach for 24 hours,  Extreme fatigue for 24 hours - moderate for the next 5-7 days  Arm swollen and stiff at injection site (despite heavy arm movement while in 15 min. waiting area)  Mild dizziness and lightheadedness for first 5 minutes immediately after injection  Severe headache for 48-72 hours
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Injection site reaction, Injection site swelling, Limb discomfort
Clinical narrative: Sharp left-sided chest pain 3-5 hours after injection, felt on "full breaths," felt similar to a pulled muscle, on the same side as my cardiac pacemaker- subsided after 24 hours  Fever of 100-101 degrees F beginning within 2 hours of injection, intense and severe body aches and chills for 24 hours, nausea and upset stomach for 24 hours,  Extreme fatigue for 24 hours - moderate for the next 5-7 days  Arm swollen and stiff at injection site (despite heavy arm movement while in 15 min. waiting area)  Mild dizziness and lightheadedness for first 5 minutes immediately after injection  Severe headache for 48-72 hours
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Nausea, Pain, Pyrexia
Clinical narrative: Sharp left-sided chest pain 3-5 hours after injection, felt on "full breaths," felt similar to a pulled muscle, on the same side as my cardiac pacemaker- subsided after 24 hours  Fever of 100-101 degrees F beginning within 2 hours of injection, intense and severe body aches and chills for 24 hours, nausea and upset stomach for 24 hours,  Extreme fatigue for 24 hours - moderate for the next 5-7 days  Arm swollen and stiff at injection site (despite heavy arm movement while in 15 min. waiting area)  Mild dizziness and lightheadedness for first 5 minutes immediately after injection  Severe headache for 48-72 hours
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Fever of 101, chills, muscle aches all over, joint pain all over. Reactions started 12 hours after injection and lasted 12 hours. 6 hours in  I took advil.   The following day my arms were sore.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Echocardiogram, Joint swelling, Rheumatoid arthritis
Clinical narrative: Joint pain & swelling.  Diagnosed as rheumatoid arthritis
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: Joint pain & swelling.  Diagnosed as rheumatoid arthritis
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Muscle tightness, Presyncope, Respiratory rate increased, Visual impairment
Clinical narrative: Patient experienced a near syncopal episode within 5 minutes of receiving the vaccine at 9:35. She was moved to the back of the room and within 10 minutes was put into the prone position with feet elevated. First set of vitals was BP 147/119 HR 42 R: 14 O@ Sat 97%. At 9:55 her vitals were BP 149/122 HR 67 respirations had increased, pt. was feeling muscle tightness throughout her body, her hands and feet were cramping, she was experiencing decreased vision and EMS was notified. At 10:05 BP 145/94 HR 67 EMS was arriving and her Father was called. Pt. was able to give his name and number. Pt. was put on O2. Pt. was breathing rapidly and there was a concern of hyperventilation. EMS put in an IV and transported pt. with her belongings to Hospital. Her Father communicated that he was in the waiting room of the ER and that she had arrived at 10:34
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Nausea, Syncope, Vomiting
Clinical narrative: Patient experienced syncope shortly after receiving vaccine while standing.  Patient fell and remained on ground per advice of EMTs who arrived and escorted via ambulance for evaluation due to the patient experiencing nausea and vomiting upon rising back up.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Given Pfizer as second dose after receiving Moderna as first dose
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Pain in extremity, X-ray normal
Clinical narrative: One week following first vaccine dose, developed joint pain in hands, wrists, elbows, knees, and ankles. Seen by PCP with no findings, seen by Rheumatologist with no findings. X-rays performed-normal. Bloodwork normal other than elevated autoimmune markers which is roasted to Hashimoto?s Thyroiditis. Join pain has Been continuous and remains as it was when it developed. No prior joint issues noted.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Eye movement disorder, Nausea, Skin discolouration
