chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Cough, Dyspnoea, Rash, Rash erythematous
Clinical narrative: Patient was parked for the 15 obs time. When the patient was coming to the end she had her husband honk the horn. When medic arrived patient stated she felt like she was having a asthma attack. The patient had used her MDI one time trying to treat the difficulty breathing . Patient was asked to move car to 30 min obs area and her husband drove her over there. Once in the other area when medics got to her she was unable to speak and was coughing constantly. Patient was administered .3 mg Epi Im in right upper arm.  Patient was beginning to develop red rash to the upper arms and chest. After the IM injection the patient stated she was having improvement. The patient was able to speak again in fully without difficulty. Patient refused transport by ambulance and after 40 plus min of obs after epi the patient was going to have her husband drive her to er.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Speech disorder
Clinical narrative: Patient was parked for the 15 obs time. When the patient was coming to the end she had her husband honk the horn. When medic arrived patient stated she felt like she was having a asthma attack. The patient had used her MDI one time trying to treat the difficulty breathing . Patient was asked to move car to 30 min obs area and her husband drove her over there. Once in the other area when medics got to her she was unable to speak and was coughing constantly. Patient was administered .3 mg Epi Im in right upper arm.  Patient was beginning to develop red rash to the upper arms and chest. After the IM injection the patient stated she was having improvement. The patient was able to speak again in fully without difficulty. Patient refused transport by ambulance and after 40 plus min of obs after epi the patient was going to have her husband drive her to er.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Arthralgia, Mixed connective tissue disease, Musculoskeletal stiffness, Peripheral swelling
Clinical narrative: Approximately 10 days after receiving the first dose of the COVID vaccine, I began having worsening joint pain in my hands, shoulders, knees and ankles. I also experienced whole-body stiffness throughout the day. My hands swelled and turned red, white or sometimes blue. The symptoms worsened after receiving my second dose. At that point, I saw a rheumatoid specialist who diagnosed me with early mixed connective tissue disease (MCTD) and placed me on hydroxychloroquine and prednisone.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: Approximately 10 days after receiving the first dose of the COVID vaccine, I began having worsening joint pain in my hands, shoulders, knees and ankles. I also experienced whole-body stiffness throughout the day. My hands swelled and turned red, white or sometimes blue. The symptoms worsened after receiving my second dose. At that point, I saw a rheumatoid specialist who diagnosed me with early mixed connective tissue disease (MCTD) and placed me on hydroxychloroquine and prednisone.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Feeding disorder, Headache
Clinical narrative: Second day after vaccine had fever, chills, aches & fatigue for 2-3 days.   Two weeks after vaccine  had intractable nausea, vomiting repeatedly over a 14 hour span, accompanied by diarrhea and headache.  48 hours in, still feeling weak and unable to eat much.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Second day after vaccine had fever, chills, aches & fatigue for 2-3 days.   Two weeks after vaccine  had intractable nausea, vomiting repeatedly over a 14 hour span, accompanied by diarrhea and headache.  48 hours in, still feeling weak and unable to eat much.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient put on consent being 18 years old but calculating the year of birth, patient is 17 years old
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Fatigue, Pain
Clinical narrative: 4/20/21, after vaccine I was sleepy/tired. 4/21 I was fine. 4/27/2021 10:30 p.m. I begin to feel extremely fatigued & coughing.  Went to bed.  Woke up at approx 12:30 a.m. with high fever, chills, aches, coughing, racing heart, shortness of breath.  Took 1 extra strength Tylenol. Tossed & turned. Got up  1 hr later. Drank about oz of apple cider vinegar with water & took 1 1000mg vit C. Tossed & turned until approx 5 a.m. then fell asleep.  Woke up at 7:00 a.m. feeling better but still achy & slight fever.  Woke up at 9:00 a.m. All symptoms gone  slightly weak.  Ate pack of instant oatmeal.  Could only taste the sweet not the oatmeal.  By noon I was completely back to myself and taste had returned.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia, Sleep disorder, Somnolence, Taste disorder
Clinical narrative: 4/20/21, after vaccine I was sleepy/tired. 4/21 I was fine. 4/27/2021 10:30 p.m. I begin to feel extremely fatigued & coughing.  Went to bed.  Woke up at approx 12:30 a.m. with high fever, chills, aches, coughing, racing heart, shortness of breath.  Took 1 extra strength Tylenol. Tossed & turned. Got up  1 hr later. Drank about oz of apple cider vinegar with water & took 1 1000mg vit C. Tossed & turned until approx 5 a.m. then fell asleep.  Woke up at 7:00 a.m. feeling better but still achy & slight fever.  Woke up at 9:00 a.m. All symptoms gone  slightly weak.  Ate pack of instant oatmeal.  Could only taste the sweet not the oatmeal.  By noon I was completely back to myself and taste had returned.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient came in for 2nd dose of Pfizer vaccine on 4/29/2021. Prior to second vaccine, DOB was confirmed and patient was only 15 years of age. Pt. had already received dose by RN on 4/7/2021 with parent present and permission received, according to documentation. Mother of patient was told by Lead to reschedule 2nd dose for vaccine after 16th birthday, and he explained the situation.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Back pain, Chest pain, Computerised tomogram thorax abnormal, Dizziness
