chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Catheter placement, Central venous catheterisation, Death, Echocardiogram, Echocardiogram abnormal
Clinical narrative: Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Encephalopathy, Endocarditis, Feeling abnormal, General physical health deterioration, Haemodialysis
Clinical narrative: Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatorenal syndrome, Hypoperfusion, Hypotension, Illness, Intensive care
Clinical narrative: Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Mental status changes, Pulmonary oedema, Pyrexia, Sepsis
Clinical narrative: Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence, Streptococcal bacteraemia, Torsade de pointes
Clinical narrative: Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Bed rest, Headache, Migraine, Nausea, Pain
Clinical narrative: Severe migraine that lasted 3 days and required bedrest for at least one full day due to symptoms of headache, pain, nausea, vomiting, and sensory sensitivities.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance, Vomiting
Clinical narrative: Severe migraine that lasted 3 days and required bedrest for at least one full day due to symptoms of headache, pain, nausea, vomiting, and sensory sensitivities.
Age: 69.0
Sex: M
Vaccine: UNK
Symptoms: Gingival disorder, Osteoarthritis, Tooth disorder
Clinical narrative: Starting in August of 2021, gum and tooth problems. 2 months latter osteoarthritis in knee.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash macular, Rash papular, Rash pruritic, Urticaria
Clinical narrative: I received my Pfister covid shot on 11/3/2021 in the Left arm. Two days later I woke up with a rash all over my body from head to toe big red welts that itch and are splotchy. I've took Benadryl, Claritin. Nothing isn't helping and I just feel as if my rash is getting worse.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Hyperhidrosis, Injection site pain, Injection site warmth
Clinical narrative: Sore/hot arm site,  lumps under armpit (feels like lymph nodes), fever of 102F max, severe headache (forehead & eyes), clenching teeth, leg swelling, unable to sleep due to headache, very painful joints, periodic sweats,   This fever lasted 2 days approximately.  Now 3 days later I still have lumps under armpit (lymphadenopathy?) and sore, warm injection site.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Peripheral swelling, Pyrexia, Sleep disorder
Clinical narrative: Sore/hot arm site,  lumps under armpit (feels like lymph nodes), fever of 102F max, severe headache (forehead & eyes), clenching teeth, leg swelling, unable to sleep due to headache, very painful joints, periodic sweats,   This fever lasted 2 days approximately.  Now 3 days later I still have lumps under armpit (lymphadenopathy?) and sore, warm injection site.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Pain in extremity, Peripheral swelling, Rash erythematous
Clinical narrative: 48 hours after injection: Found that both hands are swollen with both palms having a red, blotchy rash with pain in joints and redness. Received injection in left arm, rash/swelling/pain are more prevalent in left hand. Symptoms improve with OTC antihistamines and analgesics.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: 48 hours after injection: Found that both hands are swollen with both palms having a red, blotchy rash with pain in joints and redness. Received injection in left arm, rash/swelling/pain are more prevalent in left hand. Symptoms improve with OTC antihistamines and analgesics.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Computerised tomogram normal, Electrocardiogram normal, Headache
Clinical narrative: Extreme headache, 101° fever, high resting heart rate over 125 for more than 12 hours. Tylenol was given at ER for fever and IV fluids for high heart rate. Many tests were completed (EKG, CAT Scan, Chest X-ray, blood tests, COVID PCR test) and all came back normal/negative to my knowledge
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Extreme headache, 101° fever, high resting heart rate over 125 for more than 12 hours. Tylenol was given at ER for fever and IV fluids for high heart rate. Many tests were completed (EKG, CAT Scan, Chest X-ray, blood tests, COVID PCR test) and all came back normal/negative to my knowledge
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: First 8 hours fine, body aches severe 102 fever for 12 hours, fever then left and severe headache for another 12 hours. Tired weak for 3 days.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Dry mouth, Fatigue, Headache, Injected limb mobility decreased
Clinical narrative: The same day head pain, excessive tiredness, dry mouth. The next day morning my arms was swollen and red in area of vaccine. The vaccine area is inflamed, red, and hot. I have a ball under my arm and I can't lift my arm today. Today Sunday 11/07/2021 I have the same symptoms. The first and second vaccine were the same symptoms but milder and didn't have the ball. Thank you for the opportunity.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling, Injection site warmth
Clinical narrative: The same day head pain, excessive tiredness, dry mouth. The next day morning my arms was swollen and red in area of vaccine. The vaccine area is inflamed, red, and hot. I have a ball under my arm and I can't lift my arm today. Today Sunday 11/07/2021 I have the same symptoms. The first and second vaccine were the same symptoms but milder and didn't have the ball. Thank you for the opportunity.
