chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Chills, Crying, Dizziness
Clinical narrative: Within minutes of vaccination, patient reported that her arm felt a warm sensation that extended across her chest.  10:20 Stated her chest felt tight.  Feeling lightheaded.  Denied any tingling sensations of the mouth and throat.  Lungs Clear to auscultation, no facial swelling noted.   BP: 69/112.  P: 119.  O2Sat: 99%.  R: 20.   Pt did not eat this morning.  States she is on Keto diet.   Pt.  became jittery,  Juice provided.   BP rechecked: 10:35 BP 140/115, P: 77.  R-20.  O2Sat%:  99%. Lungs CTA bilat.   Continued observation, BP: 158/104. 11:05 C/ O  increasing pain in both arms and chest.  Pain in abdomen.  Increased anxiety,  Fainted momentarily.  Placed supine. Crying stated she was feeling "weird" , tingling hands, ears, increased pain.  Lips tingling, face flushed.   BP: 183/102.  R: 20.  O2Sat: 99.   Became chilled.   EMS activated.   11:12 Patient transported via ambulance to Hospital.  Husband notified of transport by  NP.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling hot, Feeling jittery, Flushing, Pain
Clinical narrative: Within minutes of vaccination, patient reported that her arm felt a warm sensation that extended across her chest.  10:20 Stated her chest felt tight.  Feeling lightheaded.  Denied any tingling sensations of the mouth and throat.  Lungs Clear to auscultation, no facial swelling noted.   BP: 69/112.  P: 119.  O2Sat: 99%.  R: 20.   Pt did not eat this morning.  States she is on Keto diet.   Pt.  became jittery,  Juice provided.   BP rechecked: 10:35 BP 140/115, P: 77.  R-20.  O2Sat%:  99%. Lungs CTA bilat.   Continued observation, BP: 158/104. 11:05 C/ O  increasing pain in both arms and chest.  Pain in abdomen.  Increased anxiety,  Fainted momentarily.  Placed supine. Crying stated she was feeling "weird" , tingling hands, ears, increased pain.  Lips tingling, face flushed.   BP: 183/102.  R: 20.  O2Sat: 99.   Became chilled.   EMS activated.   11:12 Patient transported via ambulance to Hospital.  Husband notified of transport by  NP.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Syncope
Clinical narrative: Within minutes of vaccination, patient reported that her arm felt a warm sensation that extended across her chest.  10:20 Stated her chest felt tight.  Feeling lightheaded.  Denied any tingling sensations of the mouth and throat.  Lungs Clear to auscultation, no facial swelling noted.   BP: 69/112.  P: 119.  O2Sat: 99%.  R: 20.   Pt did not eat this morning.  States she is on Keto diet.   Pt.  became jittery,  Juice provided.   BP rechecked: 10:35 BP 140/115, P: 77.  R-20.  O2Sat%:  99%. Lungs CTA bilat.   Continued observation, BP: 158/104. 11:05 C/ O  increasing pain in both arms and chest.  Pain in abdomen.  Increased anxiety,  Fainted momentarily.  Placed supine. Crying stated she was feeling "weird" , tingling hands, ears, increased pain.  Lips tingling, face flushed.   BP: 183/102.  R: 20.  O2Sat: 99.   Became chilled.   EMS activated.   11:12 Patient transported via ambulance to Hospital.  Husband notified of transport by  NP.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache
Clinical narrative: Headache and chills
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Ultrasound antenatal screen
Clinical narrative: After my second vaccine,  and few weeks later, I suffered a miscarriage on 02-18-2021. I went to see my OBGYN who performed an ultrasound. My baby at that time was 6 weeks old.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed Shingles
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Left supraclavicular adenopathy.  Mobile 1 cm  soft lymph node palpation and may have 2 smaller lymph nodes behind it.   I honestly don't think this is an adverse reaction, just a vaccine side effect.  However, enlarged lymph nodes in this area of the body do tend to cause some concern for more serious underlying illnesses, so I thought it was worth reporting so that if this is a common side effect, other health care providers can be made aware so that patients can be educated to expect this.  Thanks.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Syncope
Clinical narrative: Syncope and generalized weakness.  Blood pressure taken 90/50 with a heart rate of 38.  First response notified.  Blood pressure repeated 113/56 with a heart rate of 40.  Patent was transported to the Emergency Department via first response.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Pruritus, Skin lesion, Urticaria
Clinical narrative: Patient scheduled an appointment with her PCP, on 3/17/21. She presented with 2.5 weeks of flushing, sweats, and intermittent pruritic hives since receiving her first COVID-19 vaccine on 2/27/21. She reports that the pruritis and flushing is worse with exercise. For one week, she has had a pink ovoid lesion 2-3 cm in length on right chin and left neck that are now scabbed without drainage. Neck and chin lesions treated with bactroban, patient is already on antihistamines, and instructed her to follow up if worse.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood magnesium, Blood thyroid stimulating hormone, Electrocardiogram, Full blood count
Clinical narrative: significantly worsened anxiety with panic attacks.  Issues have been well controlled until night after vaccine.  Hasn't felt well since.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test, Malaise, Metabolic function test, Panic attack, Pregnancy test urine
