chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: crossed vision, droopy eyelid, diplopia
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Hyperhidrosis, Nausea
Clinical narrative: SHORTLY AFTER VACCINATION CLIENT BEGAN TO FEEL NAUSEOUS AND SWEATY/CLAMMY.  PO2 97, BG 83, B/P 88/78
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Headache, Nausea, Unresponsive to stimuli
Clinical narrative: 1121- Patient reported to Observer that she felt nauseated and wanted to go to the car to lie down.  1122  - VS 99/55. HR 68 R- 24 SpO2 - 100; patient pale, c/o nausea. Vocal response slow. Feet elevated 1124 - patient unresponsive; EMS called 1125 - 123/58, 78, 20, 100  1127 - 123/68, 80, 22, 100 - patient responsive 1128 - Fully responsive assisted to stretcher,  HOB 20 1129 - 130/60, 79, 20, 99 - given H2O. Refused soda, juice, crackers. States has slight nausea andhead hurts but has chronic headaches and recently had negative CT. 1134 - 137/60, 78, 98%, EMS arrived 1136 137/60, 76, 22, Sitting 1138 - 152/ 65 95, 22, 98- Standing More details 1153 - 110/59, 68, 18, 98 - Awake alert and oriented, no nausea, H/A improved.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received her second dose of Pfizer as scheduled. She was not 16 yrs of age.  Paperwork reflected she was 16 yrs old.  Confirmed with mother/legal guardian over the phone that the birthdate was incorrect and she was underage to receive the Pfizer vaccine per the CDC guidelines and to verify the encounter/error with her pediatrician.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Culture urine negative, Cystometrogram, Pollakiuria, Urine analysis normal
Clinical narrative: Very frequent urination. Did urnianalysis 2 times which is normal. Also did Urine culture twice which is also negative.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Lip swelling, Nausea, Pain
Clinical narrative: lip swelling, tongue face, lower jaw, throat, body aches, chills, headaches, possible fever, nausea
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Swelling face, Swollen tongue
Clinical narrative: lip swelling, tongue face, lower jaw, throat, body aches, chills, headaches, possible fever, nausea
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: after giving the vaccine, told pt to have a seat in front of the pharmacy for at least 15 minutes. pt stated she had children with her and wants to walk around in the store but will be close the to pharmacy. told pt to report any sx right away to the pharmacist if any sx are present. pt came back to the pharmacy reporting sx of excessive sweating. asked pt if any other sx and she said it was only the generalized sweating. pharmacist told pt to have a seat and to be observed for at least 15 minutes for the sx to resolve. checked pt blood pressure: 125/82 (which is based on the pt previous readings is usual per pt). after 15 minutes, pt wanted to leave stating that she had to leave. checked pt blood pressure again with reading 181/85. explained to pt if she experienced any sx's of a reaction including generalized itching, excessive thirst, any redness, hives, swelling of lips, face, throat, wheezing, shortness of breath, stomach cramping, or fainting to contact (or have someone contact) 911 right away
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given vaccine at 2 weeks instead of 3 weeks.  Patient reported no signs or symptoms
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Incomplete course of vaccination, Movement disorder, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: My left arm is locked in a paralyzed stage where I haven't been able to lift it no more than a few inches since the second week that I got the Pfizer shot three weeks ago. The left side of my shoulder and neck was stiff like I had a muscle spasm for about the whole second week. I informed Nurse at my doctor's visit on April 28th at .  She advised me to apply heat on the areas, move and rotate the areas and to continue to take Tylenol,  I still am not able to fully lift my left arm. I will not be getting the second shot on May 6th 2021.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Nausea
Clinical narrative: 12 hours after 2nd vaccine: 102 fever, nausea, chills, sweats, body aches, headache, tired
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: 12 hours after 2nd vaccine: 102 fever, nausea, chills, sweats, body aches, headache, tired
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Generalized itching 20 minutes after vaccine administration.  No Rash.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blister, Blood test normal, Disturbance in attention, Dyspnoea, Fatigue
Clinical narrative: 2nd shot received 2/1/2021. Shingles seen 02/18/2021. Blisters broke 02/19/2021. Visited doc 02/20/2021. Rx Valacyclovir (7 days). Pain lasted 2 weeks. Fatigue since then has caused me to have to  nap almost every afternoon, 1.5-2 hours. Unable to concentrate for as long as I used to. Shortness of breath and inability to walk as far as normal (regular 1.5m walk now a challenge). Worsening tinnitus.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Herpes zoster, Pain, Tinnitus
