chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient/caregiver questioning how long patient will be observed after getting the vaccine as they were anxious/concerned of reaction. Patient/caregiver advised 15 minutes and longer if any questions or issues. Patient noted a few minutes after getting the vaccine she felt it was "harder to breathe". HR normal, O2 sat normal. Provider assessed patient. Recommended patient take off mask to help breathe better. Patient noted it helped. Patient observed for a full 30 minutes. Provider re-assessed. Patient notes she felt fine.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Paraesthesia
Clinical narrative: Patient reported tingling in fingers of right hand. Started about 1 minute after vaccine administration. Patient states he has a history of a pinched nerve in his neck that affects is right hand.  Patient's wife states patient turned awkwardly when getting vaccine and this may have bothered his pinched nerve.   Consulted Dr and after observing patient it was recommended that he follow-up with his Primary care doctor that follows his pinched nerve.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, Tremor
Clinical narrative: continuous sore arm, almost two weeks after the second pfizer vaccine shot. couldn't raise the arm, even for an empty dish plate, i can feel my arm is  shaking when i hold it.   similar situation happens after the first pfizer vaccine shot. about two weeks after the first shot, my arm had occasional sharp pain for about 3 days.   no rash no swollen on arm.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Pain in extremity, Pyrexia, Urticaria
Clinical narrative: Welt that has lasted over a week, pain in the arm, extreme fatigue, fever of 101 for about 15 hrs, weakness
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received the Moderna COVID vaccine for their 1st dose and the Pfizer vaccine for their 2nd dose.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Sleep disorder
Clinical narrative: I experienced the day after my vaccine my right breast hurt so bad that I could not sleep.  I also had a total breast reconstruction January 2012.  My symptoms lasted a couple of days then they resolved.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Computerised tomogram abnormal, Intestinal obstruction
Clinical narrative: Small intestines constricted mimicking pancreatitis / small partial bowel obstruction. Blood test ruled out pancreatitis. CT scan showed constriction/ causing obstruction. Morphine relaxed bowel and no more issues were there. They had engaged the on call surgeon, but he didn't examine till following day and he only put stethoscope to the chest in two places and released me/patient, suggesting no cause for pain other than vaccine. The on call doctor did a very thorough exam and talked to surgeon before he saw me/patient. There are no lasting effects. The small bowel didn't even hurt when examined the following morning.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Five days after the vaccination I started listening to a buzzing in my right ear. I learned that this is called Tinnitus and that more people have found to have tinnitus or that their tinnitus has increased after vaccination. One week after, I am not sure if the Tinnitus is getting better or I am getting used to it. Next week I'll see my doctor.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: After exactly one week injection site became red and puffy again. It?s very itchy and warm.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Additional Details: Patient stated that he was feeling fine after vaccine adminstration. However, he went to go sit down and fainted. He presented like he was having a seizure. Patient was positioned upright. He regained consciousness. He has a hx of panic attacks and this isnt the first time a adverse rxn like this has occured. 911 called to double check vitals. I have him Orange juice and a wet towel because he was sweating. He walked out of store with 911 personal on his own accord.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Flatulence, Headache, Influenza like illness, Pyrexia, Somnolence
Clinical narrative: Minor flu like symptoms. Fever, drowsiness, headache and excessive flatulence.   All symptoms dissipated within a few hours some farts remained throughout the day.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Ear discomfort, Fall, Feeling abnormal
Clinical narrative: Patient was given vaccine and was told to wait in the monitoring area for 15 minutes post vaccination. Shortly after, the patient reported "feeling pale" and was told to remain seated. The patient then fell over from the chair and lost consciousness. We immediately called 911 and went to the patient's side with epinephrine. However, he recovered within seconds and was able to sit up and drink water.  He reported feeling "pale [...], weird [...]" and said he felt like his "ears are sweating." He did not want epinephine and remained seated and responsive. When asked, he said he had never received any adverse reactions to any vaccines in the past. A pharmacist then cleaned and disinfected his right temple that was bleeding, which he seemed to have hit when he fell. He later reported feeling chest pain and slight difficulty breathing but did not want epinephrine at that time. Emergency services arrived about 20 minutes after and assessed the patient and removed him in a gurney.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor
Clinical narrative: Patient was given vaccine and was told to wait in the monitoring area for 15 minutes post vaccination. Shortly after, the patient reported "feeling pale" and was told to remain seated. The patient then fell over from the chair and lost consciousness. We immediately called 911 and went to the patient's side with epinephrine. However, he recovered within seconds and was able to sit up and drink water.  He reported feeling "pale [...], weird [...]" and said he felt like his "ears are sweating." He did not want epinephine and remained seated and responsive. When asked, he said he had never received any adverse reactions to any vaccines in the past. A pharmacist then cleaned and disinfected his right temple that was bleeding, which he seemed to have hit when he fell. He later reported feeling chest pain and slight difficulty breathing but did not want epinephrine at that time. Emergency services arrived about 20 minutes after and assessed the patient and removed him in a gurney.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Electrocardiogram normal, Hypoaesthesia, Limb discomfort, Magnetic resonance imaging head normal
Clinical narrative: Numbness, tingling left side of the body, then few days later high blood pressure
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Numbness, tingling left side of the body, then few days later high blood pressure
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Tinnitus
Clinical narrative: Tinnitus. Severe and non relenting .  Aches in legs especially left side. Pain in left arm and tingling in left hand/foot
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Dry skin, Dry skin prophylaxis, Peripheral coldness
Clinical narrative: Patient received the 1st COVID vaccine (Pfizer, Lot #: EW0173, and expiration date: 08/2021) at 2:55 PM. Patient received the vaccine while sitting in the zero gravity chair, due to a history of feeling lightheaded and passing out with needles. After a few minutes in the zero gravity chair, patient expressed that she was feeling good and wanted to sit in the observation area next to her boyfriend. She got up and walked to another chair without assistance and with a steady gait.  EMT made contact with the patient at 3:12 PM, while she was sitting in the observation area. Patient was conscious, alert, and oriented to person, place, time, and situation but complained of "lightheadedness." EMT grabbed a wheelchair and patient was then transferred to wheelchair, without assistance. At 3:15 PM, baseline vital signs were taken, while patient was sitting: blood pressure: 136/82, heart rate: 108, respiratory rate: 18. Skin was cold, dry, and normal for ethnicity. Patient claimed to have anxiety and explained that fainting and lightheadedness was "common" for her after receiving a shot. Patient denied taking any medications or having any allergies. A second set of vital signs were taken at 3:20 PM: blood pressure: 136/86, heart rate: 108, respiratory rate: 18. Skin was moist, warm, and normal for ethnicity. Patient was negative for orthostatic pressures. EMT advised patient to stay an additional 30 minutes for further observation. Around 3:50 PM, patient was asked how she was feeling and she stated "good." EMT educated the client on what to do if additional signs and symptoms developed and when to contact her provider. EMT also explained the use of V- safe to the patient. Patient then left the vaccination site, unassisted and with a steady gait.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Vital signs measurement
Clinical narrative: Patient received the 1st COVID vaccine (Pfizer, Lot #: EW0173, and expiration date: 08/2021) at 2:55 PM. Patient received the vaccine while sitting in the zero gravity chair, due to a history of feeling lightheaded and passing out with needles. After a few minutes in the zero gravity chair, patient expressed that she was feeling good and wanted to sit in the observation area next to her boyfriend. She got up and walked to another chair without assistance and with a steady gait.  EMT made contact with the patient at 3:12 PM, while she was sitting in the observation area. Patient was conscious, alert, and oriented to person, place, time, and situation but complained of "lightheadedness." EMT grabbed a wheelchair and patient was then transferred to wheelchair, without assistance. At 3:15 PM, baseline vital signs were taken, while patient was sitting: blood pressure: 136/82, heart rate: 108, respiratory rate: 18. Skin was cold, dry, and normal for ethnicity. Patient claimed to have anxiety and explained that fainting and lightheadedness was "common" for her after receiving a shot. Patient denied taking any medications or having any allergies. A second set of vital signs were taken at 3:20 PM: blood pressure: 136/86, heart rate: 108, respiratory rate: 18. Skin was moist, warm, and normal for ethnicity. Patient was negative for orthostatic pressures. EMT advised patient to stay an additional 30 minutes for further observation. Around 3:50 PM, patient was asked how she was feeling and she stated "good." EMT educated the client on what to do if additional signs and symptoms developed and when to contact her provider. EMT also explained the use of V- safe to the patient. Patient then left the vaccination site, unassisted and with a steady gait.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Reported itchy hives.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Impaired driving ability, Loss of personal independence in daily activities, Movement disorder, Pain in extremity
Clinical narrative: I had pain and swelling in my right shoulder and arm so much I could not move it, right hip, both hands, so much pain that I was referred to an RA Doctor who prescribed me Methotrexate. I could not drive, hold a pencil, open doors, and many other normal day activities as the pain was so intense. I took the medication for one year which made me so tired I was unable to function for 2 days each week and slept all day. The pain lessened but did not go away. My hair thinned so I was put on prescription folic acid. I hated the way the medication made me feel and how I was unable to function so I stopped taking it in August 2020 without medical advice and over the course of 3 weeks the pain went away. I have not been in pain for 8 months.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Peripheral swelling, Swelling