Age: 42.0
Sex: F
Vaccine: FLUC4
Symptoms: Anxiety, Blood pressure increased, Blood test normal, Chest X-ray normal, Dizziness
Clinical narrative: 11/1/21...10:46 AM, Received Flu Vaccine. 11/2/21...8:00 AM, Starting Feeling Queezy, Light Headed, Nervousness Muscle Aches. 3PM Took Blood Pressure Pill, 5MG Amlodipine Besylate. 11/3/21...9AM Same symptoms as 11/2/21 BUT Worse. Light Headed, Nauseaous, Fast Heartbeat, Headache, Head was Tingly, and numb in right arm. Took blood pressure pills at 3pm and 4pm didnt go away. Took another 1/2 of bp pill. 7pm still the same.  Checked BP at home, 189/102. Rushed to Emergency Room. Coded patient for a Stroke Alert. The ER staff checked heart Xray, MRI, blood work, urine test, all the lab work. They could not find anything wrong. Pulse rate 112. BP 180/95. They gave something to treat anxiety, it help  bring down the bp a little bit. 11/4/21...During the day, a little bit better. Took BP pill 3 pm. Around 7pm, Start the same symptoms as 11/3/21, but worse. Checked BP around 8pm, 200/102...Rushed to the ER again. The ER did more blood work and the ER could not find anything wrong. Gave Lorazepam 0.5 MG tablet for Anxiety. It helped to bring down the BP a little bit and then they sent patient home. 11/8/21...Still feeling very tired, muscle aches, pain in spine. A little light headed.
Age: 42.0
Sex: F
Vaccine: FLUC4
Symptoms: Electrocardiogram normal, Fatigue, Headache, Heart rate increased, Hypoaesthesia
Clinical narrative: 11/1/21...10:46 AM, Received Flu Vaccine. 11/2/21...8:00 AM, Starting Feeling Queezy, Light Headed, Nervousness Muscle Aches. 3PM Took Blood Pressure Pill, 5MG Amlodipine Besylate. 11/3/21...9AM Same symptoms as 11/2/21 BUT Worse. Light Headed, Nauseaous, Fast Heartbeat, Headache, Head was Tingly, and numb in right arm. Took blood pressure pills at 3pm and 4pm didnt go away. Took another 1/2 of bp pill. 7pm still the same.  Checked BP at home, 189/102. Rushed to Emergency Room. Coded patient for a Stroke Alert. The ER staff checked heart Xray, MRI, blood work, urine test, all the lab work. They could not find anything wrong. Pulse rate 112. BP 180/95. They gave something to treat anxiety, it help  bring down the bp a little bit. 11/4/21...During the day, a little bit better. Took BP pill 3 pm. Around 7pm, Start the same symptoms as 11/3/21, but worse. Checked BP around 8pm, 200/102...Rushed to the ER again. The ER did more blood work and the ER could not find anything wrong. Gave Lorazepam 0.5 MG tablet for Anxiety. It helped to bring down the BP a little bit and then they sent patient home. 11/8/21...Still feeling very tired, muscle aches, pain in spine. A little light headed.
