chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Body temperature increased, Burning sensation, Injection site induration
Clinical narrative: After receiving the shot, I had an initial burning sensation that went away within 30-45 seconds. After about 1.5 to 2 hours after the shot, I noticed a small, hard bump at the injection site. By the next morning (2/17), the bump was larger and warm to the touch, and painful, but tolerable. By mid morning, I had aches in my upper back/neck. By noon, all of my joints were aching and I had muscle pain all over my body. By early that evening, I had a mild fever (100.3), significant increase in pain with the muscle/joint aches, and very tired. By midnight that night, my fever had broken and the majority of the achiness had subsided.  By morning of 2/18, there was little to no more aches/pains, however, the lump on my arm at the injection site is still hard, warm to the touch, but significantly less painful. By mid afternoon, the bump has spread out but softened, skin is still warm to the touch.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain, Injection site warmth, Myalgia, Neck pain
Clinical narrative: After receiving the shot, I had an initial burning sensation that went away within 30-45 seconds. After about 1.5 to 2 hours after the shot, I noticed a small, hard bump at the injection site. By the next morning (2/17), the bump was larger and warm to the touch, and painful, but tolerable. By mid morning, I had aches in my upper back/neck. By noon, all of my joints were aching and I had muscle pain all over my body. By early that evening, I had a mild fever (100.3), significant increase in pain with the muscle/joint aches, and very tired. By midnight that night, my fever had broken and the majority of the achiness had subsided.  By morning of 2/18, there was little to no more aches/pains, however, the lump on my arm at the injection site is still hard, warm to the touch, but significantly less painful. By mid afternoon, the bump has spread out but softened, skin is still warm to the touch.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Feeling hot, Headache, Hyperhidrosis, Pain
Clinical narrative: Hot, sweating. Ice cold freezing, body aches, slight headache. For about 12 hours
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: arm redness and swelling
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Blood immunoglobulin E normal, Radioallergosorbent test negative, Skin test negative, Urticaria
Clinical narrative: Urticaria that started the day after vaccination
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Diarrhoea, Dizziness, Fall
Clinical narrative: Initially just a sore hot arm. By the next day, 2/17, I was dizzy severe headache sweats, could not get out of bed without falling down. Could barely move I was so weak. Could not eat or drink. Sore throat. Bad stomach pains. Ate two pieces of toast and yogurt anyway and threw up. Had diarrhea. Took two Tylenol, five hours apart three times.Didn?t help. Kept falling asleep and waking up every hour in a sweat. Very bad headache and blurry vision.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Hyperhidrosis, Mobility decreased, Oropharyngeal pain
Clinical narrative: Initially just a sore hot arm. By the next day, 2/17, I was dizzy severe headache sweats, could not get out of bed without falling down. Could barely move I was so weak. Could not eat or drink. Sore throat. Bad stomach pains. Ate two pieces of toast and yogurt anyway and threw up. Had diarrhea. Took two Tylenol, five hours apart three times.Didn?t help. Kept falling asleep and waking up every hour in a sweat. Very bad headache and blurry vision.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Vision blurred, Vomiting
Clinical narrative: Initially just a sore hot arm. By the next day, 2/17, I was dizzy severe headache sweats, could not get out of bed without falling down. Could barely move I was so weak. Could not eat or drink. Sore throat. Bad stomach pains. Ate two pieces of toast and yogurt anyway and threw up. Had diarrhea. Took two Tylenol, five hours apart three times.Didn?t help. Kept falling asleep and waking up every hour in a sweat. Very bad headache and blurry vision.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Pt possibly received normal saline diluent instead of the Pfizer vaccine. There was an error in preparation. Pt was contacted on 2/16/21. No adverse reaction reported.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Skin discolouration
Clinical narrative: Toes are showing skin changes and having tingling sensation
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nodule, Pruritus, Pyrexia, Swelling
Clinical narrative: Swelling, large knot, itching, headache, and low grade fever
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site swelling, Nausea
Clinical narrative: injection site swelling  nausea headache chills fatigue
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Pre-vaccine, pt stated had broken out in a rash on Feb 12th, went to a walk-in clinic 02.13 and had been told to take Benadryl, 02.16 had Dr appt, continue Benadryl & added topical triamcinolone. Dr advised pt could get 2nd dose of vaccine. 15 minutes after second dose, pt presented with hives on both arms and back. Had not had Benadryl 02.18. Gave 1 dose of 25mg. No nausea, wheeze, thickening of tongue etc.  15 minutes later no change; at 30 minutes took 2nd Benadryl 25mg ( pt had been taking 2 per dose previously). Was given a rise home, lives with mother. Pt contacting Dr this afternoon for follow-up.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Lightheaded. Did not have anything to eat all day. Felt better after eating banana. BP 140/63, HR 99 at 14:25. BP 129/60, HR 92 at 14:40 upon discharge.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever that eventually reached 104 F; achy all over; nausea; headache; worst I have felt in years.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state