Clinical narrative: starting have shortness of breath/difficulty breathing and back and chest pain.  light headed, pain unbearable.  Saturday April 23rd Went to er was treated for kidney stones but they could only find one small one,  Was sent home with pain medication.  Shortness of breath persisted as did bloody cough and pain in chest and all over. Went back to the er on 4/28 as pain was unbearable (chest pain)  once given a cat scan and diagnosed with blood clots in my lungs and then an ultra sound and found a blood clot in my leg (just above knee).  It is thought that I was mis-diagnosed on the original trip to the er with kidney stones.  I have been put on blood thinners and pain medication and will be following up with my doctor.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Haemoptysis, Nephrolithiasis, Pain, Pulmonary thrombosis
Clinical narrative: starting have shortness of breath/difficulty breathing and back and chest pain.  light headed, pain unbearable.  Saturday April 23rd Went to er was treated for kidney stones but they could only find one small one,  Was sent home with pain medication.  Shortness of breath persisted as did bloody cough and pain in chest and all over. Went back to the er on 4/28 as pain was unbearable (chest pain)  once given a cat scan and diagnosed with blood clots in my lungs and then an ultra sound and found a blood clot in my leg (just above knee).  It is thought that I was mis-diagnosed on the original trip to the er with kidney stones.  I have been put on blood thinners and pain medication and will be following up with my doctor.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: starting have shortness of breath/difficulty breathing and back and chest pain.  light headed, pain unbearable.  Saturday April 23rd Went to er was treated for kidney stones but they could only find one small one,  Was sent home with pain medication.  Shortness of breath persisted as did bloody cough and pain in chest and all over. Went back to the er on 4/28 as pain was unbearable (chest pain)  once given a cat scan and diagnosed with blood clots in my lungs and then an ultra sound and found a blood clot in my leg (just above knee).  It is thought that I was mis-diagnosed on the original trip to the er with kidney stones.  I have been put on blood thinners and pain medication and will be following up with my doctor.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Severe virtigo
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Computerised tomogram normal, Electrocardiogram, Headache, Impaired work ability
Clinical narrative: two days after receiving vaccine arm became really swollen. On day 3 pt. had slight headache which continued. On 4/25/21, headache became worse and on 4/26/21 pt. checked BP and noticed it was rising.  On 4/26/21 pt. was sent home from work. Pt. was taken to Urgent Care that evening where BP was recorded as 205/89. Pt. was given unknown shot and instructed to take Ibuprofen.   on 4/27/21 pt. followed up with PCP, who prescribed Hydrochlorothiazide daily and Norco  prn for pain.  On afternoon of 4/27/21 after taking HCT and BP remained elevated at 190/93. Pt. instructed to go to ER. Per wife upon arrival to hospital BP was 129/90.  On the morning of 4/28/21 BP was down slightly to 189/90's
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Peripheral swelling
Clinical narrative: two days after receiving vaccine arm became really swollen. On day 3 pt. had slight headache which continued. On 4/25/21, headache became worse and on 4/26/21 pt. checked BP and noticed it was rising.  On 4/26/21 pt. was sent home from work. Pt. was taken to Urgent Care that evening where BP was recorded as 205/89. Pt. was given unknown shot and instructed to take Ibuprofen.   on 4/27/21 pt. followed up with PCP, who prescribed Hydrochlorothiazide daily and Norco  prn for pain.  On afternoon of 4/27/21 after taking HCT and BP remained elevated at 190/93. Pt. instructed to go to ER. Per wife upon arrival to hospital BP was 129/90.  On the morning of 4/28/21 BP was down slightly to 189/90's
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling of body temperature change, Headache, Mobility decreased, Myalgia
Clinical narrative: No effects on day of vaccination, nor into the evening. Morning of 27th woke with headache. Symptoms worsened as the day progressed. Body and muscle aches, extreme fatigue, sleepiness, some difficulty moving around, heart seemed to be pounding harder as I moved, so stayed put  in my chair. About 8 o'clock I had a fever of 101. Drank lots of water. Took Tylenol. Fever faded away. In bed by 9pm. Alternately hot, then cold for several hours but did not have chills. Around 1am temperature stabilized and I slept well. Today, the29th, symptoms gone. Arm not even sore.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Palpitations, Pyrexia, Somnolence
Clinical narrative: No effects on day of vaccination, nor into the evening. Morning of 27th woke with headache. Symptoms worsened as the day progressed. Body and muscle aches, extreme fatigue, sleepiness, some difficulty moving around, heart seemed to be pounding harder as I moved, so stayed put  in my chair. About 8 o'clock I had a fever of 101. Drank lots of water. Took Tylenol. Fever faded away. In bed by 9pm. Alternately hot, then cold for several hours but did not have chills. Around 1am temperature stabilized and I slept well. Today, the29th, symptoms gone. Arm not even sore.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Influenza like illness, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: After receiving the second dose of the Moderna vaccine, I developed a fever of 101.5 around 11:30 pm.  I got up to use the restroom, and experienced a syncopal episode resulting in head trauma.  My other symptoms included muscle aches, flu-like symptoms and pain in my calves.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: After receiving the second dose of the Moderna vaccine, I developed a fever of 101.5 around 11:30 pm.  I got up to use the restroom, and experienced a syncopal episode resulting in head trauma.  My other symptoms included muscle aches, flu-like symptoms and pain in my calves.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Redness in bend of the right arm and redness on the outer portion of the under arm also right arm used cortazone didnot help now using a  RX cream betamethasone dipropionate until dermatologist appt. The area is still red and looking like a burn.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pain