Clinical narrative: I had pain and swelling in my right shoulder and arm so much I could not move it, right hip, both hands, so much pain that I was referred to an RA Doctor who prescribed me Methotrexate. I could not drive, hold a pencil, open doors, and many other normal day activities as the pain was so intense. I took the medication for one year which made me so tired I was unable to function for 2 days each week and slept all day. The pain lessened but did not go away. My hair thinned so I was put on prescription folic acid. I hated the way the medication made me feel and how I was unable to function so I stopped taking it in August 2020 without medical advice and over the course of 3 weeks the pain went away. I have not been in pain for 8 months.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hyperhidrosis, Vision blurred
Clinical narrative: Patient reports feeling light headed and diaphoretic. also reported muffled, heavy and blurry vision.. patient had seat laid flat. patient brought water and encouraged to stay hydrated .patient stated he has anxiety. Patient felt better after five minutes. Instructed to finish the rest of his 15 minutes and to let us know if symptoms return or become worse.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling, Swelling face
Clinical narrative: 4/28/2021@12:30pm noticed rash on left side of neck rash and swelling began to appear on left side of face.Called  health department and was told they had no doctor to help me.4/29/2021 went to ER where I was given benadryl and a perscription.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Ultrasound scan normal
Clinical narrative: Leg swelling started on April 9th, had ultrasound to check for blood clot.  Negative for blood clot.  Still swollen doctor told me to report it to vaccine page
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Disturbance in attention, Dizziness, Feeling abnormal, Vision blurred
Clinical narrative: Four hours after my second dose, I started to grow light-headed. I got up from my desk and stumbled over as I couldn't see quite straight. The rest of the evening I rested and stayed hydrated with fluids. From Thursday morning until Saturday morning I was unable to focus, concentrate, see straight, and got "foggy" every time I tried to stand and walk. I had a hard time keeping my eyes open and was very weak. It felt like I was under the influence of something as I felt extremely disoriented. It has been 9 days since my second dose and I am still not "100%" back to my normal self. These side effects were very scary to deal with.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Immune thrombocytopenia, Platelet count decreased
Clinical narrative: Pt had remote H/O ITP treated with steroids once in the past (>25 years ago.) Presented in April with Severe/refractory ITP and has been hospitalized for over 2 weeks. May need splenectomy this weekend as plt count still only 5K after steroids, IVIG, Romiplostim (max dose (10mcg/kg)).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Joint injury, Pain, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Nausea, Vomiting
Clinical narrative: Nausea, followed by several episodes of vomiting, diarrhea and chills.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pruritus, Rash, Rash erythematous, Rash papular
Clinical narrative: 1.5 days post vaccine, patient developed a rash on right side of face.  Above Right eye brow spreading to the back of the ear to the bottom of the jaw line.  Some sensitivity and itching.   Provider thought it might be shingles, another clinic told patient to take Benadryl and Pepcid. (He already takes Zyrtec.  Patient plans to use this if reaction occurs again. ,RN   JD   4/15/21 3:23 PM Note    Patient sent a message notifying us that he has a facial rash which is tender to the touch. There is a photo attached to the message. APRN reviewed the message and picture and feels it is uncommon to develop a rash after the COVID vaccine. He can take benadryl and Pepcid to help. APRN will also send out a new prescription to increase patient's Acyclovir to 800 mg PO BID. Patient does not have a PCP to evaluate his skin at this time so it was recommended to him to go to the Urgent Care to be evaluated for shingles.  Patient verbalized his understanding.   Patient, RN   Conversation: Rash PA-C   PA-C   4/30/21 12:50 PM Incomplete Note    Chart review performed. Patient concerned about a rash that developed on the right side of his face 1 1/2 days after his 1st COVID vaccine on 4/9/21.   He called his provider on 4/9/21 to ask what he should do and uploaded a photo. The photo showed an evident raised somewhat erythematous rash located on the upper right side of his face near the eye with one area on the right nasal alae. Areas of redness appeared to have well-demarcated borders. No evidence of vesicles, pustules, scale, abrasions, excoriations, or ulcerations.      HisNo evidence in his chart that he went to a medical facility site, however he stated he went to medical facility o/a 4/9/21 to rule out shingles as recommended by his provider. States they told him he did not have shingles and recommended some OTC and other meds he already had at home.   benadryl, zofran (had some at home), and pepcid OTC. Added Benadryl cream.      Was itchy with sweating and a little tender, but not really. Rash disappeared a few hours after waking up one day after 2 1/2 weeks. No problems with vision. Second vaccine today. No problems after vaccine today. Has no PCM, because everyone is full. No meds since home. Little groggy. Disability. Nose lesions resolved and he scratched. He denies any new lotions, soaps, detergents, and states he has some facial wipes that he uses to clean sweat off his face for a long time.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Sensitive skin
