chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Muscle spasms, Myalgia, Nausea
Clinical narrative: I received the dose approximately 7:15pm. Within about 8 minutes of receiving the Pfizer COVID-19 vaccine I experienced pins and needles sensation on the left side of my body in my left arm and strong muscle pain in my left neck. I felt nauseous intermittently.  The nurse stated that my skin looked a little blotchy on my chest. Joint pain in my left knee and left arm was intermittent as well as intermittent pins and needles sensation in my left ear and burning in my left fore arm. I felt somewhat lightheaded. This lasted for about 15-30 minutes on and off. The nurse measured my BP and oxygen saturation which were in acceptable ranges. I kept moving my arm to relieve the strong and at times painful muscle cramping sensation in my neck and massaged my neck. By about 8pm the light headedness and nausea passed enough that I could drive home. On the way home the left side of my throat felt thick and somewhat swollen but not enough to prevent me from driving or breathing in any way. At home I focused on drinking a lot of water and gently moving my arm to relieve the pins and needles sensation. After eating dinner and hydrating I felt some improvement and most pins and needles sensation and neck soreness/throat thick sensation was resolved by about 11 pm. I was able to rest fairly well through the night until 7am the next morning when pain at the injection side woke me up. Soreness at the injection site, headache, fatigue, nausea, and mild chills are what I noticed today which appears to be more typically expected from the vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Paraesthesia, Pharyngeal swelling, Rash macular, Throat irritation
Clinical narrative: I received the dose approximately 7:15pm. Within about 8 minutes of receiving the Pfizer COVID-19 vaccine I experienced pins and needles sensation on the left side of my body in my left arm and strong muscle pain in my left neck. I felt nauseous intermittently.  The nurse stated that my skin looked a little blotchy on my chest. Joint pain in my left knee and left arm was intermittent as well as intermittent pins and needles sensation in my left ear and burning in my left fore arm. I felt somewhat lightheaded. This lasted for about 15-30 minutes on and off. The nurse measured my BP and oxygen saturation which were in acceptable ranges. I kept moving my arm to relieve the strong and at times painful muscle cramping sensation in my neck and massaged my neck. By about 8pm the light headedness and nausea passed enough that I could drive home. On the way home the left side of my throat felt thick and somewhat swollen but not enough to prevent me from driving or breathing in any way. At home I focused on drinking a lot of water and gently moving my arm to relieve the pins and needles sensation. After eating dinner and hydrating I felt some improvement and most pins and needles sensation and neck soreness/throat thick sensation was resolved by about 11 pm. I was able to rest fairly well through the night until 7am the next morning when pain at the injection side woke me up. Soreness at the injection site, headache, fatigue, nausea, and mild chills are what I noticed today which appears to be more typically expected from the vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Flushing, Palpitations
Clinical narrative: Warm flushed feeling, racing heart, dizziness that started about two minutes after injection. It dissipated after about 3-5 minutes.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Headache, Hypoaesthesia, Immediate post-injection reaction, Injection site pain
Clinical narrative: Right arm burning sensation as injection was started. Right arm soreness at injection site immediately. About 45 minutes after vaccine, new onset of facial numbness and tingling (in cheeks and forehead). Symptoms went away after about 10 minutes. Facial numbness/tingling returned 3 hours post injection for >30 minutes. Woke up the next day and facial numbness/tingling was still present and also included both sides of face. This resolved around 1:00pm. Headache and significant right arm pain continued. Took 600mg of ibuprofen which reduced pain. Saturday (today) mild right arm soreness.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Right arm burning sensation as injection was started. Right arm soreness at injection site immediately. About 45 minutes after vaccine, new onset of facial numbness and tingling (in cheeks and forehead). Symptoms went away after about 10 minutes. Facial numbness/tingling returned 3 hours post injection for >30 minutes. Woke up the next day and facial numbness/tingling was still present and also included both sides of face. This resolved around 1:00pm. Headache and significant right arm pain continued. Took 600mg of ibuprofen which reduced pain. Saturday (today) mild right arm soreness.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot, Heart rate increased
Clinical narrative: Elevated heart rate Warmth Shortness of breath