Clinical narrative: significantly worsened anxiety with panic attacks.  Issues have been well controlled until night after vaccine.  Hasn't felt well since.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin, Urine analysis
Clinical narrative: significantly worsened anxiety with panic attacks.  Issues have been well controlled until night after vaccine.  Hasn't felt well since.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Throat tightness
Clinical narrative: numbness in face and throat tightness lasting about 1 hour. Eventually went away.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal, Constipation
Clinical narrative: RLQ pain (without radiation), nausea, malaise and some constipation. Patient reported pain to be pressure, sharp and shooting, and 7/10 in intensity. Acute appendicitis and localized peritonitis. Patient underwent laparoscopic appendectomy.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Focal peritonitis, Malaise, Nausea, Pain
Clinical narrative: RLQ pain (without radiation), nausea, malaise and some constipation. Patient reported pain to be pressure, sharp and shooting, and 7/10 in intensity. Acute appendicitis and localized peritonitis. Patient underwent laparoscopic appendectomy.
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Respiratory failure
Clinical narrative: Respiratory failure; Shortness of breath; A spontaneous report was received from a health care professional (physician) concerning a 64 year old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced shortness of breath and respiratory failure.  The patient's medical history was not provided. Concomitant medications included amiodarone, apixaban, atorvastatin calcium, vitamin D, dulaglutide, furosemide, hydralazine, insulin, nifedipine and glyceryl trinitrate.  On 02-Mar-2021, the patient received his first dose of mRNA-1273 (Lot number: unknown) for prophylaxis of COVID-19 infection.   On 09-Mar-2021, the patient started to experience shortness of breath and had respiratory failure. Patient was admitted to the ICU.   The patient was treated with antibiotics, IV fluids, paralytics, sedation medications and cardiac medications.  Action taken with mRNA-1273 in response to the events was not applicable.  The outcome of the events was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event (dyspnea), a causal relationship cannot be excluded. Very limited information regarding respiratory failure has been provided at this time.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Injection site swelling, Pain
Clinical narrative: Fatigue, shaky, crooked, ache all over, chills. Vaccine was Sunday pm, reaction started after 4-mile walk Monday pm, missed meeting.  Took 2 Tylenol, slept.   Tues-Thurs: fatigue, chills, aches, diminished over the days.  I rested and slept. Today=Friday, declared myself cured, took shorter walk, got tired, normally don?t get tired. *Today I discovered why I felt crooked: right shoulder higher because it?s swollen, down to mid-way between elbow & wrist, down to waist, some of side of body.*   Treatment still only rest, but still I'm not so fatigued, aching easy to ignore. Never had fever (temp around 96.8 which is normal for me). I never felt too bad.  Except for overpowering fatigue, I felt like doing things.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Fatigue, shaky, crooked, ache all over, chills. Vaccine was Sunday pm, reaction started after 4-mile walk Monday pm, missed meeting.  Took 2 Tylenol, slept.   Tues-Thurs: fatigue, chills, aches, diminished over the days.  I rested and slept. Today=Friday, declared myself cured, took shorter walk, got tired, normally don?t get tired. *Today I discovered why I felt crooked: right shoulder higher because it?s swollen, down to mid-way between elbow & wrist, down to waist, some of side of body.*   Treatment still only rest, but still I'm not so fatigued, aching easy to ignore. Never had fever (temp around 96.8 which is normal for me). I never felt too bad.  Except for overpowering fatigue, I felt like doing things.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Headache
Clinical narrative: After client completed 15 minute waiting period, she reported feeling "fuzzy" upon standing. Further described as lightheadedness. Also reported HA that started at nape of neck and extended to forehead. HA described at "dull." Pain 2-3 on 0-10 pain scale. VS assessed. 140/90. Pulse 76. Continued assessment. By 1040 reports pain 3-4/10, but pain only located at left side of forehead. Reports feels much better, besides the HA. Felt well enough to leave. Escorted to car--daughter present and driver.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Raised, itchy rash on injection arm wrist, same rash across mid torso- appeared approximately 10 days after first shot.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 0701.   Since starting the COVID-19 vaccine program, the has always used the doses before they approached the expiration date.  This time, there were 16 vials of the Pfizer vaccine that had not been used and set to expire. The labeled expiration date and time were clearly present on the outside of the bag containing the doses.  On the morning of 10 March 2021, a pharmacist retrieved 1 vial at 0754 and 7 vials at 1138 from that allocation and provided them to nursing for the day?s administrations.  The pharmacy placed those doses in a new amber bag and did not label the bag with an expiration date and time.   The nursing team received the vials, diluted and drew up 20 doses that were administered to patients before 1230.    