Age: 42.0
Sex: F
Vaccine: FLUC4
Symptoms: Magnetic resonance imaging normal, Myalgia, Nausea, Nervousness, Paraesthesia
Clinical narrative: 11/1/21...10:46 AM, Received Flu Vaccine. 11/2/21...8:00 AM, Starting Feeling Queezy, Light Headed, Nervousness Muscle Aches. 3PM Took Blood Pressure Pill, 5MG Amlodipine Besylate. 11/3/21...9AM Same symptoms as 11/2/21 BUT Worse. Light Headed, Nauseaous, Fast Heartbeat, Headache, Head was Tingly, and numb in right arm. Took blood pressure pills at 3pm and 4pm didnt go away. Took another 1/2 of bp pill. 7pm still the same.  Checked BP at home, 189/102. Rushed to Emergency Room. Coded patient for a Stroke Alert. The ER staff checked heart Xray, MRI, blood work, urine test, all the lab work. They could not find anything wrong. Pulse rate 112. BP 180/95. They gave something to treat anxiety, it help  bring down the bp a little bit. 11/4/21...During the day, a little bit better. Took BP pill 3 pm. Around 7pm, Start the same symptoms as 11/3/21, but worse. Checked BP around 8pm, 200/102...Rushed to the ER again. The ER did more blood work and the ER could not find anything wrong. Gave Lorazepam 0.5 MG tablet for Anxiety. It helped to bring down the BP a little bit and then they sent patient home. 11/8/21...Still feeling very tired, muscle aches, pain in spine. A little light headed.
Age: 42.0
Sex: F
Vaccine: FLUC4
Symptoms: Spinal pain, Urine analysis normal
Clinical narrative: 11/1/21...10:46 AM, Received Flu Vaccine. 11/2/21...8:00 AM, Starting Feeling Queezy, Light Headed, Nervousness Muscle Aches. 3PM Took Blood Pressure Pill, 5MG Amlodipine Besylate. 11/3/21...9AM Same symptoms as 11/2/21 BUT Worse. Light Headed, Nauseaous, Fast Heartbeat, Headache, Head was Tingly, and numb in right arm. Took blood pressure pills at 3pm and 4pm didnt go away. Took another 1/2 of bp pill. 7pm still the same.  Checked BP at home, 189/102. Rushed to Emergency Room. Coded patient for a Stroke Alert. The ER staff checked heart Xray, MRI, blood work, urine test, all the lab work. They could not find anything wrong. Pulse rate 112. BP 180/95. They gave something to treat anxiety, it help  bring down the bp a little bit. 11/4/21...During the day, a little bit better. Took BP pill 3 pm. Around 7pm, Start the same symptoms as 11/3/21, but worse. Checked BP around 8pm, 200/102...Rushed to the ER again. The ER did more blood work and the ER could not find anything wrong. Gave Lorazepam 0.5 MG tablet for Anxiety. It helped to bring down the BP a little bit and then they sent patient home. 11/8/21...Still feeling very tired, muscle aches, pain in spine. A little light headed.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Chest discomfort, Chest pain, Electrocardiogram, Fibrin D dimer
Clinical narrative: Chest pain/ discomfort, constant pressure in the back of the head, frequent headaches for the entire 5 weeks since the injection.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Head discomfort, Headache
Clinical narrative: Chest pain/ discomfort, constant pressure in the back of the head, frequent headaches for the entire 5 weeks since the injection.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pain in extremity
Clinical narrative: Swelling around injection site that I noticed the morning after vaccine. Pain in my arm is moderate and is comparable to the first two doses of Pfizer vaccines I received (last dose 2/4/21).
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Pain, Puncture site pain, Puncture site swelling
Clinical narrative: Swelling of the lymph nodes in arm pit and left chest. Pain I the puncture site and swelling. Head ache, fever, sleepiness and body ache.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Somnolence
Clinical narrative: Swelling of the lymph nodes in arm pit and left chest. Pain I the puncture site and swelling. Head ache, fever, sleepiness and body ache.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Motor dysfunction, Paraesthesia
Clinical narrative: Shortly after the 15 minute observation period, pt reported some numbness and tingling in posterior forearm without loss of motor function. Volunteer doctor examined patient noting a parasympathetic response unlikely to be associated with vaccine. Pt reported no other symptoms and was discharged.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Memory impairment, Muscular weakness, Myalgia, Pyrexia
Clinical narrative: Fever, myalgias, muscle weakness, headache, blurred vision, memory impairment.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Fever, myalgias, muscle weakness, headache, blurred vision, memory impairment.