Clinical narrative: Within 30min of receiving Moderna covid vaccine patient felt intense burning pain under skin that moved from arm to face and torso, over the next week it spread to back of head, upper back, bilateral upper extremites.  Described as intense sunburn pain, severe and excruciating without skin rash, hives, blistering.  No neurologic deficits of weakness, motor dysfunction.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Swollen tongue
Clinical narrative: Patient c/o tongue swelling & lips swelling. Pt was assessed by physician. Pt was given benadryl. Symptoms resolved.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Swollen left upper arm about 10 hours after shot and continuing next day.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriogram coronary abnormal, Arteriosclerosis coronary artery, Arteriospasm coronary, Chest X-ray normal, Chest pain
Clinical narrative: First experience in life of severe chest pain, 2 waves in a row, < 30 seconds.  No shortness of breath, no radiating pain, no other symptoms.  Admitted for 1 night through ER 4/20-21/2021.  Continued to have mild chest pain in hospital and since discharge.   Suspected issue is coronary artery spasms. Visit to private Cardiologist scheduled for 5/3/21 for follow up.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram coronary artery abnormal, Coronary artery stenosis, Electrocardiogram normal, Fibrin D dimer, Full blood count normal
Clinical narrative: First experience in life of severe chest pain, 2 waves in a row, < 30 seconds.  No shortness of breath, no radiating pain, no other symptoms.  Admitted for 1 night through ER 4/20-21/2021.  Continued to have mild chest pain in hospital and since discharge.   Suspected issue is coronary artery spasms. Visit to private Cardiologist scheduled for 5/3/21 for follow up.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Scan with contrast abnormal, Troponin increased
Clinical narrative: First experience in life of severe chest pain, 2 waves in a row, < 30 seconds.  No shortness of breath, no radiating pain, no other symptoms.  Admitted for 1 night through ER 4/20-21/2021.  Continued to have mild chest pain in hospital and since discharge.   Suspected issue is coronary artery spasms. Visit to private Cardiologist scheduled for 5/3/21 for follow up.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia
Clinical narrative: Patient developed anosmia post vaccine. She has not gotten her sense of smell back.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Constipation, Dysphagia, Dyspnoea, Nausea
Clinical narrative: Patient began to experience side effects the day after vaccine (4/1): shortness of breath, severe nausea and vomiting, abdominal pain, and constipation. Pt was unable to hold down water and was send to the hospital to help with hydration, pain, and shortness of breath. Pt reports she is not starting to get back to her normal breathing and eating habits almost 4 weeks later.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient began to experience side effects the day after vaccine (4/1): shortness of breath, severe nausea and vomiting, abdominal pain, and constipation. Pt was unable to hold down water and was send to the hospital to help with hydration, pain, and shortness of breath. Pt reports she is not starting to get back to her normal breathing and eating habits almost 4 weeks later.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Feeling hot, Pain in extremity, Platelet count decreased, Rash
Clinical narrative: Rash on upper arm.  Painful, hot about 8"x4.   Platelets dropped to 66K down from 99K
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Feeling cold, Headache
Clinical narrative: It started with body ache and then terrible headache, chill, nauseous, tiredness, and overall weakness. Not so much fever (about 100) but felt cold. I was Covid positive in November 2020, and felt the symptoms were very similar to what I had back then. It lasted two full days and especially the headache was persistent and went on the morning on the 3rd day. Spent two full days in bed. Took Advil on the 1st day and 2nd day but it took 3-4 hours to start feeling the effect. I switched to Tylenol on the night of the 3rd day, but didn't feel it worked.  Felt almost normal in the afternoon of the 3rd day, but the headache came back the same night and couldnt sleep. Finally felt recovered in the morning of the 4th day but minor headache. The 4th day afternoon was fine.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nausea, Pain, Pyrexia, Sleep disorder
Clinical narrative: It started with body ache and then terrible headache, chill, nauseous, tiredness, and overall weakness. Not so much fever (about 100) but felt cold. I was Covid positive in November 2020, and felt the symptoms were very similar to what I had back then. It lasted two full days and especially the headache was persistent and went on the morning on the 3rd day. Spent two full days in bed. Took Advil on the 1st day and 2nd day but it took 3-4 hours to start feeling the effect. I switched to Tylenol on the night of the 3rd day, but didn't feel it worked.  Felt almost normal in the afternoon of the 3rd day, but the headache came back the same night and couldnt sleep. Finally felt recovered in the morning of the 4th day but minor headache. The 4th day afternoon was fine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Urticaria
Clinical narrative: 20 minutes after moderna vaccine pt reported flushing and dizziness, and then 5 minutes later she broke out in hives on her face.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: urticaria trunk; no respiratory complaints. Rx diphenhydramine and prednisone.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The needle disengaged from the syringe during administration of the vaccine.  I estimated that the patient did receive 0.2ml of the 0.3ml dose and did not re-administer.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Fall, Full blood count, Hyperhidrosis, Mydriasis