The charge nurse did not question the expiration date until after 20 patients had been vaccinated.  At that time she messaged the pharmacist to verify the expiration date.  The pharmacist indicated that the label did not state am or pm and misinterpreted the expiration time for the doses as 7:01 PM rather than 7:01 AM.  There was not a defined double check at the time of distribution from the pharmacy to nursing  The remaining 11 vials were quarantined.  The pharmacy manager contacted the manufacturer.  According to Pfizer it?s recommended to use the thawed vaccine within 120 hours, but can be used up to 144 hours.  The doses in question were administered before 125 hours after they were thawed.  The remaining expired vials will be wasted and appropriate notifications sent.  Assessment: Twenty patients received Pfizer COVID vaccine 5 hours passed the labeled expiration date and time.  While exceeding the manufacturer's recommended beyond use dating, the doses were within the acceptable 144 hours post thaw period and still safe for patient administration.  There was misinterpretation of the labeled expiration time by the dispensing pharmacist, the container of COVID vaccine vials provided to nursing was not labeled with an expiration date or time, there was not a double check on hand off, the nursing team did not double check the expiration date/time before dilution or administration.  Recommendation:  When repackaging COVID Vaccine vials for distribution to vaccination centers, a label including the expiration date and time should be placed on the new container.  When COVID vaccine is transferred from one location or department to the next, a double check of the product, quantity, integrity and expiration date and time may prevent a recurrence of this situation.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Headache, Pain, Pain in extremity
Clinical narrative: Body aches. Headaches  balance and  leg pain
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Death
Clinical narrative: Passed away; so weak she was no longer able to use her walker and declined steadily each daythereafter; A spontaneous report was received from a consumer concerning a 88-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced being so weak she was no longer able to use her walker and declined steadily each day thereafter (asthenia) and passed away (death).   The patient's medical history was not provided. Concomitant product use was not provided by the reporter.   The patient received their first of two planned doses of mRNA-1273 (Batch number not provided) on an unspecified date.  On an unspecified date, approximately 15 days prior to the onset of the symptoms, the patient received their second of two planned doses of mRNA-1273 (Batch number not provided) intramuscularly for prophylaxis of COVID-19 infection.    On an unspecified date, two days after their second dose of the vaccine, the patient was so weak that she was no longer able to use her walker and declined steadily each day thereafter. On an unspecified date, 17 days after their second dose of the vaccine, the patient passed away.   Treatment information was not provided.    The outcome of the event, asthenia, was unknown. The outcome of the event, passed away (death), was fatal. The cause of death was reported as unknown. Plans for an autopsy were not provided.; Reporter's Comments: Very limited information regarding this event/s has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Injection site erythema, Injection site pruritus, Urticaria
Clinical narrative: A week later, my left arm (a couple inches below the injection site) started itching and I developed a small red patch. It grew to a 3x3 inch path by Friday, the 15th. I increased my Zyrtec - taking an extra one each day. It was gone by Sunday, the 17th. It came back on the Wednesday the 20th - at the same spot. I don't think it went away. And then a week later, 1/28/2021 - I had breakthrough hives again - which can be anywhere on my body. Once my hives started - that spot just stayed - it's just there. (I have chronic hives). (My chronic hives  - stays in remission with meds). Other than that one Zyrtec, I had been off my hives medication and in remission from hives for an entire year. On the 29th of January, I had the IUD taken out. When my hives started on 28th, I added medications:  I increased to 40 mg Zyrtec; Pepsid - 40 in morning and 40 in night - in addition to all my other meds. I was prescribed Singulair - 10 mg in the morning. This did not resolve my hives. Hives actually got worse during the course of that week up until the second vaccine which was on February 4th. Telehealth visit - and I happened to have an annaul allergy doctor visit on January 25th  - who looked at it at that time.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given to inappropriate age recipient.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given to incorrect age recipient
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Death, Dysstasia, Inflammation, Magnetic resonance imaging spinal abnormal
Clinical narrative: 91 yo father received vaccine, was mobile and alert before first shot, but required wheelchair by second vaccination due to being weak. After second vaccination, was not able to stand or move after 36 hrs, at which point he was taken to the hospital. At hospital, all vital signs were good except an MRI showed cancer in spine.  Shot was given 3/1 and my father passed on 3/18.  Obviously this shot did not cause metastatic cancer, but I believe it did induce an inflammatory response of some kind that caused it to progress extremely quickly.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malignant neoplasm of spinal cord, Movement disorder, Wheelchair user