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: At approximately 9pm the day of the vaccination I developed a very aggressive and pounding headache, I went to sleep at about 11pm. The headache progressed throughout the night and I could feel that I had a fever. At 5:45 the following morning I got up and checked my temperature. It was came back as 101.2°F. I took 2 tablets of 200mg ibuprofen and the headache and fever subsided in about an hour and my temperature was within normal range. For several hours I felt fine, however in the early afternoon my body felt extremely fatigued and the headache was returning and I had a few bouts of chills.  At 4:30pm  this afternoon (the day after vaccination), I took my temperature again and it was 100.4°F.  I took 2 more 200mg tablets of ibuprofen and took a nap. Approximately 90 minutes later, I rechecked my temperature and yielded a 100.1°F fever and still had a mild headache.  As of right now, at 9:30pm the day after vaccination, I no longer have a headache nor a noticable fever, just minor fatigue.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbness on the right side of face (not severe)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Erythematous facial and neck rash
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Eye pain, Headache, Pelvic girdle pain, Pyrexia
Clinical narrative: On 12/18/20, I woke up with a fever of 103.6, so I took Tylenol and applied wet wash cloths to my face and body to cool down. I initially was successful, and passed the temperature screening gates at work. But later that day at work I needed to take Tylenol every 8 hours because my fever returned, and I spent the whole day working while febrile. I am a respiratory therapist, so I knew that my fever was Covid vaccine related, and not because I was infectious.  I also experienced base of the skull headache, bilateral eye orbital pain, and tachycardia on my pulse ox about 130 HR, probably due to fever.  I also had joint pain, mostly of hip girdle.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: On 12/18/20, I woke up with a fever of 103.6, so I took Tylenol and applied wet wash cloths to my face and body to cool down. I initially was successful, and passed the temperature screening gates at work. But later that day at work I needed to take Tylenol every 8 hours because my fever returned, and I spent the whole day working while febrile. I am a respiratory therapist, so I knew that my fever was Covid vaccine related, and not because I was infectious.  I also experienced base of the skull headache, bilateral eye orbital pain, and tachycardia on my pulse ox about 130 HR, probably due to fever.  I also had joint pain, mostly of hip girdle.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Rash, Swelling, Urticaria
Clinical narrative: Rash/hives over entire body, including mouth. Unbearable itching and swelling for about two weeks.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Heart rate increased, Malaise, Nausea
Clinical narrative: Flushing, racing pulse, rash (stomach, back), faint, dizzy, nausea, feeling unwell
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Syncope
Clinical narrative: Flushing, racing pulse, rash (stomach, back), faint, dizzy, nausea, feeling unwell
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Arm pain, controlled by heat and massage, no adverse event
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: 10 minutes after injection in my left arm The right side of my face felt numb and was tingling. It felt like my right eye was swollen ( which it didn?t appear to be) also the numbness extended to my jaw Lasted about 15 minutes then slowly went away
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Body temperature increased, Dizziness, Dyspnoea, Injection site erythema, Lymphadenopathy
Clinical narrative: 40 minutes after vaccine on 12/19 heart racing and trouble breathing.  Light headed.  went for treatment received epi pen and transported to hospital.  Received no more treatment after Epi pen at hospital.    Never had reaction to a vaccine.  Never had any allergic reaction.
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Palpitations, Pharyngitis
Clinical narrative: 40 minutes after vaccine on 12/19 heart racing and trouble breathing.  Light headed.  went for treatment received epi pen and transported to hospital.  Received no more treatment after Epi pen at hospital.    Never had reaction to a vaccine.  Never had any allergic reaction.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Nausea
Clinical narrative: 1520 patient reported numbness of bottom lip.  Had this response in past--2005 or 2006 with preservative in influenza vaccination.  Has not occurred since with use of preservative free influenza vaccination.  1522 numbness to tongue.  No swelling of oral cavity on assessment.  Face symmetric.  1526 feels slightly nauseous.  BP 122/82, HR 72, RR 14.  1530 Patient states still has numb sensation to bottom lip and little on tongue.  Denies SOB, denies difficulty swallowing, denies pain/tightness/tingling.  Speech is clear.  Mentation unchanged.  BP on retake 124/80, HR 70, RR 12.  Patient refusing further eval and treatment at ER.  Patient verbalizes last time she took benadry and zantac and was fine.  1545 Patient left building.  Sister driving patient.  Instructed patient on signs/symptoms to call 911.    1630--Telephone call to patient to check on her.  Patient states she took benadryl and zantac.  States bottom lip and tongue are still numb.  Highly encouraged patient to return to ER and get evaluated by physician.  Patient said she was fine but knew what to do if needed.  1800--Telephone call to patient to check on her.  Patient states she feels much better and is inquiring about second dose.  Informed patient that we would follow up with her next week regarding next steps.
