chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pharyngeal swelling, Pyrexia, SARS-CoV-2 test
Clinical narrative: Patient reported a low grade fever starting at around 2000 hours on 4/6/2021. Her fever reached 103 F and the patient reports that she believes that she passed out. She says that she has not taken anything for her fever except for using a cold compress. She reported that she was still running a fever at 0900 when I talked to her. The patient also reported an headache and diarhea. She reported feeling dehydrated and said that she has been drinking Gatorade.  I encouraged the patient to drink Pedialyte or uncolored Gatorade. I informed the patient that she needed to take Ibuprofen (or other NSAID) or Tylenol for her fever. I also encouraged her to seek medical help if for no other reason then to recieve IV fluids.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Tinnitus, Vertigo
Clinical narrative: Lightheadedness, ringing in ears, nausea and dizziness, vertigo. It has persisted on and off for 3 weeks now. I have not gone to my GP yet as I don't know what they can do.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: I woke up at 3:30am, approximately 12 hours after receiving my second dose, with chills and a fever of 99.1. It kept me up for two hours, then I fell asleep again. When I woke up again at 7:45am I had a fever of 101.0, chills, body aches, swollen painful lymph nodes in my armpits, and a headache. These symptoms have not gone away all day (I am reporting at 4:33pm) and I?ve taken 1000mg of Tylenol twice. It hasn?t touched the fever, body aches, lymph nodes, or headache
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site erythema, Injection site swelling, Lethargy
Clinical narrative: Extreme lethargy, hives, large amount of swelling and redness at injection site that is still persisting, headache, tinnitus, nausea, runny nose, dizziness, itching
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pruritus, Rhinorrhoea, Tinnitus, Urticaria
Clinical narrative: Extreme lethargy, hives, large amount of swelling and redness at injection site that is still persisting, headache, tinnitus, nausea, runny nose, dizziness, itching
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Vaccine mixed with incorrect diluent (sterile water instead of normal saline). Pt informed of error and offered revaccination. Pt reports no adverse reactions.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Tenderness
Clinical narrative: I experienced extremely red cheeks, almost like a sun burn. It hurt to the touch. It started the evening of 4/3/21, but on the morning of 4/4/21 it was worse. By the morning of 4/5/21 it had disappeared.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ultra high pitch, continuous ringing or hissing in both ears characterized as tinnitus. Around day ten the tinnitus ceased in left ear but continues in right. Intensity varies from day to day and never disrupts sleep or poses any difficulty in hearing or concentrating. I mention the pitch as any momentary tinnitus I've experienced in my life were fleeting (minute or less), accompanied by muffled hearing, and much lower pitch. Tinnitus persists to today, 4/7/21, and I've scheduled my first appointments for intervention with a specialist (ENT).
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Ear pain, Facial pain, Facial paralysis, Full blood count
Clinical narrative: Bells Palsy/Ramsey Hunt Syndrome-right facial paralysis followed by moderate to severe pain  in ear, face, headaches, pressure, SEVERE tinnitus   Ongoing symptoms- no resolve   Prednisone, Valtrex, Lyrica
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Herpes zoster oticus, Magnetic resonance imaging, Metabolic function test, Tinnitus
Clinical narrative: Bells Palsy/Ramsey Hunt Syndrome-right facial paralysis followed by moderate to severe pain  in ear, face, headaches, pressure, SEVERE tinnitus   Ongoing symptoms- no resolve   Prednisone, Valtrex, Lyrica
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine administered to patient below recommended age.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Pain, Pain in extremity
Clinical narrative: Chills Aches Headache Dizziness Frequent urination Severe sore arm
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pollakiuria
Clinical narrative: Chills Aches Headache Dizziness Frequent urination Severe sore arm
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site mass, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: Sore throat is middle of night, 3 inch egg-like hard swollen bump around injection site, flu like symptoms day after shot including muscle aches and fever
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: 1410:Pt c/o nausea and dizzyness 9/10. BP:86/57, P:66, T: 96.5, Spo2:96.5% RA. Hx: Hypothyroid, DM.Pt instructed to hydrate. 1422: Pt reported feeling better, 3/10. 1433: BP: 104/71, P: 87, T: 96.6, Spo2 100% RA. 1437: Pt released and instructed to notify PCP for persistent and/or worsening of symptoms.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Myalgia
Clinical narrative: Muscular pain, especially lower back.  Pain first noticed upon waking at 5:45am.  Took 3 ibuprofen in morning and 3 again mid afternoon.  Fatigue - around 3pm. Slept for 3 hours. Chills at night.  Covered up. Pain much improved the following day.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient administered 2.5mL
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal rigidity, Exercise tolerance decreased, Pain, Palpitations
Clinical narrative: Body aches, abdominal spasms, heart palpitations (when working out),  decreased endurance (when working out).