Clinical narrative: 2nd shot received 2/1/2021. Shingles seen 02/18/2021. Blisters broke 02/19/2021. Visited doc 02/20/2021. Rx Valacyclovir (7 days). Pain lasted 2 weeks. Fatigue since then has caused me to have to  nap almost every afternoon, 1.5-2 hours. Unable to concentrate for as long as I used to. Shortness of breath and inability to walk as far as normal (regular 1.5m walk now a challenge). Worsening tinnitus.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident, Hemiparesis
Clinical narrative: I63.9 - Stroke (CMS/HCC) R53.1 - Acute left-sided weakness
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Nausea, Pruritus, Throat tightness
Clinical narrative: immediately after:  mild headache and nausea approximately 38 minutes after:  tightening of throat "I felt like I was wearing  a tie,"  3cm of hives on right hand, a little itchy all over.  States it resolved on its own within a few hours and he was able to go on with his day as normal.  States he has had more severe reactions to other things, like walking through grass.  Did take a benadryl later that night before bed.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: immediately after:  mild headache and nausea approximately 38 minutes after:  tightening of throat "I felt like I was wearing  a tie,"  3cm of hives on right hand, a little itchy all over.  States it resolved on its own within a few hours and he was able to go on with his day as normal.  States he has had more severe reactions to other things, like walking through grass.  Did take a benadryl later that night before bed.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood creatinine increased, Blood glucose normal, Blood urea normal, COVID-19
Clinical narrative: 4/22/21 Patient admitted to hospital for COVID D/C summary: Clinical Summary a 70 y.o. male with a history of HTN, prostate cancer, chronic pain, T2DM, OSA noncompliant with CPAP who presented to ED 4/22/2021 with scant hemoptysis. Found to be COVID+ and hypoxic requiring 2L NC. Cr. 1.4. He was transferred for further evaluation and management. Improved with Remdesivir and steroid therapy. Patient completed 3 doses of remdesivir, recommended completion of steroid therapy (5/2) and repeat outpt CT Chest.     1. Acute Hypoxic Respiratory Failure: requiring 2-3L NC on admission in setting of COVID-19 pneumonia. CTPA with no PE, patchy multifocal ground glass opacities, mildly enlarged mediastinal and hilar LAD, likely reactive. Pulmonary hygiene. Weaned off of O2 4/24/21. Home o2 evaluation with patient desaturating to 91% with exertion. 2. COVID-19 Pneumonia: symptoms began 4/20/2021 with headache, fever, chills and diarrhea. Presented with scant hemoptysis. COVID + 4/22/21. Febrile to 101 on admission. CTPA as described.  Hypoxia as described. Started decadron (stop date 5/2), scheduled albuterol, mucinex. Monitor respiratory status. Pulmonary followed, initiated Remdesivir 4/23 following improvement in renal function. Recommended completion of 10 days of steroid therapy. Recommend repeat CT chest in 4-6 weeks for resolution.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chills, Computerised tomogram thorax, Computerised tomogram thorax abnormal, Diarrhoea
Clinical narrative: 4/22/21 Patient admitted to hospital for COVID D/C summary: Clinical Summary a 70 y.o. male with a history of HTN, prostate cancer, chronic pain, T2DM, OSA noncompliant with CPAP who presented to ED 4/22/2021 with scant hemoptysis. Found to be COVID+ and hypoxic requiring 2L NC. Cr. 1.4. He was transferred for further evaluation and management. Improved with Remdesivir and steroid therapy. Patient completed 3 doses of remdesivir, recommended completion of steroid therapy (5/2) and repeat outpt CT Chest.     1. Acute Hypoxic Respiratory Failure: requiring 2-3L NC on admission in setting of COVID-19 pneumonia. CTPA with no PE, patchy multifocal ground glass opacities, mildly enlarged mediastinal and hilar LAD, likely reactive. Pulmonary hygiene. Weaned off of O2 4/24/21. Home o2 evaluation with patient desaturating to 91% with exertion. 2. COVID-19 Pneumonia: symptoms began 4/20/2021 with headache, fever, chills and diarrhea. Presented with scant hemoptysis. COVID + 4/22/21. Febrile to 101 on admission. CTPA as described.  Hypoxia as described. Started decadron (stop date 5/2), scheduled albuterol, mucinex. Monitor respiratory status. Pulmonary followed, initiated Remdesivir 4/23 following improvement in renal function. Recommended completion of 10 days of steroid therapy. Recommend repeat CT chest in 4-6 weeks for resolution.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoptysis, Headache, Hilar lymphadenopathy, Influenza A virus test negative, Influenza virus test negative