Age: 30.0
Sex: F
Vaccine: DTAP
Symptoms: Laboratory test, Neuralgia, Neuropathy peripheral, Psychotic disorder, Seizure
Clinical narrative: Nerve pain, psychosis, seizure, neuropathy
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Syncope
Clinical narrative: Shortly after vaccination, Patient had a vasovagal response and subsequently vomited. Patient's vitals were stable and quickly recovered. Did not lose consciousness.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Heart rate increased, Hot flush, Throat tightness
Clinical narrative: Chest tightness Hot flash for 1 minute  Tight throat  High heart rate 120s-130s
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: Chills, body aches, headache, nausea
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Hypoacusis, Nausea
Clinical narrative: Vaccination given at 12:50  12:54?started feeling lightheaded.  Sitting in chair in observation waiting area.   RN present in observation area.   12:55? feeling not right. Water given. Feeling nauseated.   1302?unable to hear BP via manual cuff in chair times 2   Lowered to floor and feet elevated   1305 ?88/54, 60 HR still nauseated and lightheaded.   1309?911 called   13:10?felt she was improving. Nausea better. 104/66, 68  13:12?110/68 HR 68 13:15?felling better. Sat up on floor. 98/50, 88 13:18?EMS arrived. BS 98. BP 112/72 Refused to go to ER by ambulance. Medics left.  13:25? RN and RN assisted patient to wheelchair.  After talking with patient she did agree to going to ER to be seen by physician.  Wheeled to ER and care assumed by ER team.   Patient never lost consciousness and never had change in mentation. She always maintained conversation and orientation. She states didn?t feel sick enough to go to ER.    Patient was discharged from ER to home.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: Arm soreness, headache, fatigue
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, UNK
Symptoms: Deafness neurosensory, Hypoacusis, Tinnitus
Clinical narrative: 28 hrs after vaccine, woke up with tinnitus R ear, partial hearing loss R ear - went to Urgent care - Dr diagnosed with right sensorineural hearing loss with left side unrestricted hearing - prescribed prednisone 60mg a day x10days.  Audiology test to be scheduled next week.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, UNK
Symptoms: Acoustic stimulation tests abnormal, Deafness neurosensory, Tinnitus
Clinical narrative: 28 hrs after vaccine, woke up with tinnitus R ear, partial hearing loss R ear - went to Urgent care - Dr diagnosed with right sensorineural hearing loss with left side unrestricted hearing - prescribed prednisone 60mg a day x10days.  Audiology test to be scheduled next week.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, UNK
Symptoms: Deafness neurosensory, Deafness unilateral, Tinnitus
Clinical narrative: 28 hrs after vaccine, woke up with tinnitus R ear, partial hearing loss R ear - went to Urgent care - Dr diagnosed with right sensorineural hearing loss with left side unrestricted hearing - prescribed prednisone 60mg a day x10days.  Audiology test to be scheduled next week.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Puritic rash with multiple sites of itching all over patient's body. Lasted for about 30 minutes after onset of symptoms. Given 50mg Benadryl after initial onset of itching & 125mg of Solu-Medrol 10 minutes later.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Pain
Clinical narrative: Reports sharp, frontal chest pain worse with deep breathe/movement.  began 25-30 minutes after recieving Pfizer's COVID-19 vaccination. 11:20am  Vts:  BP 109/54, P83, Sat 98%on RA.   Exam:  Alert, in NAD.  airway no swelling, wide open.  talking and sitting comfortably.  No dyspnea.  Hrrt RRR no murmur.  CTA c/l.  Left sternal border around rib 5 tender point reproduces her pain.  Laughing and talking.  Repeat bp at 11:30 109/63, P 79.  Respirations 12 and normal.
Age: 0.5
Sex: F
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: rash chest, stomach, back
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Cough, Fatigue, Headache
Clinical narrative: w/in hour, arm sore; 5pm-fatigued, some body/muscle aches; 8:30pm-slight headache; 9:30-more body/muscle aches, very tired; 10:30pm-cold; 11pm-started shivering; 11:30-temp of 99°, coughing; by 1am-temp up to 101.7°, continuous coughing, headache, body aches, chills, shivering, some nausea. Continued throughout night. But by 8:30am, temp lowering, now 100.8°, no more chills/shivering, not cold, but actually hot, body/muscle aches & cough had started to subside, headache& nausea gone. By 10:30 - all symptoms gone except very tired. 11:30 until late afternoon-exhausted, slept. Next day, I was fine, not one symptom.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pain, Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: w/in hour, arm sore; 5pm-fatigued, some body/muscle aches; 8:30pm-slight headache; 9:30-more body/muscle aches, very tired; 10:30pm-cold; 11pm-started shivering; 11:30-temp of 99°, coughing; by 1am-temp up to 101.7°, continuous coughing, headache, body aches, chills, shivering, some nausea. Continued throughout night. But by 8:30am, temp lowering, now 100.8°, no more chills/shivering, not cold, but actually hot, body/muscle aches & cough had started to subside, headache& nausea gone. By 10:30 - all symptoms gone except very tired. 11:30 until late afternoon-exhausted, slept. Next day, I was fine, not one symptom.
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Chills, Dizziness, Feeling abnormal
Clinical narrative: Pt received the COVID Pfizer vaccine at 1324 and at 1335 pt c/o feeling anxious and flushed. Pt VS: 143/94 91 18 99% AA.  Pt admitted she had not eaten before coming in for vaccine. Pt put in recliner chair and taking water and rice crispy treat without difficulty and symptoms resolved.  Pt kept for continued monitoring. 1350 pt c/o of "not feeling right" and that she was going to pass out. Pt layed back in lab chair; 02 at 2L per NC applied. B/p 140/100 HR 127 02 sat 100% pt pale, cool and shivering; pt c/o she didn't feel right.  Benadryl 50mg IM given at 1351 and 911 called. Pt had no hives, No itching lungs clear, HR 103 and 02 sat remained at 100%.  Continued to monitor pt: VS 1400 140/90 103 18 100% on 2L/NC.  Pt reports no NKA,  Meds: Esterace VAg Supp started 4 days ago Levothyroid 75mcg po daily Pt has never had reaction to medication or vaccines in past.  Pt still c/o feeling week but better--held off on Epi since EMS had arrived 1400.  Pt transferred to ER in stable condition. 1405: ER called and report given.
