chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Approximately 5 minutes after injection, pt began complaining of "feeling warm." He was provided with water by a staff member. The patient then fell to the floor from a seated position in a chair in the observation area. The EMT and Paramedic immediately responded to the patient. They assessed the patient and brought him into a wheelchair once he was feeling well enough to do so. The patient never lost consciousness. Initial vitals: BP 96/60, O2 95% on room air, RR 24, HR 64. The Paramedic took a 12-lead EKG, result was Sinus rhythm with apparent ST elevation. Subsequent EKG was sinus brady with apparent ST elevation. The patient was free of contusions or scrapes from his fall from the chair. PT initially refused transportation to the emergency department. After some convincing, the patient was agreeable to seek elevated medical treatment and was transported by ambulance.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Dizziness, Dyspnoea, Electrocardiogram, Feeling hot
Clinical narrative: Approximately 5 minutes after injection, pt began complaining of "feeling warm." He was provided with water by a staff member. The patient then fell to the floor from a seated position in a chair in the observation area. The EMT and Paramedic immediately responded to the patient. They assessed the patient and brought him into a wheelchair once he was feeling well enough to do so. The patient never lost consciousness. Initial vitals: BP 96/60, O2 95% on room air, RR 24, HR 64. The Paramedic took a 12-lead EKG, result was Sinus rhythm with apparent ST elevation. Subsequent EKG was sinus brady with apparent ST elevation. The patient was free of contusions or scrapes from his fall from the chair. PT initially refused transportation to the emergency department. After some convincing, the patient was agreeable to seek elevated medical treatment and was transported by ambulance.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness
Clinical narrative: Approximately 5 minutes after injection, pt began complaining of "feeling warm." He was provided with water by a staff member. The patient then fell to the floor from a seated position in a chair in the observation area. The EMT and Paramedic immediately responded to the patient. They assessed the patient and brought him into a wheelchair once he was feeling well enough to do so. The patient never lost consciousness. Initial vitals: BP 96/60, O2 95% on room air, RR 24, HR 64. The Paramedic took a 12-lead EKG, result was Sinus rhythm with apparent ST elevation. Subsequent EKG was sinus brady with apparent ST elevation. The patient was free of contusions or scrapes from his fall from the chair. PT initially refused transportation to the emergency department. After some convincing, the patient was agreeable to seek elevated medical treatment and was transported by ambulance.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Electrocardiogram ST segment elevation, Fall, Feeling hot, Sinus bradycardia
Clinical narrative: About 10 minutes after receiving the vaccine. I felt hot and sick to my stomach. I couldn't breathe. I took my mask off and fanned myself. I started to feel dizzy and then I fell to the floor and passed out. The paramedics did an ekg and thought I was having a heart attack. They rushed me to the Emergency Room and they performed more tests. The tests showed their was nothing wrong with my heart previously.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: About 10 minutes after receiving the vaccine. I felt hot and sick to my stomach. I couldn't breathe. I took my mask off and fanned myself. I started to feel dizzy and then I fell to the floor and passed out. The paramedics did an ekg and thought I was having a heart attack. They rushed me to the Emergency Room and they performed more tests. The tests showed their was nothing wrong with my heart previously.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Dizziness, Dyspnoea, Electrocardiogram, Feeling hot
Clinical narrative: About 10 minutes after receiving the vaccine. I felt hot and sick to my stomach. I couldn't breathe. I took my mask off and fanned myself. I started to feel dizzy and then I fell to the floor and passed out. The paramedics did an ekg and thought I was having a heart attack. They rushed me to the Emergency Room and they performed more tests. The tests showed their was nothing wrong with my heart previously.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness
Clinical narrative: About 10 minutes after receiving the vaccine. I felt hot and sick to my stomach. I couldn't breathe. I took my mask off and fanned myself. I started to feel dizzy and then I fell to the floor and passed out. The paramedics did an ekg and thought I was having a heart attack. They rushed me to the Emergency Room and they performed more tests. The tests showed their was nothing wrong with my heart previously.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea
Clinical narrative: Same symptoms as when I had COVID-19 in December:  Massive headache, nausea, fatigue.  It lasted 48 hours.  intensity did not decrease with Tylenol or sleep.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia, Swelling
Clinical narrative: Daily headaches, muscle and joint soreness and swelling.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted after he got the vaccine. Pt was waiting in the waiting area when the incident occured
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dysgeusia, Paraesthesia oral
Clinical narrative: PT C/O TINGLING IN HER MOUTH, METALIC TASTE 25 MINS AFTER 2ND DOSE. ELEVATED BP, TARNSFERED FOR FURTHER OBSERVATION.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: VACCINE GIVEN TO PERSON UNDER AGE 18