Clinical narrative: 1.5 days post vaccine, patient developed a rash on right side of face.  Above Right eye brow spreading to the back of the ear to the bottom of the jaw line.  Some sensitivity and itching.   Provider thought it might be shingles, another clinic told patient to take Benadryl and Pepcid. (He already takes Zyrtec.  Patient plans to use this if reaction occurs again. ,RN   JD   4/15/21 3:23 PM Note    Patient sent a message notifying us that he has a facial rash which is tender to the touch. There is a photo attached to the message. APRN reviewed the message and picture and feels it is uncommon to develop a rash after the COVID vaccine. He can take benadryl and Pepcid to help. APRN will also send out a new prescription to increase patient's Acyclovir to 800 mg PO BID. Patient does not have a PCP to evaluate his skin at this time so it was recommended to him to go to the Urgent Care to be evaluated for shingles.  Patient verbalized his understanding.   Patient, RN   Conversation: Rash PA-C   PA-C   4/30/21 12:50 PM Incomplete Note    Chart review performed. Patient concerned about a rash that developed on the right side of his face 1 1/2 days after his 1st COVID vaccine on 4/9/21.   He called his provider on 4/9/21 to ask what he should do and uploaded a photo. The photo showed an evident raised somewhat erythematous rash located on the upper right side of his face near the eye with one area on the right nasal alae. Areas of redness appeared to have well-demarcated borders. No evidence of vesicles, pustules, scale, abrasions, excoriations, or ulcerations.      HisNo evidence in his chart that he went to a medical facility site, however he stated he went to medical facility o/a 4/9/21 to rule out shingles as recommended by his provider. States they told him he did not have shingles and recommended some OTC and other meds he already had at home.   benadryl, zofran (had some at home), and pepcid OTC. Added Benadryl cream.      Was itchy with sweating and a little tender, but not really. Rash disappeared a few hours after waking up one day after 2 1/2 weeks. No problems with vision. Second vaccine today. No problems after vaccine today. Has no PCM, because everyone is full. No meds since home. Little groggy. Disability. Nose lesions resolved and he scratched. He denies any new lotions, soaps, detergents, and states he has some facial wipes that he uses to clean sweat off his face for a long time.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Moderna COVID-19 Vaccine EUA  Since receiving my second shot of the Moderna vaccine, my tinnitus has been louder and more intense.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Diplegia, Hypoaesthesia, Magnetic resonance imaging spinal abnormal, Neck pain, Pain
Clinical narrative: Patient presented with acute onset neck pain radiating into her arms bilaterally on 4/25.  On 4/27 she acutely became paralyzed in her lower extremities and lose sensation over her abdomen completely and decrease sensation in her legs bilaterally. MRI confirmed large spontaneous epidural hematoma in cervical and thoracic spine.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Spinal epidural haematoma
Clinical narrative: Patient presented with acute onset neck pain radiating into her arms bilaterally on 4/25.  On 4/27 she acutely became paralyzed in her lower extremities and lose sensation over her abdomen completely and decrease sensation in her legs bilaterally. MRI confirmed large spontaneous epidural hematoma in cervical and thoracic spine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Lethargy
Clinical narrative: 4-23-original symptoms were feeling very loopy like I had been given pain meds.  lasted for about 2 hours.  then mild headache.  4-24 other symptoms didn't begin until late afternoon the next day.  low grade fever (99.9), chills, body aches, vomiting, headache.  4-25-very lethargic and tired into the entire next day.  4-26 -back to feeling completely normal
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: 4-23-original symptoms were feeling very loopy like I had been given pain meds.  lasted for about 2 hours.  then mild headache.  4-24 other symptoms didn't begin until late afternoon the next day.  low grade fever (99.9), chills, body aches, vomiting, headache.  4-25-very lethargic and tired into the entire next day.  4-26 -back to feeling completely normal
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Joint injury, Limb injury, Pain, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Drug interaction, Seizure
Clinical narrative: Seizure brought in by adverse reaction to my seizure medication.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Pain
Clinical narrative: Pain at the injection site, moderate full body aches, chills, low grade fever and headache, fatigue, but unable to sleep overnight due to body aches. Worst of symptoms started about 12 hours after vaccine, and mostly resolved about 30 hours after vaccine
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Pain at the injection site, moderate full body aches, chills, low grade fever and headache, fatigue, but unable to sleep overnight due to body aches. Worst of symptoms started about 12 hours after vaccine, and mostly resolved about 30 hours after vaccine
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: "COVID arm"  - redness, firmness at injection site First noticed on day 9, larger on day 10