Clinical narrative: Systemic: Confusion-Severe, Additional Details: Although date of ADR is several days from vaccination this occurred with 3 people at the same facility.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Eye disorder, Facial spasm, Feeling abnormal
Clinical narrative: I started experiencing spasms in the right side of my face. I had a weird feeling in my veins that went up and down my arms and by Saturday it was up in my head. this lasted for 4 hours. I had a bright white light in my right eye that was like a burst of light every time I blink. I went to the eye doctor on 2/5 and they gave me an eye dilation drop and he said that when the lining of the eyeball pulls away from the eyeball it catches the light coming into the eye and reflects down into the eye very bright. I started swelling and had a red rash on my neck, back of my neck, jaw, arms and kegs and belly. it started itching and had raised dots. about 12 dots on each limb/surface. I took Claritin and Famotidine. I woke up with more itching and a cold wave over my body. I took more Claritin and famotidine. My arms, legs, belly, and back started itching again. I had chills. The skin on my arm was hard in spots. I took half a Benadryl on Monday the 8th at 5 am. at 8am I was still itching. it died down but then flared up again and I took Zyrtec at 8pm. Tuesday the 9th I woke at 5am with more itching. I ate food and had more itching. Wednesday I had pain in my jam and my tmj flared up and I had pain in my molar but the Dentist said there was nothing wrong with my tooth. On 2/9 I had a blood draw and everything was normal. the only thing not normal was the carbon dioxide in my system. On 2/16 I was still feeling weird.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Laboratory test, Photopsia, Pruritus, Rash
Clinical narrative: I started experiencing spasms in the right side of my face. I had a weird feeling in my veins that went up and down my arms and by Saturday it was up in my head. this lasted for 4 hours. I had a bright white light in my right eye that was like a burst of light every time I blink. I went to the eye doctor on 2/5 and they gave me an eye dilation drop and he said that when the lining of the eyeball pulls away from the eyeball it catches the light coming into the eye and reflects down into the eye very bright. I started swelling and had a red rash on my neck, back of my neck, jaw, arms and kegs and belly. it started itching and had raised dots. about 12 dots on each limb/surface. I took Claritin and Famotidine. I woke up with more itching and a cold wave over my body. I took more Claritin and famotidine. My arms, legs, belly, and back started itching again. I had chills. The skin on my arm was hard in spots. I took half a Benadryl on Monday the 8th at 5 am. at 8am I was still itching. it died down but then flared up again and I took Zyrtec at 8pm. Tuesday the 9th I woke at 5am with more itching. I ate food and had more itching. Wednesday I had pain in my jam and my tmj flared up and I had pain in my molar but the Dentist said there was nothing wrong with my tooth. On 2/9 I had a blood draw and everything was normal. the only thing not normal was the carbon dioxide in my system. On 2/16 I was still feeling weird.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: I started experiencing spasms in the right side of my face. I had a weird feeling in my veins that went up and down my arms and by Saturday it was up in my head. this lasted for 4 hours. I had a bright white light in my right eye that was like a burst of light every time I blink. I went to the eye doctor on 2/5 and they gave me an eye dilation drop and he said that when the lining of the eyeball pulls away from the eyeball it catches the light coming into the eye and reflects down into the eye very bright. I started swelling and had a red rash on my neck, back of my neck, jaw, arms and kegs and belly. it started itching and had raised dots. about 12 dots on each limb/surface. I took Claritin and Famotidine. I woke up with more itching and a cold wave over my body. I took more Claritin and famotidine. My arms, legs, belly, and back started itching again. I had chills. The skin on my arm was hard in spots. I took half a Benadryl on Monday the 8th at 5 am. at 8am I was still itching. it died down but then flared up again and I took Zyrtec at 8pm. Tuesday the 9th I woke at 5am with more itching. I ate food and had more itching. Wednesday I had pain in my jam and my tmj flared up and I had pain in my molar but the Dentist said there was nothing wrong with my tooth. On 2/9 I had a blood draw and everything was normal. the only thing not normal was the carbon dioxide in my system. On 2/16 I was still feeling weird.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Exposure during pregnancy, Injection site urticaria, Labile blood pressure, Loss of consciousness