Clinical narrative: The patient was escorted to the waiting room post vaccine injection. He reported feeling light-headed. At 1220 while the NP was by his side, he became clammy, lost color, and became unresponsive with eyes rolled.  He maintained his breathing and became conscious at 1225 with color returning and alert and oriented x 3. Pulse 65 BPM, O2 Sat 97-98% RA. He was escorted to the exam room table with the NP and PCT and placed in the supine position. He reports feeling light-headed and nauseous but alert and oriented x 3; BP 102/65, P 65 BPM, RR 16, O2 sat 97-98%. Notified at 1238. The patient was observed by the NP and remained with continuous pulse ox monitoring. At 1309, HOB raised to 30 degrees and patient given sips of water; BP 104/60, P 61 BPM, RR 16, O2 sat 97% RA. At 1323, HOB raised to 45 degrees. Patient c/o dizziness and nausea but tolerating sips of water;  BP 110/75, P 63 BPM, RR 16, O2 sat 100% RA. At 1330, HOB raised to 90 degrees. Patient c/o dizziness and nausea, tolerating sips of water,  BP 110/75, P 60 BPM, RR 16, O2 sat 98%. Patient escorted to waiting room chair at 1330 with NP and PCT. He c/o dizziness and nausea with position change, BP 110/75, P 60 BPM, RR 16, O2 sat 98% RA. He remains in the waiting room chair with PCT observation. At 1335, he begins with vomiting x 1 episode. He reports that he feels better and denies dizziness at this time. At 1353 he reports that he is feeling better. Denies dizziness or nausea; BP 104/60, P 65 BPM, RR 18, O2 sat 100% RA. He was discharged at 1410 with his boss from work. He is alert and oriented x 3, denies SOB, dizziness, lightheadedness, or N/V.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Vomiting
Clinical narrative: The patient was escorted to the waiting room post vaccine injection. He reported feeling light-headed. At 1220 while the NP was by his side, he became clammy, lost color, and became unresponsive with eyes rolled.  He maintained his breathing and became conscious at 1225 with color returning and alert and oriented x 3. Pulse 65 BPM, O2 Sat 97-98% RA. He was escorted to the exam room table with the NP and PCT and placed in the supine position. He reports feeling light-headed and nauseous but alert and oriented x 3; BP 102/65, P 65 BPM, RR 16, O2 sat 97-98%. Notified at 1238. The patient was observed by the NP and remained with continuous pulse ox monitoring. At 1309, HOB raised to 30 degrees and patient given sips of water; BP 104/60, P 61 BPM, RR 16, O2 sat 97% RA. At 1323, HOB raised to 45 degrees. Patient c/o dizziness and nausea but tolerating sips of water;  BP 110/75, P 63 BPM, RR 16, O2 sat 100% RA. At 1330, HOB raised to 90 degrees. Patient c/o dizziness and nausea, tolerating sips of water,  BP 110/75, P 60 BPM, RR 16, O2 sat 98%. Patient escorted to waiting room chair at 1330 with NP and PCT. He c/o dizziness and nausea with position change, BP 110/75, P 60 BPM, RR 16, O2 sat 98% RA. He remains in the waiting room chair with PCT observation. At 1335, he begins with vomiting x 1 episode. He reports that he feels better and denies dizziness at this time. At 1353 he reports that he is feeling better. Denies dizziness or nausea; BP 104/60, P 65 BPM, RR 18, O2 sat 100% RA. He was discharged at 1410 with his boss from work. He is alert and oriented x 3, denies SOB, dizziness, lightheadedness, or N/V.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized twice within 6 weeks of receiving COVID vaccination. This occurred on 3/31/21 and 4/8/21.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute left ventricular failure, Back pain, Chronic kidney disease, Chronic left ventricular failure, Condition aggravated
Clinical narrative: Patient presented to the ER on 3/28/2021 with shortness of breath and lower extremity edema and complaining of lower back pain. O2 sat high 80s on room air. Worsening renal failure since last discharge from hospital on 3/23/2021.   Patient was readmitted to hospital from skilled care facility after being discharged 5 days prior with acute on chronic stage IV kidney disease as well as acute on chronic diastolic heart failure and had slowly worsening with renal dysfunction and growing concern for dialysis.   Patient had developed a cough, a fever up to 101, and 1 questionable sewed of either hemoptysis or hematemesis since being discharged to skilled nursing facility on 3/23/2021. Patient was transitioned to the hospice team and expired on 4/2/2021.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Death, Dyspnoea, Oedema peripheral, Pyrexia
Clinical narrative: Patient presented to the ER on 3/28/2021 with shortness of breath and lower extremity edema and complaining of lower back pain. O2 sat high 80s on room air. Worsening renal failure since last discharge from hospital on 3/23/2021.   Patient was readmitted to hospital from skilled care facility after being discharged 5 days prior with acute on chronic stage IV kidney disease as well as acute on chronic diastolic heart failure and had slowly worsening with renal dysfunction and growing concern for dialysis.   Patient had developed a cough, a fever up to 101, and 1 questionable sewed of either hemoptysis or hematemesis since being discharged to skilled nursing facility on 3/23/2021. Patient was transitioned to the hospice team and expired on 4/2/2021.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Renal impairment