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Flushing, Pallor
Clinical narrative: Pt received the COVID Pfizer vaccine at 1324 and at 1335 pt c/o feeling anxious and flushed. Pt VS: 143/94 91 18 99% AA.  Pt admitted she had not eaten before coming in for vaccine. Pt put in recliner chair and taking water and rice crispy treat without difficulty and symptoms resolved.  Pt kept for continued monitoring. 1350 pt c/o of "not feeling right" and that she was going to pass out. Pt layed back in lab chair; 02 at 2L per NC applied. B/p 140/100 HR 127 02 sat 100% pt pale, cool and shivering; pt c/o she didn't feel right.  Benadryl 50mg IM given at 1351 and 911 called. Pt had no hives, No itching lungs clear, HR 103 and 02 sat remained at 100%.  Continued to monitor pt: VS 1400 140/90 103 18 100% on 2L/NC.  Pt reports no NKA,  Meds: Esterace VAg Supp started 4 days ago Levothyroid 75mcg po daily Pt has never had reaction to medication or vaccines in past.  Pt still c/o feeling week but better--held off on Epi since EMS had arrived 1400.  Pt transferred to ER in stable condition. 1405: ER called and report given.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: sx: itching treatment: Benadryl, pepcid & solumedrol.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthma, Chest X-ray normal, Condition aggravated, Dyspnoea, Hypersensitivity
Clinical narrative: sx: itching treatment: Benadryl, pepcid & solumedrol.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Malaise, Rash
Clinical narrative: sx: itching treatment: Benadryl, pepcid & solumedrol.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood pressure increased, Dyspnoea, Erythema, Feeling hot, Headache
Clinical narrative: sx: itching treatment: Benadryl, pepcid & solumedrol.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Heart rate increased, Nausea, Pruritus, Rash macular
Clinical narrative: sx: itching treatment: Benadryl, pepcid & solumedrol.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Oral pruritus, Pruritus
Clinical narrative: Light head, oral & generalized itching feeling flushed  25mg Benadryl PO - Resolved Sx
Sex: F
Vaccine: COVID19
Symptoms: Upper respiratory tract irritation, Urticaria
Clinical narrative: Hives Pharyngeal Irritation Improve with IM Epinephrine
Age: 52.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Arthralgia, Injection site pain, Injection site scar, Neck pain, Pain
Clinical narrative: Burning when shot was administered.  Raised bump at injection site that is not going away.  Pain in upper arm especially when making certain arm movements.  Went back to the pharmacy to have a pharmacist look at it.  (not the same pharmacist who did my injection) Staff looked at my arm and said she would not have injected it in that spot.  I went to my doctor and she informed me it was injected into the tendon and that is why I am having so much pain.  No tests were done.  I was told to do arm exercises.
Age: 52.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Pain in extremity
Clinical narrative: Burning when shot was administered.  Raised bump at injection site that is not going away.  Pain in upper arm especially when making certain arm movements.  Went back to the pharmacy to have a pharmacist look at it.  (not the same pharmacist who did my injection) Staff looked at my arm and said she would not have injected it in that spot.  I went to my doctor and she informed me it was injected into the tendon and that is why I am having so much pain.  No tests were done.  I was told to do arm exercises.
Age: 52.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Injection site induration, Injection site pain, Pain in extremity, Wrong technique in product usage process
Clinical narrative: Burning when shot was administered.  Raised bump at injection site that is not going away.  Pain in upper arm especially when making certain arm movements.  Went back to the pharmacy to have a pharmacist look at it.  (not the same pharmacist who did my injection) Staff looked at my arm and said she would not have injected it in that spot.  I went to my doctor and she informed me it was injected into the tendon and that is why I am having so much pain.  No tests were done.  I was told to do arm exercises.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyskinesia, Dyspnoea, Feeling hot, Flushing, Intensive care
Clinical narrative: On 12/17/2020 she received the COVID 19 vaccine at 11:54 am, patient noted she was premedicated prior to the vaccine with Decadron 4 mg and Benadryl 25 mg. Prior to that patient only had breakfast at 4:00 am which consisted on cheerios, she did not have any thing else additional to eat prior to receiving the vaccine. Almost immediately after having the vaccine the patient began to have a red rash to the chest which progressed to the face, she then began to experience shortness of breath followed by respiratory distress, she self administered Epinephrine, received additional steroids, pepcid, epinenephrine was observed and sent home on benadryl Q6hrly. Around 11:20 pm on that same day she began to experience cough and wheezing, she intially thought it was asthma but noticed additional hives and started to experience respiratory distress. She self injected her epipen and went to the ED. In the ED she was noted to be in respiratory distress and was complaining of cough, choking sensation, she received an additional dose of Epinephrine, pepcid, steroids and benadryl and was admitted to the medicine floor for observation. While on the floor she began to experience another episode of anaphylaxis described as throat tightening , wheezing with rash developing over chest.  