chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Anti-thrombin antibody, Antiphospholipid antibodies negative, Blood homocysteine normal, Brain natriuretic peptide increased
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine : Pfizer-BioNTech COVID-19 Vaccine : patient presented to clinic with shortness of breath on exertion for one week. Obtained labs and imaging: found to have bilateral pulmonary embolism and left lower extremity DVT and sent immediately to emergency department where vitals were within normal ranges and the patient was not in respiratory distress. Long car ride 26 days prior to arrival. Patient received heparin, admitted to the hospital, transitioned to a direct-acting oral anticoagulant, and discharged to home medically stable.  On follow-up after discharge patient is doing well and compliant with anticoagulation.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiolipin antibody, Chest X-ray normal, Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine : Pfizer-BioNTech COVID-19 Vaccine : patient presented to clinic with shortness of breath on exertion for one week. Obtained labs and imaging: found to have bilateral pulmonary embolism and left lower extremity DVT and sent immediately to emergency department where vitals were within normal ranges and the patient was not in respiratory distress. Long car ride 26 days prior to arrival. Patient received heparin, admitted to the hospital, transitioned to a direct-acting oral anticoagulant, and discharged to home medically stable.  On follow-up after discharge patient is doing well and compliant with anticoagulation.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Parietal cell antibody normal, Protein C, Protein S, Pulmonary embolism
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine : Pfizer-BioNTech COVID-19 Vaccine : patient presented to clinic with shortness of breath on exertion for one week. Obtained labs and imaging: found to have bilateral pulmonary embolism and left lower extremity DVT and sent immediately to emergency department where vitals were within normal ranges and the patient was not in respiratory distress. Long car ride 26 days prior to arrival. Patient received heparin, admitted to the hospital, transitioned to a direct-acting oral anticoagulant, and discharged to home medically stable.  On follow-up after discharge patient is doing well and compliant with anticoagulation.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Ultrasound scan abnormal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine : Pfizer-BioNTech COVID-19 Vaccine : patient presented to clinic with shortness of breath on exertion for one week. Obtained labs and imaging: found to have bilateral pulmonary embolism and left lower extremity DVT and sent immediately to emergency department where vitals were within normal ranges and the patient was not in respiratory distress. Long car ride 26 days prior to arrival. Patient received heparin, admitted to the hospital, transitioned to a direct-acting oral anticoagulant, and discharged to home medically stable.  On follow-up after discharge patient is doing well and compliant with anticoagulation.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival swelling, Swelling face
Clinical narrative: 2.5 days after my second dose, the gum behind my right wisdom tooth & inside cheek became swollen, which I have never experiences. After 2 weeks, my cheek was basically ok & about 2.5-3 weeks the swelling of my gum subsided.  I did go to the dentist the weekend after my vaccination & she didn't find any dental issues.  I took Tylenol for 6 days, but it was not really helpful, then Advil which reduced the swelling immediately! Also, I used hot/cold compresses outside of my cheek & warm tea bags on my gum.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis
Clinical narrative: Pt began to feel faint w/ flushing/sweating in observation area.  RNs were waived over by parents.  Pt transferred via w/c to observation bay.  NO loss of consciousness.  Dad at bedside.  BP 94/55, HR 51, RR 14 -- > 98/53, 60, 16.  Pt feeling much better.  Pt stable and released from the vaccination site.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: PFIZER COVID-19 BIONTECH EUA: Patient described getting hives on the left side of her body. The same side as the COVID vaccine was given. She said she did not have any trouble breathing, but the hives did itch.  They showed up 3 days after her vaccine and lasted about 1 week but did resolve.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Heart rate decreased, Syncope
Clinical narrative: Pt fainted twice immediately after vaccine.  Blood pressure and heart rate both dropped.  Paramedics were called. Pt taken to hospital for evaluation. According to pt mother at 2:00 this afternoon, pt is fine.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Paraesthesia
Clinical narrative: I wanted to report what is being called Covid arm, this was not a adverse side effect but read online it should be reported so they can keep track of how many people it is happening to.  On 4-12-21 had my 1st vaccine on left arm, then on 4-21- 21 felt a little itchy tingle in left arm, 4-22 had a raised rash and swollen around injection area, not very bothersome but was a delayed reaction, lasted little over 2 weeks before fading. Then went for my 2nd vaccine  lot # 022C2IA  on 5-13-21 since I had a delayed rash on left arm the nurse at the hospital decided to give me the shot in the right arm,  this time I had the raised rash and swollen with in 2 days on 5-15-21 when I woke up in the morning, same as other time around injection site but appeared quicker,  this time it faded within less than 5 days,  little itchy but not to bothersome. I did use cortisone each time when it itched a little depending on what shirt I was wearing, but did not need to put the cortisone on every day was not to much of a bother,  was sore when swollen but once that went down it was ok.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Chest discomfort, Cough, Ear discomfort