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Influenza like illness, Insomnia
Clinical narrative: Chills, mild fever, joint aches, skin sensitivity. Fatigue but difficulty sleeping. Similar to onset of flu, but milder.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Sensitive skin
Clinical narrative: Chills, mild fever, joint aches, skin sensitivity. Fatigue but difficulty sleeping. Similar to onset of flu, but milder.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Oral mucosal blistering, Stomatitis, Vaccine positive rechallenge
Clinical narrative: After 1st dose Moderna developed sores in her mouth - blisters that formed and broke.    She took the 2nd dose Moderna  3/19/2021.  The blisters continued to form and break.  One lesion was large, approx the size of a dime, and filled with blood.   She saw her physician 4/6/2021 and received a prescription for Prednisone.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Myalgia, Pyrexia
Clinical narrative: fever, chills, brain fog, muscle pain
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Hyperhidrosis, Injection site pain, Nausea
Clinical narrative: at 1:55pm  (approx 4 hours after the shot) all of a sudden my left arm at injection site hurt, my left forearm hurt, left upper back under shoulder blade  was painful. i had cold sweats, was dizzy and nauseous.  took tylenol. by 4pm felt much better.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint stiffness, Neck pain, Pain, Pain in extremity
Clinical narrative: The day after the vaccine my right hip locked up. It was very stiff and sore and there was a sharp pain while going from standing to sitting and in the sitting position. It was a very sharp pain that was shooting down my leg and it wrapped around my hip. It was a constant pain. I also had a little soreness in my neck and shoulders and it lasted two days. I went to see my chiropractor the next afternoon. It was better after that visit and it is still a little stiff after two weeks. I took Ibuprofen as needed since then.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle rigidity, Presyncope, Vital signs measurement
Clinical narrative: Vasovagal syncope resulting in fall to floor. While on ground pt became rigid. Pt began to come to and was transported to medical via cot and EMS was notified. Pt symptoms resolved and EMS was refused.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: There was no adverse event or unexpected side effects after vaccination. Instead, it was an administration error, as the Moderna COVID-19 vaccine is not authorized for persons younger than 18.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Chills, Fatigue, Hyperhidrosis, Lymphadenopathy
Clinical narrative: fever x 3 days (102.5), rigors, diaphoresis, severe fatigue, contralateral side inguinal lymphadenopathy (right side), severe localized arm pain x 4 days, severe muscle and bone pain at site of NSCLC metastatic lesion (right pelvic bone) x 3 days. Left axillary lymph nodes remain unremarkable. Partially responsive to acetaminophen. Fever and pain resolved 4/5/21. Inguinal Lymphadenopathy, mild edema inner right thigh, presence of tortuous vessels right inguinal region with pain present on pressure, and mild left arm pain persist as of 4/7/2021.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oedema, Pain, Pain in extremity, Pyrexia
Clinical narrative: fever x 3 days (102.5), rigors, diaphoresis, severe fatigue, contralateral side inguinal lymphadenopathy (right side), severe localized arm pain x 4 days, severe muscle and bone pain at site of NSCLC metastatic lesion (right pelvic bone) x 3 days. Left axillary lymph nodes remain unremarkable. Partially responsive to acetaminophen. Fever and pain resolved 4/5/21. Inguinal Lymphadenopathy, mild edema inner right thigh, presence of tortuous vessels right inguinal region with pain present on pressure, and mild left arm pain persist as of 4/7/2021.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vasodilatation
Clinical narrative: fever x 3 days (102.5), rigors, diaphoresis, severe fatigue, contralateral side inguinal lymphadenopathy (right side), severe localized arm pain x 4 days, severe muscle and bone pain at site of NSCLC metastatic lesion (right pelvic bone) x 3 days. Left axillary lymph nodes remain unremarkable. Partially responsive to acetaminophen. Fever and pain resolved 4/5/21. Inguinal Lymphadenopathy, mild edema inner right thigh, presence of tortuous vessels right inguinal region with pain present on pressure, and mild left arm pain persist as of 4/7/2021.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pancreatitis necrotising
Clinical narrative: acute necrotizing pancreatitis/outcome ongoing
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness, Cold sweat, Deafness, Dizziness, Feeling hot
Clinical narrative: 16:30 Problem : dizziness loss of hearing and vision, clammy & sweaty skin, SOB,   unsteady gait, feeling very hot.  27 year old male received first Moderna vaccine, Moderna lot# 012a21a, Exp. 08/17/21, to left deltoid. 16:32 patient began experiencing dizziness, loss of hearing and vision, clammy and sweaty skin, SOB, unsteady gait. 16:37 patients hearing and vision returned. VS: 77-100/60, O2 sats 99% room air. Encouraged deep breathing for SOB. Applied cool cloth to back of patient?s neck. Ice chips given. Offered bottle water and snack 16:45 staff assisted patient to observation table. Patient ambulated without any issues. 16:50 asked patient how was he feeling, patient states, ?he is feeling better and he is no longer experiencing any symptoms. Observed patient for an additional minute. Reassessed vitals: VS: 86- 106/62, O2 sats 97%, room air. 17:10 Patient left facility. No other complaints voiced.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Hyperhidrosis, Vital signs measurement
