chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Client received a dose of Janssen &Janssen COVID vaccine on 8/30/21 at 2:45 PM that had frozen in transport and experienced a temperature excursion. RN called and informed client. Client denies any issues. APRN reached out to Johnson and Johnson in regards to the temperature excursion and dose being administered from vial that experienced excursion. Johnson and Johnson have conducted an investigation and determined that there is no harm in administering a dose of Janssen & Janssen COVID vaccine that has experienced a temperature excursion like documented in this case, but stated the dose administered may not be as effective due to the excursion. Johnson and Johnson stated that nursing staff may use clinical judgement to determine if a second dose is needed. After speaking with the client the client declined wanting and additional dose.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: Client received a dose of Janssen &Janssen COVID vaccine on 8/30/21 at 2:45 PM that had frozen in transport and experienced a temperature excursion. RN called and informed client. Client denies any issues. APRN reached out to Johnson and Johnson in regards to the temperature excursion and dose being administered from vial that experienced excursion. Johnson and Johnson have conducted an investigation and determined that there is no harm in administering a dose of Janssen & Janssen COVID vaccine that has experienced a temperature excursion like documented in this case, but stated the dose administered may not be as effective due to the excursion. Johnson and Johnson stated that nursing staff may use clinical judgement to determine if a second dose is needed. After speaking with the client the client declined wanting and additional dose.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, COVID-19, Chest X-ray abnormal, Fatigue, General physical health deterioration
Clinical narrative: Patient completed COVID-19 Moderna vaccine series on 2/19/21. Lot number is not available to writer. Patient was admitted to the reporting hospital on 8/27/21 with an admitting diagnosis of Fever. Patient was reported in ER to have fatigue, fever and general recent decline. Patient comes from an assisted living facility with his wife. Admission test for COVID was positive on PCR NP Swab 8/26/21. Pt was discharged 8/27/21.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Pulmonary fibrosis, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient completed COVID-19 Moderna vaccine series on 2/19/21. Lot number is not available to writer. Patient was admitted to the reporting hospital on 8/27/21 with an admitting diagnosis of Fever. Patient was reported in ER to have fatigue, fever and general recent decline. Patient comes from an assisted living facility with his wife. Admission test for COVID was positive on PCR NP Swab 8/26/21. Pt was discharged 8/27/21.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Burning sensation, Feeling hot, Laboratory test
Clinical narrative: I have fibromyalgia that first appeared in April of 2020 and was diagnosed shortly after my vaccine. I take a supplement called Guiafenesin and  follow a protocol that has reversed my fibro symptoms. In the last month a new wave of new (different) symptoms has risen up and I am experiencing significant joint pain in my hands/wrists, very sensitive and "raw" sensation in my legs, as well as burning in my legs, arms, and shoulders. There are also times where the temperature of my body raises and I feel markedly warmer. It can get to the point that it causes mild adrenal panic/rush.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Panic reaction, Sensory disturbance
Clinical narrative: I have fibromyalgia that first appeared in April of 2020 and was diagnosed shortly after my vaccine. I take a supplement called Guiafenesin and  follow a protocol that has reversed my fibro symptoms. In the last month a new wave of new (different) symptoms has risen up and I am experiencing significant joint pain in my hands/wrists, very sensitive and "raw" sensation in my legs, as well as burning in my legs, arms, and shoulders. There are also times where the temperature of my body raises and I feel markedly warmer. It can get to the point that it causes mild adrenal panic/rush.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac discomfort, Cardiac flutter, Dizziness, Palpitations
Clinical narrative: My heart would flutter and tighten.  During the fluttering/palpitations my head would get light; if it happened while I was standing  I had to hold onto something or sit down.  It was happening often; say every 10 to 20 minutes.  This continued on with the same severity for about a week and has gradually subsided to just a few episodes per day as of this report.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Dizziness, Dyspnoea, Heart rate variability decreased, Insomnia
Clinical narrative: I initially felt dizzy about 20 mins after my first dose. My arm is sore which is to be expected, however last night before bed I felt shortness of breath and my heart felt like it was fluttering. I tried to sleep last night after a day of work and light exercise and had trouble sleeping throughout the night.  My respirations throughout the night are usually between 14-15 breaths per minute. Last night my respirations were between 17-18 breaths per min.  My heart rate is normally around 50 bpm, last night it was 63 bpm. My HRV was also negatively affected from a normal of 65 to 53. The device I use to track this is called the WHOOP. It's an athletic training device used by sport professionals and enthusiasts to track day strain and recoveries for an optimal training regime. The data is saved on the WHOOP app and is available if necessary.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I initially felt dizzy about 20 mins after my first dose. My arm is sore which is to be expected, however last night before bed I felt shortness of breath and my heart felt like it was fluttering. I tried to sleep last night after a day of work and light exercise and had trouble sleeping throughout the night.  My respirations throughout the night are usually between 14-15 breaths per minute. Last night my respirations were between 17-18 breaths per min.  My heart rate is normally around 50 bpm, last night it was 63 bpm. My HRV was also negatively affected from a normal of 65 to 53. The device I use to track this is called the WHOOP. It's an athletic training device used by sport professionals and enthusiasts to track day strain and recoveries for an optimal training regime. The data is saved on the WHOOP app and is available if necessary.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Constipation, SARS-CoV-2 antibody test positive, SARS-CoV-2 test positive, Swelling