Clinical narrative: 5/5/2021 URI  This is a new problem. Episode onset: x3 days. The problem has been gradually improving. Maximum temperature: 99.9 on sunday. Associated symptoms include congestion, coughing, a plugged ear sensation (right ear has pain), sinus pain (Right side), sneezing and a sore throat (right side). Associated symptoms comments: Fever Chest pressure for 1 night. Treatments tried: Inhaler, cold & flu     Review of Systems  HENT: Positive for congestion, sinus pain (Right side), sneezing and sore throat (right side).   Respiratory: Positive for cough.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test, Sinus pain
Clinical narrative: 5/5/2021 URI  This is a new problem. Episode onset: x3 days. The problem has been gradually improving. Maximum temperature: 99.9 on sunday. Associated symptoms include congestion, coughing, a plugged ear sensation (right ear has pain), sinus pain (Right side), sneezing and a sore throat (right side). Associated symptoms comments: Fever Chest pressure for 1 night. Treatments tried: Inhaler, cold & flu     Review of Systems  HENT: Positive for congestion, sinus pain (Right side), sneezing and sore throat (right side).   Respiratory: Positive for cough.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing, Upper respiratory tract infection
Clinical narrative: 5/5/2021 URI  This is a new problem. Episode onset: x3 days. The problem has been gradually improving. Maximum temperature: 99.9 on sunday. Associated symptoms include congestion, coughing, a plugged ear sensation (right ear has pain), sinus pain (Right side), sneezing and a sore throat (right side). Associated symptoms comments: Fever Chest pressure for 1 night. Treatments tried: Inhaler, cold & flu     Review of Systems  HENT: Positive for congestion, sinus pain (Right side), sneezing and sore throat (right side).   Respiratory: Positive for cough.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Petit mal epilepsy
Clinical narrative: Absence seizure (has history of condition).
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Axillary pain, Diarrhoea, Hypoaesthesia
Clinical narrative: *abnormal vaginal bleeding *pain in hips, knees, ankles *2 days of diarrhea *spleen pain *left side lymph node pain esp in neck area *under armpit pain with under the shoulder blade pain *numbness and tingling in hand and feet and now just tingling in finger tips
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Paraesthesia, Vaginal haemorrhage
Clinical narrative: *abnormal vaginal bleeding *pain in hips, knees, ankles *2 days of diarrhea *spleen pain *left side lymph node pain esp in neck area *under armpit pain with under the shoulder blade pain *numbness and tingling in hand and feet and now just tingling in finger tips
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Pt began to feel faint in observation area after vaccine.  Transported via w/c to observation bay after brief loss of consciousness.  Mother present. BP 109/68, HR 58, RR 16 -- > 101/69, 64, 16.  Pt reports feeling much better.  Pt stable and released from the vaccination site.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: 05/14/21 0800---Woke up and right eye vision went from 20/20 to 20/200.  Also, near vision  was restored to normal from having to wear reading glasses. Couldn't focus well enough to read normal street signs while driving. Monitored over weekend. 05/17/21 1000--Examined by ophthalmologist, suspected retina damage, referred to Retina Specialist STAT. 05/17/21 1300- Examined by Retina specialist-- no damage noted.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Symptoms:  Lightheadedness after 2nd dose of Pfizer. Had no issues with first dose.   Treatment:  Given juice and crackers and observed for 40 minutes. Felt better, VSS, sister drove her home.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Fatigue, Gait disturbance, Headache, Muscle spasms
Clinical narrative: Severe nausea and vomiting for an entire day.  Could not keep any fluids down. Severe burning pain in muscles all throughout the body for 3 days. Severe muscle spasms and cramps all throughout the body.  Could not stand or walk for 12 hours. Severe burning sensation on the skin all over the body, felt like a sunburn. Severe headache for 3 days. Minor muscle spasms for an additional 5 days after the severe ones diminished. Moderate fatigue for 10 days.  Had tested positive for COVID 4 months prior to being vaccinated, but only had minor symptoms for 2 days.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Skin burning sensation, Vomiting
Clinical narrative: Severe nausea and vomiting for an entire day.  Could not keep any fluids down. Severe burning pain in muscles all throughout the body for 3 days. Severe muscle spasms and cramps all throughout the body.  Could not stand or walk for 12 hours. Severe burning sensation on the skin all over the body, felt like a sunburn. Severe headache for 3 days. Minor muscle spasms for an additional 5 days after the severe ones diminished. Moderate fatigue for 10 days.  Had tested positive for COVID 4 months prior to being vaccinated, but only had minor symptoms for 2 days.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Neutropenia
Clinical narrative: Neutropenia, reaction to thyroid medication,
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Refusal of treatment by patient, Vascular injury