This progressed to angioedema/tongue swelling despite appropriate treatment with IM Epi 0.5 mg x 2 and steroids. ENT scoped at bed side with Pertinent Endoscopy Findings:  intact septum, boggy nasal turbinates, pale middle meatal mucosa, no lesions within nasopharynx, non-obstructive base of tongue but with mild edema almost touching epiglottis, epiglottis in normal position with no lesions, no edema of false cords, true cords mobile, no edema of arytenoid and post-cricoid mucosa, no pooling in hypopharynx. The remainder of the examination was normal. Post Procedure Diagnosis: mild tongue edema but with widely patent larynx. She was initiated on an Epinephrine Drip and transferred to the ICU. The patient continued on the Epi drip and was weened on 12/19/2020 around 18:59, with symptoms of tongue swelling improving. Patient was fed and shortly after (pasta with a meat sauce thought to be beef and apple sauce), dietician was contacted at hospital to confirm practices of meal preparation in the hospital kitchen for possible cross contamination with fish. After dinner she began to feel facial flushing especially to the left side of her face with funny sensations leading down he left arm and associated chest pressure, EKG showed normal sinus rhythm, she was placed on oxygen via nasal cannula and Epi drip restarted. Predominantly all symptoms were upper airway with no signs of systemic shock, she did not experience vomiting or diarrhea. Course was also complicated by mild steroid induced hyperglycemia, endocrine was consulted to assist in management. She was transferred to hospital for continued management and remained on upon transfer.  She continues on epi 2 mcg/min and remains asymptomatic.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory arrest, Urticaria, Wheezing
Clinical narrative: On 12/17/2020 she received the COVID 19 vaccine at 11:54 am, patient noted she was premedicated prior to the vaccine with Decadron 4 mg and Benadryl 25 mg. Prior to that patient only had breakfast at 4:00 am which consisted on cheerios, she did not have any thing else additional to eat prior to receiving the vaccine. Almost immediately after having the vaccine the patient began to have a red rash to the chest which progressed to the face, she then began to experience shortness of breath followed by respiratory distress, she self administered Epinephrine, received additional steroids, pepcid, epinenephrine was observed and sent home on benadryl Q6hrly. Around 11:20 pm on that same day she began to experience cough and wheezing, she intially thought it was asthma but noticed additional hives and started to experience respiratory distress. She self injected her epipen and went to the ED. In the ED she was noted to be in respiratory distress and was complaining of cough, choking sensation, she received an additional dose of Epinephrine, pepcid, steroids and benadryl and was admitted to the medicine floor for observation. While on the floor she began to experience another episode of anaphylaxis described as throat tightening , wheezing with rash developing over chest.  This progressed to angioedema/tongue swelling despite appropriate treatment with IM Epi 0.5 mg x 2 and steroids. ENT scoped at bed side with Pertinent Endoscopy Findings:  intact septum, boggy nasal turbinates, pale middle meatal mucosa, no lesions within nasopharynx, non-obstructive base of tongue but with mild edema almost touching epiglottis, epiglottis in normal position with no lesions, no edema of false cords, true cords mobile, no edema of arytenoid and post-cricoid mucosa, no pooling in hypopharynx. The remainder of the examination was normal. Post Procedure Diagnosis: mild tongue edema but with widely patent larynx. She was initiated on an Epinephrine Drip and transferred to the ICU. The patient continued on the Epi drip and was weened on 12/19/2020 around 18:59, with symptoms of tongue swelling improving. Patient was fed and shortly after (pasta with a meat sauce thought to be beef and apple sauce), dietician was contacted at hospital to confirm practices of meal preparation in the hospital kitchen for possible cross contamination with fish. After dinner she began to feel facial flushing especially to the left side of her face with funny sensations leading down he left arm and associated chest pressure, EKG showed normal sinus rhythm, she was placed on oxygen via nasal cannula and Epi drip restarted. Predominantly all symptoms were upper airway with no signs of systemic shock, she did not experience vomiting or diarrhea. Course was also complicated by mild steroid induced hyperglycemia, endocrine was consulted to assist in management. She was transferred to hospital for continued management and remained on upon transfer.  She continues on epi 2 mcg/min and remains asymptomatic.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Angioedema, Chest discomfort, Choking sensation, Cough
Clinical narrative: On 12/17/2020 she received the COVID 19 vaccine at 11:54 am, patient noted she was premedicated prior to the vaccine with Decadron 4 mg and Benadryl 25 mg. Prior to that patient only had breakfast at 4:00 am which consisted on cheerios, she did not have any thing else additional to eat prior to receiving the vaccine. Almost immediately after having the vaccine the patient began to have a red rash to the chest which progressed to the face, she then began to experience shortness of breath followed by respiratory distress, she self administered Epinephrine, received additional steroids, pepcid, epinenephrine was observed and sent home on benadryl Q6hrly. Around 11:20 pm on that same day she began to experience cough and wheezing, she intially thought it was asthma but noticed additional hives and started to experience respiratory distress. She self injected her epipen and went to the ED. In the ED she was noted to be in respiratory distress and was complaining of cough, choking sensation, she received an additional dose of Epinephrine, pepcid, steroids and benadryl and was admitted to the medicine floor for observation. While on the floor she began to experience another episode of anaphylaxis described as throat tightening , wheezing with rash developing over chest.  