Age: 10.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: PT RECEIVED FLUZONE AND WITHIN MINUTES POST VACCINATION - MOTHER SAID INJECTION SITE WAS ITCHY AND SWOLLEN - NO OTHER SYMPTOMS, NO SOB, JUST LOCALIZED SWELLING - GIVEN ONE ORAL DOSE BENADRYL FOR CHILDREN AND APPLIED COLD PACK AT LEFT DELTOID - PT AND MOTHER LEFT AT 1230 AFTER 30 MINUTES OBSERVATION; FOLLOWED UP TODAY AROUND 6:15PM - FATHER SAID ITCHING AND REDNESS ARE GONE - NO OTHER SYMPTOMS
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products, No adverse event
Clinical narrative: On 11/5/21 at approximately 11:16 AM, 38 year old, male client ( DOB 07/12/1983) arrived to County operated vaccine site and requests to receive Janssen COVID-19 vaccine.  Client reports receiving one dose of Moderna vaccine at 11:00 AM  on 2/11/21.  Client reports that at 1:00 AM on 2/11/21, and for 3 days thereafter, he began to experience swelling of lips, hives, and denies experiencing SOB.  Client reports HR of 145 while experiencing these symptoms.  He reports going to Urgent Care at 9:00 am on 2/11/21, which informed client to hydrate.  Client denies receiving treatment or any medications from Urgent Care, and denies taking Benadryl or any medications for these symptoms.  Client reports following up with PCP who recommended that client receive a non-mRNA COVID-19 vaccine in the future.   Elevated concern to Clinical Supervisor, who completed medical consult, with approval by Doctor to  administer Janssen COVID-19 vaccine to client at this time, and Doctor recommends observation time of 30 minutes.  Janssen (Lot# 1855194) administered to client by this nurse at 11:16 AM on 11/5/21.  No adverse reactions of side effects reported by client or noted by EMT during post-observation period.   Explained risks, benefits, and emergency precautions to client who verbalized understanding. - RN.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance, Headache, Hypotension, Myalgia
Clinical narrative: Fever to 103,  Severe headache  Muscle pain Difficulty walking due to pain in my feet Skin hypersensitive  Light headed on 2nd and 3rd day after shot Low blood pressure (94 systolic) on day 3 after shot         Resolved with increased fluid intake in 2-3 hrs All symptoms resolved on 4th day after shot
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Sensitive skin
Clinical narrative: Fever to 103,  Severe headache  Muscle pain Difficulty walking due to pain in my feet Skin hypersensitive  Light headed on 2nd and 3rd day after shot Low blood pressure (94 systolic) on day 3 after shot         Resolved with increased fluid intake in 2-3 hrs All symptoms resolved on 4th day after shot
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: PATIENT WAS GIVEN .5ML OF VACCINE (IN TWO .25 SHOTS) AND SHOULD HAVE RECEIVED .25
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Atrial flutter, Condition aggravated
Clinical narrative: Had reoccurring atrial flutter/atrial fibrillation after her 2nd dose.
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Patient was given an expired vaccine (expired on 6/30/21).