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling abnormal, Myalgia, Pain in extremity
Clinical narrative: Started with moderate arm pain about 11 hours after injection.  Progressed to fatigue, moderate muscle and joint pain and slight fever over the next 12 hours.  Felt terrible for about 24 hours and slowly began to feel better within 48 hours.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Started with moderate arm pain about 11 hours after injection.  Progressed to fatigue, moderate muscle and joint pain and slight fever over the next 12 hours.  Felt terrible for about 24 hours and slowly began to feel better within 48 hours.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Chills, aches, fever
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Rash, Rash erythematous
Clinical narrative: Within 5 minutes of vaccination patient experienced a red rash on thighs, lower legs, and backs of arms. We administered 50 mg of diphenhydramine onsite. The reaction did not progress so the patient left the pharmacy after 30 minutes. She continued to take scheduled diphenhydramine until 4/21/21. The patient also reports needing to use her rescue albuterol inhaler more frequently than usual for the first two weeks following the vaccination. The rash remained for 1 to 2 weeks. The patient sought medical care with an immunologist Hospital. Dr.  prescribed no additional medication, but told the patient not to receive the second dose.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Paraesthesia, Product administration error, Wrong technique in product usage process
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Injection site pruritus, Injection site rash, Pain, Rash pruritic
Clinical narrative: She got the vaccine and later that evening she got the shakes so bad that the bed was shaking, achy.  the next day same reaction, and had the itchy rash that was 3" down from the shot site and went down near her elbow.  Then, a week after that on 4/4/21 she started getting a rheumatoid flare up which has never had one like this before, which has lasted now about a month.   On 4/9/21 she started with back pain and went to her PCP and diagnosed with a UTI.   You then continued with the same problems, and called her rheumatologist on 4/12/21 and was put on Prednisone.  On 4/14/21 the lower right forearm had a blotch that looked like cellulitis but was not, and felt that it was an allergic reaction/possibly related to the RA flare up.  The flare was in multiple joints and kept moving around.   On 4/22/21 she was started on a 2nd dose of steroids and it didn't work.  Everything has swollen to the point that she had to have  her wedding band cut off due to the extreme swelling on 4/28/21 she had her last pill of steroids.  She ended up getting an IV while in the ER of Methyl prednisolone, which did help her and today she is a different person.  They also gave her a Toradol shot and now on a steroid pack, but this has been almost a month reaction and was having no symptoms before the vaccination.   She does take Humira for her RA.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid arthritis, Swelling, Tremor, Urinary tract infection
Clinical narrative: She got the vaccine and later that evening she got the shakes so bad that the bed was shaking, achy.  the next day same reaction, and had the itchy rash that was 3" down from the shot site and went down near her elbow.  Then, a week after that on 4/4/21 she started getting a rheumatoid flare up which has never had one like this before, which has lasted now about a month.   On 4/9/21 she started with back pain and went to her PCP and diagnosed with a UTI.   You then continued with the same problems, and called her rheumatologist on 4/12/21 and was put on Prednisone.  On 4/14/21 the lower right forearm had a blotch that looked like cellulitis but was not, and felt that it was an allergic reaction/possibly related to the RA flare up.  The flare was in multiple joints and kept moving around.   On 4/22/21 she was started on a 2nd dose of steroids and it didn't work.  Everything has swollen to the point that she had to have  her wedding band cut off due to the extreme swelling on 4/28/21 she had her last pill of steroids.  She ended up getting an IV while in the ER of Methyl prednisolone, which did help her and today she is a different person.  They also gave her a Toradol shot and now on a steroid pack, but this has been almost a month reaction and was having no symptoms before the vaccination.   She does take Humira for her RA.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pyrexia
Clinical narrative: Got shot on Wednesday afternoon. It developed body ache and joint pain by late evening.  Thursday morning got Mild fever the whole day.  Used tylenol in the evening and everything was good by Friday morning.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Injection site paraesthesia, Injection site swelling, Injection site warmth