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Swollen circle  on arm with 3? circumference. Itchy and red.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Cough, Dizziness, Dyspnoea, Heart rate increased
Clinical narrative: Was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening .  During the observation period, she experienced an adverse reaction with the following symptoms:  anaphylaxis, difficulty breathing, dizziness, nausea and rapid heart rate. Disposition: Patient evaluated and transferred to the hospital for further evaluation and care. Time of transport: 1537. Patient began coughing. Nurse offered patient a bottle of water but patient signaled she could not swallow. Nurse then obtained vital signs for this patient which are listed above. EMT notified immediately. Report and care transferred to EMT.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening .  During the observation period, she experienced an adverse reaction with the following symptoms:  anaphylaxis, difficulty breathing, dizziness, nausea and rapid heart rate. Disposition: Patient evaluated and transferred to the hospital for further evaluation and care. Time of transport: 1537. Patient began coughing. Nurse offered patient a bottle of water but patient signaled she could not swallow. Nurse then obtained vital signs for this patient which are listed above. EMT notified immediately. Report and care transferred to EMT.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: red itchy rash on neck
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Patient got 2nd dose of moderna, after  few minutes she was experiencing heaviness in her chest and slight shortness of breath. monitored her blood pressure for 20 minutes. Finally after 20-30 minutes she started feeling better. Patient said she doesn't take her blood pressure medication daily, takes only as needed. counseled her to take it daily. Tried checking with her after couple of hours, unable to  reach her on the phone
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Dyspnoea, Groin pain, Pain in extremity
Clinical narrative: constant back pain that started on April 11 presented to ER on April 19 for back pain and abdominal pain, afraid that she has a clot a few days ago, started having shortness of breath and left leg pain that radiates to the left groin
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pain, Pain in extremity
Clinical narrative: Right arm pain radiated to subclavian area. Burning sensation. BP 140/85 (pulse 65), O2 sat 99%.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort
Clinical narrative: At approximately 1342 HRS, patient and father presented to observation RN stated, "My arms feel heavy." Patient denied shortness of breath, chest pain, itching, or difficulty swallowing. Respirations even and unlabored. Oral mucosa inspected, appeared pink and moist. Patient smiling during assessment. Pulse Ox 99% on room air. Pulse 95 BPM, even in rate and rhythm. Patient was observed for 10 minutes. Released from observation tent. Ambulated from area accompanied by father without assistance. Gait appeared steady.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Breast tenderness, Fatigue, Injection site inflammation, Injection site pain, Injection site reaction
Clinical narrative: ~36 hours after vaccine had expected reaction (site reaction, pain, fatigue, fever).  One week later experienced repeated site inflammation and pain; new muscle pain across back, and sore, tender to the touch skin around breast and up to collar bone, body aches and fatigue. Resolved and arm pain restarted again 1 week later(4/22/21) (took 2000 mg of Tylenol without effect). when speaking with patient on 4/23/21 arm pain currently the only symptom.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pain in extremity, Pain of skin, Pyrexia
Clinical narrative: ~36 hours after vaccine had expected reaction (site reaction, pain, fatigue, fever).  One week later experienced repeated site inflammation and pain; new muscle pain across back, and sore, tender to the touch skin around breast and up to collar bone, body aches and fatigue. Resolved and arm pain restarted again 1 week later(4/22/21) (took 2000 mg of Tylenol without effect). when speaking with patient on 4/23/21 arm pain currently the only symptom.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Age outside FDA approval.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Gingival pain, Influenza like illness, Injection site pain
Clinical narrative: chills flu like symptoms weakness sore gums sore lips with sores painful bumps at injection site
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Lip pain
Clinical narrative: chills flu like symptoms weakness sore gums sore lips with sores painful bumps at injection site
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer increased, Groin pain
Clinical narrative: The day after her first Moderna COVID-19 shot (3/14/2021) she developed groin pain that lasted for about 2 days before going away, but then on 3/16/2021 she developed Chest Pain in her mid-chest and associated shortness of breath which did not go away, so she went to the emergency room on 3/17/2021 and was diagnosed with a Pulmonary Embolism. (I assume the groin pain was cause by a blood clot in her upper leg that moved up into her lungs.)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: The day after her first Moderna COVID-19 shot (3/14/2021) she developed groin pain that lasted for about 2 days before going away, but then on 3/16/2021 she developed Chest Pain in her mid-chest and associated shortness of breath which did not go away, so she went to the emergency room on 3/17/2021 and was diagnosed with a Pulmonary Embolism. (I assume the groin pain was cause by a blood clot in her upper leg that moved up into her lungs.)