Clinical narrative: 91 yo father received vaccine, was mobile and alert before first shot, but required wheelchair by second vaccination due to being weak. After second vaccination, was not able to stand or move after 36 hrs, at which point he was taken to the hospital. At hospital, all vital signs were good except an MRI showed cancer in spine.  Shot was given 3/1 and my father passed on 3/18.  Obviously this shot did not cause metastatic cancer, but I believe it did induce an inflammatory response of some kind that caused it to progress extremely quickly.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bone cancer metastatic, Gait disturbance, General physical health deterioration, Pain
Clinical narrative: 91 yo father received vaccine, was mobile and alert before first shot, but required wheelchair by second vaccination due to being weak. After second vaccination, was not able to stand or move after 36 hrs, at which point he was taken to the hospital. At hospital, all vital signs were good except an MRI showed cancer in spine.  Shot was given 3/1 and my father passed on 3/18.  Obviously this shot did not cause metastatic cancer, but I believe it did induce an inflammatory response of some kind that caused it to progress extremely quickly.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Medication dilution, Medication error
Clinical narrative: due to a mixing error, the patient received the diluent only
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Flushing, Hypertension
Clinical narrative: rapid breathing high blood pressure almost fainted super flushed face
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood pressure increased, Blood test, Electrocardiogram, Fatigue
Clinical narrative: rapid breathing high blood pressure almost fainted super flushed face
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Palpitations, Tremor
Clinical narrative: rapid breathing high blood pressure almost fainted super flushed face
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient had a Pfizer vaccination on 2/10/21, then received a Janssen vaccination on 3/11/21.  No adverse reactions occurred with the Janssen vaccination.
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Lethargy
Clinical narrative: could not walk; Lethargic; A spontaneous report was received a consumer (patient's husband) for a 72-year old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced she was lethargic and could not walk.  The patient had secondary progressive stage MS.  On 25-Feb-2021, the patient received her first of two planned doses of mRNA-1273 (Lot number: 011A21A) intramuscularly for prophylaxis of COVID-19 infection. 20 hours after the injection on 26-Feb-2021 she was lethargic and could not walk. Patient's husband called an ambulance and she was transported to the hospital. The patient was hospitalized at the time of reporting. She was currently needing physical therapy.  The patient had a similar event 1 year ago.   Seriousness criteria for all events was hospitalization.  Treatment information was unknown.  Action taken with mRNA-1273 was unknown.  The outcome of the events was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: c/o numbness and tingling of arms, legs and feet @1342 Given 25mg Benadryl I.M. @ 1343 No respiratory symptoms, swelling, redness, or racing heart. No further c/o requested to go home. Released at 1408
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Muscle tightness, Nasopharyngitis
Clinical narrative: DOSE AT 12:50 PM, ABOUT 5 PM GOT VERY NAUSEAND LAID DOWN IN BED ABOUT 8:00 PM, WITHIN MINUTES BECAME VERY VERY COLD. WAS VIOLENTLY SHAKING FROM CHILLS, THEN VIOLENT SHAKING WITH MUSCLE TENSION FOR SEVERAL SECONDS  THEN RELAXED FOR A FEW MINUTES THEN MORE  TENSION. ALL OF THIS ALONG WITH THE CHILLS.I DO NOT KNOW HOW LONG THIS HAPPENED BEFORE I FELL ASLEEP. NEXT  DAY WAS VERY TIRED,  AND ACHED ALL OVER AND WAS WEAK.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Tremor
Clinical narrative: DOSE AT 12:50 PM, ABOUT 5 PM GOT VERY NAUSEAND LAID DOWN IN BED ABOUT 8:00 PM, WITHIN MINUTES BECAME VERY VERY COLD. WAS VIOLENTLY SHAKING FROM CHILLS, THEN VIOLENT SHAKING WITH MUSCLE TENSION FOR SEVERAL SECONDS  THEN RELAXED FOR A FEW MINUTES THEN MORE  TENSION. ALL OF THIS ALONG WITH THE CHILLS.I DO NOT KNOW HOW LONG THIS HAPPENED BEFORE I FELL ASLEEP. NEXT  DAY WAS VERY TIRED,  AND ACHED ALL OVER AND WAS WEAK.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Eye disorder, Unresponsive to stimuli, Vomiting
Clinical narrative: felt injection, eyes in disarray, unresponsive, vomiting
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Not an ADR, but rather an error.  Patient had previously received first dose of COVID vaccination series with Moderna vaccine. Showed up for dose 2 and during check-in process was confirmed to receive Moderna and clinic staff wrote "M" on paperwork to designate Moderna vaccine was indicated. Staff member administering dose was working in a cubicle marked "Pfizer" but patient was triaged to her anyway. Overlooked the "M" on paperwork  and administered Pfizer vaccine before error was noted.  Patient noted error after 15 minute wait period (which was uneventful).  Error being reviewed by vaccine clinic staff to determine if workflow changes are needed. Case will be reviewed by vaccine clinic leadership to determine best course for completing vaccination series.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Fatigue, Nausea, Unresponsive to stimuli, Vomiting