This progressed to angioedema/tongue swelling despite appropriate treatment with IM Epi 0.5 mg x 2 and steroids. ENT scoped at bed side with Pertinent Endoscopy Findings:  intact septum, boggy nasal turbinates, pale middle meatal mucosa, no lesions within nasopharynx, non-obstructive base of tongue but with mild edema almost touching epiglottis, epiglottis in normal position with no lesions, no edema of false cords, true cords mobile, no edema of arytenoid and post-cricoid mucosa, no pooling in hypopharynx. The remainder of the examination was normal. Post Procedure Diagnosis: mild tongue edema but with widely patent larynx. She was initiated on an Epinephrine Drip and transferred to the ICU. The patient continued on the Epi drip and was weened on 12/19/2020 around 18:59, with symptoms of tongue swelling improving. Patient was fed and shortly after (pasta with a meat sauce thought to be beef and apple sauce), dietician was contacted at hospital to confirm practices of meal preparation in the hospital kitchen for possible cross contamination with fish. After dinner she began to feel facial flushing especially to the left side of her face with funny sensations leading down he left arm and associated chest pressure, EKG showed normal sinus rhythm, she was placed on oxygen via nasal cannula and Epi drip restarted. Predominantly all symptoms were upper airway with no signs of systemic shock, she did not experience vomiting or diarrhea. Course was also complicated by mild steroid induced hyperglycemia, endocrine was consulted to assist in management. She was transferred to hospital for continued management and remained on upon transfer.  She continues on epi 2 mcg/min and remains asymptomatic.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Endoscopy abnormal, Flushing, Intensive care
Clinical narrative: On 12/17/2020 she received the COVID 19 vaccine at 11:54 am, patient noted she was premedicated prior to the vaccine with Decadron 4 mg and Benadryl 25 mg. Prior to that patient only had breakfast at 4:00 am which consisted on cheerios, she did not have any thing else additional to eat prior to receiving the vaccine. Almost immediately after having the vaccine the patient began to have a red rash to the chest which progressed to the face, she then began to experience shortness of breath followed by respiratory distress, she self administered Epinephrine, received additional steroids, pepcid, epinenephrine was observed and sent home on benadryl Q6hrly. Around 11:20 pm on that same day she began to experience cough and wheezing, she intially thought it was asthma but noticed additional hives and started to experience respiratory distress. She self injected her epipen and went to the ED. In the ED she was noted to be in respiratory distress and was complaining of cough, choking sensation, she received an additional dose of Epinephrine, pepcid, steroids and benadryl and was admitted to the medicine floor for observation. While on the floor she began to experience another episode of anaphylaxis described as throat tightening , wheezing with rash developing over chest.  This progressed to angioedema/tongue swelling despite appropriate treatment with IM Epi 0.5 mg x 2 and steroids. ENT scoped at bed side with Pertinent Endoscopy Findings:  intact septum, boggy nasal turbinates, pale middle meatal mucosa, no lesions within nasopharynx, non-obstructive base of tongue but with mild edema almost touching epiglottis, epiglottis in normal position with no lesions, no edema of false cords, true cords mobile, no edema of arytenoid and post-cricoid mucosa, no pooling in hypopharynx. The remainder of the examination was normal. Post Procedure Diagnosis: mild tongue edema but with widely patent larynx. She was initiated on an Epinephrine Drip and transferred to the ICU. The patient continued on the Epi drip and was weened on 12/19/2020 around 18:59, with symptoms of tongue swelling improving. Patient was fed and shortly after (pasta with a meat sauce thought to be beef and apple sauce), dietician was contacted at hospital to confirm practices of meal preparation in the hospital kitchen for possible cross contamination with fish. After dinner she began to feel facial flushing especially to the left side of her face with funny sensations leading down he left arm and associated chest pressure, EKG showed normal sinus rhythm, she was placed on oxygen via nasal cannula and Epi drip restarted. Predominantly all symptoms were upper airway with no signs of systemic shock, she did not experience vomiting or diarrhea. Course was also complicated by mild steroid induced hyperglycemia, endocrine was consulted to assist in management. She was transferred to hospital for continued management and remained on upon transfer.  She continues on epi 2 mcg/min and remains asymptomatic.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous, Respiratory distress, Sensory disturbance, Swollen tongue
Clinical narrative: On 12/17/2020 she received the COVID 19 vaccine at 11:54 am, patient noted she was premedicated prior to the vaccine with Decadron 4 mg and Benadryl 25 mg. Prior to that patient only had breakfast at 4:00 am which consisted on cheerios, she did not have any thing else additional to eat prior to receiving the vaccine. Almost immediately after having the vaccine the patient began to have a red rash to the chest which progressed to the face, she then began to experience shortness of breath followed by respiratory distress, she self administered Epinephrine, received additional steroids, pepcid, epinenephrine was observed and sent home on benadryl Q6hrly. Around 11:20 pm on that same day she began to experience cough and wheezing, she intially thought it was asthma but noticed additional hives and started to experience respiratory distress. She self injected her epipen and went to the ED. In the ED she was noted to be in respiratory distress and was complaining of cough, choking sensation, she received an additional dose of Epinephrine, pepcid, steroids and benadryl and was admitted to the medicine floor for observation. While on the floor she began to experience another episode of anaphylaxis described as throat tightening , wheezing with rash developing over chest.  