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: I am having very bad throbbing pain in my thighs. It os constant and can only be slightly contained with Over the counter medication. I also have headaches, and fatigue.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Insomnia, Pain
Clinical narrative: I am having very bad throbbing pain in my thighs. It os constant and can only be slightly contained with Over the counter medication. I also have headaches, and fatigue.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Lip pain, Throat irritation
Clinical narrative: Scratchy throat, felt like lips sunburnt. Vitals wnl.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid + 1.5 months after receiving  2 doses of moderna vaccine
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pallor, Vomiting
Clinical narrative: S/P 2nd vaccine. Pt stated he arrived at the monitor site, c/o feeling dizzy. Noted to be pale.  Patient stated he had thrown up earlier in the day (prior to the  vaccine). He was offered water, able to drink fluids, patients facial color returned to normal. Care assumed by paramedics.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypopnoea, Nausea, Pain, Pyrexia
Clinical narrative: The day after: fatigue, nausea, feverish, body aches, shallow breathing.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Chest pain, Cough, Pain, Pyrexia
Clinical narrative: Covid symptoms. Fever, cough, chest pain, body pain, stomach problems
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site urticaria
Clinical narrative: Hive, swelling and rash and infection at the injection site.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Nausea, Vomiting
Clinical narrative: Nausea, vomiting and hypertension
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Sensitive skin
Clinical narrative: Lymph nodes in left armpit are enlarged and are causing extreme tenderness and soreness. Getting worse each day and skin all down the arm, down torso and across chest is sensitive.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizzy.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: Vaccine 2- side arm, low grade fever 100, fatigue, body aches, headache, flu-like symptoms.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Injection site pruritus, Menstruation irregular
Clinical narrative: April 10 - I only had mild pain at injection site; no impact to activities. At 9:40 PM that evening, I started feeling feverish, pain, itching at the injection site (continued for about 6 days); muscles aches (ongoing) headache, nausea, and uncontrollable chills. And I was not able to do anything the next day and that was the 11th. I l also got my period that day. The 12th, my period became a geyser - I never had a period like that before - I was bleeding a lot for about 5 days (my period didn't last longer than  a normal  period though) ; and I still had some muscle aches (they continued through the 12th). So I gave my PCP a call and went in, and she told me to watch it (she didn't know I had been vaccinated. I've had an ongoing headache this week: on Wednesday (the 21st) - for 22 hours non-stop and Thursday (the 22nd I had another one on Thursday - it was about 6 or 7 hours).
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: April 10 - I only had mild pain at injection site; no impact to activities. At 9:40 PM that evening, I started feeling feverish, pain, itching at the injection site (continued for about 6 days); muscles aches (ongoing) headache, nausea, and uncontrollable chills. And I was not able to do anything the next day and that was the 11th. I l also got my period that day. The 12th, my period became a geyser - I never had a period like that before - I was bleeding a lot for about 5 days (my period didn't last longer than  a normal  period though) ; and I still had some muscle aches (they continued through the 12th). So I gave my PCP a call and went in, and she told me to watch it (she didn't know I had been vaccinated. I've had an ongoing headache this week: on Wednesday (the 21st) - for 22 hours non-stop and Thursday (the 22nd I had another one on Thursday - it was about 6 or 7 hours).
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Thrombosis
Clinical narrative: Patient has leg cramps starting on Monday, April 19th. She went to the hospital at later date. Doctor diagnosed her with leg clot.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Lymph node swollen and tender on left side of neck above the collarbone.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear, nose and throat examination normal, Headache, Tinnitus, Vomiting
Clinical narrative: On the 15th day after vaccination with Pfizer vaccine, I got dizzy for a few seconds while laying on my couch. Within a few hour after that I started with loud ringing in my right ear; this happens to be the same side I was vaccinated on. That same night I got a headache and was throwing up. The louder ringing in my ear lasted few about two and a half weeks. Since then is has gradually been subsiding.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone, Chills, Fatigue, Full blood count, Headache
Clinical narrative: Moderna COVID-19 vaccine for healthcare worker given 1/14/2021, that night started chills and fever, headache and malaise lasting 3 days, the headache and fatigue continued through the 2nd Moderna COVID-19 vaccine 1 month later, on 2/11/2021. She again had chills and fever, just for 2 days, but again headache and fatigue continued. I last saw her on 3/15/2021, and she still had persistent headache and fatigue. She is to f/u in 6 months.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test normal, Malaise, Pyrexia
Clinical narrative: Moderna COVID-19 vaccine for healthcare worker given 1/14/2021, that night started chills and fever, headache and malaise lasting 3 days, the headache and fatigue continued through the 2nd Moderna COVID-19 vaccine 1 month later, on 2/11/2021. She again had chills and fever, just for 2 days, but again headache and fatigue continued. I last saw her on 3/15/2021, and she still had persistent headache and fatigue. She is to f/u in 6 months.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Eye pruritus, Pruritus, Rhinorrhoea, Throat tightness