Clinical narrative: On the afternoon of 4/29/2021 at 2pm, patient came to the pharmacy after receiving her second Pfizer-Biontech COVID-19 vaccine on 4/27/2021 at 1pm.  She spoke with pharmacist regarding side effects.  She stated that on 4/27/2021 after receiving her vaccine, she woke up in the evening around 8pm feeling soreness in her arm and tingling that radiated from the injection site in the left deltoid muscle to the tips of her fingers.  She told the pharmacist that on the following day 4/28/2021 at around 1pm she took some Tylenol for the pain. She noticed at that point that her arm and fingers were swollen, numb, and that she could not fully close her hand.  When she appeared at the pharmacy on 4/29/2021, she stated that her ability to move her hand had returned, but that the swelling and numbness were still the same.  Pharmacist observed that her arm around the injection site was warm and swollen.  She advised the patient to contact her medical provider for further evaluation and in the meantime continue to use Tylenol (the patient could not use anti-inflammatory medications due to a medical condition) and apply cold compresses to the arm.  She also requested the patient to contact the pharmacy for any further questions and to provide an update the following day on 4/30/2021.  On 4/30/2021, pharmacist reached out to the patient at 10am to follow up. The patient stated that swelling and numbness in the hand had decreased, but the tingling sensation was still present.  She is planning on following up with a medical provider today.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: On the afternoon of 4/29/2021 at 2pm, patient came to the pharmacy after receiving her second Pfizer-Biontech COVID-19 vaccine on 4/27/2021 at 1pm.  She spoke with pharmacist regarding side effects.  She stated that on 4/27/2021 after receiving her vaccine, she woke up in the evening around 8pm feeling soreness in her arm and tingling that radiated from the injection site in the left deltoid muscle to the tips of her fingers.  She told the pharmacist that on the following day 4/28/2021 at around 1pm she took some Tylenol for the pain. She noticed at that point that her arm and fingers were swollen, numb, and that she could not fully close her hand.  When she appeared at the pharmacy on 4/29/2021, she stated that her ability to move her hand had returned, but that the swelling and numbness were still the same.  Pharmacist observed that her arm around the injection site was warm and swollen.  She advised the patient to contact her medical provider for further evaluation and in the meantime continue to use Tylenol (the patient could not use anti-inflammatory medications due to a medical condition) and apply cold compresses to the arm.  She also requested the patient to contact the pharmacy for any further questions and to provide an update the following day on 4/30/2021.  On 4/30/2021, pharmacist reached out to the patient at 10am to follow up. The patient stated that swelling and numbness in the hand had decreased, but the tingling sensation was still present.  She is planning on following up with a medical provider today.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Tinnitus
Clinical narrative: Chronic and loud tinnitus, ear aches
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Intensive care, Myocardial infarction, Resuscitation, Stent placement
Clinical narrative: Heart Attack at 7:10 am( 4/9/21), CPR, CCU, CPR, Death(4/11/21) 9:15pm
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Laboratory test, Magnetic resonance imaging, Magnetic resonance imaging head, Nausea
Clinical narrative: H/A, Nausea, vomited x1, lightheaded
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: H/A, Nausea, vomited x1, lightheaded
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Activated protein C resistance test, Anticoagulant therapy, Antithrombin III, Beta-2 glycoprotein antibody negative, Cardiolipin antibody
Clinical narrative: H/A, Nausea, vomited x1, lightheaded
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiolipin antibody negative, Cerebral venous sinus thrombosis, Dizziness, Eye pain, Gene mutation identification test negative
Clinical narrative: H/A, Nausea, vomited x1, lightheaded
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea, Pain, Paraesthesia, Platelet count decreased
Clinical narrative: H/A, Nausea, vomited x1, lightheaded
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Protein S, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Thrombocytopenia, Vaccination complication
Clinical narrative: H/A, Nausea, vomited x1, lightheaded
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Laboratory test, Magnetic resonance imaging, Magnetic resonance imaging head, Nausea
Clinical narrative: Three days after receiving the vaccine,  he developed a headache which was intermittent  with pain score of 5-8 out of 10.  Headache became consistent around 4/11/21.  Pain is in the occipital region and occasionally radiates behind the eyes.  Also complains of dizziness, nausea, vomiting, and tingling in his hands bilaterally - worse in the mornings and goes away after waking up.   He presented to Medical Center on 4/28/21 and transferred to  Medical Center for treatment of vaccine induced thrombocytopenia and nonocclusive straight sinus thrombus.  He was started on bivalirudin  infusion 4/29 @ 0142 via continuous infusion.  Still receiving treatment at the time of this report.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Three days after receiving the vaccine,  he developed a headache which was intermittent  with pain score of 5-8 out of 10.  Headache became consistent around 4/11/21.  Pain is in the occipital region and occasionally radiates behind the eyes.  Also complains of dizziness, nausea, vomiting, and tingling in his hands bilaterally - worse in the mornings and goes away after waking up.   He presented to Medical Center on 4/28/21 and transferred to  Medical Center for treatment of vaccine induced thrombocytopenia and nonocclusive straight sinus thrombus.  He was started on bivalirudin  infusion 4/29 @ 0142 via continuous infusion.  Still receiving treatment at the time of this report.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Activated protein C resistance test, Anticoagulant therapy, Antithrombin III, Beta-2 glycoprotein antibody negative, Cardiolipin antibody