Clinical narrative: Patient developed nausea and vomiting  3/14/21.  was seen at clinic by this provider 3/16/21 and reported at that time continued fatigue but overall symptom improvement.  Vital signs were stable.  pt was advised to orally hydrate and routinely monitor blood sugars and f/u as needed.  On 3/18/21 patient was found down in his motel room by shelter staff unresponsive.  911 was called.  pt transported to hospital by EMS receiving BLS.  Clinic staff was advised by family that patient was pronounced dead that date.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Pallor, Seizure
Clinical narrative: 12:45 Received Pfizer #2 13:00 Felt dizzy, lightheaded; consumed water and chocolate 13:05 Transported to EMS area of observation area; in wheelchair lost consciousness and had brief 15-20 second seizure 13:10 Repeated bouts of emesis.  Patient had marked pallor and diaphoresis 13:35 EMS transport arrived, placed IV, gave phenergan, and transported via ambulance to  Hospital Center
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 12:45 Received Pfizer #2 13:00 Felt dizzy, lightheaded; consumed water and chocolate 13:05 Transported to EMS area of observation area; in wheelchair lost consciousness and had brief 15-20 second seizure 13:10 Repeated bouts of emesis.  Patient had marked pallor and diaphoresis 13:35 EMS transport arrived, placed IV, gave phenergan, and transported via ambulance to  Hospital Center
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anxiety, Blood pressure abnormal, Chest pain, Dizziness
Clinical narrative: Progress Notes Nurse Practitioner  COVID VACCINE CLINIC    Subjective Patient is a 21 y.o. adult who was seen at SVH COVID Vaccine Clinic today for patient's second  dose of the COVID 19 vaccination.    Patient was given the Pfizer vaccination in the left deltoid muscle.   During patient 15 minute waiting period after the injection, the patient began to experience rash, hives, throat tightness and dizziness.  Patient denied difficulty breathing, difficulty swallowing, wheezing, hoarseness, stridor, itching, lightheadedness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and patient on was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.         ALLERGY REVIEW OF SYSTEMS:  Patient complains of frequent throat clearing, itching of skin and headaches   CONT negative Eyes negative Respiratory negative GI negative Musculo negative     Previous Reactions:  Itching with first Covid shot    Objective    Vitals Vitals:   03/17/21 1501 03/17/21 1508 03/17/21 1523 BP: (!) 157/100 (!) 154/66 (!) 170/65 Pulse: 90 84 90 SpO2: 99%                Physical Exam Constitutional:      Appearance: Normal appearance.  Patient is well-developed.  HENT:     Head: Normocephalic.     Right Ear: Hearing normal.     Left Ear: Hearing normal.     Nose: Nose normal.     Mouth/Throat:     Lips: Pink.     Mouth: Mucous membranes are moist. No angioedema.     Pharynx: Oropharynx is clear. Uvula midline.  Eyes:     General: Vision grossly intact.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Neurological:     Mental Status: patient is alert.  Psychiatric:        Behavior: Behavior is cooperative.    Pt had taken benadryl before her visit.  She was given Zytec and still had some rash and hives, but the throat tightness had went away.  She was given water and crackers while in the bay.    Assessment/Plan  Treatment included: antihistamines Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) Left at 3:42       Electronically Signed 3/17/2021 3:40 PM
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Drooling, Headache, Hypotension, Pruritus, Rash
Clinical narrative: Progress Notes Nurse Practitioner  COVID VACCINE CLINIC    Subjective Patient is a 21 y.o. adult who was seen at SVH COVID Vaccine Clinic today for patient's second  dose of the COVID 19 vaccination.    Patient was given the Pfizer vaccination in the left deltoid muscle.   During patient 15 minute waiting period after the injection, the patient began to experience rash, hives, throat tightness and dizziness.  Patient denied difficulty breathing, difficulty swallowing, wheezing, hoarseness, stridor, itching, lightheadedness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and patient on was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.         ALLERGY REVIEW OF SYSTEMS:  Patient complains of frequent throat clearing, itching of skin and headaches   CONT negative Eyes negative Respiratory negative GI negative Musculo negative     Previous Reactions:  Itching with first Covid shot    Objective    Vitals Vitals:   03/17/21 1501 03/17/21 1508 03/17/21 1523 BP: (!) 157/100 (!) 154/66 (!) 170/65 Pulse: 90 84 90 SpO2: 99%                Physical Exam Constitutional:      Appearance: Normal appearance.  Patient is well-developed.  HENT:     Head: Normocephalic.     Right Ear: Hearing normal.     Left Ear: Hearing normal.     Nose: Nose normal.     Mouth/Throat:     Lips: Pink.     Mouth: Mucous membranes are moist. No angioedema.     Pharynx: Oropharynx is clear. Uvula midline.  Eyes:     General: Vision grossly intact.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Neurological:     Mental Status: patient is alert.  Psychiatric:        Behavior: Behavior is cooperative.    Pt had taken benadryl before her visit.  She was given Zytec and still had some rash and hives, but the throat tightness had went away.  She was given water and crackers while in the bay.    Assessment/Plan  Treatment included: antihistamines Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) Left at 3:42       Electronically Signed 3/17/2021 3:40 PM