Clinical narrative: Vasovagal syncope Pt fell face first out of the chair approximately 10 minutes post covid vaccine. Pt became pale,diaphortic , pupils dilated and non-responsive. No chest rise/fall noted. Nurse could not palpate a pulse. Epi pen administered in right thigh. Pt responded to epi pen and sat up on his own . Emergency alert called overhead on the PA System. ED staff responded and transported pt via stretcher to  ED.  Pt discharged to home.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Syncope, Unresponsive to stimuli
Clinical narrative: Vasovagal syncope Pt fell face first out of the chair approximately 10 minutes post covid vaccine. Pt became pale,diaphortic , pupils dilated and non-responsive. No chest rise/fall noted. Nurse could not palpate a pulse. Epi pen administered in right thigh. Pt responded to epi pen and sat up on his own . Emergency alert called overhead on the PA System. ED staff responded and transported pt via stretcher to  ED.  Pt discharged to home.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint stiffness, Muscular weakness, Pain, Pain in extremity
Clinical narrative: Shortly after receiving the moderna first shot I began experiencing extreme pain and stiffness in my left hip. By the next day the pain spread to my right hip. 2 days after that I could not move my right arm for the pain and weakness which gradually spread to my left arm where I received the shot.  Both arms are very weak and shakey and burn like fire and are extremely painful when trying to lie down or sleep.  This has been going on ever since March 16, 2021.  I contacted my health care provider and was told to try tumerich and tylenol, none of which helped.  Is there anything I can do to counteract this joint and muscle attack by this vaccine?
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Skin burning sensation, Tremor
Clinical narrative: Shortly after receiving the moderna first shot I began experiencing extreme pain and stiffness in my left hip. By the next day the pain spread to my right hip. 2 days after that I could not move my right arm for the pain and weakness which gradually spread to my left arm where I received the shot.  Both arms are very weak and shakey and burn like fire and are extremely painful when trying to lie down or sleep.  This has been going on ever since March 16, 2021.  I contacted my health care provider and was told to try tumerich and tylenol, none of which helped.  Is there anything I can do to counteract this joint and muscle attack by this vaccine?
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Muscular weakness, Pain in extremity, Peripheral swelling
Clinical narrative: Patient reports that there was no pain at injection site the day of injection. Reports feeling a "crook in the neck" the evening of receiving the vaccine. States he woke up the next morning, 4/14/21 with a very painful L arm, couldn't lift it and no strength.  Left arm is still painful and with reduced strength as of 4/28/2021. States arm is still swollen but has improved. Patient saw his primary care provider (not at our clinic) on 4/23/2021 and was given a shot of Toradol for pain. Patient also kept existing appointments with neurosurgery and pain management for failed back surgery. Neurosurgeon advised it could be nerve injury and that it will heal over time. Told patient that nerve in arm could be in a different location due to his history as a body builder. Patient states arm is better but still painful and weak.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody negative, Antinuclear antibody negative, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Rash started on Sunday 4/4, two days after my second dose of Pfizer. Went to doctor on 4/7 and was prescribed with 10mg of prednisone, steroid shot and triamcinolone cream. Rash is itchy especailly at night. Rash never went away and 4/21 went to ER, received another steroid shot and 20mg of prednisone for 5 day treatment. Past Monday was my last day of medication. Rash was significantly lighter but never went away. Two days later today the rash started again and it?s all red.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid factor negative
Clinical narrative: Rash started on Sunday 4/4, two days after my second dose of Pfizer. Went to doctor on 4/7 and was prescribed with 10mg of prednisone, steroid shot and triamcinolone cream. Rash is itchy especailly at night. Rash never went away and 4/21 went to ER, received another steroid shot and 20mg of prednisone for 5 day treatment. Past Monday was my last day of medication. Rash was significantly lighter but never went away. Two days later today the rash started again and it?s all red.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Neck pain
Clinical narrative: Monday after his vaccine he had pain in his lower neck to his ear on his Right side of his face. The pain persisted through the week and on Thursday his face had muscle drooping. They went to the urgent care and that is what he was diagnosed with as he had a previous episode 15 years ago.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase decreased, Blood creatine phosphokinase normal, Catheterisation cardiac, Chest pain, Echocardiogram
Clinical narrative: Patient presented to ER with substernal chest pain, normal ECG and positive cardiac enzymes (CPK 145, CK-MB 10, trop-I 2.16 peak), chest pain relieved with nitroglycerin SL and heparin. Observed overnight and taken for R transradial left heart cath next day, where 2 vessel nonobstructive (<50%) coronary plaquing unchanged from 2014 cath (MINOCA) with no observe plaque ulceration, spasm, thrombus or coronary slow flow (endothelial dysfunction) with normal LV systolic function and wall motion/EF 70%.  By exclusion, MI was felt to be most likely a hypercoagulability event, although spasm /endothelial dysfunction could not be excluded as contributors. Discharged at 24 hours s further adverse events after adding clopidogrel and ranolazine for 90 days. Seen in follow up today (4/29/2021) and doing well.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypokinesia, Muscle spasms, Myocardial necrosis marker, Stenosis, Troponin I increased