Clinical narrative: 4/22/21 Patient admitted to hospital for COVID D/C summary: Clinical Summary a 70 y.o. male with a history of HTN, prostate cancer, chronic pain, T2DM, OSA noncompliant with CPAP who presented to ED 4/22/2021 with scant hemoptysis. Found to be COVID+ and hypoxic requiring 2L NC. Cr. 1.4. He was transferred for further evaluation and management. Improved with Remdesivir and steroid therapy. Patient completed 3 doses of remdesivir, recommended completion of steroid therapy (5/2) and repeat outpt CT Chest.     1. Acute Hypoxic Respiratory Failure: requiring 2-3L NC on admission in setting of COVID-19 pneumonia. CTPA with no PE, patchy multifocal ground glass opacities, mildly enlarged mediastinal and hilar LAD, likely reactive. Pulmonary hygiene. Weaned off of O2 4/24/21. Home o2 evaluation with patient desaturating to 91% with exertion. 2. COVID-19 Pneumonia: symptoms began 4/20/2021 with headache, fever, chills and diarrhea. Presented with scant hemoptysis. COVID + 4/22/21. Febrile to 101 on admission. CTPA as described.  Hypoxia as described. Started decadron (stop date 5/2), scheduled albuterol, mucinex. Monitor respiratory status. Pulmonary followed, initiated Remdesivir 4/23 following improvement in renal function. Recommended completion of 10 days of steroid therapy. Recommend repeat CT chest in 4-6 weeks for resolution.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Legionella test, Lung opacity, Lymphadenopathy mediastinal, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 4/22/21 Patient admitted to hospital for COVID D/C summary: Clinical Summary a 70 y.o. male with a history of HTN, prostate cancer, chronic pain, T2DM, OSA noncompliant with CPAP who presented to ED 4/22/2021 with scant hemoptysis. Found to be COVID+ and hypoxic requiring 2L NC. Cr. 1.4. He was transferred for further evaluation and management. Improved with Remdesivir and steroid therapy. Patient completed 3 doses of remdesivir, recommended completion of steroid therapy (5/2) and repeat outpt CT Chest.     1. Acute Hypoxic Respiratory Failure: requiring 2-3L NC on admission in setting of COVID-19 pneumonia. CTPA with no PE, patchy multifocal ground glass opacities, mildly enlarged mediastinal and hilar LAD, likely reactive. Pulmonary hygiene. Weaned off of O2 4/24/21. Home o2 evaluation with patient desaturating to 91% with exertion. 2. COVID-19 Pneumonia: symptoms began 4/20/2021 with headache, fever, chills and diarrhea. Presented with scant hemoptysis. COVID + 4/22/21. Febrile to 101 on admission. CTPA as described.  Hypoxia as described. Started decadron (stop date 5/2), scheduled albuterol, mucinex. Monitor respiratory status. Pulmonary followed, initiated Remdesivir 4/23 following improvement in renal function. Recommended completion of 10 days of steroid therapy. Recommend repeat CT chest in 4-6 weeks for resolution.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Staphylococcus test negative, Streptococcus test negative
Clinical narrative: 4/22/21 Patient admitted to hospital for COVID D/C summary: Clinical Summary a 70 y.o. male with a history of HTN, prostate cancer, chronic pain, T2DM, OSA noncompliant with CPAP who presented to ED 4/22/2021 with scant hemoptysis. Found to be COVID+ and hypoxic requiring 2L NC. Cr. 1.4. He was transferred for further evaluation and management. Improved with Remdesivir and steroid therapy. Patient completed 3 doses of remdesivir, recommended completion of steroid therapy (5/2) and repeat outpt CT Chest.     1. Acute Hypoxic Respiratory Failure: requiring 2-3L NC on admission in setting of COVID-19 pneumonia. CTPA with no PE, patchy multifocal ground glass opacities, mildly enlarged mediastinal and hilar LAD, likely reactive. Pulmonary hygiene. Weaned off of O2 4/24/21. Home o2 evaluation with patient desaturating to 91% with exertion. 2. COVID-19 Pneumonia: symptoms began 4/20/2021 with headache, fever, chills and diarrhea. Presented with scant hemoptysis. COVID + 4/22/21. Febrile to 101 on admission. CTPA as described.  Hypoxia as described. Started decadron (stop date 5/2), scheduled albuterol, mucinex. Monitor respiratory status. Pulmonary followed, initiated Remdesivir 4/23 following improvement in renal function. Recommended completion of 10 days of steroid therapy. Recommend repeat CT chest in 4-6 weeks for resolution.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: During A Employee Health Clinic for Staff on 4.2.2021.  We had three people either no show or cancel.  Instead of just wasting the doses we called anyone we could think of that could make it in before 1500. 1500 was when the vaccine was no longer within the 6 hour reconstitution period. I was the person who called my sister and she brought my niece with her. I believed her to be 18 but she is only 16 1/2 and the Shot was given already, before this was noticed. She waited the 15 minutes had no issues and went home with her Mother.  The only side effects noted to me was a sore arm and a slight Head Ache.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PREPARATION AND ADMINISTRATION ERROR. PATIENT RECEIVED 180 MCG OF PFIZER COVID 19 VACCINE IM.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Palpitations, Tremor