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory distress, Skin reaction, Swelling, Swollen tongue, Throat tightness
Clinical narrative: Progress Notes Nurse Practitioner  COVID VACCINE CLINIC    Subjective Patient is a 21 y.o. adult who was seen at SVH COVID Vaccine Clinic today for patient's second  dose of the COVID 19 vaccination.    Patient was given the Pfizer vaccination in the left deltoid muscle.   During patient 15 minute waiting period after the injection, the patient began to experience rash, hives, throat tightness and dizziness.  Patient denied difficulty breathing, difficulty swallowing, wheezing, hoarseness, stridor, itching, lightheadedness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and patient on was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.         ALLERGY REVIEW OF SYSTEMS:  Patient complains of frequent throat clearing, itching of skin and headaches   CONT negative Eyes negative Respiratory negative GI negative Musculo negative     Previous Reactions:  Itching with first Covid shot    Objective    Vitals Vitals:   03/17/21 1501 03/17/21 1508 03/17/21 1523 BP: (!) 157/100 (!) 154/66 (!) 170/65 Pulse: 90 84 90 SpO2: 99%                Physical Exam Constitutional:      Appearance: Normal appearance.  Patient is well-developed.  HENT:     Head: Normocephalic.     Right Ear: Hearing normal.     Left Ear: Hearing normal.     Nose: Nose normal.     Mouth/Throat:     Lips: Pink.     Mouth: Mucous membranes are moist. No angioedema.     Pharynx: Oropharynx is clear. Uvula midline.  Eyes:     General: Vision grossly intact.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Neurological:     Mental Status: patient is alert.  Psychiatric:        Behavior: Behavior is cooperative.    Pt had taken benadryl before her visit.  She was given Zytec and still had some rash and hives, but the throat tightness had went away.  She was given water and crackers while in the bay.    Assessment/Plan  Treatment included: antihistamines Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) Left at 3:42       Electronically Signed 3/17/2021 3:40 PM
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vomiting
Clinical narrative: Progress Notes Nurse Practitioner  COVID VACCINE CLINIC    Subjective Patient is a 21 y.o. adult who was seen at SVH COVID Vaccine Clinic today for patient's second  dose of the COVID 19 vaccination.    Patient was given the Pfizer vaccination in the left deltoid muscle.   During patient 15 minute waiting period after the injection, the patient began to experience rash, hives, throat tightness and dizziness.  Patient denied difficulty breathing, difficulty swallowing, wheezing, hoarseness, stridor, itching, lightheadedness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and patient on was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.         ALLERGY REVIEW OF SYSTEMS:  Patient complains of frequent throat clearing, itching of skin and headaches   CONT negative Eyes negative Respiratory negative GI negative Musculo negative     Previous Reactions:  Itching with first Covid shot    Objective    Vitals Vitals:   03/17/21 1501 03/17/21 1508 03/17/21 1523 BP: (!) 157/100 (!) 154/66 (!) 170/65 Pulse: 90 84 90 SpO2: 99%                Physical Exam Constitutional:      Appearance: Normal appearance.  Patient is well-developed.  HENT:     Head: Normocephalic.     Right Ear: Hearing normal.     Left Ear: Hearing normal.     Nose: Nose normal.     Mouth/Throat:     Lips: Pink.     Mouth: Mucous membranes are moist. No angioedema.     Pharynx: Oropharynx is clear. Uvula midline.  Eyes:     General: Vision grossly intact.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Neurological:     Mental Status: patient is alert.  Psychiatric:        Behavior: Behavior is cooperative.    Pt had taken benadryl before her visit.  She was given Zytec and still had some rash and hives, but the throat tightness had went away.  She was given water and crackers while in the bay.    Assessment/Plan  Treatment included: antihistamines Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) Left at 3:42       Electronically Signed 3/17/2021 3:40 PM
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site inflammation, Injection site pain, Injection site pruritus
Clinical narrative: Ache/pain/fatigue, beginning day after shot, resolved within 2 days   Approx 2" red inflamed area on arm at injection sight. Itchy, painful to touch, and warm to touch. Began 9 days after receiving vaccine, not yet resolved but improving
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site warmth, Pain
Clinical narrative: Ache/pain/fatigue, beginning day after shot, resolved within 2 days   Approx 2" red inflamed area on arm at injection sight. Itchy, painful to touch, and warm to touch. Began 9 days after receiving vaccine, not yet resolved but improving
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Medication dilution, Medication error
Clinical narrative: Due to a mixing error, the patient only received diluent
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Fatigue, nausea, low grade fever, headache, arm pain from injection site up my arm into my neck, lite headed.  Lasted about 10 hours. Stayed home, rested, hydrated, took one Tylenol.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fatigue, nausea, low grade fever, headache, arm pain from injection site up my arm into my neck, lite headed.  Lasted about 10 hours. Stayed home, rested, hydrated, took one Tylenol.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Tenderness