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring, Computerised tomogram, Dizziness, Dyspnoea, Echocardiogram
Clinical narrative: Began with significant dizzy spells, shortness of breath, irregular heartbeat. Dizzy to point of unable to leave bed. Gradually symptoms reduced. Then mostly irregular heartbeat and short breath, occasional dizzy spells. Coming and going all summer. Still have irregular heartbeat and short of breath. CArdiologist tells me Premature Ventricular contractions. I have been wearing a heart monitor for 3 weeks now.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, Mobility decreased, Ventricular extrasystoles
Clinical narrative: Began with significant dizzy spells, shortness of breath, irregular heartbeat. Dizzy to point of unable to leave bed. Gradually symptoms reduced. Then mostly irregular heartbeat and short breath, occasional dizzy spells. Coming and going all summer. Still have irregular heartbeat and short of breath. CArdiologist tells me Premature Ventricular contractions. I have been wearing a heart monitor for 3 weeks now.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PATIENT WAS GIVEN .5ML OF VACCINE (IN TWO .25 SHOTS) AND SHOULD HAVE RECEIVED .25ML
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Joint contracture, Muscle spasms, Pallor
Clinical narrative: After vaccination client immediately turned pale with bilateral hand clenching.  Client laid down on the floor while concious AOx4, legs raised, 4 sets of vital signs taken, ice packs used.  No swelling of the face or tongue.  Clients hands massaged to relieve cramping.  EMS called and arrived on site at 5:05pm.  At that time client was able to sit up in chair no complaint of dizziness.  Clients hands unclenched was able to move fingers on command, able to stand and without assistance and verbalized no shortness of breath or pain.  EMS took vitals and fingerstick. EMS recommended follow up lab work at the hospital.  Legal guardian and patient refused.  Signed AMA form.  Client walked out with legal guardians, EMS and nurse to their car to go home in no visible in distress.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Mammogram normal, Ultrasound breast normal
Clinical narrative: Several weeks after receiving my second dose of the Moderna vaccine, I began feeling pressure in the upper left side of my breast, as if a seatbelt was pushing on my chest. This sensation was present even when I had no clothing on.  It persisted for months.  I went to see my OB/GYN NP to see if I might have something going on in my breast. She conducted a breast exam and found nothing.  She gave me orders for a mammogram if it did not subside in a few more weeks, stating that sometimes the Covid vaccine affects lymph glands and causes inflammatory responses that can last a while.  I had a routine mammogram and breast ultrasound scheduled for September 22nd.  The sensation started decreasing, so I just waited until that September appointment.  The mammogram and ultrasound came back negative, but I continue to have the sensation from time to time.  It is not daily, but several days per week.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue
Clinical narrative: Fatigue, chills
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal
Clinical narrative: Acute appendicitis resulting in the removal of my appendix .  3rd booster given at 10 am Monday November 1st.  Tuesday November 2nd around 3 pm my stomach started hurting.  By Wednesday night I was in the ER.  Surgery was Thursday afternoon.  I have never had a stomach issue at all prior to this.
Age: 73.0
Sex: M
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine (6/30/21) and came back next day for another Fluzone.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Gout, Myalgia, Pyrexia
Clinical narrative: Fever muscle pain, GOUT TRIGGER
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PATIENT WAS GIVEN .5ML OF VACCINE (IN TWO .25 SHOTS) AND SHOULD HAVE RECEIVED .25ML
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypoacusis, Mobility decreased, Nausea
Clinical narrative: Tinnitus began the day after I was vaccinated. It would get worse at times and then subside some. This morning, one week after the vaccine I work up with a debilitating headache in my left temple and the ringing in my ears was so bad I could barely get out of bed. It obstructed my hearing. I became dizzy and nauseous. I sat in the den to drink a cup of coffee but could not sit up and went back to bed. Then I had to throw up and could barely get back to bed. The headache began to subside but the ringing has remained loud all day. I did not associate the tinnitus to the vaccine until I spoke with my mother who said the Same thing happened to her. I had also noticed the ringing after the second Mederna vaccine March 8, 2021 but did not make an association.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Sitting disability, Tinnitus, Vomiting
Clinical narrative: Tinnitus began the day after I was vaccinated. It would get worse at times and then subside some. This morning, one week after the vaccine I work up with a debilitating headache in my left temple and the ringing in my ears was so bad I could barely get out of bed. It obstructed my hearing. I became dizzy and nauseous. I sat in the den to drink a cup of coffee but could not sit up and went back to bed. Then I had to throw up and could barely get back to bed. The headache began to subside but the ringing has remained loud all day. I did not associate the tinnitus to the vaccine until I spoke with my mother who said the Same thing happened to her. I had also noticed the ringing after the second Mederna vaccine March 8, 2021 but did not make an association.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Palpitations, Pharyngeal swelling, Throat tightness
Clinical narrative: 1 minute after vaccine injection throat closed, feeling difficulty breathing and swollen throat for a few hours. Palpitations for 3 hours after injection.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PATIENT WAS GIVEN .5ML OF VACCINE (IN TWO .25 SHOTS) AND SHOULD HAVE RECEIVED .25ML.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site urticaria
Clinical narrative: Approximately 8pm my right shoulder at the site of the shot started itching. Circular area approximately 4 inch diameter became raised and red w numerous small bumps - like hives -  Incredibly itchy. I took Benadryl.  By the following morning the site was only slightly raised and only slightly red and bumpy.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received a half dose of Moderna (0.25mL) instead of a full dose (0.5mL) which was necessary as it was the patient's first dose. The patient was unable to come back in to clinic same day so patient will be coming in 11/8 to receive a full dose and restart series.