Clinical narrative: 37 year old female, 7 months pregnant received first dose vaccination with Pfizer-BioNTech vaccine.  Approximately 18 hours after receiving the vaccination, the individual developed dizziness, hives at site of injection, and was near to losing consciousness.  She sought medical attention in an emergency room (tests were run but no medication was given).  Discharged from emergency room but with ongoing labile blood pressure and continued vertigo.  Advised by OBGYN to not receive second dose of series.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: 37 year old female, 7 months pregnant received first dose vaccination with Pfizer-BioNTech vaccine.  Approximately 18 hours after receiving the vaccination, the individual developed dizziness, hives at site of injection, and was near to losing consciousness.  She sought medical attention in an emergency room (tests were run but no medication was given).  Discharged from emergency room but with ongoing labile blood pressure and continued vertigo.  Advised by OBGYN to not receive second dose of series.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Lymphadenopathy, Pyrexia, SARS-CoV-2 test negative, Ultrasound scan
Clinical narrative: Inflammed lymph nodes  around ear, jaw, chin, neck, upper chest wall and axillary from day.  Received injection on 1-7-21 Fever on 103 for 2 days then lymph nodes swollen on1-9-21 and have not resolved since then todays date is 2/18/21
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Pt reports developing a red rash on both of her cheeks 2 days after receiving her first dose of Moderna COVID-19 vaccine. Pt reports taking Benadryl for 3 days absent any results. The rash still persisted. Pt did not see a provider or take any other medications. Pt presented today for her second dose, 28 days later, with some noticeable redness on her cheeks. Pt requested 2nd dose, which I administered after discussing risks and benefits. Advised pt to take some Benadryl and see a PCP in regards. Pt did not report having any swelling of her lips, face, tongue or throat or developing hives.  Pt verbalized understanding.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Paraesthesia, Shoulder injury related to vaccine administration
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Blood test, Magnetic resonance imaging head, Tinnitus
Clinical narrative: Tinnitus persists
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Full blood count, Gingival pain, Gingival swelling, Gingival ulceration
Clinical narrative: Acute Necrotizing Ulcerative Gingivitis (swelling, pain, ulceration involving lower teeth, gums, tongue and lips)
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Glossodynia, Lip pain, Lip swelling, Lip ulceration, Metabolic function test
Clinical narrative: Acute Necrotizing Ulcerative Gingivitis (swelling, pain, ulceration involving lower teeth, gums, tongue and lips)
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Necrotising ulcerative gingivostomatitis, Red blood cell sedimentation rate, Tongue ulceration
Clinical narrative: Acute Necrotizing Ulcerative Gingivitis (swelling, pain, ulceration involving lower teeth, gums, tongue and lips)
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I have small round spots coming up on my wrists and legs-they look like bruises but are not-they are not painful or itchy
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: I gave the Moderna vaccine to this patient and she is not 18 yet.  She will turn 18 on 4/8/2021.  Cheif Pharmacist contacted the Moderna company and was advised to continue with Moderna for 2nd dose.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: 5 hours after injection, had tingling in feet. Still have tingling in feet and hands on Feb. 18. I have experienced this symptom before, but it has been a couple years since I have experienced it.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: 5 hours after injection, had tingling in feet. Still have tingling in feet and hands on Feb. 18. I have experienced this symptom before, but it has been a couple years since I have experienced it.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever 99.9, freezing cold, body aches, very sore left arm.  It started late night the day of my vaccine  and I took my temperature at 2:30 am when I was so cold. Taking ibuprofen which helps aches but not really helpful with fever yet.   I still have a fever now so it?s been at least 13-14 hours.   I went to work this morning but left after 3.5 hours because I was FREEZING.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: 4:15pm shot. 5:30pm itchy arm 135/95mmHg  Benadryl. 5:48pm 126/85mmHg.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Pain in extremity
Clinical narrative: Sore arm following administration, resolved. Then on 2/17/21 arm sore again with hot sensation and red color. Still not resolved.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Fall
Clinical narrative: Systemic: loss of balance and fell on the floor -Mild, Additional Details: patient is reporting that after her 15 minute observation, patient fell on the floor. Two nurses checked up on her and ensured she is feeling well, no body injury or harm was reported.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea
Clinical narrative: Sever headache and nausea lasting over 12 hours.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Herpes zoster, Neck pain, Rash
Clinical narrative: The day after the vaccine I began to feel pain in my neck  and  a burning sensation. Five days after the vaccination I developed a rash and was diagnosed with Shingles after sending a picture of the rash to my doctor.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Injection site pain
Clinical narrative: Diarrhea, aches, chills, fatigue, pain at injection, headache, neck ache
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Neck pain, Pain
Clinical narrative: Diarrhea, aches, chills, fatigue, pain at injection, headache, neck ache