Clinical narrative: Patient presented to the ER on 3/28/2021 with shortness of breath and lower extremity edema and complaining of lower back pain. O2 sat high 80s on room air. Worsening renal failure since last discharge from hospital on 3/23/2021.   Patient was readmitted to hospital from skilled care facility after being discharged 5 days prior with acute on chronic stage IV kidney disease as well as acute on chronic diastolic heart failure and had slowly worsening with renal dysfunction and growing concern for dialysis.   Patient had developed a cough, a fever up to 101, and 1 questionable sewed of either hemoptysis or hematemesis since being discharged to skilled nursing facility on 3/23/2021. Patient was transitioned to the hospice team and expired on 4/2/2021.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Loss of consciousness, Nausea, Syncope
Clinical narrative: The Pt presents with syncope 45 minutes post 1st dose Pfizer to the left deltoid. The Pt was first evaluated 5 minutes post vaccination at 16:47 for anxiety and dizziness. At that time he was given 2 juice boxes and his symptoms resolved. The pt was waiting with his partner another 30 minutes when he stated that he once again began to feel nausea, extreme anxiety, and had +LOC while seated for a few seconds. Pt had no head trauma or other injury. He noted that he had only eaten an acai bowl today at 11AM, slept poorly last night, has not been keeping well hydrated, and has been feeling anxious leading up to getting the vaccine. He has a Hx of anxiety but is currently not on any medications. He denies allergies. Pt denies swelling of the face, throat tightness, difficulty swallowing, itching of the skin, SOB, or CP.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Arthralgia, Injection site pain, Injection site swelling, Malaise
Clinical narrative: 05/10/2021 Received phone call from case father and states daughter is not feeling well and is concerned" if the vaccine is live and causing her not to be feeling well".Father informed vaccine is not live vaccine.Father states she has arm soreness at the site with swelling.Father advised to have daughter use ice packs off and on to help with the soreness and swelling.Father advised to closely monitor for any worsening symptoms and to contact PCP for evaluation..On 05/17/2021 received phone call from father and "daughter is not feeling any better and could the vaccine have given her meningitis" due to arm soreness and swelling and legs aching and soreness in her hips. .Father was advised importance to seek medical care with ER or PCP for evaluation.Father states daughter has been seen by family Chiropractor for the concern.Father states daughter has been very busy with her school schedule and not sure she is doing what she was advised to do.Father was advised to enter into VAERS.On 05/19/2021 spoke with mother of case and she states daughter has been taking magnesium supplements and this was the cause of her discomfort.Mother states daughter was seen again today at the chiropractor for evaluation. Mother advised importance for follow up care with PCP.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Hypoaesthesia, Injected limb mobility decreased, Lymphadenopathy, Oedema peripheral
Clinical narrative: Pt developed severe left arm /shoulder pain, limiting range of motion, and edema in whole arm 4 days after recieving the vaccine with decreased left radial pulse, with intermittant pale/numb hand. She had an elevated D-Dimer on 5/17/2021, negative work up for thrombus. Left arm pain continues to worsen with extremely limited range of motion. Tylenol is ineffective in managing pain. Cool packs and hot packs have helped slightly. Enlarge lymph nodes noted in left axilla and supraclavicular.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pallor, Radial pulse decreased, Ultrasound Doppler
Clinical narrative: Pt developed severe left arm /shoulder pain, limiting range of motion, and edema in whole arm 4 days after recieving the vaccine with decreased left radial pulse, with intermittant pale/numb hand. She had an elevated D-Dimer on 5/17/2021, negative work up for thrombus. Left arm pain continues to worsen with extremely limited range of motion. Tylenol is ineffective in managing pain. Cool packs and hot packs have helped slightly. Enlarge lymph nodes noted in left axilla and supraclavicular.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder, Oligomenorrhoea, Vaginal haemorrhage
Clinical narrative: Horrible hemorrhaging menstrual cycle going on 5+ days which shouldn't be possible because of Natazia. Dr. prescribed 1 week of Medroxyprogesterone 10 mg in place of Natazia to control hemorrhaging.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: Congestion; fatigue; muscle aches. Tested negative for COVID on April 19, 2021. Previously had COVID in December 2020.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Syncope