Clinical narrative: BEFORE GETTING 2ND DOSE PATIENT REPORTED A FEW DAYS AFTER RECEIVING 1ST DOSE OF MODERNA VACCINE, THAT SHE STARTED TO BREAK OUT IN A RASH THAT WENT DOWN BOTH OF HER ARMS. IN HER OPPOSITE ARM (LEFT ARM) SHE ALSO REPORTED THAT A BLOOD VESSEL BROKE. PATIENT SAID SHE CONTACTED HER DOCTOR AND SELF REPORTED TO VAERS. SHE WAS AWARE THAT THE SAME TYPE OF REACTION COULD OCCUR IF GETTING SECOND SHOT. PATIENT SAID SHE WAS COMFORTABLE GETTING 2ND DOSE. AFTER ABOUT 15 MINUTES PATIENT STARTED TO HAVE RASH AGAIN. SHE REPORTED THAT IT WAS NOT ITCHY OR PAINFUL AND SAID THAT SHE WOULD REACH OUT TO HER DOCTOR AGAIN OR GO TO URGENT CARE IF SHE FELT LIKE SHE NEEDED TO. SHE WAS OFFERED ANTIHISTAMINES BUT DECLINED. SHE SAID SHE WOULD ALSO SELF REPORT TO VAERS AGAIN.  PT LEFT STORE FEELING COMFORTABLE THAT SHE WAS OKAY, BESIDE SLIGHT RASH ON ARMS.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Decreased appetite, Dizziness, Muscular weakness, Nausea
Clinical narrative: Severe dizziness, on day 3 now, loss of balance and muscle control, nausea, loss of appetite
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: no side effects patient under 18 years of age so not approved for use.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram ambulatory, Electrocardiogram normal, Palpitations
Clinical narrative: On 3/29/21 patient developed palpitations that have been occurring intermittently through the day.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: On 4/8/21 and 5/6/21 the patient came into the clinic to get her covid vaccine. The patient refused to get the vaccine in her deltoid or her thigh and requested to receive the vaccine in her gluteus. For both injections the provider was consulted by the Medical Assistant and on both dates the MA was given the ok and asked to administer in the gluteus. When patient returned after the first dose on 5/6/21 patient was asked if there where any complications and patient declined and stated "she was just a little sore like after a normal injection for a day and then every thing was fine. " The second injection on 5/6/21 was again cleared to administer by provider and was administered.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoacusis
Clinical narrative: "Muffled" hearing in right ear
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Throat tightness, Tremor, Wheezing
Clinical narrative: Pt presented to the clinic to receive the Pfizer vaccine, administered at approximately 11am. Pt was moved to observation area for 30 mins. Ten minutes after administration, the patient reported developing difficulty breathing, throat tightening, and wheezing in the lower left lung. One dose of Epi administered at ~11:13am and EMS called. Vitals taken at 11:17am with BP 120/72 bpm, O2 Sat 98%, & lungs clear, however, pt developed full body shaking. Pt AA0 x3. EMS arrived onsite at 11:25am and taken to ED.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Pallor, Syncope
Clinical narrative: Patient received her second dose of Moderna COVID 19 vaccine, she was fine immediately after receiving the dose. I asked her to sit in the pharmacy area for observation post administration. Approximately 10 minutes later the patient turned pale and appeared to faint, she fell off the chair and hit her head on the floor. First aid was administered and the patient quickly woke up. 911 was called and the patient left the store under her own power with EMS.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: L shoulder pain at site of injection w/o signs of erythema/edema/warmth/induration and unable to flex L elbow
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Nasal congestion, SARS-CoV-2 test
Clinical narrative: COUGH stuffy nose, sore throat, loose bowels
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vision blurred
Clinical narrative: Code assist called- Pt complaining of dizziness- blurry vision- Took pt's BP and it was 168/120-2nd BP 65/28- RN's and MD's assisted the code and 911 was called.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Seizure - has history of seizures
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Vaccine positive rechallenge
Clinical narrative: Symptoms:  Itchy rash on arms, no throat closing/SOB. Had same issue with first dose of Pfizer. Patient premedicated with 25 mg of Benadryl PO 45 minutes prior to her vaccination.     Treatment:  Given 25mg IM Benadryl.  VSS, Felt better, itchiness resolved, family drove her home.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: Period was 8 days late after receiving first dose of my Covid vaccination.  Aside from being late, it was a  normal period.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: The patient received his second dose of vaccine in his left arm at 4:24 pm. He did not report any prior history of syncopy. He was walking towards the EMT/Cot area and, at 4:28pm, experienced a syncopal like episode and began to fall to the floor. He was caught prior to hitting the floor by his father and EMT. The EMT guided the patient to the cot. RN's responded. Pt was alert and oriented at time of RN arrival to scene. Pt was assisted supine position, with legs elevated. AN ice pack was applied to base of his neck and pt was provided with juice and crackers. He reported to RN  that he has a history of syncope and that he faints when he gets shots. Pt vital signs were monitored for 10 minutes and pt was monitored by EMT x 20 minutes. Pt left facility  at 4:50 PM with his father, denies any pain, sob or discomfort.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Burning sensation, Contusion, Decreased appetite, Diarrhoea