Clinical narrative: About 15 minutes after itchy eyes, rhinorrhea, itchy skin, hives, throat tightness, hard to swallow and evaluated in the ER
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: About 15 minutes after itchy eyes, rhinorrhea, itchy skin, hives, throat tightness, hard to swallow and evaluated in the ER
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The patient received a dose of Moderna before they have turned 18 years old. No adverse side effects were witnessed while they were on site for their shot or during their 15 minute waiting period after receiving the shot.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Chest discomfort, Chest pain, Electrocardiogram normal, Pallor
Clinical narrative: -9:30am patient reported feeling shaky, chest pain and pressure.  - 9:40am 911 was called and assistance from leaders requested . -patient with h/o diabetes, hypertension, stage 4 kidney failure, "cardiac problems". sees Dr. Did not eat prior to coming for vaccine until right before receiving it. -Patient seemed slight pale on forehead, appeared shaky, but oriented to time and place and alert at all times and able to answer all questions. bp 144/90, p74, RR16, O2SAt 100%. -9:42am emergency sercive arrived. 9:48am ECG did not ID any cardiac event at the time pain 8/10, per the paramedic. Glucose 89, bp 128/69. 9:53am chest pain rated 7/10, 10:00am chest piin 6/10. -paitent monitored by paramedics
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: -9:30am patient reported feeling shaky, chest pain and pressure.  - 9:40am 911 was called and assistance from leaders requested . -patient with h/o diabetes, hypertension, stage 4 kidney failure, "cardiac problems". sees Dr. Did not eat prior to coming for vaccine until right before receiving it. -Patient seemed slight pale on forehead, appeared shaky, but oriented to time and place and alert at all times and able to answer all questions. bp 144/90, p74, RR16, O2SAt 100%. -9:42am emergency sercive arrived. 9:48am ECG did not ID any cardiac event at the time pain 8/10, per the paramedic. Glucose 89, bp 128/69. 9:53am chest pain rated 7/10, 10:00am chest piin 6/10. -paitent monitored by paramedics
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: fever, chills with shivering, pain and swelling of injection site, body aches
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Malaise, Pain, Pyrexia
Clinical narrative: Sight fever, body ache, general malaise (fatigue).
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: 1:15-The patient experienced the following reaction(s) during the immediate of observation: The patient reports feeling "dizzy" after receiving 1st dose of Pfizer, and visible perspiration observed on patient face and arms. 1:20pm-Patient was treated/managed as follows: Pt was given water in the treatment area. Vital signs performed: BP-110/80, R-18, HR-73, 02-96% RA. Pt denies any trouble breathing or difficulty swallowing. Pt reports feeling better at this time, and no visible sweat observed. Second set of vital signs performed at 1:30pm: BP-118/80, R-18, HR-63, 02-97% RA.  145-Pt escorted to car safely, in no distress at this time. Patient given educational material regarding vaccine and advised to continue to self-monitor per the CDC guidance.
Age: 72.0
Sex: M
Vaccine: UNK
Symptoms: Arthralgia, Chills, Lethargy, Myalgia, Pyrexia
Clinical narrative: joint and muscle pain lethargic fever and chills
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Breast pain, Pelvic pain
Clinical narrative: Extreme pain in left breast String sensitivity in my breast nipples Shooting pain in and around left breast Felt like an over inflated balloon was positioned under my left arm causing my muscle to feel as if it was tearing.  Electric shooting pain in my lower abdomen and vaginal/pelvic area
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Paraesthesia, Skin warm, Syncope
Clinical narrative: Patient states he was sitting when he got very hot and nauseated before fainting. Staff saw patient fall to carpeted floor face first and ran to his side. Patient briefly non-responsive but almost immediately regained consciousness and turned over onto his back. Legs elevated to chair and patient instructed to remain supine.  Vitals at 1:35pm 120/80, HR 91%, O2 level 97%. Patient states he tends to get very hot and nauseated with shots. 1:37 pm: c/o tingling in both hands and requested an ice pack. Obtained his wife's phone number and contacted her using his phone. Attempted to cleanse abrasions to (L) forehead and bridge of nose but he was not able to tolerate the smell. Drinking bottled water provided by staff. EMS enroute. 1:40 EMS arrived; BP 112/72, HR 89, O2 98%. Patient remains alert and oriented. Kept supine. Using his ice packs to hands. 1:57pm: Still has tingling and slightly nauseated. EMS requested privacy with patient.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Acute deep pain in both legs from thighs to knees.  Lasted approximately3 hours.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Hyperhidrosis, Hypotension, Lethargy
Clinical narrative: Lethargy, Hypotension, Bradycardia , diaphoresis following vaccination. Symptoms resolved within ten minutes Initial VS 80/46 56 16 O2 sat 98%, VS 10 mins later 110/76 62 12 99%
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: intense progressive whole body itching
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient admitted to the hospital within 6 weeks of receiving COVID vaccination.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Glossodynia, Swollen tongue
Clinical narrative: 2 days after receiving vaccine I noticed that eating was painful. My tongue seemed sore and swollen and eating was difficult because of this. No other symptoms were experienced. The symptoms never worsened, they lasted for about a month following the 2nd dose in the series.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Pruritus