Age: 78.0
Sex: M
Vaccine: FLU4
Symptoms: Expired product administered, Extra dose administered
Clinical narrative: Patient received expired vaccine (6/30/21) and came back on 10/25/21 to receive new Fluzone
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: Patient began having migraines day after following second dose- did report to Emergency Room, has been having continuous episodes of migraines since event, cannot identify any other changes in routine outside of vaccination.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dizziness, Fatigue, Feeling hot
Clinical narrative: Headache, dizziness, chills, sweat, hot, chest pain, fatigue
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis
Clinical narrative: Headache, dizziness, chills, sweat, hot, chest pain, fatigue
Age: 66.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Expired product administered, Extra dose administered
Clinical narrative: Patient received expired Fluzone (6/30/21) and came back on 10/27 for a new Fluzone vaccine.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Muscle tightness, Musculoskeletal stiffness, Myalgia, Pain
Clinical narrative: Temperature of 102.2 degrees / recurring high temperatures Vomiting Muscle aches / pain Tightness in neck muscles Lethargy
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Temperature of 102.2 degrees / recurring high temperatures Vomiting Muscle aches / pain Tightness in neck muscles Lethargy
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Patient received expired Fluzone (6/30/21) and has not returned for new dose.
Age: 22.0
Sex: F
Vaccine: FLUR4
Symptoms: Pain in extremity, Urticaria
Clinical narrative: My arm felt fine throughout the day after the shot. I wake up and my arm is kind of sore I look at my arm and I have a hive the size of a half dollar I?m not a person who gets hives from vaccines normally. Especially the flu shot. So later on tonight at 7:30 I look at it and it?s still the size of a half dollar but now it?s swollen. I used hydrocortisone and Benadryl.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Ear discomfort, Gait disturbance, Tinnitus, Vertigo
Clinical narrative: vertigo symptoms  were decreasing after first shot after second shot vertigo came back. Not as prominent but still have bouts of dizzyness and wobbly light -headednesss. Vertigo will persist for some time then go away or lessens greatly then seems to flare up again to the point where I feel light headed and dozy when standing at times.  Also after the second shot I started to have ringing in my ears. Sound in my left ear is a whirring  that goes and comes, Its faint and I notice it more if im in complete silence. A few times I have noticed this sound get really loud for like a second then subside. Ringing in my right ear is different and is a response to certain sounds. The sounds of the rain or certain electronics will trigger this high pitched sound that stays in the background. If i cover my ears or stop the sound from occurring the ringing is greatly reduced but I still hear it slightly. Also feeling of my ears orearspace feeling stuff or there's a 'bubble's there it doesnt feel clear most of the time. Feels similar to getting water in your ear and being unable to get it out.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse reactions reported
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Cough, Dizziness, Dyspnoea, Headache
Clinical narrative: nausea, dizziness, fever (101°), weakness, muscle ached, tachycardia, shortness of breath, headache, coughing
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Myalgia, Nausea, Pyrexia, Tachycardia
Clinical narrative: nausea, dizziness, fever (101°), weakness, muscle ached, tachycardia, shortness of breath, headache, coughing
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No reported side effects
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Syncope
Clinical narrative: PATIENT WAS FINE AT THE TIME OF INJECTION.  AFTER 5 MINUTES,  PATIENT FELL OFF HIS CHAIR.  HE WAS WAKE AND ALERT WITH NO BREATHING ISSUE.  911 WAS CALLED. AFTER 5 MINUTES MEDIC CAME AND TOOK HIS VITALS.  HIS VITALS WERE ALL NORMAL.  PATIENT WAS SWEATING AND WAS ADVISED BY TO SEEK FURTHER EVALUATION AT THE EMERGENCY ROOM.  HE AGREED TO SEEK FURTHER EVALUATION AND LEFT.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dizziness, Dysstasia, Fatigue, Nausea