Clinical narrative: Patient presented to ER with substernal chest pain, normal ECG and positive cardiac enzymes (CPK 145, CK-MB 10, trop-I 2.16 peak), chest pain relieved with nitroglycerin SL and heparin. Observed overnight and taken for R transradial left heart cath next day, where 2 vessel nonobstructive (<50%) coronary plaquing unchanged from 2014 cath (MINOCA) with no observe plaque ulceration, spasm, thrombus or coronary slow flow (endothelial dysfunction) with normal LV systolic function and wall motion/EF 70%.  By exclusion, MI was felt to be most likely a hypercoagulability event, although spasm /endothelial dysfunction could not be excluded as contributors. Discharged at 24 hours s further adverse events after adding clopidogrel and ranolazine for 90 days. Seen in follow up today (4/29/2021) and doing well.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Syncope
Clinical narrative: Patient arrived to clinic in no acute distress for his scheduled vaccine. Shortly after receiving vaccine today he reported feeling faint, ERT was called and his BP was found to be low (90/60) all other vital signs were stable. No loss of consciousness, dizziness, fever, chest pain, sob, or rash.  It was recommended by ERT MD that the patient go to ER, 911 call was offered by patient and family refused.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Severe bleeding and menstrual blood clots during menstrual cycle. Doctor treated with tranexamic acid.   Next period April 2021 was normal.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia
Clinical narrative: Difficulty swallowing Vitals stable PT discharged home at 1715  Seen by EMT on site
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dry mouth, Dysphagia
Clinical narrative: Difficulty swallowing Vitals stable PT discharged home at 1715  Seen by EMT on site
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Palpitations
Clinical narrative: POST VACCINE, C/O HEART RACING, SWEATING. BROUGHT BACK TO OBS TO LAY DOWN. VSS, SLIGHTLY ELEVATED HR. OFFERED WATER, REFUSED SNACK. ESCORTED TO EXIT ONCE S/S RESOLVED AT 1500. 1435 BP 153/80 HR 113 SATS 96% RA 1442 SITTING BP 130/87 HR 111 SATS 97% RA
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Panic attack
Clinical narrative: panic attack, sweating, feeling faint
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Malaise
Clinical narrative: patient felt dizzy and came to pharmacy counter to let pharmacy know that he was not feeling well. He collapsed in chair while trying to sit back down. ended up kneeling  position facing the chair.  Retired sheriff and paramedic from a different county were on site and assisted in asking questions of the patient until paramedics arrived.  Patient contacted his wife.  Paramedics left and said that patient was fine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hyperhidrosis, Tremor
Clinical narrative: Client received the 1st dose of Moderna COVID vaccine lot # 017C21A and expiration date 5/23/21 at 12:49pm.  At 12:51pm client reports to EMT feeling dizziness. Nurse provided client with a water bottle and took vitals. At 12:50pm text Lead to come assist. At 12:51 pm vitals: blood pressure:158/188, pulse:90, and oxygen:98%. Client is sitting up in chair alert and oriented x 4. Client reports her medical history includes fibromyalgia. Client reports taking no medications.  Client reports having a slight fear of needles and allergic to Septra and contrast and environmental allergies. Client reports feeling a little sweaty. Client denies having any chest pain or blurred vision. Client reports having a mild headache of 1/10. At 12:56 pm vitals: blood pressure:175/113 and immediately retake 160/120, pulse:77, and oxygen:99%. Client reports dizziness is not resolving. Client reports no trouble breathing and no other symptoms. Offer client to sit in gravity chair or to put feet up and client declined. PHN calls 9-1-1 at 1:01 pm PHN continues speaking to the client while following assessment questions by operator. At 1:05pm vitals: blood pressure:164/120, pulse:93, and oxygen: 97%. Client reports continued dizziness. At 1:06 pm client reports feeling nauseous, provide client with an emesis bag. At 1:10pm client reports feeling shaky. At 1:10pm vitals: blood pressure: 164/118, pulse:100 and oxygen:97%. Client reports feeling her headache pain level is getting worse. PHN encouraged client to follow up with provider within 24 hours about blood pressure. At 1:13pm paramedics arrived. Client was wheeled out on stretcher at 1:20pm. Client was taken to hospital.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: 4/29/21 patient reported rash, swelling, and itching at injection site (left deltoid)
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Pain, Pyrexia
Clinical narrative: body aches, foggy head, mild fever
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Chest X-ray, Computerised tomogram thorax, Dyspnoea
Clinical narrative: On April 5th, 2021 I went to the E.D. , for shortness of breath and severe right shoulder pain. While there they got a chest x-ray, ran labs, and did a chest CT. The CT revealed that I had one blood clot in my left lung and two blood clots in my right lung, as well as slight pleural effusion in the right lower lobe. They put me on Xarelto for the next 3-6 months and monthly follow up visits with my primary care provider. I was also given Hydrocodone as need. I experienced extreme pain with breathing and sort of movement for a week and half but currently only have occasional shoulder and back pain usually at the end of the day.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer increased, Haemoglobin decreased, Neutrophil count increased, Pain, Painful respiration