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Pt possibly received normal saline diluent instead of the Pfizer vaccine. There was an error in preparation. Pt was contacted on 2/16/21. No adverse reaction reported.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Pyrexia
Clinical narrative: Fever chills body pain nausea severe fatigue
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Redness, warmth, and tenderness surrounding injection site for 72 hours after injection
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Dizziness and nausea
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Full blood count, Immediate post-injection reaction, Injection site pain
Clinical narrative: Pain during injection ("a jab, I jumped, then another jab"), followed by diffused pain @ chest for a week after which prompted pt to see PCP.  Exam shows well healing ecchymosis @ R chest wall & R breast.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness
Clinical narrative: I experienced 4 hours after injection high BP 200 (my normal bp is 120) and I was dizzy and felt like passing out, I had a stint put in heart 6 years ago, I have A-fib and not sure if I should get the 2nd dose.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Slight soreness, swelling, and intense itching from,seemingly, a red rash around the injection site. After using anti-itch ointments, (Cortaid & Cortizone-10), the itching has continued and has spread farther down the arm that was innoculated/vaccinated this week. I tried calling my health clinic, but they have been closed because of the winter storm. I have called the Pharmacy to speak to the pharmacist, but was placed on hold for about 15 minutes, without a pick-up of my call. I would just like some advice as to how best to address my issue because the itching still persists.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Shingrix vaccination, right arm.  Several large rash areas on right upper arm. Itchy, Benadryl helping
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Seizure
Clinical narrative: Patient had a mild seizure and passed out for about a minute
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Headache, Immediate post-injection reaction, Nausea
Clinical narrative: immediate symptoms of light headiness, dizziness, stomach ache, nausea, headache, rash
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: immediate symptoms of light headiness, dizziness, stomach ache, nausea, headache, rash
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain
Clinical narrative: I had a severe headache - couldn't get up without being nauseous. That lasted about 24 hours. At 6 PM on the 19th, I finally took Excedrin PM for the pain. I had fatigue. Fatigue was also about 24 hours.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Electrocardiogram, Flushing, Heart rate increased
Clinical narrative: Called to COVID -19 post vaccination observation area to see this patient. Received 1st vaccination of COVID 19 Moderna vaccine (lot 024M20A, exp 8/3/2021) at approximately 10a Was in observation area for 30 minutes (due to prior hx of anaphylaxis with immunotherapy shots as teenager). Pt initially felt well, until approximately 30 minutes after the vaccination, when she started to have sensation of constriction in chest, feeling of heart beating quickly, and mild lightheadedness. Pt awake and alert and appropriately responsive.  Denied any itching, rash, sob, throat discomfort or swelling or facial swelling. No rash or redness noted at vaccination site.  Pt transferred to clinical reclining chair via wheelchair, with assistance, in private area. VS normal with HR 71 and BP 136/79 Sat 97%, normal respiratory effort, speaking in full sentences. Given po apple juice. Pt with persistent feeling of chest constriction, feeling face slightly flushed/warm (no rash, no visible erythema or flushing). Hx of coronary vasospasm with hx of elevated troponin 4 yrs ago post surgery, cardiac cath 2 yrs ago due to intermittent chest pain. Coronary vasospasm noted on cath per pt, current meds are diltiazem, ASA 81, a statin, and nitroglycerin prn. Last episode of chest pain was approx one year ago.  Repeat VS HR 73 BP 130/89 Sat 99% on RA, awake and alert and appropriate 911 called due to chest discomfort with hx of coronary vasospasm in past. Paramedics given report including pt's medical history as above.  Paramedics arrived at approximately 10:45a and evaluated patient: ECG done, normal per paramedics. Under their observation CP improved, slight flushing sensation improved, pt feeling better without intervention, no evidence of anaphylaxis. Per paramedics pt offered ambulance transfer by EMS, declined.  Per paramedics/EMS, no indications for transfer to ED as ECG normal and pt feeling much better without intervention. Per their evaluation pt can be allowed to go home. They state that they have seen this often in patients post vaccination. When asked, they state that this is not an indication of severe reaction, and there is no contraindication to second vaccine. They discussed this with patient.  Pt observed for an additional 20 minutes. 11:15a pt feeling very well, no chest pain or flushing or itching. Ambulating without difficulty. Pt left at 11:19a feeling well.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Called to COVID -19 post vaccination observation area to see this patient. Received 1st vaccination of COVID 19 Moderna vaccine (lot 024M20A, exp 8/3/2021) at approximately 10a Was in observation area for 30 minutes (due to prior hx of anaphylaxis with immunotherapy shots as teenager). Pt initially felt well, until approximately 30 minutes after the vaccination, when she started to have sensation of constriction in chest, feeling of heart beating quickly, and mild lightheadedness. Pt awake and alert and appropriately responsive.  