Clinical narrative: 16:30 Problem : dizziness loss of hearing and vision, clammy & sweaty skin, SOB,   unsteady gait, feeling very hot.  27 year old male received first Moderna vaccine, Moderna lot# 012a21a, Exp. 08/17/21, to left deltoid. 16:32 patient began experiencing dizziness, loss of hearing and vision, clammy and sweaty skin, SOB, unsteady gait. 16:37 patients hearing and vision returned. VS: 77-100/60, O2 sats 99% room air. Encouraged deep breathing for SOB. Applied cool cloth to back of patient?s neck. Ice chips given. Offered bottle water and snack 16:45 staff assisted patient to observation table. Patient ambulated without any issues. 16:50 asked patient how was he feeling, patient states, ?he is feeling better and he is no longer experiencing any symptoms. Observed patient for an additional minute. Reassessed vitals: VS: 86- 106/62, O2 sats 97%, room air. 17:10 Patient left facility. No other complaints voiced.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Monoplegia, Nausea, Pain in extremity
Clinical narrative: Major pain throughout entire left arm, 7 on a 10 scale.  Injection site pain, 9.5 on a 10 scale High, prolonged fever Nausea Major headache beyond 72 hours after injection, lingering headache and nausea ongoing.  Minor paralysis in left leg.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Major pain throughout entire left arm, 7 on a 10 scale.  Injection site pain, 9.5 on a 10 scale High, prolonged fever Nausea Major headache beyond 72 hours after injection, lingering headache and nausea ongoing.  Minor paralysis in left leg.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Throat tightness
Clinical narrative: After getting her COVID vaccine, patient complained of feeling lightheaded.  VSS.  She then reported tightening to throat and was given 0.3 mg epinephrine.  Ambulance called.  She reported ease in breathing after epinephrine.  She was monitored until ambulance arrived to transport her to the Emergency Department. She was stable, alert oriented and communicating when ambulance arrived.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Vaccine mixed with incorrect diluent (sterile water instead of normal saline). Pt informed of error and offered revaccination. Pt reports no adverse reactions.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Case had shot one day early.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Client complained of dizziness 5 min after first dose of Pfizer.  Placed in zero gravity chair, water given to drink, vital signs stable.  Continued monitoring vital signs, dizziness resolved @ 1:10 pm, able to walk out @ 1:15pm with her mother.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint range of motion decreased, Joint swelling, Pain
Clinical narrative: Patient called health dept and complains of significant left knee swelling and difficulty moving post vaccination 48 hours later after both shots. She reports having an artificial knee replacement in December of 2019.  She reports that her pain and movement is improved, but she is not back to her "norm".
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Myalgia, Pyrexia
Clinical narrative: I was told by the pharmacist that people like me who already had COVID (I had it in Nov 2020) may feel adverse effects after the first shot, and he was right.  I had similar side effects as when I had COVID and those were: fatigue, muscle pain, joint pain, chills and fever (102 degrees)
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: Patient was recommended to wait for 15 minutes to monitor for any adverse reactions.  Within 15 minutes patient has reactions of nausea, dizziness, paleness of face.  We advised patient to sit down and elevated his feet.  We gave patient some water.  In a few minutes patient was doing better, after 15 more minutes patient was able to go home.  No medications given.
Sex: U
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Dyspnoea, Pain, Pyrexia
Clinical narrative: Fever, chills, pain when breathing in, stomach cramps, body aches. No treatment yet, just fluids.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site mass, Injection site pruritus, Lymphadenopathy
Clinical narrative: 3 days later had swollen lymph nodes and my joints hurt, ankles, knees, back and a general malaise feeling 6 days later red itchy lump at injection site on right arm got progressively worse over the next 25 hours .. hot to touch, slightly painful lump and very itchy in that area
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain in extremity, Skin warm
Clinical narrative: 3 days later had swollen lymph nodes and my joints hurt, ankles, knees, back and a general malaise feeling 6 days later red itchy lump at injection site on right arm got progressively worse over the next 25 hours .. hot to touch, slightly painful lump and very itchy in that area
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lethargy, Pain in extremity, Pain of skin
Clinical narrative: headache, chills, arm and skin hurt, hair hurt, fever, lethargic,lt arm itched, blotchy red
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Rash macular
Clinical narrative: headache, chills, arm and skin hurt, hair hurt, fever, lethargic,lt arm itched, blotchy red