Clinical narrative: 11281 Pt c/o itching & raspy throat after observation time lapsed. Pt no s/s of distress kin warm & dry. Lungs sounds clear in all fields. No resp distress noted V/S 122/84- 74-20-97% RA. Benadryl 50mg Po given @  1131 pt swallow pills w/o difficulty noted. EMS called 1130 arrived @ 1136 v/s & assessment completed Pt signed waiver refusing to  taken to ER near by.  Pt requested to call significant others for ride home while we continue monitoring. 1138 No changes in conditions  V/s taken 144/80-67-20 99% RA.  Pt stated Benadryl given was helping voice not as raspy. Pt picked up by Significant ohers. No s/s distress noted
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Nodule, Seizure
Clinical narrative: PATIENT WAS WAITING IN POST-IMMUNIZATION CHAIR AFTER RECEIVING VACCINATION.  HAD A SEIZURE AND FELL OUT OF CHAIR AND HIT THE BACK OF HIS HEAD ON THE FLOOR.  HE WAS LYING ON HIS SIDE AND I RAISED HIS ARMS TO ENSURE PROPER AIRWAY.  HE RECOVED COHERENCE AND HAD NO BREATHING DISORDER AND BECAME AWARE OF INFORMATION.  HIS HEAD HAS A "BUMP" ON IT (~ QUARTER SIZE).  TRANSFERED BY EMS AND RETURNED WITH HIS FRIEND  IN ~ 45 MINUTES TO GET IMZ CARD AND WAS COHERENT.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Pulse abnormal, Syncope
Clinical narrative: HPI: Patient is a * year old * who presents following administration of the first dose of the COVID19 vaccine in the left deltoid.  Patient has a history of vasovagal syncope/reaction and was not conscious upon medical response arrival.  No head trauma.  Patient denies allergies.  Patient denies past medical history.  Patient only taking a low dose combination OCP.  She states she has only eaten breakfast.  She otherwise denies chest pain, difficulty breathing, swelling of the face/lips/tongue/throat, skin rash/itching, cramping abdominal pain, nausea, and vomiting.     Exam (update as needed): GEN: Patient not conscious upon arrival.  Upon reclining patient and elevating legs, patient alert & oriented x 4.  NAD HEAD: NCAT EYES: PERRL, EOMI upon intervention. ENT: Ears normal, Nose normal, OP normal, no evidence of angioedema NECK: Supple, without LAD.  CV: Weak, thready radial pulse.  RRR, no m/r/g PULM: Clear to auscultation bilaterally, no accessory muscle use ABD: Soft, no tenderness. SKIN: No rashes, skin warm and dry.  No erythema or edema of the injection site. MSK: FROM, MS 5/5 NEURO: Upon intervention, patient alert & oriented x 4.  CN 2-12 grossly intact, no ataxia, gait steady   Clinical Impression/Field Tx: Vasovagal syncope.  Upon reclining patient and elevating the legs, patient regained consciousness and was A&O x 4.  EMS called to the scene for further evaluation, to include EKG.  Patient not actively displaying signs or symptoms of anaphylaxis.  Vital signs stable upon transfer of care.   Instructed patient to consult their PCP regarding the post-vaccination reaction.  Patient instructed to go to emergency department should they develop chest pain, difficulty breathing, swelling of the face/lips/mouth/tongue/throat, or cramping abdominal pain with nausea/vomiting, as these are signs of possible anaphylaxis that requires immediate intervention.     Medications administered: None   Disposition:   EMS was called to the site for further evaluation.  Patient elected to not transport to the hospital and left with her parents.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Vomiting, diarrhea (4 hours ) Fever up to 101.6
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, C-reactive protein, Chills, Dysphagia, Feeling abnormal
Clinical narrative: patient was treated with the Janssen/Johnson & Johnson COVID-19 adenovirus vaccine on Saturday April 10, 2021 and she relates having had symptomatic problems since that time stating prior to administration of the vaccine she was in her normal state of health.  She relates that on the evening of April 10 she had chills but otherwise no other major symptoms and the next day felt fine as well as during that week.  However she states that starting 1 week later on Saturday, April 17 she began feeling poorly characterized by a recurrence of hives that she has had in the past along with a sore throat.  She states this occurred while she was at work and describes the sore throat as unusual from prior sore throat she has had in the past with a description of a globus-like sensation along with some difficulties swallowing for more pressure than overt pain.  She attempted salt water gargles without benefit.  The rash was the characteristic hives rash that she has had on 2 prior occasions with rapid development of itchy red lesions scattered throughout especially in her proximal extremities and torso region.  She relates the hives worsened on Sunday, April 18 essentially from "head to toe" although not actually involving her face.  She also related new accompanying symptoms including diffuse arthralgias, stiffness and swollen painful muscles and joints.  This was throughout her entire body and somewhat of a migratory nature involving all of her major joints including the hands, wrists, shoulders, feet, ankles, knees and hips.  She states that because of the severity of symptoms she had an urgent care appointment on Sunday, April 18 and felt to have a exacerbation of urticaria for which she was prescribed montelukast, loratadine cimetidine and a Solu-Medrol Dosepak.  She states she was unable to fill the Solu-Medrol Dosepak initially but took the other medications without relief and then presented to the emergency room here at Hospital on Monday, April 19 where she had an evaluation which was largely unremarkable other than laboratory testing with a nonspecific elevation in inflammatory markers including a CRP of 5.7, ESR 34 and white blood count 15.92.  She was notably COVID-19 negative at that time as well as Monospot negative.  She was discharged home and ended up filling the Solu-Medrol Dosepak which she took and noted some improvement in her hives but has been continue to experience this ongoing sore throat, arthralgias, myalgias and diffuse swelling which is quite painful.  She specifically relates "every time I use a muscle it seems to inflame."