Clinical narrative: Nausea, Continued Vomiting, Dizzy - Unable to stand, Extreme exhaustion
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Nausea, Continued Vomiting, Dizzy - Unable to stand, Extreme exhaustion
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysstasia, Fatigue, Nausea, Vomiting
Clinical narrative: Nausea, Continued Vomiting, Dizzy - Unable to stand, Extreme exhaustion
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse events reported
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Chills, Cough, Dizziness
Clinical narrative: Fatigue, tachycardia, Vertigo, nausea, muscle aces, chills, sweating, coughing, sneezing, shortness of breath, chest pain on exertion, dizziness, weakness, muscle tremors
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Myalgia, Nausea, Sneezing
Clinical narrative: Fatigue, tachycardia, Vertigo, nausea, muscle aces, chills, sweating, coughing, sneezing, shortness of breath, chest pain on exertion, dizziness, weakness, muscle tremors
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tremor, Vertigo
Clinical narrative: Fatigue, tachycardia, Vertigo, nausea, muscle aces, chills, sweating, coughing, sneezing, shortness of breath, chest pain on exertion, dizziness, weakness, muscle tremors
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Gait disturbance, Headache, Myalgia, Pain in extremity
Clinical narrative: Chills, fever, headache, sore Muscles, right leg sore enough to impede walking
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, fever, headache, sore Muscles, right leg sore enough to impede walking
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea, treating with fluids and rest.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Urticaria
Clinical narrative: Injection site redness, pain, swelling since the morning after vaccine was given. The redness has grown larger by the day since. We circle the initial size and have circled each day since. 11/7/2021 around 8pm - I notice that my legs have hives on them.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance
Clinical narrative: Severe Knee pain and days she can't even walk. Still not any better. We have seen several drs and have several more apps ahead of us
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Magnetic resonance imaging
Clinical narrative: Stroke
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Lymph node(s) in my left armpit are swollen and uncomfortable. Same happened after second vaccine except in my right armpit because injection was in my right arm. This booster shot is less severe, but the person who administered said I should report this.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis contact, Pain, Pruritus, Pyrexia, Rash macular
Clinical narrative: Per patient report "My vaccination was at 6:00 on 10/26. I ran a 101.5 fever while on ibuprofen and Tylenol on the night of, and day immediately after the vaccine and had terrible aches for a couple days. (Did not temp myself before I took the medicines) The hives showed up in the evening the following week at around 8pm or so. It was primarily on my left side, and the worst on my left hip. Aside from the ones on my hip they were only small nickel sized spots. I had a few single spots on my right arm.Under and above my bra line all the way around.The itching was mild, compared to poison ivy. I showered and took 2 benedryl around 8:30 By morning I was back to normal and I have not any symptoms since."
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Per patient report "My vaccination was at 6:00 on 10/26. I ran a 101.5 fever while on ibuprofen and Tylenol on the night of, and day immediately after the vaccine and had terrible aches for a couple days. (Did not temp myself before I took the medicines) The hives showed up in the evening the following week at around 8pm or so. It was primarily on my left side, and the worst on my left hip. Aside from the ones on my hip they were only small nickel sized spots. I had a few single spots on my right arm.Under and above my bra line all the way around.The itching was mild, compared to poison ivy. I showered and took 2 benedryl around 8:30 By morning I was back to normal and I have not any symptoms since."