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted within five minutes of receiving the shot, she recovered about 15 minutes later.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was vaccinated with Pfizer COVID-19 vaccination in error at the age of 15. Patient came to the clinic with both parents. The griage/triage person, table screener and nurse all missed the month and day of his birthdate. The error was discovered in post-dose observation during a casual conversation with nursing staff. Patient was observed for 60 minutes post-dose in abundance of caution, during which time he and his parents were notified of the error. They were instructed to seek medical assistance after discharge in the event of an emergency, and that Patient is not to obtain his second vaccination until is 16th birthday or after. Patient was discharged without any untoward symptoms or problems.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: Mild Fever, mild nausea, mild sore throat
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, Computerised tomogram thorax abnormal, Cough, Deep vein thrombosis, Dyspnoea
Clinical narrative: symptoms, signs, time course, etc.) 78 yo female patient with PMHx of paroxysmal atrial fib / COPD / smoking / anxiety-depression / obesity / arthritis and prior bil PE in 2018 after knee surgery (anticoagulated with Xarelto) who presented to FH on 03/30/2021 with SOB x2 weeks. Of note she received her 2nd COVID vaccine dose on 03/05/2021 and since she has worsening SOB. Pt reported cough w/ yellow sputum prior to her admission. At urgent care, she was hypoxic with Sat 82%, therefore she was transferred to ED for further w/u. Lab w/u showed BNP of 1,074 and trop of 32. She was found to have a negative POC COVID-19 and PCR is pending. Bil venous Dopplers show acute occlusive DVT in the R popliteal vein above and below the knee w/ slow flow in the R fem vein and no DV IN the LLE. TTE on 03/31/2021 showed EF 65-70% w/ G2DD, mod-severe RV failure and severe pulmonary HTN, mod TR, and dilated IVC. Decision was made to CT chest w/ contrast despite renal function given high suspicion for PE. CT chest w/ contrast showed large clot burden PE w/ findings c/w R heart strain, a 12x9 mm lobulated nodule in the RUL concerning for neoplasm, increasing patchy infiltrates, and increasing R pleural effusion and new trace L pleural effusion. Patient required 12L O2 via NC. IR was contacted at but felt that patient was not a candidate for CDT or for IVC filter. Patient was transferred to ICU for further care. Patient received IV heparin per the PE Protocol from, Alteplase 40mg on 4/1, and was started on treatment dose of Eliquis.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Hypoxia, Inferior vena cava dilatation, Intensive care, Lung infiltration
Clinical narrative: symptoms, signs, time course, etc.) 78 yo female patient with PMHx of paroxysmal atrial fib / COPD / smoking / anxiety-depression / obesity / arthritis and prior bil PE in 2018 after knee surgery (anticoagulated with Xarelto) who presented to FH on 03/30/2021 with SOB x2 weeks. Of note she received her 2nd COVID vaccine dose on 03/05/2021 and since she has worsening SOB. Pt reported cough w/ yellow sputum prior to her admission. At urgent care, she was hypoxic with Sat 82%, therefore she was transferred to ED for further w/u. Lab w/u showed BNP of 1,074 and trop of 32. She was found to have a negative POC COVID-19 and PCR is pending. Bil venous Dopplers show acute occlusive DVT in the R popliteal vein above and below the knee w/ slow flow in the R fem vein and no DV IN the LLE. TTE on 03/31/2021 showed EF 65-70% w/ G2DD, mod-severe RV failure and severe pulmonary HTN, mod TR, and dilated IVC. Decision was made to CT chest w/ contrast despite renal function given high suspicion for PE. CT chest w/ contrast showed large clot burden PE w/ findings c/w R heart strain, a 12x9 mm lobulated nodule in the RUL concerning for neoplasm, increasing patchy infiltrates, and increasing R pleural effusion and new trace L pleural effusion. Patient required 12L O2 via NC. IR was contacted at but felt that patient was not a candidate for CDT or for IVC filter. Patient was transferred to ICU for further care. Patient received IV heparin per the PE Protocol from, Alteplase 40mg on 4/1, and was started on treatment dose of Eliquis.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pleural effusion, Pulmonary embolism, Pulmonary hypertension, Pulmonary mass
Clinical narrative: symptoms, signs, time course, etc.) 78 yo female patient with PMHx of paroxysmal atrial fib / COPD / smoking / anxiety-depression / obesity / arthritis and prior bil PE in 2018 after knee surgery (anticoagulated with Xarelto) who presented to FH on 03/30/2021 with SOB x2 weeks. Of note she received her 2nd COVID vaccine dose on 03/05/2021 and since she has worsening SOB. Pt reported cough w/ yellow sputum prior to her admission. At urgent care, she was hypoxic with Sat 82%, therefore she was transferred to ED for further w/u. Lab w/u showed BNP of 1,074 and trop of 32. She was found to have a negative POC COVID-19 and PCR is pending. Bil venous Dopplers show acute occlusive DVT in the R popliteal vein above and below the knee w/ slow flow in the R fem vein and no DV IN the LLE. TTE on 03/31/2021 showed EF 65-70% w/ G2DD, mod-severe RV failure and severe pulmonary HTN, mod TR, and dilated IVC. Decision was made to CT chest w/ contrast despite renal function given high suspicion for PE. CT chest w/ contrast showed large clot burden PE w/ findings c/w R heart strain, a 12x9 mm lobulated nodule in the RUL concerning for neoplasm, increasing patchy infiltrates, and increasing R pleural effusion and new trace L pleural effusion. Patient required 12L O2 via NC. IR was contacted at but felt that patient was not a candidate for CDT or for IVC filter. Patient was transferred to ICU for further care. Patient received IV heparin per the PE Protocol from, Alteplase 40mg on 4/1, and was started on treatment dose of Eliquis.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Right ventricular failure, SARS-CoV-2 test negative, Sputum discoloured, Tricuspid valve incompetence, Troponin increased