Denied any itching, rash, sob, throat discomfort or swelling or facial swelling. No rash or redness noted at vaccination site.  Pt transferred to clinical reclining chair via wheelchair, with assistance, in private area. VS normal with HR 71 and BP 136/79 Sat 97%, normal respiratory effort, speaking in full sentences. Given po apple juice. Pt with persistent feeling of chest constriction, feeling face slightly flushed/warm (no rash, no visible erythema or flushing). Hx of coronary vasospasm with hx of elevated troponin 4 yrs ago post surgery, cardiac cath 2 yrs ago due to intermittent chest pain. Coronary vasospasm noted on cath per pt, current meds are diltiazem, ASA 81, a statin, and nitroglycerin prn. Last episode of chest pain was approx one year ago.  Repeat VS HR 73 BP 130/89 Sat 99% on RA, awake and alert and appropriate 911 called due to chest discomfort with hx of coronary vasospasm in past. Paramedics given report including pt's medical history as above.  Paramedics arrived at approximately 10:45a and evaluated patient: ECG done, normal per paramedics. Under their observation CP improved, slight flushing sensation improved, pt feeling better without intervention, no evidence of anaphylaxis. Per paramedics pt offered ambulance transfer by EMS, declined.  Per paramedics/EMS, no indications for transfer to ED as ECG normal and pt feeling much better without intervention. Per their evaluation pt can be allowed to go home. They state that they have seen this often in patients post vaccination. When asked, they state that this is not an indication of severe reaction, and there is no contraindication to second vaccine. They discussed this with patient.  Pt observed for an additional 20 minutes. 11:15a pt feeling very well, no chest pain or flushing or itching. Ambulating without difficulty. Pt left at 11:19a feeling well.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient did not experience an adverse event.  Patient's 1st dose of the COVID-19 vaccine was Pfizer.  2nd dose should have been Pfizer also, but Moderna was administered in error.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of product administration, Periarthritis, X-ray normal
Clinical narrative: I have had a adhesive capsulitis in my left shoulder (frozen shoulder) since getting the Shingles vaccine on September 29th, 2020.  The pharmacy technician was tall and standing above me and injected the shot really high up on my arm at my shoulder and since I have not been able to move my arm. I called my primary care physician and had x-rays and was referred to an orthopedic doctor. I have had a cortisone shot from the orthopedic doctor and he referred me to see a physiotherapist x3 per week and I also have to also do shoulder exercises at home everyday for at least 30 mins.   I have been told by my orthopedic doctor that this condition may last up to 2 years.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient came to clinic, checked in at patient registration  patient received Vaccination, no Known side effects Director called  confirmed patient received Vaccination Provider  called parent New Preventive measures introduced
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Injection site urticaria
Clinical narrative: Hive like red rash on left arm at, near and around injection site
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: left side of my neck, where my lymph note is, it is swollen
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Cold sweat, Dyskinesia, Electrocardiogram, Fatigue, Hypophagia
Clinical narrative: On Monday 2/15, the patient got vaccinations and was fussy afterwards. Mother states that this is normal for the patient following immunization. Around 6:00 PM that day the mother noticed the patient became rigid and was staring at nothing. She describes it as "seizure like activity" and lasted about 30 seconds. The patient then became responsive and screamed hysterically. Mother was able to console the patient and call EMS where she was recommended PCP follow up. 2/17/21 at approximately 10:00 PM, the patient had another episode of "seizure like activity" where the patient was sitting in the mother's arms when he became increasingly fussy then went limp and lost consciousness. Patient then began jerking his head and arm. Mother reports this episode was approximately 1 minute long. Mother called the non emergent line and they recommended coming to the ED. Mother additionally notes the patient had significant decrease in PO intake. She reports associated fevers, cold sweats, and fatigue.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Hypotonia, Irritability, Loss of consciousness, Muscle rigidity, Pyrexia
Clinical narrative: On Monday 2/15, the patient got vaccinations and was fussy afterwards. Mother states that this is normal for the patient following immunization. Around 6:00 PM that day the mother noticed the patient became rigid and was staring at nothing. She describes it as "seizure like activity" and lasted about 30 seconds. The patient then became responsive and screamed hysterically. Mother was able to console the patient and call EMS where she was recommended PCP follow up. 2/17/21 at approximately 10:00 PM, the patient had another episode of "seizure like activity" where the patient was sitting in the mother's arms when he became increasingly fussy then went limp and lost consciousness. Patient then began jerking his head and arm. Mother reports this episode was approximately 1 minute long. Mother called the non emergent line and they recommended coming to the ED. Mother additionally notes the patient had significant decrease in PO intake. She reports associated fevers, cold sweats, and fatigue.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Screaming, Seizure like phenomena, Staring, Unresponsive to stimuli