Clinical narrative: THE LEFT DELTOID AREA OF THE ARM TURNED RED AND BECAME TENDER. IT HAS FEVER IN THE AREA
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine Administered Outside Protocol/Standing order Guidelines (The patient is 17). The patient did not experience any symptoms outside of the normal expected symptoms.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient called our onsite registered nurse on 18MAR21 to report injection site swelling and redness (left deltoid).  Patient was advised to take Benadryl at home after work.  Patient will follow-up with our onsite nurse as needed.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pain in extremity, Peripheral swelling, Pruritus, Rash macular
Clinical narrative: The arm was sore for three days and then it resolved after three days. Swollen, red, itchy, hot to touch in the arm that I received the vaccine. I tested positive for Covid-19 after worsening symptoms four days after vaccination. I tested positive five days after vaccination. Seven days after vaccination the arm soreness symptoms returned. It was a little bigger area than the first time. It was red and hot to touch but no swelling this time. I still received the second dose on 02/12/2021 I had lingering fatigue from Covid-19. My arm became inflamed again but only lasted a couple of days.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Skin warm
Clinical narrative: The arm was sore for three days and then it resolved after three days. Swollen, red, itchy, hot to touch in the arm that I received the vaccine. I tested positive for Covid-19 after worsening symptoms four days after vaccination. I tested positive five days after vaccination. Seven days after vaccination the arm soreness symptoms returned. It was a little bigger area than the first time. It was red and hot to touch but no swelling this time. I still received the second dose on 02/12/2021 I had lingering fatigue from Covid-19. My arm became inflamed again but only lasted a couple of days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Eye pain, Fatigue, Injection site pain
Clinical narrative: sore throat, dizziness, right eye pain, diarrhea, leg pain, fatigue, soreness at site area
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity
Clinical narrative: sore throat, dizziness, right eye pain, diarrhea, leg pain, fatigue, soreness at site area
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Swollen tongue
Clinical narrative: My tongue started tingling and got a bit swollen about noon on 1/28/2021.  The swelling in my tongue did not go away and persists . I originally thought it was angioedema but when the swelling did not go down I did not know what the problem was! I heard last night about COVID tongue and knew that is what I was/am dealing with.  For what it?s worth I thought I?d let you know.  I tried to let Vsafe know but did something incorrectly and my message didn?t go through.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Aphasia, Blood test normal, Computerised tomogram head normal, Computerised tomogram neck
Clinical narrative: She had the vaccine at the facility where she lives.  She fainted less than 24 hours after the vaccine, got up from that and had dry heaves, lost her speech and had loose stools.  The aide caught her as she was fainting as she would have fallen on the floor.  She said it was weird, she looked at people and it looked like they were 2 dimensional and knew something was wrong, but couldn't figure out what as they attended to her.  They asked her questions, but she was not able to speak to them.   They apparently spent 2 hours with her, but she doesn't believe it was that long, and then they knew she wanted to go to one Hospital and not the other.  She had been loosing words before this happened, but not as bad as this one.  This was about the same reaction that she had when she got the COVID virus in January.  She was then taken to the hospital where she was given fluids and hydrated her and checked her heart, saw a cardiologist and a neurologist to see if those things caused the fainting and had blood work done.  They also did a CAT Scan of her head and neck.  They told her that she was fine and was discharged back home after 5 days, which was 3/11/21.  Since then she has been very tired, she does have GERD and her stomach has been hurting a lot as well.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Feeling abnormal, Gastrooesophageal reflux disease, Retching