Clinical narrative: Three days after receiving the vaccine,  he developed a headache which was intermittent  with pain score of 5-8 out of 10.  Headache became consistent around 4/11/21.  Pain is in the occipital region and occasionally radiates behind the eyes.  Also complains of dizziness, nausea, vomiting, and tingling in his hands bilaterally - worse in the mornings and goes away after waking up.   He presented to Medical Center on 4/28/21 and transferred to  Medical Center for treatment of vaccine induced thrombocytopenia and nonocclusive straight sinus thrombus.  He was started on bivalirudin  infusion 4/29 @ 0142 via continuous infusion.  Still receiving treatment at the time of this report.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiolipin antibody negative, Cerebral venous sinus thrombosis, Dizziness, Eye pain, Gene mutation identification test negative
Clinical narrative: Three days after receiving the vaccine,  he developed a headache which was intermittent  with pain score of 5-8 out of 10.  Headache became consistent around 4/11/21.  Pain is in the occipital region and occasionally radiates behind the eyes.  Also complains of dizziness, nausea, vomiting, and tingling in his hands bilaterally - worse in the mornings and goes away after waking up.   He presented to Medical Center on 4/28/21 and transferred to  Medical Center for treatment of vaccine induced thrombocytopenia and nonocclusive straight sinus thrombus.  He was started on bivalirudin  infusion 4/29 @ 0142 via continuous infusion.  Still receiving treatment at the time of this report.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea, Pain, Paraesthesia, Platelet count decreased
Clinical narrative: Three days after receiving the vaccine,  he developed a headache which was intermittent  with pain score of 5-8 out of 10.  Headache became consistent around 4/11/21.  Pain is in the occipital region and occasionally radiates behind the eyes.  Also complains of dizziness, nausea, vomiting, and tingling in his hands bilaterally - worse in the mornings and goes away after waking up.   He presented to Medical Center on 4/28/21 and transferred to  Medical Center for treatment of vaccine induced thrombocytopenia and nonocclusive straight sinus thrombus.  He was started on bivalirudin  infusion 4/29 @ 0142 via continuous infusion.  Still receiving treatment at the time of this report.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Protein S, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Thrombocytopenia, Vaccination complication
Clinical narrative: Three days after receiving the vaccine,  he developed a headache which was intermittent  with pain score of 5-8 out of 10.  Headache became consistent around 4/11/21.  Pain is in the occipital region and occasionally radiates behind the eyes.  Also complains of dizziness, nausea, vomiting, and tingling in his hands bilaterally - worse in the mornings and goes away after waking up.   He presented to Medical Center on 4/28/21 and transferred to  Medical Center for treatment of vaccine induced thrombocytopenia and nonocclusive straight sinus thrombus.  He was started on bivalirudin  infusion 4/29 @ 0142 via continuous infusion.  Still receiving treatment at the time of this report.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The vaccine was diluted with 1.8ml of the diluent. There was a misunderstanding and the pharmacist thought the same amount was also drawn up to be injected to the patient. The patient got too much of the dose.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: PATIENT VOMITED
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hypotension, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Additional Details: PATIENT WAS SITTING IN THE MINUTE CLINIC WAITING AREA, SYNCOPAL EPISODE, BP WAS 79/54, HR 71, TEMP 97.9, 02 98% LUNGS CLEAR, 15 MINUTES LATER PATIENTS BP 123/81 HR 74 100%
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea
Clinical narrative: Cough  Shortness of Breath  Headache Nasal and Chest Congestion Loss of Taste and Smell
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lower respiratory tract congestion, Nasal congestion, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Cough  Shortness of Breath  Headache Nasal and Chest Congestion Loss of Taste and Smell
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Loss of consciousness, Myalgia, Nausea
Clinical narrative: 4/28/21 @ 630p headache,muscle pain,nausea,left arm pain. 4/29/21 715am slight headache, mild left arm soreness, over whelming nausea, dizziness followed by passing out. 4/30/21 715a slight left arm pain. Feeling fine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: 4/28/21 @ 630p headache,muscle pain,nausea,left arm pain. 4/29/21 715am slight headache, mild left arm soreness, over whelming nausea, dizziness followed by passing out. 4/30/21 715a slight left arm pain. Feeling fine.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus (both ears)
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Confusional state, Hypoxia, Lethargy
Clinical narrative: The patient presented to Emergency Department with lethargy, confusion, and hypoxia. Upon presentation to the ED, the patient tested positive for COVID-19 (04/29/21). The patient is currently being treated with dexamethasone and remdesivir.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive
Clinical narrative: The patient presented to Emergency Department with lethargy, confusion, and hypoxia. Upon presentation to the ED, the patient tested positive for COVID-19 (04/29/21). The patient is currently being treated with dexamethasone and remdesivir.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Inappropriate schedule of product administration, Injection site pain
Clinical narrative: This patient was given the 2nd dose 6 days early. The 1st dose was given on 04/14/2021. The symptoms reported by this patient's mom today were tiredness and soreness in his arm or the injection site but no fever noted. I gave a courtesy call today just to check to see how patient is doing. No serious side effects reported.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Blood culture negative, Brain natriuretic peptide increased, Chest X-ray normal, Myocardial necrosis marker increased