Clinical narrative: On April 5th, 2021 I went to the E.D. , for shortness of breath and severe right shoulder pain. While there they got a chest x-ray, ran labs, and did a chest CT. The CT revealed that I had one blood clot in my left lung and two blood clots in my right lung, as well as slight pleural effusion in the right lower lobe. They put me on Xarelto for the next 3-6 months and monthly follow up visits with my primary care provider. I was also given Hydrocodone as need. I experienced extreme pain with breathing and sort of movement for a week and half but currently only have occasional shoulder and back pain usually at the end of the day.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pleural effusion, Pulmonary embolism, Thrombosis, White blood cell count increased
Clinical narrative: On April 5th, 2021 I went to the E.D. , for shortness of breath and severe right shoulder pain. While there they got a chest x-ray, ran labs, and did a chest CT. The CT revealed that I had one blood clot in my left lung and two blood clots in my right lung, as well as slight pleural effusion in the right lower lobe. They put me on Xarelto for the next 3-6 months and monthly follow up visits with my primary care provider. I was also given Hydrocodone as need. I experienced extreme pain with breathing and sort of movement for a week and half but currently only have occasional shoulder and back pain usually at the end of the day.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Magnetic resonance imaging, Mobility decreased
Clinical narrative: 4 days after injection patient had left shoulder pain. Severe pain and decreased ability to move. Had MRI of shoulder.  Has had treatment with tylenol/NSAIDs/Opioids/glucocorticoids with ER visit.  Patient received subacromial bursa injection 4/29/2020 in my clinic
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Diarrhoea, Lip swelling, Oropharyngeal pain
Clinical narrative: About 15 minutes after recievieng the vaccine I developed hives on my hands and arms, feet and legs.  I also had some swelling of my lip and some mild chest tightness.  I was treated with oral Pepcid and Oral Zyrtec.  My hives resolved after about 15 minutes as did my mild chest tightness.  I was observed for an hour.    Later that evening about 8, my face and lip began to swell, I had significant chest tightness, with severe coughing and wheezing.  I also had hives again on my hands, neck and face.  I used my Epipen and albuterol inhaler.  My chest was still very tight and my cough was very bad.  I went to the emergency room.  I was given DuoNeb, Pepcid, Benedryl, and Prednisone.  They were unable to start an IV so gave me oral medications.  Over the next hour my symptoms resolved and I felt much better.  I was discharged about midnight.    Today I have a very sore throat from coughing so much and my body is very achy and I have diarrhea.  I have had this same issue however the last time I needed to use Epi when I accidentally ate Shrimp.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Swelling face, Urticaria, Wheezing
Clinical narrative: About 15 minutes after recievieng the vaccine I developed hives on my hands and arms, feet and legs.  I also had some swelling of my lip and some mild chest tightness.  I was treated with oral Pepcid and Oral Zyrtec.  My hives resolved after about 15 minutes as did my mild chest tightness.  I was observed for an hour.    Later that evening about 8, my face and lip began to swell, I had significant chest tightness, with severe coughing and wheezing.  I also had hives again on my hands, neck and face.  I used my Epipen and albuterol inhaler.  My chest was still very tight and my cough was very bad.  I went to the emergency room.  I was given DuoNeb, Pepcid, Benedryl, and Prednisone.  They were unable to start an IV so gave me oral medications.  Over the next hour my symptoms resolved and I felt much better.  I was discharged about midnight.    Today I have a very sore throat from coughing so much and my body is very achy and I have diarrhea.  I have had this same issue however the last time I needed to use Epi when I accidentally ate Shrimp.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Dermatitis atopic, Exfoliative rash, Pruritus, Rash
Clinical narrative: Atopic Dermatitis of both elbows (Psoriatic in nature). Onset 1 week post Covid 19 vaccine. Started as small blisters and has now become a thick, scaly rash. Itches and is painful to touch.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Skin exfoliation
Clinical narrative: Atopic Dermatitis of both elbows (Psoriatic in nature). Onset 1 week post Covid 19 vaccine. Started as small blisters and has now become a thick, scaly rash. Itches and is painful to touch.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Pain in extremity
Clinical narrative: Patient stated she felt the need to cough and had an instant headache after the vaccine. She also had pain in her left arm and left leg for 7 days after the vaccine.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: patient developed moderate to severe rash on her face and neck starting 1 1/2 hours after the vaccine. This lasted several hours. The rash came back the evening of 4/27 and on her legs the evening of 4/28.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Injection site pruritus, Joint range of motion decreased, Loss of personal independence in daily activities
Clinical narrative: I received my second Pfizer dose on March 29. I had pain at the injection site, a fever, chills and nausea for a few days but have recovered since then. However, as of last week, I have noticed dull pain in the injection area at time accompanied by itching. My arm still feeling mildly sore at times. It doesn't stop me from going about my day-to-day duties, but it is annoying at times the range of movement is limited as it feels like my muscle is being stretched. I don't work out and haven't lifted anything heavy recently.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: I received my second Pfizer dose on March 29. I had pain at the injection site, a fever, chills and nausea for a few days but have recovered since then. However, as of last week, I have noticed dull pain in the injection area at time accompanied by itching. My arm still feeling mildly sore at times. It doesn't stop me from going about my day-to-day duties, but it is annoying at times the range of movement is limited as it feels like my muscle is being stretched. I don't work out and haven't lifted anything heavy recently.