Clinical narrative: LUQ Abdominal Pain: Patient reports that he was in his usual state of health until last week when he received his COVID 19 vaccination. He received 1st dose of Pfizer vaccination. Prior to this he was healthy. He reports 10 minutes after injection, he felt a knot/burning sensation in the LUQ of his abdomen. He states that it progressively worsened to the point where he couldn't sleep the following night. Over the weekend, he felt like he was improving. However, last night it was significantly uncomfortable. He feels an achiness/bruising sensation over his LUQ. He reports that there is a baseline discomfort but then it will become so bad that he has a hard time walking. He states that if he gets in a certain position he will feel improved but if he moves the wrong way it feels like it pinches. No changes with food. He reports decreased appetite. No fever, chills, nausea or vomiting. He had diarrhea x 1. No constipation.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Nodule, Pain, Sleep disorder
Clinical narrative: LUQ Abdominal Pain: Patient reports that he was in his usual state of health until last week when he received his COVID 19 vaccination. He received 1st dose of Pfizer vaccination. Prior to this he was healthy. He reports 10 minutes after injection, he felt a knot/burning sensation in the LUQ of his abdomen. He states that it progressively worsened to the point where he couldn't sleep the following night. Over the weekend, he felt like he was improving. However, last night it was significantly uncomfortable. He feels an achiness/bruising sensation over his LUQ. He reports that there is a baseline discomfort but then it will become so bad that he has a hard time walking. He states that if he gets in a certain position he will feel improved but if he moves the wrong way it feels like it pinches. No changes with food. He reports decreased appetite. No fever, chills, nausea or vomiting. He had diarrhea x 1. No constipation.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Vasovagal syncope with full passing out the following day after the vaccine
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Blood pressure decreased, Central nervous system lesion, Discomfort, Dizziness
Clinical narrative: Headache, Numbness, pins and needles feeling, stumbling to the left, dizzy, nauseous, weighted down, being pulled downward, vision issues. High blood pressure. Got shingles.- Tried Relpax that helped with frontal migraine in past, but did nothing for the head spin, numbness, pins and needles in the back of the head. Lisinopril made the symptoms much worse, and blood pressure go almost too low. Next visit stop lisinopril, and take propranolol er. Made head worse and stumbling worse.   Butalb-Acetamin-caff. Helped head pain, but stumble to left still. Prescribed Valacyclovir hcl for shingles. Next visit. Stop Propranolol and Butalb and take Excedrine, baby asprins. Get MRI. Blood sugar test normal. Blood work prior to COVID vaccine from October 2020 good.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Headache, Herpes zoster, Hypertension, Hypoaesthesia
Clinical narrative: Headache, Numbness, pins and needles feeling, stumbling to the left, dizzy, nauseous, weighted down, being pulled downward, vision issues. High blood pressure. Got shingles.- Tried Relpax that helped with frontal migraine in past, but did nothing for the head spin, numbness, pins and needles in the back of the head. Lisinopril made the symptoms much worse, and blood pressure go almost too low. Next visit stop lisinopril, and take propranolol er. Made head worse and stumbling worse.   Butalb-Acetamin-caff. Helped head pain, but stumble to left still. Prescribed Valacyclovir hcl for shingles. Next visit. Stop Propranolol and Butalb and take Excedrine, baby asprins. Get MRI. Blood sugar test normal. Blood work prior to COVID vaccine from October 2020 good.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging abnormal, Nausea, Paraesthesia, Vertigo, Visual impairment
Clinical narrative: Headache, Numbness, pins and needles feeling, stumbling to the left, dizzy, nauseous, weighted down, being pulled downward, vision issues. High blood pressure. Got shingles.- Tried Relpax that helped with frontal migraine in past, but did nothing for the head spin, numbness, pins and needles in the back of the head. Lisinopril made the symptoms much worse, and blood pressure go almost too low. Next visit stop lisinopril, and take propranolol er. Made head worse and stumbling worse.   Butalb-Acetamin-caff. Helped head pain, but stumble to left still. Prescribed Valacyclovir hcl for shingles. Next visit. Stop Propranolol and Butalb and take Excedrine, baby asprins. Get MRI. Blood sugar test normal. Blood work prior to COVID vaccine from October 2020 good.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Feeling hot, Formication, Paraesthesia
Clinical narrative: Lightheadedness upon standing or sitting, inability to focus while sitting or standing, warm band around back of head, from top of neck to the occipital bone. warmth around back of head tingles and feels like tendrils crawling up my scalp to the top of my head.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blepharospasm, Immediate post-injection reaction, Malaise, Pupil fixed, Syncope
Clinical narrative: About 30 seconds after patient got her vaccine she stated that she did not feel good and then went limp. I the vaccinator, caught her an placed her on the chair and called for backup. Patient was then assessed my EMS. It was noted that her pupils were non reactive and dilated and her eyelids were fluttering. Patient was transferred to the hospital.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Eye movement disorder, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: About 30 seconds after patient got her vaccine she stated that she did not feel good and then went limp. I the vaccinator, caught her an placed her on the chair and called for backup. Patient was then assessed my EMS. It was noted that her pupils were non reactive and dilated and her eyelids were fluttering. Patient was transferred to the hospital.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram, Dyspnoea, Hypotension, Syncope, Tremor