Clinical narrative: symptoms, signs, time course, etc.) 78 yo female patient with PMHx of paroxysmal atrial fib / COPD / smoking / anxiety-depression / obesity / arthritis and prior bil PE in 2018 after knee surgery (anticoagulated with Xarelto) who presented to FH on 03/30/2021 with SOB x2 weeks. Of note she received her 2nd COVID vaccine dose on 03/05/2021 and since she has worsening SOB. Pt reported cough w/ yellow sputum prior to her admission. At urgent care, she was hypoxic with Sat 82%, therefore she was transferred to ED for further w/u. Lab w/u showed BNP of 1,074 and trop of 32. She was found to have a negative POC COVID-19 and PCR is pending. Bil venous Dopplers show acute occlusive DVT in the R popliteal vein above and below the knee w/ slow flow in the R fem vein and no DV IN the LLE. TTE on 03/31/2021 showed EF 65-70% w/ G2DD, mod-severe RV failure and severe pulmonary HTN, mod TR, and dilated IVC. Decision was made to CT chest w/ contrast despite renal function given high suspicion for PE. CT chest w/ contrast showed large clot burden PE w/ findings c/w R heart strain, a 12x9 mm lobulated nodule in the RUL concerning for neoplasm, increasing patchy infiltrates, and increasing R pleural effusion and new trace L pleural effusion. Patient required 12L O2 via NC. IR was contacted at but felt that patient was not a candidate for CDT or for IVC filter. Patient was transferred to ICU for further care. Patient received IV heparin per the PE Protocol from, Alteplase 40mg on 4/1, and was started on treatment dose of Eliquis.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: symptoms, signs, time course, etc.) 78 yo female patient with PMHx of paroxysmal atrial fib / COPD / smoking / anxiety-depression / obesity / arthritis and prior bil PE in 2018 after knee surgery (anticoagulated with Xarelto) who presented to FH on 03/30/2021 with SOB x2 weeks. Of note she received her 2nd COVID vaccine dose on 03/05/2021 and since she has worsening SOB. Pt reported cough w/ yellow sputum prior to her admission. At urgent care, she was hypoxic with Sat 82%, therefore she was transferred to ED for further w/u. Lab w/u showed BNP of 1,074 and trop of 32. She was found to have a negative POC COVID-19 and PCR is pending. Bil venous Dopplers show acute occlusive DVT in the R popliteal vein above and below the knee w/ slow flow in the R fem vein and no DV IN the LLE. TTE on 03/31/2021 showed EF 65-70% w/ G2DD, mod-severe RV failure and severe pulmonary HTN, mod TR, and dilated IVC. Decision was made to CT chest w/ contrast despite renal function given high suspicion for PE. CT chest w/ contrast showed large clot burden PE w/ findings c/w R heart strain, a 12x9 mm lobulated nodule in the RUL concerning for neoplasm, increasing patchy infiltrates, and increasing R pleural effusion and new trace L pleural effusion. Patient required 12L O2 via NC. IR was contacted at but felt that patient was not a candidate for CDT or for IVC filter. Patient was transferred to ICU for further care. Patient received IV heparin per the PE Protocol from, Alteplase 40mg on 4/1, and was started on treatment dose of Eliquis.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient felt dizzy and sat on the floor.  She did not fall or lose consciousness.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient presented for COVID-19 vaccination.  Pfizer vaccine administered as first dose per protocol.  Two minutes after vaccine was given (at 1:39pm), patient reported feeling lightheaded and history of passing out after any injections and sight of needles. Patient assisted to the floor to lay flat on back while legs were elevated and oxygen given. Patient stated feeling better while laying down. Patient continued to lie down for 10 minutes as lightheadedness resolved before slowly sitting up. After patient was able to sit up without any further symptoms, patient was able to stand on her own, no further symptoms reported. Patient observed for  30 minutes and left the facility without any further issues.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was only 17, 5 days away from 18th birthday.  Vaccination was administered by student.  Patient had no side effects after 15 minutes.  sister also had vaccine at same time.  VAERS created for her as well.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Epinephrine, Immediate post-injection reaction
Clinical narrative: Five minutes after receiving her 1st COVID vaccine, patient began complaining about  itchiness and swelling of her tongue, along with chest tightness and shortness of breath. Patient also begin feeling lightheaded.  Patient was assessed and was found to  be breathing, but her pulse was weak and thready.  A blood pressure cuff was applied to patient right arm, but the monitor was unable to generate a specific blood pressure number. Patient was administered 0.3 mg of epinephrine intramuscularly in her right thigh. She was also given 10 ml (25 mg) of diphenhydramine.  Patient was moved from the sitting to the supine position.  Patient's subjective dyspnea improved, and her airway remained intact, with no cyanosis noted. Patient was able to talk normally after a few minutes. Her pulse improved and was strong (+2) about 5 minutes after the epinephrine injection.  911 was called and paramedics arrived about 5 minutes later. Patient was taken away by the paramedics to the hospital, stable and in good condition.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Pulse abnormal, Swollen tongue