Clinical narrative: Patient received 2nd COVID19 Vaccine on 4/15/21. Patient began running a fever of >100.5 on the evening of 4/16/21. The morning of 4/17/2021 the patient was  brought into the ER with concerns of hypoxia and tachypnea. Admitted to observation status to monitor oxygen saturation and respiratory status.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Urine analysis normal
Clinical narrative: Patient received 2nd COVID19 Vaccine on 4/15/21. Patient began running a fever of >100.5 on the evening of 4/16/21. The morning of 4/17/2021 the patient was  brought into the ER with concerns of hypoxia and tachypnea. Admitted to observation status to monitor oxygen saturation and respiratory status.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Limb discomfort, Pain in extremity
Clinical narrative: Had the moderns vaccine dose 1 april 21, 2021, only had a sore arm for about 2 days after. Around April 29, 2021 a big red perfect circle had formed around it, it is really tender and is sore. I'm just trying to make sure I do not need to go to the doctor or the hospital.  Thanks.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Inflammation, Injection site erythema
Clinical narrative: Mild tingling of lips and face about 45 mins.  following injection.  Took Zyrtec and Pepsid.  This did not happen with first dose.  Arm red, swollen and hot to touch in 3" diameter around injection site, mild nausea, headache, fatigue within a few hours.  Arm grew increasingly painful with area of inflammation increasing to most of upper arm area and itching of arm.  Arm pain did not lessen for 5 full days then gradually resolved.  All over aches and pains increased above patient's normal threshold for full to weeks following  first vaccine on 03/27/2021 and continue today.  Elevated fatigue also continues.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Nausea
Clinical narrative: Mild tingling of lips and face about 45 mins.  following injection.  Took Zyrtec and Pepsid.  This did not happen with first dose.  Arm red, swollen and hot to touch in 3" diameter around injection site, mild nausea, headache, fatigue within a few hours.  Arm grew increasingly painful with area of inflammation increasing to most of upper arm area and itching of arm.  Arm pain did not lessen for 5 full days then gradually resolved.  All over aches and pains increased above patient's normal threshold for full to weeks following  first vaccine on 03/27/2021 and continue today.  Elevated fatigue also continues.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Paraesthesia oral, Peripheral swelling, Pruritus
Clinical narrative: Mild tingling of lips and face about 45 mins.  following injection.  Took Zyrtec and Pepsid.  This did not happen with first dose.  Arm red, swollen and hot to touch in 3" diameter around injection site, mild nausea, headache, fatigue within a few hours.  Arm grew increasingly painful with area of inflammation increasing to most of upper arm area and itching of arm.  Arm pain did not lessen for 5 full days then gradually resolved.  All over aches and pains increased above patient's normal threshold for full to weeks following  first vaccine on 03/27/2021 and continue today.  Elevated fatigue also continues.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Mild tingling of lips and face about 45 mins.  following injection.  Took Zyrtec and Pepsid.  This did not happen with first dose.  Arm red, swollen and hot to touch in 3" diameter around injection site, mild nausea, headache, fatigue within a few hours.  Arm grew increasingly painful with area of inflammation increasing to most of upper arm area and itching of arm.  Arm pain did not lessen for 5 full days then gradually resolved.  All over aches and pains increased above patient's normal threshold for full to weeks following  first vaccine on 03/27/2021 and continue today.  Elevated fatigue also continues.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Blood glucose normal, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: 1:10 PM Patient complained of dizziness and sweating and lower back pain. Immediately evaluated by onsite NP and EMS. Placed on monitor which showed Sinus Tachycardia and a rate of 125. Finger stick BS 81. Patient had minimal food intake prior to coming to clinic. Offered cereal bar and cool water. Tachycardia did not resolve. Patient pulse raised to 151. Patient remained pale. Placed in Trendelenburg. O2 4 liters non-rebreather added at 1:40 PM. Contacted fire department to transport patient to hospital.  1:15: PM A and O X 3.  Affect somewhat flat. BP 124/74 02: 99, Pulse 110  1:40 PM BP 130/80 P 125 02: 99. Continues to complain of lower back pain 3/10  1:50 PM: Fire department arrived to transport patient to hospital
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinus tachycardia
Clinical narrative: 1:10 PM Patient complained of dizziness and sweating and lower back pain. Immediately evaluated by onsite NP and EMS. Placed on monitor which showed Sinus Tachycardia and a rate of 125. Finger stick BS 81. Patient had minimal food intake prior to coming to clinic. Offered cereal bar and cool water. Tachycardia did not resolve. Patient pulse raised to 151. Patient remained pale. Placed in Trendelenburg. O2 4 liters non-rebreather added at 1:40 PM. Contacted fire department to transport patient to hospital.  1:15: PM A and O X 3.  Affect somewhat flat. BP 124/74 02: 99, Pulse 110  1:40 PM BP 130/80 P 125 02: 99. Continues to complain of lower back pain 3/10  1:50 PM: Fire department arrived to transport patient to hospital