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint swelling, Muscle swelling, Musculoskeletal stiffness, Myalgia, Oropharyngeal pain
Clinical narrative: patient was treated with the Janssen/Johnson & Johnson COVID-19 adenovirus vaccine on Saturday April 10, 2021 and she relates having had symptomatic problems since that time stating prior to administration of the vaccine she was in her normal state of health.  She relates that on the evening of April 10 she had chills but otherwise no other major symptoms and the next day felt fine as well as during that week.  However she states that starting 1 week later on Saturday, April 17 she began feeling poorly characterized by a recurrence of hives that she has had in the past along with a sore throat.  She states this occurred while she was at work and describes the sore throat as unusual from prior sore throat she has had in the past with a description of a globus-like sensation along with some difficulties swallowing for more pressure than overt pain.  She attempted salt water gargles without benefit.  The rash was the characteristic hives rash that she has had on 2 prior occasions with rapid development of itchy red lesions scattered throughout especially in her proximal extremities and torso region.  She relates the hives worsened on Sunday, April 18 essentially from "head to toe" although not actually involving her face.  She also related new accompanying symptoms including diffuse arthralgias, stiffness and swollen painful muscles and joints.  This was throughout her entire body and somewhat of a migratory nature involving all of her major joints including the hands, wrists, shoulders, feet, ankles, knees and hips.  She states that because of the severity of symptoms she had an urgent care appointment on Sunday, April 18 and felt to have a exacerbation of urticaria for which she was prescribed montelukast, loratadine cimetidine and a Solu-Medrol Dosepak.  She states she was unable to fill the Solu-Medrol Dosepak initially but took the other medications without relief and then presented to the emergency room here at Hospital on Monday, April 19 where she had an evaluation which was largely unremarkable other than laboratory testing with a nonspecific elevation in inflammatory markers including a CRP of 5.7, ESR 34 and white blood count 15.92.  She was notably COVID-19 negative at that time as well as Monospot negative.  She was discharged home and ended up filling the Solu-Medrol Dosepak which she took and noted some improvement in her hives but has been continue to experience this ongoing sore throat, arthralgias, myalgias and diffuse swelling which is quite painful.  She specifically relates "every time I use a muscle it seems to inflame."
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative
Clinical narrative: patient was treated with the Janssen/Johnson & Johnson COVID-19 adenovirus vaccine on Saturday April 10, 2021 and she relates having had symptomatic problems since that time stating prior to administration of the vaccine she was in her normal state of health.  She relates that on the evening of April 10 she had chills but otherwise no other major symptoms and the next day felt fine as well as during that week.  However she states that starting 1 week later on Saturday, April 17 she began feeling poorly characterized by a recurrence of hives that she has had in the past along with a sore throat.  She states this occurred while she was at work and describes the sore throat as unusual from prior sore throat she has had in the past with a description of a globus-like sensation along with some difficulties swallowing for more pressure than overt pain.  She attempted salt water gargles without benefit.  The rash was the characteristic hives rash that she has had on 2 prior occasions with rapid development of itchy red lesions scattered throughout especially in her proximal extremities and torso region.  She relates the hives worsened on Sunday, April 18 essentially from "head to toe" although not actually involving her face.  She also related new accompanying symptoms including diffuse arthralgias, stiffness and swollen painful muscles and joints.  This was throughout her entire body and somewhat of a migratory nature involving all of her major joints including the hands, wrists, shoulders, feet, ankles, knees and hips.  She states that because of the severity of symptoms she had an urgent care appointment on Sunday, April 18 and felt to have a exacerbation of urticaria for which she was prescribed montelukast, loratadine cimetidine and a Solu-Medrol Dosepak.  She states she was unable to fill the Solu-Medrol Dosepak initially but took the other medications without relief and then presented to the emergency room here at Hospital on Monday, April 19 where she had an evaluation which was largely unremarkable other than laboratory testing with a nonspecific elevation in inflammatory markers including a CRP of 5.7, ESR 34 and white blood count 15.92.  She was notably COVID-19 negative at that time as well as Monospot negative.  She was discharged home and ended up filling the Solu-Medrol Dosepak which she took and noted some improvement in her hives but has been continue to experience this ongoing sore throat, arthralgias, myalgias and diffuse swelling which is quite painful.  She specifically relates "every time I use a muscle it seems to inflame."