Clinical narrative: 2nd vax 2/11/2021; Admitted on 8/29 to Hospital for severe constipation and swollen colon. No COVID symptoms. Tested (+) 8/29 followed by two (-) tests.  Antibody positive 8/31.  Still in hospital as of 9/2/2021
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: profuse Swelling in the area and fever. Then like burning sensation accompanied by water bubbles in the skin area, like when you get burned by fire. Now I am peeling my upper left arm skin.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Skin exfoliation
Clinical narrative: profuse Swelling in the area and fever. Then like burning sensation accompanied by water bubbles in the skin area, like when you get burned by fire. Now I am peeling my upper left arm skin.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Fatigue, Heart rate increased
Clinical narrative: chest pain, shortness of breath, fast beating heart, fatigued for 2 hours or so
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: pt began to have soreness at the injection site
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lymph node pain, Lymphadenopathy
Clinical narrative: Burning and soreness of injection site; pain and swelling of lymph nodes in armpit area
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Hemiplegia
Clinical narrative: Patient had a stroke on 08/22/21 around 1am (9 days after vaccination) and went to hospital. Patient is now paralyzed on the left side of her body.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chills, Diarrhoea, Dyspnoea
Clinical narrative: Not pregnant never pregnant. Fever in low 100s the day after, arm pain, hard swelling measuring around 7 inches by 5 inches in arm lasting 4 days, arm hot to touch, itchy bumps on firearms, aching joints, nausea and diarrhea for 5 days, tightness and heaviness in chest, labored breathing and shortness of breath, severe headache, chills, sinus pressure, high blood pressure. Went to urgent care after 6 days of nausea, shortness of breath that was worsening. Given covid test and flu test both negative. Provider prescribed steroid pack, steroid cream, and Kennalog IM injection. Slowly improving symptoms, at date of writing, 2 weeks post vaccine, continued shortness of breath as evidenced by needing to pause for breath midway through a sentence, taking time to catch breath after bending over or physical activity, fatigue.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Fatigue, Headache, Hypertension, Induration
Clinical narrative: Not pregnant never pregnant. Fever in low 100s the day after, arm pain, hard swelling measuring around 7 inches by 5 inches in arm lasting 4 days, arm hot to touch, itchy bumps on firearms, aching joints, nausea and diarrhea for 5 days, tightness and heaviness in chest, labored breathing and shortness of breath, severe headache, chills, sinus pressure, high blood pressure. Went to urgent care after 6 days of nausea, shortness of breath that was worsening. Given covid test and flu test both negative. Provider prescribed steroid pack, steroid cream, and Kennalog IM injection. Slowly improving symptoms, at date of writing, 2 weeks post vaccine, continued shortness of breath as evidenced by needing to pause for breath midway through a sentence, taking time to catch breath after bending over or physical activity, fatigue.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Nausea, Pain in extremity, Paranasal sinus discomfort, Pyrexia
Clinical narrative: Not pregnant never pregnant. Fever in low 100s the day after, arm pain, hard swelling measuring around 7 inches by 5 inches in arm lasting 4 days, arm hot to touch, itchy bumps on firearms, aching joints, nausea and diarrhea for 5 days, tightness and heaviness in chest, labored breathing and shortness of breath, severe headache, chills, sinus pressure, high blood pressure. Went to urgent care after 6 days of nausea, shortness of breath that was worsening. Given covid test and flu test both negative. Provider prescribed steroid pack, steroid cream, and Kennalog IM injection. Slowly improving symptoms, at date of writing, 2 weeks post vaccine, continued shortness of breath as evidenced by needing to pause for breath midway through a sentence, taking time to catch breath after bending over or physical activity, fatigue.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, SARS-CoV-2 test negative, Skin warm, Swelling
Clinical narrative: Not pregnant never pregnant. Fever in low 100s the day after, arm pain, hard swelling measuring around 7 inches by 5 inches in arm lasting 4 days, arm hot to touch, itchy bumps on firearms, aching joints, nausea and diarrhea for 5 days, tightness and heaviness in chest, labored breathing and shortness of breath, severe headache, chills, sinus pressure, high blood pressure. Went to urgent care after 6 days of nausea, shortness of breath that was worsening. Given covid test and flu test both negative. Provider prescribed steroid pack, steroid cream, and Kennalog IM injection. Slowly improving symptoms, at date of writing, 2 weeks post vaccine, continued shortness of breath as evidenced by needing to pause for breath midway through a sentence, taking time to catch breath after bending over or physical activity, fatigue.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Axillary pain, Dizziness, Feeling hot, Flushing