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Asthenia, Dizziness, Dyspnoea
Clinical narrative: 8 hours and 10 minutes  after vaccine was administered, I started to have a terrible pain in my stomach, dizziness, nausea, and went and sat on toilet.  The room was spinning and all of a sudden I woke up on the floor of the bathroom with no recollection of how I got there. (I must surely have fainted.)  I was covered in sweat soaking the back of my bathrobe.  There was no one at home and I tried to stand up, but my legs wouldn't hold me and I was having trouble breathing.  I crawled to my bedroom across the hall and heaved myself into the bed.....then the terrible pains started in my kneecaps, ankles, and I got a horrible headache in the forehead area and in the back of the head where it meats the neck.  I almost called Emergency, but after about a half hour, the breathing slowed down, but the other symptoms remained.  It was a horrible night and luckily, I fell asleep for about an hour, only to wake up with the same severity of symptoms.  I literally could not get out of  bed I was so weak.    My 94 year old mother and I live together, and I am usually the one taking care of her.  This has lasted I am writing this 2 days later, still in bed, but I am able to make it to the bathroom.  It has been absolute terrible.  I seriously felt like I was dying, which is ironic since my first two Covid shots were fine and have never had a reaction to any shots or vaccinations in my life.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Insomnia, Mobility decreased, Muscular weakness
Clinical narrative: 8 hours and 10 minutes  after vaccine was administered, I started to have a terrible pain in my stomach, dizziness, nausea, and went and sat on toilet.  The room was spinning and all of a sudden I woke up on the floor of the bathroom with no recollection of how I got there. (I must surely have fainted.)  I was covered in sweat soaking the back of my bathrobe.  There was no one at home and I tried to stand up, but my legs wouldn't hold me and I was having trouble breathing.  I crawled to my bedroom across the hall and heaved myself into the bed.....then the terrible pains started in my kneecaps, ankles, and I got a horrible headache in the forehead area and in the back of the head where it meats the neck.  I almost called Emergency, but after about a half hour, the breathing slowed down, but the other symptoms remained.  It was a horrible night and luckily, I fell asleep for about an hour, only to wake up with the same severity of symptoms.  I literally could not get out of  bed I was so weak.    My 94 year old mother and I live together, and I am usually the one taking care of her.  This has lasted I am writing this 2 days later, still in bed, but I am able to make it to the bathroom.  It has been absolute terrible.  I seriously felt like I was dying, which is ironic since my first two Covid shots were fine and have never had a reaction to any shots or vaccinations in my life.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Syncope, Vertigo
Clinical narrative: 8 hours and 10 minutes  after vaccine was administered, I started to have a terrible pain in my stomach, dizziness, nausea, and went and sat on toilet.  The room was spinning and all of a sudden I woke up on the floor of the bathroom with no recollection of how I got there. (I must surely have fainted.)  I was covered in sweat soaking the back of my bathrobe.  There was no one at home and I tried to stand up, but my legs wouldn't hold me and I was having trouble breathing.  I crawled to my bedroom across the hall and heaved myself into the bed.....then the terrible pains started in my kneecaps, ankles, and I got a horrible headache in the forehead area and in the back of the head where it meats the neck.  I almost called Emergency, but after about a half hour, the breathing slowed down, but the other symptoms remained.  It was a horrible night and luckily, I fell asleep for about an hour, only to wake up with the same severity of symptoms.  I literally could not get out of  bed I was so weak.    My 94 year old mother and I live together, and I am usually the one taking care of her.  This has lasted I am writing this 2 days later, still in bed, but I am able to make it to the bathroom.  It has been absolute terrible.  I seriously felt like I was dying, which is ironic since my first two Covid shots were fine and have never had a reaction to any shots or vaccinations in my life.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site mass, Injection site urticaria, Pain
Clinical narrative: I have painful hives at injection site with a hard lump larger than two quarters under my skin at injection site. I will follow up with my pcp.