Clinical narrative: Five minutes after receiving her 1st COVID vaccine, patient began complaining about  itchiness and swelling of her tongue, along with chest tightness and shortness of breath. Patient also begin feeling lightheaded.  Patient was assessed and was found to  be breathing, but her pulse was weak and thready.  A blood pressure cuff was applied to patient right arm, but the monitor was unable to generate a specific blood pressure number. Patient was administered 0.3 mg of epinephrine intramuscularly in her right thigh. She was also given 10 ml (25 mg) of diphenhydramine.  Patient was moved from the sitting to the supine position.  Patient's subjective dyspnea improved, and her airway remained intact, with no cyanosis noted. Patient was able to talk normally after a few minutes. Her pulse improved and was strong (+2) about 5 minutes after the epinephrine injection.  911 was called and paramedics arrived about 5 minutes later. Patient was taken away by the paramedics to the hospital, stable and in good condition.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Pallor, Pulse abnormal, Tongue discomfort, Tongue pruritus
Clinical narrative: Five minutes after receiving her 1st COVID vaccine, patient began complaining about  itchiness and swelling of her tongue, along with chest tightness and shortness of breath. Patient also begin feeling lightheaded.  Patient was assessed and was found to  be breathing, but her pulse was weak and thready.  A blood pressure cuff was applied to patient right arm, but the monitor was unable to generate a specific blood pressure number. Patient was administered 0.3 mg of epinephrine intramuscularly in her right thigh. She was also given 10 ml (25 mg) of diphenhydramine.  Patient was moved from the sitting to the supine position.  Patient's subjective dyspnea improved, and her airway remained intact, with no cyanosis noted. Patient was able to talk normally after a few minutes. Her pulse improved and was strong (+2) about 5 minutes after the epinephrine injection.  911 was called and paramedics arrived about 5 minutes later. Patient was taken away by the paramedics to the hospital, stable and in good condition.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Epinephrine, Immediate post-injection reaction
Clinical narrative: Got shot at 3:15 PM (approximately), 7 minutes later tongue was burning and itching, was having shortness of breath, 3 minute later was given 25mg liquid Benadryl, 3 minutes after than hit with epi pen, 5 minutes later EMT's were there and getting me prepared for transport to ER. BP wouldn't register on machine at pharmacy and pulse was thready. Was told I went extremely pale.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Pulse abnormal, Swollen tongue
Clinical narrative: Got shot at 3:15 PM (approximately), 7 minutes later tongue was burning and itching, was having shortness of breath, 3 minute later was given 25mg liquid Benadryl, 3 minutes after than hit with epi pen, 5 minutes later EMT's were there and getting me prepared for transport to ER. BP wouldn't register on machine at pharmacy and pulse was thready. Was told I went extremely pale.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Pallor, Pulse abnormal, Tongue discomfort, Tongue pruritus
Clinical narrative: Got shot at 3:15 PM (approximately), 7 minutes later tongue was burning and itching, was having shortness of breath, 3 minute later was given 25mg liquid Benadryl, 3 minutes after than hit with epi pen, 5 minutes later EMT's were there and getting me prepared for transport to ER. BP wouldn't register on machine at pharmacy and pulse was thready. Was told I went extremely pale.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Headache
Clinical narrative: Injection site soreness starting approximately 2 hours after injection. Still happening now  Moderate Fatigue the following morning still happening now.    Moderate Headache starting  the next morning still happening now   Severe Joint pain over entire body started approximately  24 hours after vaccination, lasting until now.   Moderate chills/feeling feverish started approximately  24 hours after vaccination. Still happening now.   Moderate Left arm weakness, grip weakness left hand
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Injection site soreness starting approximately 2 hours after injection. Still happening now  Moderate Fatigue the following morning still happening now.    Moderate Headache starting  the next morning still happening now   Severe Joint pain over entire body started approximately  24 hours after vaccination, lasting until now.   Moderate chills/feeling feverish started approximately  24 hours after vaccination. Still happening now.   Moderate Left arm weakness, grip weakness left hand
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: There was no adverse event or unexpected side effects after vaccination. Instead, it was an administration error, as the Moderna COVID-19 vaccine is not authorized for persons younger than 18.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient administered 2.5 mL
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: itchy rash in several areas several days post vaccination starting under armpit and also in several other places in body including other armpit hip and side.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: patient experienced tongue numbness during the first 15 minutes after the vaccine was administered. Patient received diphenhydramine and felt better shortly after taking the diphenhydramine
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pruritus, Pruritus, Throat irritation