Clinical narrative: On 02-17-2021 I received my second dose and within twenty minutes I felt dizzy, flushed and also felt warm. When I went home, I experienced terrible headache. I rested and took nap for 4 hours. Then when I woke up I started having throbbing pain under my armpit under my left arm. By 09:00pm that night I had swelling under my armpit and on the next morning at my job site (I am a health care nurse) I could not lift a patient. Throughout the day I still felt fatigue, my left arm was killing me and by late morning on the following day, my lymph nodes were huge, grape size and could not put my left arm down at all. I tried to go to work next day use hot compresses to bring my swelling down. I then went to see my doctor, who put me on Cetirizine and ibuprofen 800mg and also gave me medicine for my stomach so I could take the ibuprofen. I was out of work one week. My swelling was awful, I had to brace my lymph node with a pillow because the pain was incredible. The swelling of my lymph node went back for the most part, had minimal swelling. And in May 2021 and I called the on call physical because I had a boil under my left armpit and had to get antibiotics. Now the boils is gone, there is a little scar and there is also just a little lump now that I have.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Furuncle, Headache, Impaired work ability, Lymphadenopathy, Oedema peripheral
Clinical narrative: On 02-17-2021 I received my second dose and within twenty minutes I felt dizzy, flushed and also felt warm. When I went home, I experienced terrible headache. I rested and took nap for 4 hours. Then when I woke up I started having throbbing pain under my armpit under my left arm. By 09:00pm that night I had swelling under my armpit and on the next morning at my job site (I am a health care nurse) I could not lift a patient. Throughout the day I still felt fatigue, my left arm was killing me and by late morning on the following day, my lymph nodes were huge, grape size and could not put my left arm down at all. I tried to go to work next day use hot compresses to bring my swelling down. I then went to see my doctor, who put me on Cetirizine and ibuprofen 800mg and also gave me medicine for my stomach so I could take the ibuprofen. I was out of work one week. My swelling was awful, I had to brace my lymph node with a pillow because the pain was incredible. The swelling of my lymph node went back for the most part, had minimal swelling. And in May 2021 and I called the on call physical because I had a boil under my left armpit and had to get antibiotics. Now the boils is gone, there is a little scar and there is also just a little lump now that I have.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 9/3/21 after being fully vaccinated. Admitted to hospital 9/3/21.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis, Blood test, Computerised tomogram abdomen abnormal
Clinical narrative: Within 2 hours of the shot, I had severe heart burn that lasted into the night. I woke up multiple times with diarrhea and stomach pains, which led into Saturday. By Saturday, heartburn was gone but still having stomach pains, nausea and diarrhea and flu like symptoms. Monday starting increasing stomach pains and nausea and by midday Tuesday, the stomach pains were very severe. I went to doctor, who sent me for a CT scan to find my appendix was very inflamed and I had to have emergency surgery to have it removed. When asked why I didn?t come sooner, I said I thought it was just a side effect of the vaccine. I was told I was lucky it didn?t rupture. Please note I never had issues with my appendix or any stomach issues prior
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspepsia, Influenza like illness, Nausea, Sleep disorder
Clinical narrative: Within 2 hours of the shot, I had severe heart burn that lasted into the night. I woke up multiple times with diarrhea and stomach pains, which led into Saturday. By Saturday, heartburn was gone but still having stomach pains, nausea and diarrhea and flu like symptoms. Monday starting increasing stomach pains and nausea and by midday Tuesday, the stomach pains were very severe. I went to doctor, who sent me for a CT scan to find my appendix was very inflamed and I had to have emergency surgery to have it removed. When asked why I didn?t come sooner, I said I thought it was just a side effect of the vaccine. I was told I was lucky it didn?t rupture. Please note I never had issues with my appendix or any stomach issues prior
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Developed a breakthrough infection on Aug 22.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia, Taste disorder
Clinical narrative: Smell and taste have changed significantly.  Many things now smell like gasoline or taste like gasoline smells.  Vegetables I used to love now taste terrible, have a rotten taste to them when others have verified that they are not.  All soda, mints, anything that smells hot (car engines, smoke) some chocolate and many other items all have this smell/taste.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Tendon rupture
Clinical narrative: left biceps tendon rupture
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Back pain, Blood test, Burning sensation, Chest pain
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 08/31/2021, started experiencing symptoms 09/02/2021 of Hives, rash, burning sensation inside the body, chest burning, back pain, sore throat, shortness of breath, heart palpations.  Urgent Care visit 09/02/2021, A-Fib. Treated with Benadryl, Potassium Low. Recommendation follow-up with Cardiologist.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Oropharyngeal pain, Palpitations, Rash