Clinical narrative: About 30 seconds after patient got her vaccine she stated that she did not feel good and then went limp. I the vaccinator, caught her an placed her on the chair and called for backup. Patient was then assessed my EMS. It was noted that her pupils were non reactive and dilated and her eyelids were fluttering. Patient was transferred to the hospital.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Syringe issue
Clinical narrative: Needle and syringe were not fully screwed together in packaging.  Vaccine was successfully withdrawn from vial.  However, while depressing the plunger, a significant portion of the vaccine was observed to escape from the syringe near the needle attachment point.  Due to observed quantity of vaccine loss, it was determined appropriate to re-administer the dose.  Manufacture recommended reporting incident to VAERS.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: Fever or chills; cough; fatigue; new loss of taste or smell; congestion or running nose.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Fever or chills; cough; fatigue; new loss of taste or smell; congestion or running nose.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Throat irritation
Clinical narrative: Patient received the 2nd COVID vaccine (Pfizer, lot #EW0182 use by 05/22/21 at 10:20) at 1342. Client reported feeling an "itchy" sensation in her throat to EMT at 1356. EMT, immediately notified the Co-lead, RN. RN and other nurse immediately went to assess the client. Patient was allergic to Benadryl so Benadryl was not given.  The patient was in no apparent distress, speaking in full sentences, skin was warm, dry, and intact. Vital signs were taken at 1357, BP- 145/80 (Left arm, sitting upright), HR-81, RR- 17, and oxygen saturation- 99%. Client denied difficulty swallowing, chest pain, shortness of breath, dizziness, lightheadedness, or generalized flushing. Observed the patient's oral mucosa and no swelling, edema, or angioedema was present. The patient stated, " It just feels like phlegm is in my throat, like my saliva is just thicker than normal, and my throat is just a little itchy." The patient was offered Epinephrine, but the patient stated, " No I will hold of on that for now." The patient was also given a bottle of water. Vital signs were taken at 1402, BP- 150/82 (Left arm, sitting upright), HR- 70, RR-17, and oxygen saturation at 100%. The patient was alert and oriented to person, time, place, and situation. The oral cavity was repeatedly observed, no edema or facial swelling was observed. Vitals were retaken at 1407, BP- 150/80 (Left arm, sitting upright), HR- 83, RR- 16, oxygen saturation at 99%. The client denied shortness of breath, chest pain, difficulty breathing. The patient was speaking in full sentences with staff. Vitals were retaken at 1412, BP- 152/ 80 (Left arm, sitting upright), HR- 80, RR- 16, oxygen saturation- 99%.  The patient continued to deny shortness of breath, difficulty swallowing, facial flushing, or chest pain. Vitals were retaken at 1422, BP- 152/70 (Left arm, sitting upright), HR-67, RR-16, oxygen saturation at 100%. The patient stated, " My throat is not as itchy and it just feels like I have thicker phlegm, it feels like what happens when I eat shrimp." RN, offered to call 911 but the client stated, " No I really don't think that is necessary." A final set of vitals was taken at 1427, BP- 150/72 (Left arm, sitting upright), HR- 72, RR- 16, oxygen saturation at 99%. The client had a history of allergic reactions to shrimp, dust, pollen, grass, and codeine. Patient did report being prescribed a Epi-pen in the past but was never able to pick it up from the pharmacy. Client reported going to an allergist in the past for intermittent hives that developed in various regions of her body. Client reported taking Zyrtec every morning, and is diagnosed Bipolar Type II Disorder. The patient reported having a history of anxiety. RN educated the patient about V-Safe and to follow-up with her primary care provider. RN educated the patient about Emergency Room precautions, such as if she experienced shortness of breath, difficulty breathing, chest pain, facial swelling, or altered mental status. The patient had an even and symmetrical gait when leaving the site at 1427.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Directly after receiving the vaccination the patient felt lightheaded and then 'blacked out' for a couple of seconds. He was sitting in a chair and slowly slid down the chair to the floor, but he did not hit his head; his head was supported by the vaccinator. The episode was witnessed and no seizure activity or signs of anaphylaxis were present. Patient appeared to have a short syncopal episode. The patient was placed on the floor with his legs up by me, and the patient states he felt much improved in that position. The patient reports that he did not eat or drink anything that day and that he had been working outside until the time of his vaccination. The patient was given Gatorade here to rehydrate; within a couple minutes the patient states that he felt completely normal. EMS was not called. Patient will follow-up with is PCP and has a ride from his mother who was present during the event.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Colonoscopy, Diarrhoea, Muscle spasms, Pain in extremity