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria, White blood cell count increased
Clinical narrative: patient was treated with the Janssen/Johnson & Johnson COVID-19 adenovirus vaccine on Saturday April 10, 2021 and she relates having had symptomatic problems since that time stating prior to administration of the vaccine she was in her normal state of health.  She relates that on the evening of April 10 she had chills but otherwise no other major symptoms and the next day felt fine as well as during that week.  However she states that starting 1 week later on Saturday, April 17 she began feeling poorly characterized by a recurrence of hives that she has had in the past along with a sore throat.  She states this occurred while she was at work and describes the sore throat as unusual from prior sore throat she has had in the past with a description of a globus-like sensation along with some difficulties swallowing for more pressure than overt pain.  She attempted salt water gargles without benefit.  The rash was the characteristic hives rash that she has had on 2 prior occasions with rapid development of itchy red lesions scattered throughout especially in her proximal extremities and torso region.  She relates the hives worsened on Sunday, April 18 essentially from "head to toe" although not actually involving her face.  She also related new accompanying symptoms including diffuse arthralgias, stiffness and swollen painful muscles and joints.  This was throughout her entire body and somewhat of a migratory nature involving all of her major joints including the hands, wrists, shoulders, feet, ankles, knees and hips.  She states that because of the severity of symptoms she had an urgent care appointment on Sunday, April 18 and felt to have a exacerbation of urticaria for which she was prescribed montelukast, loratadine cimetidine and a Solu-Medrol Dosepak.  She states she was unable to fill the Solu-Medrol Dosepak initially but took the other medications without relief and then presented to the emergency room here at Hospital on Monday, April 19 where she had an evaluation which was largely unremarkable other than laboratory testing with a nonspecific elevation in inflammatory markers including a CRP of 5.7, ESR 34 and white blood count 15.92.  She was notably COVID-19 negative at that time as well as Monospot negative.  She was discharged home and ended up filling the Solu-Medrol Dosepak which she took and noted some improvement in her hives but has been continue to experience this ongoing sore throat, arthralgias, myalgias and diffuse swelling which is quite painful.  She specifically relates "every time I use a muscle it seems to inflame."
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, C-reactive protein increased, Chest pain, Hepatitis acute, Myalgia
Clinical narrative: patient was treated with the Janssen/Johnson & Johnson COVID-19 adenovirus vaccine on Saturday April 10, 2021 and she relates having had symptomatic problems since that time stating prior to administration of the vaccine she was in her normal state of health.  She relates that on the evening of April 10 she had chills but otherwise no other major symptoms and the next day felt fine as well as during that week.  However she states that starting 1 week later on Saturday, April 17 she began feeling poorly characterized by a recurrence of hives that she has had in the past along with a sore throat.  She states this occurred while she was at work and describes the sore throat as unusual from prior sore throat she has had in the past with a description of a globus-like sensation along with some difficulties swallowing for more pressure than overt pain.  She attempted salt water gargles without benefit.  The rash was the characteristic hives rash that she has had on 2 prior occasions with rapid development of itchy red lesions scattered throughout especially in her proximal extremities and torso region.  She relates the hives worsened on Sunday, April 18 essentially from "head to toe" although not actually involving her face.  She also related new accompanying symptoms including diffuse arthralgias, stiffness and swollen painful muscles and joints.  This was throughout her entire body and somewhat of a migratory nature involving all of her major joints including the hands, wrists, shoulders, feet, ankles, knees and hips.  She states that because of the severity of symptoms she had an urgent care appointment on Sunday, April 18 and felt to have a exacerbation of urticaria for which she was prescribed montelukast, loratadine cimetidine and a Solu-Medrol Dosepak.  She states she was unable to fill the Solu-Medrol Dosepak initially but took the other medications without relief and then presented to the emergency room here at Hospital on Monday, April 19 where she had an evaluation which was largely unremarkable other than laboratory testing with a nonspecific elevation in inflammatory markers including a CRP of 5.7, ESR 34 and white blood count 15.92.  She was notably COVID-19 negative at that time as well as Monospot negative.  She was discharged home and ended up filling the Solu-Medrol Dosepak which she took and noted some improvement in her hives but has been continue to experience this ongoing sore throat, arthralgias, myalgias and diffuse swelling which is quite painful.  She specifically relates "every time I use a muscle it seems to inflame."