This progressed to angioedema/tongue swelling despite appropriate treatment with IM Epi 0.5 mg x 2 and steroids. ENT scoped at bed side with Pertinent Endoscopy Findings:  intact septum, boggy nasal turbinates, pale middle meatal mucosa, no lesions within nasopharynx, non-obstructive base of tongue but with mild edema almost touching epiglottis, epiglottis in normal position with no lesions, no edema of false cords, true cords mobile, no edema of arytenoid and post-cricoid mucosa, no pooling in hypopharynx. The remainder of the examination was normal. Post Procedure Diagnosis: mild tongue edema but with widely patent larynx. She was initiated on an Epinephrine Drip and transferred to the ICU. The patient continued on the Epi drip and was weened on 12/19/2020 around 18:59, with symptoms of tongue swelling improving. Patient was fed and shortly after (pasta with a meat sauce thought to be beef and apple sauce), dietician was contacted at hospital to confirm practices of meal preparation in the hospital kitchen for possible cross contamination with fish. After dinner she began to feel facial flushing especially to the left side of her face with funny sensations leading down he left arm and associated chest pressure, EKG showed normal sinus rhythm, she was placed on oxygen via nasal cannula and Epi drip restarted. Predominantly all symptoms were upper airway with no signs of systemic shock, she did not experience vomiting or diarrhea. Course was also complicated by mild steroid induced hyperglycemia, endocrine was consulted to assist in management. She was transferred to hospital for continued management and remained on upon transfer.  She continues on epi 2 mcg/min and remains asymptomatic.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness, Tongue oedema, Upper respiratory tract endoscopy, Urticaria, Wheezing
Clinical narrative: On 12/17/2020 she received the COVID 19 vaccine at 11:54 am, patient noted she was premedicated prior to the vaccine with Decadron 4 mg and Benadryl 25 mg. Prior to that patient only had breakfast at 4:00 am which consisted on cheerios, she did not have any thing else additional to eat prior to receiving the vaccine. Almost immediately after having the vaccine the patient began to have a red rash to the chest which progressed to the face, she then began to experience shortness of breath followed by respiratory distress, she self administered Epinephrine, received additional steroids, pepcid, epinenephrine was observed and sent home on benadryl Q6hrly. Around 11:20 pm on that same day she began to experience cough and wheezing, she intially thought it was asthma but noticed additional hives and started to experience respiratory distress. She self injected her epipen and went to the ED. In the ED she was noted to be in respiratory distress and was complaining of cough, choking sensation, she received an additional dose of Epinephrine, pepcid, steroids and benadryl and was admitted to the medicine floor for observation. While on the floor she began to experience another episode of anaphylaxis described as throat tightening , wheezing with rash developing over chest.  This progressed to angioedema/tongue swelling despite appropriate treatment with IM Epi 0.5 mg x 2 and steroids. ENT scoped at bed side with Pertinent Endoscopy Findings:  intact septum, boggy nasal turbinates, pale middle meatal mucosa, no lesions within nasopharynx, non-obstructive base of tongue but with mild edema almost touching epiglottis, epiglottis in normal position with no lesions, no edema of false cords, true cords mobile, no edema of arytenoid and post-cricoid mucosa, no pooling in hypopharynx. The remainder of the examination was normal. Post Procedure Diagnosis: mild tongue edema but with widely patent larynx. She was initiated on an Epinephrine Drip and transferred to the ICU. The patient continued on the Epi drip and was weened on 12/19/2020 around 18:59, with symptoms of tongue swelling improving. Patient was fed and shortly after (pasta with a meat sauce thought to be beef and apple sauce), dietician was contacted at hospital to confirm practices of meal preparation in the hospital kitchen for possible cross contamination with fish. After dinner she began to feel facial flushing especially to the left side of her face with funny sensations leading down he left arm and associated chest pressure, EKG showed normal sinus rhythm, she was placed on oxygen via nasal cannula and Epi drip restarted. Predominantly all symptoms were upper airway with no signs of systemic shock, she did not experience vomiting or diarrhea. Course was also complicated by mild steroid induced hyperglycemia, endocrine was consulted to assist in management. She was transferred to hospital for continued management and remained on upon transfer.  She continues on epi 2 mcg/min and remains asymptomatic.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: About two to three minutes after the Covid vaccine was administered in the vaccine clinic at my hospital where I work, I began to experience pre-syncopal symptoms (mostly light-headedness and nausea). I stood up to get help and walked to the back of the auditorium where they were observing us for 15 minutes post-vaccine, and due to standing and walking, I became much more dizzy and lightheaded and then  sat down on the floor and was eased to a lying-down position on the floor by a nurse as I briefly lost consciousness. I regained consciousness very quickly (maybe 10-20 seconds, but I'm not sure) and was taken care of by a set of nurses who noted me to be hypotensive and pale, with I think a bit of a lower heart rate, though I'm not sure what my vitals were exactly. They had me then stand to do orthostatic vitals and I was orthostatic. I was too dizzy to remain standing and felt very nauseas so I was taken to the ED (in the hospital where I work) to be observed. I had a normal EKG, blood glucose, and urine sample there. After having some juice and lying down, I felt better but was very cold and had some chills. After a little over an hour, they released me from the ED and it seems to have all been an episode of vaso-vagal syncope. I've had vaso-vagal responses before, but not in response to a vaccine since I was about 13, so I was surprised by how quick and severe the vaso vagal response was.  Later in the day, I felt better but was fatigued and had a headache. I also had a lot of pain at the injection site. The day after the vaccine I felt tired and had a headache, and for part of the day a mild sore throat. Now two days after the vaccine, I feel much better, and the arm pain is more mild.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Chills, Dizziness, Electrocardiogram normal, Fatigue