Clinical narrative: On Monday 2/15, the patient got vaccinations and was fussy afterwards. Mother states that this is normal for the patient following immunization. Around 6:00 PM that day the mother noticed the patient became rigid and was staring at nothing. She describes it as "seizure like activity" and lasted about 30 seconds. The patient then became responsive and screamed hysterically. Mother was able to console the patient and call EMS where she was recommended PCP follow up. 2/17/21 at approximately 10:00 PM, the patient had another episode of "seizure like activity" where the patient was sitting in the mother's arms when he became increasingly fussy then went limp and lost consciousness. Patient then began jerking his head and arm. Mother reports this episode was approximately 1 minute long. Mother called the non emergent line and they recommended coming to the ED. Mother additionally notes the patient had significant decrease in PO intake. She reports associated fevers, cold sweats, and fatigue.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chills, Dry mouth, Dysphagia, Throat tightness
Clinical narrative: Throat tight, hard to swallow, extreme dry mouth, chills,  shaking, anxiety
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Throat tight, hard to swallow, extreme dry mouth, chills,  shaking, anxiety
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Pt possibly received normal saline diluent instead of the Pfizer vaccine. There was an error in preparation. Pt was contacted on 2/16/21. No adverse reaction reported.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: rash, itching
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Approximately 20 minutes after receiving 2nd dose of Pfizer Covid-19 vaccination, pt reports dull feeling in left-side of chest. Pt reports no difficulties breathing, rash, itching, fever, or other issues. Pt escorted to EMS who took vital signs. BP 120/85, HR 65, O2 100% on RA, Temp 98.7F. Pt provided with juice box. After approximately 20 more minutes of waiting, pt reports symptoms have not improved, but are also not worse. No other issues noted. Pt ambulated by self out of clinic home. Pt refused to have vitals rechecked.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Fatigue, Headache, Impaired work ability, Lacrimation increased
Clinical narrative: Around 1 am I woke up having to sneeze and blow my nose over and over again. It got better for a few hours while I slept and then worse again around 9:30 am. I had to call in from work. I?ve been blowing my nose and having watery eyes all day. I took my usual allergy pill but it did not help. I?m reporting this because runny nose isn?t listed as a common symptom.  I have soreness in my arm but no other symptoms other than maybe a slight headache and fatigue.  I?m worried I might actually be sick but I?ve hardly left my house for months so that seems unlikely.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rhinorrhoea, Sneezing
Clinical narrative: Around 1 am I woke up having to sneeze and blow my nose over and over again. It got better for a few hours while I slept and then worse again around 9:30 am. I had to call in from work. I?ve been blowing my nose and having watery eyes all day. I took my usual allergy pill but it did not help. I?m reporting this because runny nose isn?t listed as a common symptom.  I have soreness in my arm but no other symptoms other than maybe a slight headache and fatigue.  I?m worried I might actually be sick but I?ve hardly left my house for months so that seems unlikely.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Injection site pain, systemic arthritic pain
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Vaccination site pain
Clinical narrative: Injection site pain, systemic arthritic pain
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Myalgia, Pain
Clinical narrative: Severe and excruciating back pain, muscle pain and body aches
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: four day after 1st dose of Moderna Covid-19 vaccine EUA developed a red, very itchy rash on back of neck. Rash has spread into scalp and top of shoulder area with secondary splotches on hip, abdomen & inner area of left arm.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Condition aggravated, Sleep disorder
Clinical narrative: Having more severe stomach pain than normal. Interfering with ability to sleep at night.  Visited urgent care this morning because of the pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Nasopharyngitis, Pain in extremity
Clinical narrative: Sore arm after administration, resolved. moderna sore arm not exactly at injection site red, no fever. got a cold after 1st shot 5 days then sore again after another 5 days reported 2-18-21
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Blood pressure increased, Dyspnoea, Electrocardiogram, Nasopharyngitis
Clinical narrative: Sore arm after administration, resolved. moderna sore arm not exactly at injection site red, no fever. got a cold after 1st shot 5 days then sore again after another 5 days reported 2-18-21
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Palpitations
Clinical narrative: Sore arm after administration, resolved. moderna sore arm not exactly at injection site red, no fever. got a cold after 1st shot 5 days then sore again after another 5 days reported 2-18-21