Clinical narrative: -Severe abdominal pain, projectile vomiting, severe diarrhea that lasted for 3 days.  - spasms and pain in legs
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, Vomiting projectile
Clinical narrative: -Severe abdominal pain, projectile vomiting, severe diarrhea that lasted for 3 days.  - spasms and pain in legs
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Heart rate irregular, Nausea, Tremor
Clinical narrative: 11:00AM Pt vaccinated. Took a seat in the observation area following injection. 11:25 Reported feeling dizzy,nauseous, and shaky. Pt assisted to a cot and into supine position with her legs elevated on a chair. Initial vital signs 122/78, P-61 O2Sat 99%. Skin cool and dry. States she feels clammy. Denies SOB, medical problems. Reported she had a vegetable smoothie for breakfast. 11:34 Remains supine. Reports still feeling dizzy. 11:41 132/74, P-52-60 Slightly irregular. Pt reported she is taking medication for LTBI. Stated her CXR showed no sign of active disease. She takes 2 pills of the same kind daily. 11:50 118/66, P-60. Reports she feels better. Assisted into sitting position on cot. 11:59 106/78, P-72, O2Sat 9(11:59 continued) Pt given a breakfast bar to eat and water to drink. She ate entire breakfast bar and drank 8 oz H2O.  12:12 128/70, P-73 O2Sat 99%. Denies SOB. Assisted to standing position.  12:18 States she feels much better and that she feels able to go home. Declines to call someone to pick her up as states it is not necessary. Pt walked approx 40 yards to her car accompanied by this RN. At car reported she felt better and able to drive. Pt instructed to avoid strenous activity today, to drink plenty of water and eat regular meals. Pt agreed and was Dc'd home
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: 10 days post vaccine patient was diagnosed with Bells Palsy at the local ER.  No hospitalization required.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood creatine phosphokinase increased, Chest pain, Dyspnoea, Echocardiogram
Clinical narrative: Patient presented high fever around 5pm the day of the vaccination. He continued with high fever and joint pain all Friday. He then presented with respiratory difficulties and chest pain when lying down on Saturday morning. He noticed that pain was less intense if he was seated upright. Pain became more intense around 10pm Saturday night. He was taken to am Emergency Room and was determined after evaluation that a cardio evaluation was granted due to  abnormal labs and EKG results. Patient was transferred to secondary hospital. He was admitted for further evaluation and treatment.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Laboratory test, Pyrexia, Troponin increased
Clinical narrative: Patient presented high fever around 5pm the day of the vaccination. He continued with high fever and joint pain all Friday. He then presented with respiratory difficulties and chest pain when lying down on Saturday morning. He noticed that pain was less intense if he was seated upright. Pain became more intense around 10pm Saturday night. He was taken to am Emergency Room and was determined after evaluation that a cardio evaluation was granted due to  abnormal labs and EKG results. Patient was transferred to secondary hospital. He was admitted for further evaluation and treatment.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU4, HIBV, PPV
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: no adverse reaction, pt was given the wrong vaccine pt was given PPV 23 and pt was supposed to be given PCV 13
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Asthenia, Dysphagia, Dyspnoea, Feeling cold
Clinical narrative: Patient received 2nd dose at 10:50am. At 10:52am patient stated that she was felling hot and started flushing, unable to speak, unable to swallow, had weakness, and unable to breath. Code Blue was called by nurse and provider responded along with medical assistant. O2 started at 3L via NC. IM Benadryl administered at 10:56am. Patient noted to be cold and diaphoretic. IM Benadryl received patient started returning to baseline. patient was able to speak and stated that the tingling sensation improved in her face. she was able to swallow without difficulty. repeated vital signs every 5 mins for the next 10 mins. she was observed for a total of 45mins and discharged home with ER precautions and stable. Patient was picked up by sister who was driving her home.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Hyperhidrosis, Paraesthesia
Clinical narrative: Patient received 2nd dose at 10:50am. At 10:52am patient stated that she was felling hot and started flushing, unable to speak, unable to swallow, had weakness, and unable to breath. Code Blue was called by nurse and provider responded along with medical assistant. O2 started at 3L via NC. IM Benadryl administered at 10:56am. Patient noted to be cold and diaphoretic. IM Benadryl received patient started returning to baseline. patient was able to speak and stated that the tingling sensation improved in her face. she was able to swallow without difficulty. repeated vital signs every 5 mins for the next 10 mins. she was observed for a total of 45mins and discharged home with ER precautions and stable. Patient was picked up by sister who was driving her home.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia
Clinical narrative: Pt reported having trouble swallowing 12 minutes after injection, escorted to med ops 1, no evidence of allergic reaction, no rash, no trouble breathing. Vitals monitored as follows: LYING 5:59 - HR 85, Resp 12, BP 135/81, Sp02 100 Standing 6:06 - HR 64, Resp 12, BP 142/82, Sp02 100