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient inadvertently received a dose of 0.51 to 0.52 ml as opposed to 0.5 ml. The manufacturer instructed us to reach out to the patient to let them know they have received a higher dose which may have the potential for increased local and or systemic side effects. No serious adverse reactions were experienced or reported by the patient.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt was given Pfizer Covid vaccine 3 days following vaccination with Gardasil 9. Had forgotten about previous vaccine when answering screening questions. No immediate adverse effects noted.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Electrocardiogram, Hypoaesthesia, Paraesthesia
Clinical narrative: Few welps on right side of face, tingling and numbness in left leg below knee , chest pain
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Few welps on right side of face, tingling and numbness in left leg below knee , chest pain
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Pruritus
Clinical narrative: After few minutes she complained about itching, asked her to stay more than 30 mins and she said still itching. After an hour gave a Benadryl and she said she can fell that the itching is going down. Monitored for 1.5 hours and let her go with instructions to follow if needed.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Menstrual disorder
Clinical narrative: Swollen lymph nodes under left arm within armpit and also in groin area. Both significant and painful. The armpit one went away after two days. The groin one remains. Also noticing changes to menstrual cycle flow and it started earlier than normal this month.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: TINGLING LIPS AND TONGUE
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Product reconstitution quality issue, Underdose
Clinical narrative: Vaccine vial was not properly reconstituted and patient was ultimately getting only the diluent ( Sodium Chloride 0.9%) administered.. Patient was contacted later same day about incident and was given properly reconstituted vaccine dose. No adverse reactions were reported by patient when they returned to get the satisfactory vaccination dose,
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Loud tinnitus in right ear starting day after second vaccine. Non stop ringing
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Dyspepsia, Nausea, Pain
Clinical narrative: at first it was just nausea. On April 16 around 1 pm i started throwing up and didnt stop for 5 days. I had the chills and body aches. My head did not hurt though, but my stomach felt like it was on fire and about to burst. I started getting sick. I went to the ER to hopefully get some fluids and something for the nausea and stomach pain. They gave me 2 bags of fluid and anti nausea meds. This helped till i got home. And then i started throwing up again non stop till Tuesday April 18. My husband took me to ER to admit me again.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound abdomen, Vomiting
Clinical narrative: at first it was just nausea. On April 16 around 1 pm i started throwing up and didnt stop for 5 days. I had the chills and body aches. My head did not hurt though, but my stomach felt like it was on fire and about to burst. I started getting sick. I went to the ER to hopefully get some fluids and something for the nausea and stomach pain. They gave me 2 bags of fluid and anti nausea meds. This helped till i got home. And then i started throwing up again non stop till Tuesday April 18. My husband took me to ER to admit me again.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Dizziness, Dyspnoea
Clinical narrative: Night of shot got chills and body aches. Difficulty sleeping bc of chills and body aches. Next day stayed in bed all day with chills and body aches literally from the tips of my toes to the top of my head.  I had a massive head ache and I rarely even get headaches, loss of appetite. Next day woke up thinking I was doing better and took a shower and almost passed out from extreme fatigue, and breathing difficulties. Spent that whole day in the recliner with no appetite and no energy/strength to get up and do anything. I did make sure I stayed hydrated both days and did have soup the first night (3/5)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Insomnia, Migraine, Pain
Clinical narrative: Night of shot got chills and body aches. Difficulty sleeping bc of chills and body aches. Next day stayed in bed all day with chills and body aches literally from the tips of my toes to the top of my head.  I had a massive head ache and I rarely even get headaches, loss of appetite. Next day woke up thinking I was doing better and took a shower and almost passed out from extreme fatigue, and breathing difficulties. Spent that whole day in the recliner with no appetite and no energy/strength to get up and do anything. I did make sure I stayed hydrated both days and did have soup the first night (3/5)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on face and neck 02 99% HR 74 BP 124/82 Stayed for extra 15 minutes  Recorded by staff