Clinical narrative: About two to three minutes after the Covid vaccine was administered in the vaccine clinic at my hospital where I work, I began to experience pre-syncopal symptoms (mostly light-headedness and nausea). I stood up to get help and walked to the back of the auditorium where they were observing us for 15 minutes post-vaccine, and due to standing and walking, I became much more dizzy and lightheaded and then  sat down on the floor and was eased to a lying-down position on the floor by a nurse as I briefly lost consciousness. I regained consciousness very quickly (maybe 10-20 seconds, but I'm not sure) and was taken care of by a set of nurses who noted me to be hypotensive and pale, with I think a bit of a lower heart rate, though I'm not sure what my vitals were exactly. They had me then stand to do orthostatic vitals and I was orthostatic. I was too dizzy to remain standing and felt very nauseas so I was taken to the ED (in the hospital where I work) to be observed. I had a normal EKG, blood glucose, and urine sample there. After having some juice and lying down, I felt better but was very cold and had some chills. After a little over an hour, they released me from the ED and it seems to have all been an episode of vaso-vagal syncope. I've had vaso-vagal responses before, but not in response to a vaccine since I was about 13, so I was surprised by how quick and severe the vaso vagal response was.  Later in the day, I felt better but was fatigued and had a headache. I also had a lot of pain at the injection site. The day after the vaccine I felt tired and had a headache, and for part of the day a mild sore throat. Now two days after the vaccine, I feel much better, and the arm pain is more mild.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling cold, Headache, Hypotension, Injection site pain, Loss of consciousness
Clinical narrative: About two to three minutes after the Covid vaccine was administered in the vaccine clinic at my hospital where I work, I began to experience pre-syncopal symptoms (mostly light-headedness and nausea). I stood up to get help and walked to the back of the auditorium where they were observing us for 15 minutes post-vaccine, and due to standing and walking, I became much more dizzy and lightheaded and then  sat down on the floor and was eased to a lying-down position on the floor by a nurse as I briefly lost consciousness. I regained consciousness very quickly (maybe 10-20 seconds, but I'm not sure) and was taken care of by a set of nurses who noted me to be hypotensive and pale, with I think a bit of a lower heart rate, though I'm not sure what my vitals were exactly. They had me then stand to do orthostatic vitals and I was orthostatic. I was too dizzy to remain standing and felt very nauseas so I was taken to the ED (in the hospital where I work) to be observed. I had a normal EKG, blood glucose, and urine sample there. After having some juice and lying down, I felt better but was very cold and had some chills. After a little over an hour, they released me from the ED and it seems to have all been an episode of vaso-vagal syncope. I've had vaso-vagal responses before, but not in response to a vaccine since I was about 13, so I was surprised by how quick and severe the vaso vagal response was.  Later in the day, I felt better but was fatigued and had a headache. I also had a lot of pain at the injection site. The day after the vaccine I felt tired and had a headache, and for part of the day a mild sore throat. Now two days after the vaccine, I feel much better, and the arm pain is more mild.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Oropharyngeal pain, Pallor, Presyncope, Syncope
Clinical narrative: About two to three minutes after the Covid vaccine was administered in the vaccine clinic at my hospital where I work, I began to experience pre-syncopal symptoms (mostly light-headedness and nausea). I stood up to get help and walked to the back of the auditorium where they were observing us for 15 minutes post-vaccine, and due to standing and walking, I became much more dizzy and lightheaded and then  sat down on the floor and was eased to a lying-down position on the floor by a nurse as I briefly lost consciousness. I regained consciousness very quickly (maybe 10-20 seconds, but I'm not sure) and was taken care of by a set of nurses who noted me to be hypotensive and pale, with I think a bit of a lower heart rate, though I'm not sure what my vitals were exactly. They had me then stand to do orthostatic vitals and I was orthostatic. I was too dizzy to remain standing and felt very nauseas so I was taken to the ED (in the hospital where I work) to be observed. I had a normal EKG, blood glucose, and urine sample there. After having some juice and lying down, I felt better but was very cold and had some chills. After a little over an hour, they released me from the ED and it seems to have all been an episode of vaso-vagal syncope. I've had vaso-vagal responses before, but not in response to a vaccine since I was about 13, so I was surprised by how quick and severe the vaso vagal response was.  Later in the day, I felt better but was fatigued and had a headache. I also had a lot of pain at the injection site. The day after the vaccine I felt tired and had a headache, and for part of the day a mild sore throat. Now two days after the vaccine, I feel much better, and the arm pain is more mild.