Clinical narrative: She had the vaccine at the facility where she lives.  She fainted less than 24 hours after the vaccine, got up from that and had dry heaves, lost her speech and had loose stools.  The aide caught her as she was fainting as she would have fallen on the floor.  She said it was weird, she looked at people and it looked like they were 2 dimensional and knew something was wrong, but couldn't figure out what as they attended to her.  They asked her questions, but she was not able to speak to them.   They apparently spent 2 hours with her, but she doesn't believe it was that long, and then they knew she wanted to go to one Hospital and not the other.  She had been loosing words before this happened, but not as bad as this one.  This was about the same reaction that she had when she got the COVID virus in January.  She was then taken to the hospital where she was given fluids and hydrated her and checked her heart, saw a cardiologist and a neurologist to see if those things caused the fainting and had blood work done.  They also did a CAT Scan of her head and neck.  They told her that she was fine and was discharged back home after 5 days, which was 3/11/21.  Since then she has been very tired, she does have GERD and her stomach has been hurting a lot as well.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: She had the vaccine at the facility where she lives.  She fainted less than 24 hours after the vaccine, got up from that and had dry heaves, lost her speech and had loose stools.  The aide caught her as she was fainting as she would have fallen on the floor.  She said it was weird, she looked at people and it looked like they were 2 dimensional and knew something was wrong, but couldn't figure out what as they attended to her.  They asked her questions, but she was not able to speak to them.   They apparently spent 2 hours with her, but she doesn't believe it was that long, and then they knew she wanted to go to one Hospital and not the other.  She had been loosing words before this happened, but not as bad as this one.  This was about the same reaction that she had when she got the COVID virus in January.  She was then taken to the hospital where she was given fluids and hydrated her and checked her heart, saw a cardiologist and a neurologist to see if those things caused the fainting and had blood work done.  They also did a CAT Scan of her head and neck.  They told her that she was fine and was discharged back home after 5 days, which was 3/11/21.  Since then she has been very tired, she does have GERD and her stomach has been hurting a lot as well.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test normal, Computerised tomogram normal, Electrocardiogram normal
Clinical narrative: 3 days following the vaccine I felt as though my blood pressure might be elevated.  I checked it several times and it was over  200 (208, 212), so I sent to the ER where they did tests and found everything to be normal.  BP dropped to 167 while there, so  no medication was given.  Advised to follow up with primary care doctor, which I did 2 days later.    BP still in the 160s.  Advised to monitor and if not improved to begin an additional BP medication..  That medication was started today.  The vaccine was given through the County Health Department.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient passed away within 60 days of receiving the COVID vaccine series
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Medication dilution, Medication error
Clinical narrative: Due to mixing error, the patient received the diluent only
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Injection site pain
Clinical narrative: Had minor pain at injection site beginning 4 hrs after ijection, resolved after 24 hrs.  No other side effects until 7 days late (19 Mar).  Moderate chills, moderate fatigue, moderate headache began 7 days after first injection, persisting with little change now 80 hrs after onset.  One instance diarrhea 60 hrs after first injection.  No fever. No joint pain or swelling.   Have consulted PC nurse who advises I report this, and self-quarantine while await PCR results.  I will report to ER if symptoms significantly worsen, otherwise will check back with PC physician Monday 22 Mar.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, SARS-CoV-2 test negative
Clinical narrative: Had minor pain at injection site beginning 4 hrs after ijection, resolved after 24 hrs.  No other side effects until 7 days late (19 Mar).  Moderate chills, moderate fatigue, moderate headache began 7 days after first injection, persisting with little change now 80 hrs after onset.  One instance diarrhea 60 hrs after first injection.  No fever. No joint pain or swelling.   Have consulted PC nurse who advises I report this, and self-quarantine while await PCR results.  I will report to ER if symptoms significantly worsen, otherwise will check back with PC physician Monday 22 Mar.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 5:59 pm c/o "slight" lightheadedness.  denies dizziness blurred vision.  Skin W/D
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given to age inappropriate recipient.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Impaired work ability, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Injured my back during vacuuming on Saturday 3/13. Went to ER on Sun 3/14 from back pain and limited mobility.  Received intravenous steroids and lidocaine patch  and was prescribed muscle relaxers, lidocaine patches, and ibuprofen 600 to manage pain.  Had two chiropractic adjustments  on 3/15 and  3/17 for SI joint pain.  Only worked 1 out of 5 days this week and still dealing with dull achey pain and limited mobility when sitting, transitioning from positions, and bending over. Had a follow up with an urgent care provider on 3/18 who advised me to continue to rest and take full dose of ibuprofen to mitigate SI joint inflammation.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Rash, Rash pruritic
Clinical narrative: Day 1: muscle soreness and headache that persisted for 3 days; Day 2: Rash on back; Day 3: Rash becomes itchy and spreading to chest and face.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Illness
Clinical narrative: Patient got sick over the weekend. Went to facility on 03/02/2021 and then passed on 03/18/2021