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 08/31/2021, started experiencing symptoms 09/02/2021 of Hives, rash, burning sensation inside the body, chest burning, back pain, sore throat, shortness of breath, heart palpations.  Urgent Care visit 09/02/2021, A-Fib. Treated with Benadryl, Potassium Low. Recommendation follow-up with Cardiologist.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 08/31/2021, started experiencing symptoms 09/02/2021 of Hives, rash, burning sensation inside the body, chest burning, back pain, sore throat, shortness of breath, heart palpations.  Urgent Care visit 09/02/2021, A-Fib. Treated with Benadryl, Potassium Low. Recommendation follow-up with Cardiologist.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Pneumonia, SARS-CoV-2 test negative
Clinical narrative: Atrial fibrillation, pnuemonia (COVID negative)
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Patient states received Moderna. Unknown lot numbers.  Patient was admitted to hospital on 8.21.2021 with breakthrough COVID-19 diagnosis.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hypoxia, Oxygen saturation decreased
Clinical narrative: Patient states received Moderna. Unknown lot numbers.  Patient was admitted to hospital on 8.21.2021 with breakthrough COVID-19 diagnosis.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Taste disorder
Clinical narrative: Reactivation of  alteration of taste similar to that which happened during Covid infection 8 mos earlier
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Client received a dose of Janssen &Janssen COVID vaccine on 8/30/21 at 1:30 PM that had frozen in transport and experienced a temperature excursion. RN called and informed client. Client denies any issues. APRN reached out to Johnson and Johnson in regards to the temperature excursion and dose being administered from vial that experienced excursion. Johnson and Johnson have conducted an investigation and determined that there is no harm in administering a dose of Janssen & Janssen COVID vaccine that has experienced as temperature excursion like documented in this case, but stated the dose administered may not be as effective due to the excursion. Johnson and Johnson stated that nursing staff may use clinical judgement to determine if a second dose is needed. After speaking with the client the client declined wanting and additional dose.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: Client received a dose of Janssen &Janssen COVID vaccine on 8/30/21 at 1:30 PM that had frozen in transport and experienced a temperature excursion. RN called and informed client. Client denies any issues. APRN reached out to Johnson and Johnson in regards to the temperature excursion and dose being administered from vial that experienced excursion. Johnson and Johnson have conducted an investigation and determined that there is no harm in administering a dose of Janssen & Janssen COVID vaccine that has experienced as temperature excursion like documented in this case, but stated the dose administered may not be as effective due to the excursion. Johnson and Johnson stated that nursing staff may use clinical judgement to determine if a second dose is needed. After speaking with the client the client declined wanting and additional dose.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Oedema, Pain, Pain in extremity
Clinical narrative: Soreness for 6 days.., day 6 redness and  increases pain in bend of arm.. which progressed  to pitting edema, redness, swelling, severe pain going up and down arm. Went to doctor office 9/1/21, suspected as cellulitis starting in elbow, treated as such with antibiotic and anti inflammatory, clindamycin and mobic.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Soreness for 6 days.., day 6 redness and  increases pain in bend of arm.. which progressed  to pitting edema, redness, swelling, severe pain going up and down arm. Went to doctor office 9/1/21, suspected as cellulitis starting in elbow, treated as such with antibiotic and anti inflammatory, clindamycin and mobic.
Age: 47.0
Sex: M
Vaccine: COVID19, UNK, COVID19
Symptoms: Cough, Dyspnoea, Dyspnoea exertional, Hypoxia
Clinical narrative: Progressively worsening severe shortness of breath associated with cough, worse with attempted ambulation, noted previously on 8/19 as well he was sent to ER from infusion center due to hypoxia however he declined admission and left against medical advice, over the past 3 days the shortness of breath has worsened more so presented to the ER again.
Age: 47.0
Sex: M
Vaccine: COVID19, UNK, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: Progressively worsening severe shortness of breath associated with cough, worse with attempted ambulation, noted previously on 8/19 as well he was sent to ER from infusion center due to hypoxia however he declined admission and left against medical advice, over the past 3 days the shortness of breath has worsened more so presented to the ER again.
Age: 47.0
Sex: M
Vaccine: COVID19, UNK, COVID19
Symptoms: Hypoxia, Respiratory failure, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Progressively worsening severe shortness of breath associated with cough, worse with attempted ambulation, noted previously on 8/19 as well he was sent to ER from infusion center due to hypoxia however he declined admission and left against medical advice, over the past 3 days the shortness of breath has worsened more so presented to the ER again.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Fatigue, Malaise
Clinical narrative: Patient completed Pfizer COVID-19 vaccination on 2/2/21. Lot number and site not specified in medical record. Patient was admitted to the reporting hospital on 8/26/21 with an admitting diagnosis of COVID-19 pneumonia. Patient was reported in the ER to have a productive cough, malaise, fatigue and fever. No known COVID exposure, but did come from congregate living settings. Admission test for COVID was positive per PCR NP swab on 8/26/21.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient completed Pfizer COVID-19 vaccination on 2/2/21. Lot number and site not specified in medical record. Patient was admitted to the reporting hospital on 8/26/21 with an admitting diagnosis of COVID-19 pneumonia. Patient was reported in the ER to have a productive cough, malaise, fatigue and fever. No known COVID exposure, but did come from congregate living settings. Admission test for COVID was positive per PCR NP swab on 8/26/21.