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pleuritic pain, Pulmonary oedema, Red blood cell sedimentation rate increased, Systemic inflammatory response syndrome, Urticaria
Clinical narrative: patient was treated with the Janssen/Johnson & Johnson COVID-19 adenovirus vaccine on Saturday April 10, 2021 and she relates having had symptomatic problems since that time stating prior to administration of the vaccine she was in her normal state of health.  She relates that on the evening of April 10 she had chills but otherwise no other major symptoms and the next day felt fine as well as during that week.  However she states that starting 1 week later on Saturday, April 17 she began feeling poorly characterized by a recurrence of hives that she has had in the past along with a sore throat.  She states this occurred while she was at work and describes the sore throat as unusual from prior sore throat she has had in the past with a description of a globus-like sensation along with some difficulties swallowing for more pressure than overt pain.  She attempted salt water gargles without benefit.  The rash was the characteristic hives rash that she has had on 2 prior occasions with rapid development of itchy red lesions scattered throughout especially in her proximal extremities and torso region.  She relates the hives worsened on Sunday, April 18 essentially from "head to toe" although not actually involving her face.  She also related new accompanying symptoms including diffuse arthralgias, stiffness and swollen painful muscles and joints.  This was throughout her entire body and somewhat of a migratory nature involving all of her major joints including the hands, wrists, shoulders, feet, ankles, knees and hips.  She states that because of the severity of symptoms she had an urgent care appointment on Sunday, April 18 and felt to have a exacerbation of urticaria for which she was prescribed montelukast, loratadine cimetidine and a Solu-Medrol Dosepak.  She states she was unable to fill the Solu-Medrol Dosepak initially but took the other medications without relief and then presented to the emergency room here at Hospital on Monday, April 19 where she had an evaluation which was largely unremarkable other than laboratory testing with a nonspecific elevation in inflammatory markers including a CRP of 5.7, ESR 34 and white blood count 15.92.  She was notably COVID-19 negative at that time as well as Monospot negative.  She was discharged home and ended up filling the Solu-Medrol Dosepak which she took and noted some improvement in her hives but has been continue to experience this ongoing sore throat, arthralgias, myalgias and diffuse swelling which is quite painful.  She specifically relates "every time I use a muscle it seems to inflame."
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: patient was treated with the Janssen/Johnson & Johnson COVID-19 adenovirus vaccine on Saturday April 10, 2021 and she relates having had symptomatic problems since that time stating prior to administration of the vaccine she was in her normal state of health.  She relates that on the evening of April 10 she had chills but otherwise no other major symptoms and the next day felt fine as well as during that week.  However she states that starting 1 week later on Saturday, April 17 she began feeling poorly characterized by a recurrence of hives that she has had in the past along with a sore throat.  She states this occurred while she was at work and describes the sore throat as unusual from prior sore throat she has had in the past with a description of a globus-like sensation along with some difficulties swallowing for more pressure than overt pain.  She attempted salt water gargles without benefit.  The rash was the characteristic hives rash that she has had on 2 prior occasions with rapid development of itchy red lesions scattered throughout especially in her proximal extremities and torso region.  She relates the hives worsened on Sunday, April 18 essentially from "head to toe" although not actually involving her face.  She also related new accompanying symptoms including diffuse arthralgias, stiffness and swollen painful muscles and joints.  This was throughout her entire body and somewhat of a migratory nature involving all of her major joints including the hands, wrists, shoulders, feet, ankles, knees and hips.  She states that because of the severity of symptoms she had an urgent care appointment on Sunday, April 18 and felt to have a exacerbation of urticaria for which she was prescribed montelukast, loratadine cimetidine and a Solu-Medrol Dosepak.  She states she was unable to fill the Solu-Medrol Dosepak initially but took the other medications without relief and then presented to the emergency room here at Hospital on Monday, April 19 where she had an evaluation which was largely unremarkable other than laboratory testing with a nonspecific elevation in inflammatory markers including a CRP of 5.7, ESR 34 and white blood count 15.92.  She was notably COVID-19 negative at that time as well as Monospot negative.  She was discharged home and ended up filling the Solu-Medrol Dosepak which she took and noted some improvement in her hives but has been continue to experience this ongoing sore throat, arthralgias, myalgias and diffuse swelling which is quite painful.  She specifically relates "every time I use a muscle it seems to inflame."
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema
Clinical narrative: ANGIOEDEMA
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Respiratory distress
Clinical narrative: Respiratory distress, throat swelling. BPs 186/97 (121), 150/104 (pulse 115), O2 sat 100%. Skipped lisinopril.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Dyspnoea
Clinical narrative: Shortness of breath, Asthma exacerbation
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness, BPs 158/88 (pulse 51), 127/76 (pulse 89). O2 sats 100%. Ate crackers and drank water.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Patient complained of heart palpitations while waiting for 15 minutes. EMS was called and attended to patient at store.