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram abnormal, Pulmonary embolism, SARS-CoV-2 test negative
Clinical narrative: pulmonary embolism
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Approx 5 min after receiving vacine pt described feeling lightheaded, nausea, sweaty. Nurse made aware. pt denies throat tightness, difficulty breathing, hives. pt transferred to private area, ambulatory with nurse assist, legs were elevated, cool compresses provided. BP obtained 96/63. Hr 65. Blood sugar 113 (1200). Nurse observing pt. BP rechecked 98/66 91215). pt states nausea resolving
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: NONE
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anal incontinence, Depressed level of consciousness, Staring, Tongue biting, Urinary incontinence
Clinical narrative: Patient reports staring spells/decreased levels of consciousness without any abnormal movements, fecal or urinary incontinence or tongue biting occurring the evening after 2nd vaccination and occurring 10 times in the 3 days since.  She did not remember that she reported the same symptoms 11/2020.   She is an unreliable historian.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Herpes zoster, Pruritus, Rash
Clinical narrative: Light signs of redness on chest and shoulders began day after vaccination.  Slightly itchy.  Over next few days developed into patches, and then bumps not unlike shingles.  Total of 12 silver dollar size or smaller patches developed over the next week and a half.   Quite painful and somewhat itchy.  Patch locations are on back of right shoulder, chest and neck.  Mitigated with cortisone cream and ibuprofen.  I had chicken pox as a kid.  Do not have shingles vaccine.  Of note:  I had a bad bout of poison ivy last year.   About four or five days ago, i noticed the area on my leg that had had the poison ivy scratches reemerged with red scratches again, but this only lasted for a day.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Colitis ulcerative, Condition aggravated, Diarrhoea
Clinical narrative: Flare up of UC with extreme diarrhea stomach ache .. discomfort.. had to start on mesalamine tablets and suppository , dicyclomine , and probiotics
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient received vaccine and left - returned to clinic within 5 minutes with complaints of itching in right and left arm.  Patient described that after first dose she had itching reaction about 3 days after the dose.  That episode was resolved with one dose of benadryl po.   Today - patient was given a benadryl tablet to take at home since patient requested to be able to drive before sedative effects of tablet set in.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bronchitis, Cough, Dysphonia, Headache
Clinical narrative: Moderna COVID 19 Vaccine EUA  Hospitalized for productive cough, weakness and headache. Nasal congestion, hoarse voice. Aches and pains to bilateral lower legs. COVID negative. Dx acute viral bronchitis
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Pain in extremity, Productive cough, SARS-CoV-2 test negative
Clinical narrative: Moderna COVID 19 Vaccine EUA  Hospitalized for productive cough, weakness and headache. Nasal congestion, hoarse voice. Aches and pains to bilateral lower legs. COVID negative. Dx acute viral bronchitis
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was 16 at the time of vaccination.  Pt reports no issues since being vaccinated.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Unresponsive to stimuli, Urinary incontinence
Clinical narrative: DIZZY, PASSED OUT IN HIS SEAT, MOVED TO COT, REMAINED UNRESPONSIVE FOR 30-45 SECS, INCONTINENT OF URINE. EMS CAME, BP 137/72, HR 56, PROVIDED GATORADE AND SNACKS, SYMPTOMS RESOLVED, REFUSED TRANSPORT.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain, Vaccine positive rechallenge
Clinical narrative: high amount or arm throbbing and alot of hand / fingering numbness.  this has taken place after both injections
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash macular
Clinical narrative: 5/21/2021  57 y/o female with past medical history of migraines who presents with itching to the left arm post vaccination. Patient states that this is her 1st vaccination in the two-dose series. Patient denies reaction to vaccinations in the past. Patient denies sore throat, difficulty swallowing, difficulty breathing, shortness of breath. NP and Paramedics at patient side. Patient with macular erythematous blanching rash to the left posterior upper shoulder, no other rash noted. Band-aid removed, and small area of macular erythema also noted, well demarcated. Patient provided with 25 mg PO Benadryl x1 and a bottle of water. Patient vitals within normal limits (143/85 BP, 75 HR, 96% RA and Resp 14). Patient monitored by the NP with resolution of rash post Benadryl (approx. 15 mins). Patient states that itching had resolved. Patient was discharged home in stable condition. Patient aware to take Benadryl 30mins- 1 hour prior to 2nd vaccination and not to place Band-Aid post vaccination, in case the rash was caused by the adhesive in the Band-aid.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Confusional state, Decreased appetite, Dizziness, Dyspnoea