Age: 22.0
Sex: M
Vaccine: HPV9
Symptoms: Cold sweat, Dizziness, Fall, Nausea, Pallor
Clinical narrative: patient was in clinic lobby, ready to exit and began to feel faint. There was an employee near door where patient was attempting to exit and patient voiced she felt dizzy, as employee tried to help patient to sit in a chair, the patient began to fall backwards. No injury to patient as employee was able to hold patient by right arm and patient did not suffer hard impact on ground. Patient brought back to laboratory area via wheelchair, patient was very pale and clammy stating she felt dizzy and nauseated. Attempt to take blood pressure at 8:38am unsuccessful. Patient taken to examination room via wheelchair to lay on exam bed with knees bent. Serial blood pressures taken laying down ranging from 88/53mmHg to 89/58mmHg with pulse range at 57 to 65. Patient color returned, patient voiced feeling a little better and assisted to sitting position at 8:55am, serial blood pressures taken in sitting position, ranges 87/58mmHg to 90/62mmHg. Patient given water at this time, continues to feel improvement. Standing blood pressure ranges from 84/61mmHg to 88/59mmHg. Patient states she was feeling a "little weak" prior to entering clinic and also voiced that she generally feels dizzy when she experiences pain. Patient left clinic at 9:09am with spouse who accompanied her. Spouse was driving personal vehicle.
Age: 22.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness
Clinical narrative: After receiving the flu vaccine, she felt dizzy and lightheaded for a few minutes.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lethargy, Pain
Clinical narrative: Extreme chills, headaches, aches and pains, lethargic and bloody nose
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patients was suppose to receive Moderna not Pfizer. Patient was notified and an attempted was made to notify PCP.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Computerised tomogram abdomen normal, Computerised tomogram head, Computerised tomogram pelvis, Computerised tomogram thorax normal
Clinical narrative: Patient is a prisoner at the county prison.  He had a seizure in his cell and went into cardiac arrest.  EMS was called.  He got back ROSC en route to the ED.  Intubated en route. Lost pulses again and again fot ROSC.  Drug screen was negative.  All CT scans negative.  No medical history. Patient is in critical condition on life support and is not expected to survive the day.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Drug screen negative, Endotracheal intubation, Life support, Pulse absent, Seizure
Clinical narrative: Patient is a prisoner at the county prison.  He had a seizure in his cell and went into cardiac arrest.  EMS was called.  He got back ROSC en route to the ED.  Intubated en route. Lost pulses again and again fot ROSC.  Drug screen was negative.  All CT scans negative.  No medical history. Patient is in critical condition on life support and is not expected to survive the day.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Rash, Rash pruritic
Clinical narrative: Itchy rash all over body, fast heart beat, headache still present Sept 3 as of 1030am. Benadryl, Tylenol.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: UNKNOWN DATE OF WHEN VACCINES WERE GIVEN. UNKNOWN LOT NUMBERS. PATIENT ADMITTED TO HOSPITAL AND DIAGNOSED WITH BREAKTHROUGH COVID-19
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Right arm swollen around injection site approximately 2inches in diameter, red, warm, itchy, painful to touch. 2 days since vaccine. Noticed the morning after vaccination. No other symptoms.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: 1 defective syringe, body temp 97.1
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Chronic spontaneous urticaria, Laboratory test, Rash
Clinical narrative: abdominal pain and skin rashes ---ED x2 eventually determined it was Chronic Spontaneous Urticaria -----controlled, NOT cured, by daily antihistamines
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood test, Chest X-ray abnormal, Dyspnoea, Malaise
Clinical narrative: After receiving the vaccine, I felt sick to my stomach, and I had a hard time breathing. So I went to the hospital, and the doctors did a lung x-ray which looked bad. Then they did a lung scan and thought it looked like I had covid, but the results showed I had pneumonia. I was hospitalized for 4 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Suspected COVID-19, Ventilation/perfusion scan abnormal
Clinical narrative: After receiving the vaccine, I felt sick to my stomach, and I had a hard time breathing. So I went to the hospital, and the doctors did a lung x-ray which looked bad. Then they did a lung scan and thought it looked like I had covid, but the results showed I had pneumonia. I was hospitalized for 4 days.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy bone marrow normal, Blood test abnormal, Contusion, Dizziness, Intensive care