Clinical narrative: Pt received Pfizer vaccination 1st dose at 1125. Pt was in observation area and complained of an itchy throat, mouth, arms and legs at 1138. No facial swelling noted. No hives or rash noted. VS at 1125:  BP 96/60,HR 72, O2 sat 98%, RR 14. VS remained stable. Given Benadryl 25mg PO at 1154. At 1214 pt stated that her throat stopped itching, her mouth still itched.  Her arms no longer itched and her legs still itched. NP assessed pt at 1220. Pt voluntarily left at 1223.   Had history of seasonal allergies (did not take allergy medicaitons prior to vaccination appt)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Went to give patient covid shot, ancillary needle provided wouldn't pierce patient skins. Gave patient the 'husband's' dose and went to go get a new needle for husband's shot. Re-entered pharmacy, got needle, and accidentally gave the patient the second dose intended for husband to her. No signs or symptoms as of 3 hours later from event, had patient sit for 30 min to make sure no reaction - but patient reports none. Will follow up with patient tomorrow approximately 24 hours after event.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling at injection site
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Contusion, Feeling abnormal, Haemorrhage, Immediate post-injection reaction
Clinical narrative: Arm hurt very badly immediately during and after vaccine in similar sensation to ulnar nerve being struck in arm, bled only a little but caused swelling and then a large bruise developed over the evening of 4/4/2021 and is still dark today (4/7/2021). Concerned my bone was hit with a too long vaccine needle. Had chills/fever evening of 4/4/2021 into morning of 4/6/2021?had to take off work. Have had neurological symptoms ongoing with ?brain fogginess? since 4/5/2021. On 4/6/2021, began to see flashes/spots of light in vision of left eye, which worsened through today. Took off afternoon from work and went to an eye clinic to have eye dilated and looked at, but the spots in vision continue through reporting time (4/7/2021, 5pm CT).
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Mydriasis, Pain in extremity, Photopsia, Pyrexia
Clinical narrative: Arm hurt very badly immediately during and after vaccine in similar sensation to ulnar nerve being struck in arm, bled only a little but caused swelling and then a large bruise developed over the evening of 4/4/2021 and is still dark today (4/7/2021). Concerned my bone was hit with a too long vaccine needle. Had chills/fever evening of 4/4/2021 into morning of 4/6/2021?had to take off work. Have had neurological symptoms ongoing with ?brain fogginess? since 4/5/2021. On 4/6/2021, began to see flashes/spots of light in vision of left eye, which worsened through today. Took off afternoon from work and went to an eye clinic to have eye dilated and looked at, but the spots in vision continue through reporting time (4/7/2021, 5pm CT).
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Headache, Hypoaesthesia, Mouth swelling, Paraesthesia oral
Clinical narrative: Numb, swollen  and tingling tongue and mouth (lasted for about a week) Headache, severe dizziness
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swollen tongue
Clinical narrative: Numb, swollen  and tingling tongue and mouth (lasted for about a week) Headache, severe dizziness
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Loss of consciousness, Malaise, Nausea
Clinical narrative: The patient received the vaccine and was waiting her 15 minutes to make sure she didn't have any reactions. Approximately 8 minutes after the vaccine was administered and the patient passed out . She did not report that she was not feeling well until after she came to. She then reported dizziness and nausea. She laid on the floor in the recovery position on the floor for about 30 minutes before feeling ok enough to sit in the chair and eventually be able to walk out of the store.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Back pain, Chills, Dizziness, Dyspnoea
Clinical narrative: The patient received the vaccine and was waiting her 15 minutes to make sure she didn't have any reactions. Approximately 8 minutes after the vaccine was administered and the patient passed out . She did not report that she was not feeling well until after she came to. She then reported dizziness and nausea. She laid on the floor in the recovery position on the floor for about 30 minutes before feeling ok enough to sit in the chair and eventually be able to walk out of the store.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Mental impairment, Nausea
Clinical narrative: The patient received the vaccine and was waiting her 15 minutes to make sure she didn't have any reactions. Approximately 8 minutes after the vaccine was administered and the patient passed out . She did not report that she was not feeling well until after she came to. She then reported dizziness and nausea. She laid on the floor in the recovery position on the floor for about 30 minutes before feeling ok enough to sit in the chair and eventually be able to walk out of the store.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness, Syncope
Clinical narrative: PT came in to get his first Moderna Covid shot. After patient was done, patient walked out and sat in the waiting room chair. 7 minutes into sitting down patient passed out and fell out of the chair and hit the floor. When the pharmacist came out to the patient, to assure their safety, moments after getting his safety assured. Pt informed the staff that he had not eaten anything in 12 hours before getting the shot. Pt was given Orange juice, to get his sugar back up. The Pharmacist check his blood pressure and it was 117/78. Pulse was 53 so it was low as expected post- syncope episode. Pt waited for his mother before leaving allowing him to be safe afterwards.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Electrocardiogram, Laboratory test, Nausea
Clinical narrative: CHRONIC CHEST PAINS; SHORTNESS OF BREATH, NAUSEA all occurring in any physically involved activity such as walking, climbing the stairs, and wieght lifting.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Paraesthesia