Clinical narrative: He got his vaccine, immediately had dizziness.  Within 30 minutes could not move real good due to the Parkinson's.  He got more confused, more dizzy, and worsening of his Parkinson's.   He was very thirsty and drank a lot of water (4 liters of bottled water).  He was then urinating and sweating a lot as a way of his body trying to get rid of something in his body.  He was urinating more than he normally does.  He started getting harder for him to breath.  He noticed he had a bad taste in his mouth similar to when he had the COVID virus.  He got a horrible splitting headache/migraine type that kept coming and going.  He still has the taste in his mouth, and it affected the taste of food.  These were all symptoms similar to when he had COVID.  The headache was worse than when he had the virus.  No appetite still, but still continuing to drink the water and not urinating like you did the first day and a half.  He is not having to drink as much as he did before and not feeling like he was dehydrating.  Does have the soreness from the vaccine or any rashes. He did have chills and low grade fever of about 100-101, which have resolved.  He also had a sore throat which he still has.   He had a very bad case of the COVID virus 3/1/21, which lasted for a week or two.  He still has some residual symptoms from the virus with balancing/dizziness or worsening of his Parkinson's disease.  His neurologist told him that he would recover from the cognitive effects from the COVID with his Parkinson's, but his motor skills may not return.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Immediate post-injection reaction, Migraine, Oropharyngeal pain
Clinical narrative: He got his vaccine, immediately had dizziness.  Within 30 minutes could not move real good due to the Parkinson's.  He got more confused, more dizzy, and worsening of his Parkinson's.   He was very thirsty and drank a lot of water (4 liters of bottled water).  He was then urinating and sweating a lot as a way of his body trying to get rid of something in his body.  He was urinating more than he normally does.  He started getting harder for him to breath.  He noticed he had a bad taste in his mouth similar to when he had the COVID virus.  He got a horrible splitting headache/migraine type that kept coming and going.  He still has the taste in his mouth, and it affected the taste of food.  These were all symptoms similar to when he had COVID.  The headache was worse than when he had the virus.  No appetite still, but still continuing to drink the water and not urinating like you did the first day and a half.  He is not having to drink as much as he did before and not feeling like he was dehydrating.  Does have the soreness from the vaccine or any rashes. He did have chills and low grade fever of about 100-101, which have resolved.  He also had a sore throat which he still has.   He had a very bad case of the COVID virus 3/1/21, which lasted for a week or two.  He still has some residual symptoms from the virus with balancing/dizziness or worsening of his Parkinson's disease.  His neurologist told him that he would recover from the cognitive effects from the COVID with his Parkinson's, but his motor skills may not return.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Parkinson's disease, Pollakiuria, Pyrexia, Taste disorder, Thirst
Clinical narrative: He got his vaccine, immediately had dizziness.  Within 30 minutes could not move real good due to the Parkinson's.  He got more confused, more dizzy, and worsening of his Parkinson's.   He was very thirsty and drank a lot of water (4 liters of bottled water).  He was then urinating and sweating a lot as a way of his body trying to get rid of something in his body.  He was urinating more than he normally does.  He started getting harder for him to breath.  He noticed he had a bad taste in his mouth similar to when he had the COVID virus.  He got a horrible splitting headache/migraine type that kept coming and going.  He still has the taste in his mouth, and it affected the taste of food.  These were all symptoms similar to when he had COVID.  The headache was worse than when he had the virus.  No appetite still, but still continuing to drink the water and not urinating like you did the first day and a half.  He is not having to drink as much as he did before and not feeling like he was dehydrating.  Does have the soreness from the vaccine or any rashes. He did have chills and low grade fever of about 100-101, which have resolved.  He also had a sore throat which he still has.   He had a very bad case of the COVID virus 3/1/21, which lasted for a week or two.  He still has some residual symptoms from the virus with balancing/dizziness or worsening of his Parkinson's disease.  His neurologist told him that he would recover from the cognitive effects from the COVID with his Parkinson's, but his motor skills may not return.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient falsified DOB when registering for vaccination. Guardian, consented to the vaccination. Department of Health verified with statistical records patients actual DOB, which made the vaccine a contraindication.  No known adverse reactions noted.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Headache
Clinical narrative: Headache, weakness, joint pain for 16hrs
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea
Clinical narrative: I was coughing and couldn't breathe. I had never had such extreme responses
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram
Clinical narrative: Atrial Fibrillation with RVR
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pyrexia
Clinical narrative: Chills Headache Backache Fever Nausea
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: PT GIVEN DOSE 1 14 MAY.  GIVEN DOSE 2 19 MAY.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Received Johnson & Johnson vaccine for Covid 19.  Have had diarrhea daily since Wednesday 19th, 5 days after I received the shot.  I have a very strong stomach I have not had routine diarrhea ever.  I feel this is definitely related to receiving the vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Vaginal spotting