Clinical narrative: 30 days after Janssen Injection, patient felt ill, dizzy.  Noticed large quantity of small red blood dots on legs, thighs, lower extremities.  Small bruise on left hand and left elbow blossomed in to massive black and blue and brown bruise.  Patient went to Well Center on 8/28/2021.  Doctors immediately send patient to Emergency Center.  Dr. took blood test and determined that patient was in critical condition with blood platelet count below <3k where normal platelet count should be 150k to 400k.  Patient Emergency evacuated via Ambulance Hospital main facility bypassing Emergency room and going directly in to critical Care unit.  Dr. took another blood sample and verified Platelets and red blood cell counts extremely low.  A platelet IV was administered to prevent patient from crashing.  Patient moved to Critical Care Unit upstairs where teams of doctors started determining action plan for recovery and initial cause of incident.  Patient blood tested for COVID, came back negative and count was normal.  Dr.'s tested Kidneys, Liver, Spleen, lower abdomen for any irregularities and found none.  Then performed a Bone Marrow Needle biopsy with a MRI for needle placement.  Bone Marrow test came back Normal.  Patient stayed in hospital until 9/1/2021 with a platelet count of 159k.  Patient given 30 day pill supply of predniSone 20mg 3 times per day for 30 days.  Massive bruising of hands, elbow, legs. Looked like patient had been in car accident.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Malaise, Petechiae, Platelet count decreased, Platelet transfusion
Clinical narrative: 30 days after Janssen Injection, patient felt ill, dizzy.  Noticed large quantity of small red blood dots on legs, thighs, lower extremities.  Small bruise on left hand and left elbow blossomed in to massive black and blue and brown bruise.  Patient went to Well Center on 8/28/2021.  Doctors immediately send patient to Emergency Center.  Dr. took blood test and determined that patient was in critical condition with blood platelet count below <3k where normal platelet count should be 150k to 400k.  Patient Emergency evacuated via Ambulance Hospital main facility bypassing Emergency room and going directly in to critical Care unit.  Dr. took another blood sample and verified Platelets and red blood cell counts extremely low.  A platelet IV was administered to prevent patient from crashing.  Patient moved to Critical Care Unit upstairs where teams of doctors started determining action plan for recovery and initial cause of incident.  Patient blood tested for COVID, came back negative and count was normal.  Dr.'s tested Kidneys, Liver, Spleen, lower abdomen for any irregularities and found none.  Then performed a Bone Marrow Needle biopsy with a MRI for needle placement.  Bone Marrow test came back Normal.  Patient stayed in hospital until 9/1/2021 with a platelet count of 159k.  Patient given 30 day pill supply of predniSone 20mg 3 times per day for 30 days.  Massive bruising of hands, elbow, legs. Looked like patient had been in car accident.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count decreased, SARS-CoV-2 test negative
Clinical narrative: 30 days after Janssen Injection, patient felt ill, dizzy.  Noticed large quantity of small red blood dots on legs, thighs, lower extremities.  Small bruise on left hand and left elbow blossomed in to massive black and blue and brown bruise.  Patient went to Well Center on 8/28/2021.  Doctors immediately send patient to Emergency Center.  Dr. took blood test and determined that patient was in critical condition with blood platelet count below <3k where normal platelet count should be 150k to 400k.  Patient Emergency evacuated via Ambulance Hospital main facility bypassing Emergency room and going directly in to critical Care unit.  Dr. took another blood sample and verified Platelets and red blood cell counts extremely low.  A platelet IV was administered to prevent patient from crashing.  Patient moved to Critical Care Unit upstairs where teams of doctors started determining action plan for recovery and initial cause of incident.  Patient blood tested for COVID, came back negative and count was normal.  Dr.'s tested Kidneys, Liver, Spleen, lower abdomen for any irregularities and found none.  Then performed a Bone Marrow Needle biopsy with a MRI for needle placement.  Bone Marrow test came back Normal.  Patient stayed in hospital until 9/1/2021 with a platelet count of 159k.  Patient given 30 day pill supply of predniSone 20mg 3 times per day for 30 days.  Massive bruising of hands, elbow, legs. Looked like patient had been in car accident.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Per EMR, patient received one dose of Pfizer COVID19 vaccine on 3/18/21. No documentation that patient received second dose. Patient admitted to hospital on 9/2/21 and incidentally was found to be positive for COVID19 as it was not what lead to the patient's admission. Per progress note on admission, patient had minimal  complaints regarding symptoms related to COVID 19. Patient was isolated to "COVID unit" for admission.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Wheezing
Clinical narrative: Developed wheezing and hoarse voice after vaccine. Sent to  Hospital ED for treatment. VS 36.7 90, 132/72 sat 100% room air. Received diphenhydramine, famotidine, dexamethasone and multiple (5)  med nebs with ipratropium/albuterol, Discharged to home.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, Infection
Clinical narrative: UNKNOWN VACCINE MANUFACTURER OR LOT NUMBER. PATIENT ADMITTED TO HOSPITAL DIAGNOSED WITH COVID BREAKTHROUGH
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PATIENT RECEIVED COVID-19 VACCINE ON  Dose 1 date: 12/22/2020,   Dose 2 date: 01/12/2021, AND TESTED POSITIVE TO COVID ON 8/31/21.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Heart rate increased, Sinus tachycardia