Clinical narrative: Patient received dose of vaccine. While standing patient experienced syncope and fell to floor. Bumped head against wall while falling but was caught by father before hitting floor.  He quickly regained consciousness and had a strong pulse. He remained on the floor with feet elevated for 10 minutes.  He then sat in chair IN front of pharmacy for an additional 15 minutes.  At that point he felt fine and left the pharmacy with his father.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed shingles on the left side of my back.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Given Pfizer as second dose after receiving Moderna previously
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Oral herpes, Paraesthesia oral
Clinical narrative: Cold sore on left upper lip. No occurrence of cold sore ever before. Tingling sensation and muscle spasm on left upper lip.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Mother filled out information for child and told technician that the child was 12 years old.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Patient presented to the ED and was subsequently hospitalized with pneumonia due to COVID-19.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: vasovagal reaction
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: While administering vaccine, needle was loose and did not receive full dose
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Complication of pregnancy, Foetal death, Maternal exposure before pregnancy
Clinical narrative: Patient had an intrauterine fetal demise at 40 5/7 weeks. Most likely unrelated but wanted it reported that she had vaccine during pregnancy.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The vaccine is not permitted for patients under the age of 18.  Patient was scheduled for a dose and the nurse (myself) overlooked the age of the patient.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 2 hours  after vaccination a large red, hot welt appeared at injection site. headache and muscle aches also started. treated with tylenol, fluids, and rest. after 2 days headache and muscle aches went away but welt remained. treated with benadryl for 3 days. welt went away. after 3 days the went came back red, raised, hot to the touch, and painful.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Urticaria
Clinical narrative: 2 hours  after vaccination a large red, hot welt appeared at injection site. headache and muscle aches also started. treated with tylenol, fluids, and rest. after 2 days headache and muscle aches went away but welt remained. treated with benadryl for 3 days. welt went away. after 3 days the went came back red, raised, hot to the touch, and painful.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Hypoaesthesia, Nausea, Paraesthesia, Vomiting
Clinical narrative: Fingers tingling in vaccinated arm, vomiting , diarrhea, nausea, numbness in both arms
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Patient stated she felt a node that formed on the left side of her collar bone about 2 hours after she received the vaccine on 5/16/21.  Patient received the vaccine in the left arm.  Patient stated the pain and size progressively increased. Patient called the pharmacy on 5/18/21 stating the node was about a quarter size and very painful. Patient was advised to contact her primary care doctor for further evaluation and to take some ibuprofen/Tylenol for pain.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Nausea, Nervousness, Pallor
Clinical narrative: Patient was sitting in waiting area after vaccination. Ten minutes went by and he fainted. He was out for 1 minute or 2. His color was ashen and upon awakening he was nauseous , light- headed, shaky, with blurry vision. Bottled water we given to the patient. After 15 minutes he was able to get up and walk about without aid. He and his companion remained in the store for another 10 minutes and he was able to walk out on his own. I called the patient this morning and he is feeling much better, but felt bad last night.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Vision blurred
Clinical narrative: Patient was sitting in waiting area after vaccination. Ten minutes went by and he fainted. He was out for 1 minute or 2. His color was ashen and upon awakening he was nauseous , light- headed, shaky, with blurry vision. Bottled water we given to the patient. After 15 minutes he was able to get up and walk about without aid. He and his companion remained in the store for another 10 minutes and he was able to walk out on his own. I called the patient this morning and he is feeling much better, but felt bad last night.