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: immidiate: red at injection sight, swelling, sore and tender  my arm was never symptom free (from immediate to 3 weeks after vaccine) after 3 weeks: a large red/blue/purple large lesion from injection site  2-3 inches in length and down my arm, tendor, sore, warm, hard and tight, itching, 3 separate red lesions that are painful to the touch and sore without being touched
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling, Skin lesion
Clinical narrative: immidiate: red at injection sight, swelling, sore and tender  my arm was never symptom free (from immediate to 3 weeks after vaccine) after 3 weeks: a large red/blue/purple large lesion from injection site  2-3 inches in length and down my arm, tendor, sore, warm, hard and tight, itching, 3 separate red lesions that are painful to the touch and sore without being touched
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Grip strength decreased, Influenza like illness, Myalgia
Clinical narrative: Really fatigued and my muscles were really sore, chills, low grade fever. I couldn't grasp anything. Flu like symptoms. Doctor said to follow up in two days if not better but was better by then.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Really fatigued and my muscles were really sore, chills, low grade fever. I couldn't grasp anything. Flu like symptoms. Doctor said to follow up in two days if not better but was better by then.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Pain in extremity
Clinical narrative: I felt very tired, (slept about 12 hours )and had no energy for about 14 hours.  My arm stopped hurting and my energy came back without any physician assistance
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Limb mass, Pruritus, Skin warm
Clinical narrative: Itchy, red, warm to touch, 2 lumps on left arm.   Aware approx 6pm. Lasted 24 hrs Both ankle areas itchy.  Started 02/09/2021 through 02/12/2021
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain of skin, Rash, Skin swelling, Skin warm
Clinical narrative: Patient came to pharmacy complaining of a rash on her left arm after getting the COVID shot. On their left arm near the injection site her skin was swollen and red. Per the patient, it was warm to the touch, and hurt a little when she touches it. Patient did not report any other symptoms. Informed patient to see their primary care provider.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Pruritus
Clinical narrative: lip swelling and itching of jaw
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Paraesthesia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA  Received dose #1 in drive thru vaccine clinic and reports shortness of breath,  lightheadedness, left hand tingling post vaccination on right arm. Taken to ED for further assessment.  Pt has COPD but patient feels these symptoms are different. After some time, daughter feels patient is back to baseline.   ED visit on 2/12/21 (12:03p - 15:02p)
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Fatigue, Headache, Hypersensitivity
Clinical narrative: Woke me up in middle of night - severe pain in hips and shoulders; same severe headache that causes nausea. I had muscle fatigue and overall general fatigue for 48 hours.  Injection site - starting 2 inches down from it - I had red blotchiness (about 24 hours after) - grew (to not quite down to my elbow)and swelled and was hot to touch for 72 hours. It itched a little bit.  The Monday (11th) following I had Dr. visit - to Primary Care Physician - large allergic reaction. He told me to draw a border around it. It continued to spread but not severely and no streaks down my arm. Applied heat to increase blood flow to the area.  The heat helped. It took about seven days to fully go away (the swelling and redness on my arm).
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Muscle fatigue
Clinical narrative: Woke me up in middle of night - severe pain in hips and shoulders; same severe headache that causes nausea. I had muscle fatigue and overall general fatigue for 48 hours.  Injection site - starting 2 inches down from it - I had red blotchiness (about 24 hours after) - grew (to not quite down to my elbow)and swelled and was hot to touch for 72 hours. It itched a little bit.  The Monday (11th) following I had Dr. visit - to Primary Care Physician - large allergic reaction. He told me to draw a border around it. It continued to spread but not severely and no streaks down my arm. Applied heat to increase blood flow to the area.  The heat helped. It took about seven days to fully go away (the swelling and redness on my arm).
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Peripheral swelling, Rash macular, Sleep disorder
Clinical narrative: Woke me up in middle of night - severe pain in hips and shoulders; same severe headache that causes nausea. I had muscle fatigue and overall general fatigue for 48 hours.  Injection site - starting 2 inches down from it - I had red blotchiness (about 24 hours after) - grew (to not quite down to my elbow)and swelled and was hot to touch for 72 hours. It itched a little bit.  The Monday (11th) following I had Dr. visit - to Primary Care Physician - large allergic reaction. He told me to draw a border around it. It continued to spread but not severely and no streaks down my arm. Applied heat to increase blood flow to the area.  The heat helped. It took about seven days to fully go away (the swelling and redness on my arm).
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: ~ 10 days post vaccine developed itching and redness in vaccinated are.  Slight swelling.