Clinical narrative: About a week after vaccine, developed rapid heart rate with any exertion. Resting HR 70's, with any exertion it would go up to 140-150 and I became short of breath. this lasted about 4 days. I just would sit and rest and do deep breathing and eventually it would come back down.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia
Clinical narrative: loss of smell
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Vaccination complication
Clinical narrative: Positive test and symptoms.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient hospitalized on 09/02/2021
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Cardiac stress test, Chest pain, Electrocardiogram, Musculoskeletal stiffness
Clinical narrative: 3:30 - stiffness in neck, left side, just below jawline 5:30 - sharp internal pain while on light walk, left/center chest (patient practices intense cardiovascular exercise several times weekly)  8:30pm - urgent care diagnosed with anaphylaxis. Prescribed prednisone and Zyrtec. Neck symptoms decreased, chest pain continues 08/06/2021 4:00pm - Urgent Care #2 - EKG, diagnosed with pericarditis, prescribed ibuprofen and Colchicine Symptoms decreased slowly over the next 48hrs.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: 3:30 - stiffness in neck, left side, just below jawline 5:30 - sharp internal pain while on light walk, left/center chest (patient practices intense cardiovascular exercise several times weekly)  8:30pm - urgent care diagnosed with anaphylaxis. Prescribed prednisone and Zyrtec. Neck symptoms decreased, chest pain continues 08/06/2021 4:00pm - Urgent Care #2 - EKG, diagnosed with pericarditis, prescribed ibuprofen and Colchicine Symptoms decreased slowly over the next 48hrs.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Seizure
Clinical narrative: Immediate seizure within 2 minutes of administration. No known medical history of seizure disorder
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Concentrated dose administered to patient. Dilution of Pfizer COVID vaccine was done incorrectly.  Patient had no adverse reaction while waiting 15 minutes in the office.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Eyelid pain, Swelling of eyelid
Clinical narrative: Swelling and pain in the left upper eye lid
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Migraine, Nausea
Clinical narrative: Nausea and vomiting, diarrhea, migraine,body aches, tiredness, fever and chills. Began around 1pm 8/31/2021 and has progressed to present. Symptoms current.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Nausea and vomiting, diarrhea, migraine,body aches, tiredness, fever and chills. Began around 1pm 8/31/2021 and has progressed to present. Symptoms current.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Dysgeusia, Hypoaesthesia oral, Lip pruritus
Clinical narrative: Since I have had my second dose. I have a lost of taste. When I eat the after taste is metal. When I drink something the after taste is metal. If I put moisturizer on my lips. They get a weird  filling. Like when you go to the dentist and the give you a shot of lidocaine. Then my lips start to itch. I thought the problem would go away. It is getting worse.  I am at the point. I hate to eat and drink. The aftertaste is awful.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Patient informed nurse of her allergies before vaccination. After about five minutes, patient reported a burning sensation at the injection site. Nurse evaluated the patient and provided her a cold compress for the injection site. After 30 minutes, patient reported that the burning sensation persisted but she was fine to leave.   Left a message for the patient around 2:30PM on 8/31, and the patient returned the call around 6PM to say that the burning sensation lasted for about one hour after vaccination before dissipating. She reported feeling fine since.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Bone pain, Chest discomfort, Feeling abnormal
Clinical narrative: Patient reports waking up to severe pain Wednesday night (9/1/21). She describes the pain as, "pain that radiated all over my body. It felt like I was in labor. I was hot all over, but I did not have a fever." The pain lasted around 4 hours. The patient was unable to sleep or sit comfortably. She experienced severe nausea, headache, and weakness throughout Thursday (9/2/21). These symptoms were severe enough that she left work early. She had joint, bone (including jaw), and muscle pain that last from Wednesday night (9/1/21) to Friday (today, 9/3/21). She is also experiencing dull chest discomfort. This discomforted started today (Friday 9/3/21). Patient treated pain with Tylenol extra strength (OTC) 2 tablets in the morning and 2 tablets at night. She is still experiencing discomfort.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Impaired work ability, Insomnia, Myalgia
Clinical narrative: Patient reports waking up to severe pain Wednesday night (9/1/21). She describes the pain as, "pain that radiated all over my body. It felt like I was in labor. I was hot all over, but I did not have a fever." The pain lasted around 4 hours. The patient was unable to sleep or sit comfortably. She experienced severe nausea, headache, and weakness throughout Thursday (9/2/21). These symptoms were severe enough that she left work early. She had joint, bone (including jaw), and muscle pain that last from Wednesday night (9/1/21) to Friday (today, 9/3/21). She is also experiencing dull chest discomfort. This discomforted started today (Friday 9/3/21). Patient treated pain with Tylenol extra strength (OTC) 2 tablets in the morning and 2 tablets at night. She is still experiencing discomfort.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in jaw, Pyrexia