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Headache, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Patient for 2nd Moderna vaccine. Immediately after vaccine patient c/o chest pain. 1203 b/p 211/108. EKG done NSR. Clonidine given at 1205. Nitro given @1230. Tylenol given at 1247 for headache. PCP in room. patient reports jaw, neck and arm pain, diaphoresis and midsternal chest pain. EMS called . Patient sent to hospital for further evaluation. Hospitalist and IPCM notified.   Vitals Vital Signs  Recorded: 29Apr2021 01:15PM  Systolic: 159 Diastolic: 82 O2 Saturation: 96 FiO2: 2L/min Recorded: 29Apr2021 12:59PM  Systolic: 131 Diastolic: 73 O2 Saturation: 92 FiO2: 2L/min Recorded: 29Apr2021 12:47PM  Systolic: 162 Diastolic: 81 O2 Saturation: 82 Recorded: 29Apr2021 12:36PM  Heart Rate: 94 Systolic: 211 Diastolic: 101 Recorded: 29Apr2021 12:20PM  Systolic: 184 Diastolic: 70 O2 Saturation: 94 Recorded: 29Apr2021 12:05PM  Heart Rate: 105 Respiration: 24 Systolic: 210 Diastolic: 108 O2 Saturation: 97
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, Pain in jaw, Sinus rhythm, Vital signs measurement
Clinical narrative: Patient for 2nd Moderna vaccine. Immediately after vaccine patient c/o chest pain. 1203 b/p 211/108. EKG done NSR. Clonidine given at 1205. Nitro given @1230. Tylenol given at 1247 for headache. PCP in room. patient reports jaw, neck and arm pain, diaphoresis and midsternal chest pain. EMS called . Patient sent to hospital for further evaluation. Hospitalist and IPCM notified.   Vitals Vital Signs  Recorded: 29Apr2021 01:15PM  Systolic: 159 Diastolic: 82 O2 Saturation: 96 FiO2: 2L/min Recorded: 29Apr2021 12:59PM  Systolic: 131 Diastolic: 73 O2 Saturation: 92 FiO2: 2L/min Recorded: 29Apr2021 12:47PM  Systolic: 162 Diastolic: 81 O2 Saturation: 82 Recorded: 29Apr2021 12:36PM  Heart Rate: 94 Systolic: 211 Diastolic: 101 Recorded: 29Apr2021 12:20PM  Systolic: 184 Diastolic: 70 O2 Saturation: 94 Recorded: 29Apr2021 12:05PM  Heart Rate: 105 Respiration: 24 Systolic: 210 Diastolic: 108 O2 Saturation: 97
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Lightheaded, dizziness. Evaluated by EMS- Cleared.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: 1st Dose Administered was Moderna and the 2nd Dose Administered was Pfizer
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Myalgia, Pain in extremity, Rash
Clinical narrative: Moderna COVID-19 Vaccine EUA: patient presents to clinic for follow-up for all-over body rash that developed nine days after second vaccine dose. Patient also reports myalgias, sore arm, and chest tightness after vaccination that resolved. Patient initially seen  12 days after vaccination and reports they tried topical cortisone, diphenhydramine, and loratadine and states topical cortisone provided some temporary relief. Patient advised to continue oral antihistamines and topical steroids. Three days later patient returned to clinic and prescribed prednisone and will follow-up with allergy clinic.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dysgeusia, Facial discomfort, Fatigue, Full blood count normal
Clinical narrative: Fatigue, muscle and joint aches, persistent nausea, persistent sweet taste in mouth, headache, increasing nasal congestion and facial pressure
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Metabolic function test, Myalgia, Nasal congestion, Nausea
Clinical narrative: Fatigue, muscle and joint aches, persistent nausea, persistent sweet taste in mouth, headache, increasing nasal congestion and facial pressure
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, Thyroid function test normal
Clinical narrative: Fatigue, muscle and joint aches, persistent nausea, persistent sweet taste in mouth, headache, increasing nasal congestion and facial pressure
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Pyrexia
Clinical narrative: Fever, 101.7, chills,
Age: 11.0
Sex: M
Vaccine: HPV9, MENB, TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given the wrong injection. He was given Bexsero when he should have received Menveo. No adverse reactions.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance, Nausea, Pyrexia, Vomiting
Clinical narrative: Extreme dizziness (very difficult to walk), nausea, vomiting, fever all evening. Better the next morning.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide, Chest X-ray, Chest pain, Fibrin D dimer, Human chorionic gonadotropin
Clinical narrative: PATIENT RECEIVED PFIZER IMMUNIZATION ON 26APR2021 AND STARTED HAVING CHEST PAIN ON 28APR2021. PATIENT WENT TO EMERGENCY ROOM AND WAS TREATED.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Troponin I
Clinical narrative: PATIENT RECEIVED PFIZER IMMUNIZATION ON 26APR2021 AND STARTED HAVING CHEST PAIN ON 28APR2021. PATIENT WENT TO EMERGENCY ROOM AND WAS TREATED.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: lightheaded, dizziness. Evaluated by EMS-Cleared