Clinical narrative: THE CUSTOMER WAS SWEATING AND TINGLING IN THE ARMS
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: nose bleed 15 minutes after vaccine administration, observed and discharged home
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Fatigue, fever, headache, chills, muscle aches, injection site pain
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fatigue, fever, headache, chills, muscle aches, injection site pain
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: patient complains of pain shooting from injection site in upper left arm to left hand. no left hand weakness. no left or right arm numbness or tingling, no left or right arm weakness.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Fever: 3/17 at 5:00 pm to 3/18 at 4:00 pm Headache: 3/17 at 4:00 to 3/18 at 10:00 pm
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Hyperhidrosis, Myalgia, Nausea
Clinical narrative: nausea, dizziness, fatigue, sweating, severe muscle aches
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Hypersensitivity, Pharyngeal swelling
Clinical narrative: Patient developed throat swelling and difficulty swallowing within minutes of receiving the vaccine.  She received EPI at the site and went to the ED where she was treated for allergic reaction.  No other organ systems were involved.  She received steroids and antihistamines.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Headache, body aches, fever, arm soreness
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain in extremity
Clinical narrative: Approx 4 hrs after vaccine administration c/o back hurting at work.  States it continued to bother her.  She took her prn meds for back pain around 2200 that night with no relief.  States it continues to hurt in lower back and down into legs
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Loss of consciousness, Nausea, Syncope
Clinical narrative: Woke up this morning feeling fine, showered, went downstairs to make tea, felt suddenly strange. Intense nausea and faintness. Lost consciousness for about 30 seconds (according to my husband).
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia, Skin warm, Swelling
Clinical narrative: soreness in arm, lump, hot to touch, itchy, left arm tingly and numb
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Vital signs measurement
Clinical narrative: Lightheaded, dizziness, feeling warm BP 137/89 HR 101 Sp02; 99% seen and cleared by EMS
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Pallor, Pyrexia, Vision blurred
Clinical narrative: Approximately 30 minutes after injection, while driving to work.  My vision became blurry and felt extremely weak.  I arrived at my office very pale, weak, and very blurry vision, develop fever of 100.1.  Symptoms lasted 12-18 hours
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Breast tenderness, Hypoaesthesia, Pain in extremity
Clinical narrative: March 24-26: Pain in left arm March 27-April 2: Mild numbness on left side of upper body - starting at left shoulder blade March 3-Current:  Tenderness/soreness under left armpit area and left breast.  Painful sores/breakout on left side of left breast
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: March 24-26: Pain in left arm March 27-April 2: Mild numbness on left side of upper body - starting at left shoulder blade March 3-Current:  Tenderness/soreness under left armpit area and left breast.  Painful sores/breakout on left side of left breast
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cranial nerve palsies multiple
Clinical narrative: Patient developed VI cranial nerve palsy 10 days after receiving immunization.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Product administered to patient of inappropriate age
Clinical narrative: Patient received the Moderna vaccine on 03/05/2021. Patient stated only experienced some soreness and fatigue after receiving the vaccine. Patient was 17 years old at the time of vaccination. No adverse reactions were noted as a result of receiving the vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: patient had completed wait time in the observation room and was at the main lobby door on her way out when she stated she was having trouble breathing. The concierge put the patient in a wheelchair and brought the patient to the emergency department. Nothing noted during the observation time.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Vaccine mixed with incorrect diluent (sterile water instead of normal saline). Pt informed of error and offered revaccination. Pt reports no adverse reactions.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injury associated with device
Clinical narrative: VACCINATOR WAS REMOVING THE CAP FROM A CLEAN NEEDLE AND SLIGHTLY STUCK HR LEFT MIDDLE AND RING FINGER.  VACCINE WAS WASTED.  VACCINATOR WASHED OFF AREA WITH SOAP AND WATER.  THIS WAS A CLEAN NEEDLESTICK.  SAFETY, DIRECTOR WERE NOTIFIED.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Flushing, Paraesthesia oral
Clinical narrative: Five min after vaccination pt felt tingling in tongue, lips, mouth, coughing, flushed skin . Os sat was 99% room air, pulse 67, lungs clear bilaterally to auscultation. Sx fully resolved at 3:55 pm without use of medication.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pain in extremity, Rash
Clinical narrative: Patient received vaccination at site and came to pod as elevate employee Patient reported feeling lightheaded and right hand pain with mild rash Patient provided with water and seen by medical team Patient refused medical transport and signed form Patient stated symptoms improved, Patient is an elevate employee and will be sent home early