Clinical narrative: Patient reports waking up to severe pain Wednesday night (9/1/21). She describes the pain as, "pain that radiated all over my body. It felt like I was in labor. I was hot all over, but I did not have a fever." The pain lasted around 4 hours. The patient was unable to sleep or sit comfortably. She experienced severe nausea, headache, and weakness throughout Thursday (9/2/21). These symptoms were severe enough that she left work early. She had joint, bone (including jaw), and muscle pain that last from Wednesday night (9/1/21) to Friday (today, 9/3/21). She is also experiencing dull chest discomfort. This discomforted started today (Friday 9/3/21). Patient treated pain with Tylenol extra strength (OTC) 2 tablets in the morning and 2 tablets at night. She is still experiencing discomfort.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Rapid heart rate of 140 BPM for an hour while I was sitting and watching TV!  It took almost 3 hours to get back to my normal 63 BPM.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Gaze palsy, Hypoaesthesia, Neck pain, Paraesthesia
Clinical narrative: A few hour after the injection I experienced  sharp pains  in my neck , numbness and tingling in the left facial cheek (similar to a shot of Novocaine wearing of after dental work)and  headaches. I am still having the feeling in my left facial cheek and the headaches sill come and go but not as often
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Rash
Clinical narrative: Severe rash and throat swelling
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Dyspnoea, Pulmonary embolism, Respiratory syncytial virus infection
Clinical narrative: shortness of breath, diagnosed with pulmonary embolism, exacerbation of severe persistent steroid-dependent asthma, and RSV infection
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Arm below shot developed a rash.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: EXTREME SWOLLEN LYMPH NODES, LEFT AXILLA (LUMP VISIBLE TO NAKED EYE, APPROX 4" IN DIAMETER AND PAINFUL).  ONGOING.   BODY PAIN LASTING APPROX 2DAYS.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Benign prostatic hyperplasia, COVID-19, Chronic obstructive pulmonary disease, Diabetes mellitus, SARS-CoV-2 test positive
Clinical narrative: Hospice patient, COPD, positive COVID test, diabetic, BPH
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Patient received concentrated dose of vaccine. When mix Pfizer vaccine was diluted with 0.8 ml instead of 1.8 ml sodium chloride.  Patient had no adverse event while waiting 15 minutes in the clinic after receiving vaccine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: itching, redness
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Headache, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: I had a tooth extracted on 8/19 had issues lost taste smell was given amoxicillin and 5 day supply of steroid pills. that was done by 8/25. i was traveling from 8/21 to 8/28. When i got home had a rapid test for covid came in negative. On Wednesday 9/1 / i had another tests and was told on 9/2 that it was positive. i had no smell or taste for 2 weeks my taste came back last night. No fever just congested and slight headache as of now.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tooth extraction
Clinical narrative: I had a tooth extracted on 8/19 had issues lost taste smell was given amoxicillin and 5 day supply of steroid pills. that was done by 8/25. i was traveling from 8/21 to 8/28. When i got home had a rapid test for covid came in negative. On Wednesday 9/1 / i had another tests and was told on 9/2 that it was positive. i had no smell or taste for 2 weeks my taste came back last night. No fever just congested and slight headache as of now.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood glucose normal, Chest pain, Heart rate decreased, Hyperhidrosis
Clinical narrative: 10 minutes after injection patient was sitting in chair became diaphoretic and unconscious. Patient heart rate dropped to 51. After 2 minutes patient was aroused to consciousness and moved to a lying position. Patient began to shake and complain of crushing left shoulder and chest pain.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Tremor
Clinical narrative: 10 minutes after injection patient was sitting in chair became diaphoretic and unconscious. Patient heart rate dropped to 51. After 2 minutes patient was aroused to consciousness and moved to a lying position. Patient began to shake and complain of crushing left shoulder and chest pain.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Scratch
Clinical narrative: Exactly one month later hitting 31 August I experience full body rash starting from my thighs to my legs to my toes going to my entire back up into my chest. Red dots everywhere of extreme itchiness and scratching. It will happen 3-4 times a day. Last about an hour or two and completely go away.  This outbreak has happened to me about 11 times all together and it?s still happening. I have tried everything to stop it I have not changed detergents I have not gone outside by plants I have not been around animals or be in different foods of any sort.