Age: 78.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Unevaluable event
Clinical narrative: item
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Dyspnoea, Pain in extremity, Swelling of eyelid
Clinical narrative: Received 2nd dose of Pfizer vaccine on 1/8  around 12:40pm. Only had a sore arm yesterday. The next morning, woke up with mild abd cramping that resolved over about 1 hour. Throughout the day, had 2 episodes of NB diarrhea. At night, she noticed diffuse body hives and b/l upper and lower eyelid swelling. +accompanying mild SOB with audible wheezing. Pt took benadryl, zyrtec, and pepcid just before arrival to ED and reports feeling better. SOB/wheezing has resolved. Hives are mostly resolved. Only has residual eyelid swelling, Ice applied to eyelid and sent home for observation along with epinephrine pen.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Wheezing
Clinical narrative: Received 2nd dose of Pfizer vaccine on 1/8  around 12:40pm. Only had a sore arm yesterday. The next morning, woke up with mild abd cramping that resolved over about 1 hour. Throughout the day, had 2 episodes of NB diarrhea. At night, she noticed diffuse body hives and b/l upper and lower eyelid swelling. +accompanying mild SOB with audible wheezing. Pt took benadryl, zyrtec, and pepcid just before arrival to ED and reports feeling better. SOB/wheezing has resolved. Hives are mostly resolved. Only has residual eyelid swelling, Ice applied to eyelid and sent home for observation along with epinephrine pen.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus
Clinical narrative: 10 days after the vaccine I got a 2 inch red circle on my left arm. There was a hard center and it was itchy. The lump seems to have subsided however the area still remains with a 2 inch red circle and sometimes itchy
Age: 83.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: On day 5 Patient improved with self care
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Laboratory test
Clinical narrative: Pt possibly received normal saline diluent instead of the Pfizer vaccine. There was an error in preparation. Pt was contacted on 2/16/21. No adverse reaction reported.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Difficulty Breathing while sleeping
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Nausea, Vomiting
Clinical narrative: 16 weeks pregnant; experienced nausea ~3 hours after injection and vomiting starting ~7 hours after injection
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Pain, Pyrexia
Clinical narrative: 12 hours after severe painful debilitating headache, random stabbing pains all over body sporadically, fever (101.5), chills, body aches.  Motrin, Tylenol for 24 hours.  After 24 hours of severe symptoms another 12 hours fatigue and low grade headache. 48 hours later just low fatigue.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Pain in extremity, Vertigo
Clinical narrative: The day of the vaccine,  I  woke up dizzy, lightheaded and weak feeling.  It's hard to explain. I felt like I was spinning.  I had my BP checked by the NP in the office where I work. I also had arm soreness that lasted 3 or 4 days.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Pain in extremity, Rash erythematous
Clinical narrative: No symptoms the first 12 hours. Upon waking up for work, I had severe fatigue, chills, and severe arm pain, no fever.. At 3:30pm, 24 hours after the vaccine, I noticed a large red spot on my arm that appears as though the liquid spread out under my skin (best way to describe it). About 3 inches by 2 inches in size. It could have been there since I woke up, but I didn't notice until later today.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dysstasia, Fatigue, Heart rate increased, Myalgia
Clinical narrative: Severe Muscle and joint paint started at around 2am, on 2/18.  Followed by severe fatigue and trouble standing.  Fever of 101.2 noted at 6pm, 2/18.   Additional a high heart rate ha been noted since about 4pm, 2/18.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe Muscle and joint paint started at around 2am, on 2/18.  Followed by severe fatigue and trouble standing.  Fever of 101.2 noted at 6pm, 2/18.   Additional a high heart rate ha been noted since about 4pm, 2/18.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient came to clinic requesting vaccination for work with patient registration patient received vaccination, no known side effects Director called to confirm patient did receive vaccination Provider  called Parent New preventive measures introduced
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue
Clinical narrative: Pt  had general weakness, fatigue for  3-4 days prior to her ED visit on 2-17-2021.  No fever or significant pains.  Some chills.  Oral intake OK.  Had second Covid shot a week ago on 2-8-2021.  .  Had paracentesis 2 days ago on 2-15-2021, gets them every 10-14 days for liver disease. B/P 98/33
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: After the first first vaccine I developed shingles.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient reported a "light head" and seeing stars directly after injection. We kept her at the pharmacy for 30 minutes to evaluate and checked her blood pressure. BP was 160/70 (patient reports that to be about normal for her). No other problems while waiting at the pharmacy. We called the patient back at 4:55PM to check on her; she states that she is fine.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Vaccine positive rechallenge
Clinical narrative: Patient complained of numbness and tingling on the Left arm.  After a few minutes, patient reported that symptom subsided, but remained constantly on the left hand.  Patient was able to move extremity without pain.  Patient reported that the symptom was experienced during the first dose, but only lasted for seconds.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Sinus congestion
Clinical narrative: Body aches, fever, chills, headache, sinus congestion