Clinical narrative: 11pm woke up from severe heart palpitations. 120 heart rate for 5 hours. Also chills and shakes.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flushing, Pharyngeal swelling, Rash
Clinical narrative: Flushing 10 minutes after vaccine, rash and feeling of throat swelling 20 minutes after vaccine. Called primary care doctor and was advised to go to the ER.  ER administered prednisone and Benadryl. Released after 3 hours of observation.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Flushing, Hot flush, Rash, Throat tightness
Clinical narrative: Flushing 10 minutes after vaccine, rash and feeling of throat swelling 20 minutes after vaccine. Called primary care doctor and was advised to go to the ER.  ER administered prednisone and Benadryl. Released after 3 hours of observation.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Flushing 10 minutes after vaccine, rash and feeling of throat swelling 20 minutes after vaccine. Called primary care doctor and was advised to go to the ER.  ER administered prednisone and Benadryl. Released after 3 hours of observation.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Hot flush, Hyperhidrosis, Nausea
Clinical narrative: Patient woke up this morning (5-5-21) and was experiencing vomiting, nausea, and diarrhea. She was also getting hot and cold flashes along with sweating. She did not have a thermometer to check for a fever. I recommended patient take some Tylenol every 6 to 8 hours until fever-like symptoms resolve as well as stay well hydrated. I also recommended that patient call her doctor if symptoms don't resolve within 24 to 48 hours.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Patient woke up this morning (5-5-21) and was experiencing vomiting, nausea, and diarrhea. She was also getting hot and cold flashes along with sweating. She did not have a thermometer to check for a fever. I recommended patient take some Tylenol every 6 to 8 hours until fever-like symptoms resolve as well as stay well hydrated. I also recommended that patient call her doctor if symptoms don't resolve within 24 to 48 hours.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Tinnitus
Clinical narrative: Around the time I received the 2nd dose on the date above, I started experiencing a buzzing sound in my right ear. Initially I thought this was due to wax build-up and did not associate it with the vaccine. I did not report it in my daily and weekly check-in reports. I treated the ear with an OTC wax remover with no effect. Then I went to my primary care practice. They found no excessive wax build-up and referred me to Dr. He found no obvious source of the problem and sent me for an MRI. It showed no problems. I recently read that this condition may be associated with the COVID vaccine which is why I am reporting it now.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Feeling hot, Neck pain, Pruritus, Rash
Clinical narrative: neck achy, face with burning sensation, neck with rash, itching, burning. Warmth on face started within 4 days of receiving the vaccine
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Skin burning sensation
Clinical narrative: neck achy, face with burning sensation, neck with rash, itching, burning. Warmth on face started within 4 days of receiving the vaccine
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Nervousness, Palpitations
Clinical narrative: Patient is a 39 year old in the observation area post COVID 19 vaccine, presents with bounding/fast heart rate 10 mins post vaccination. No CP, SOB, angioedema. Pt endorsed that he is a little nervous about the vaccine because of adverse effects. Vital signs normal. Physical exam unremarkable. Given water for hydration. Palpitations improved. ED precautions given. Sent home stable.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dizziness, Dysphagia, Dyspnoea, Electrocardiogram normal
Clinical narrative: Patient is a 32-year-old female new patient 5 months post partum & currently breastfeeding, with seasonal and perennial allergic rhinitis and history of childhood asthma, referred by the emergency department to discuss anaphylaxis like reaction to the Johnson Johnson COVID-19 vaccination on 4/28/21.  She received her vaccine around 2:00 p.m. She began developing itchiness in her palms/soles of feet and scalp that quickly developed into a a welt like rash about 3-1/2 hours after receiving the vaccine while on a walk with her husband; this was shortly followed by facial swelling over her right eye.  They made it home and she got in a cold shower to cool down, became dizzy, started seeing spots and had difficulty breathing. Her husband called EMS and she was hypotensive when they arrived.  She was given 2 doses of epinephrine (0.2 mg each per ED note) and a dose of Benadryl which helped. Shortly after the 2nd dose, she began having difficulty swallowing, maintaining the ability to breathe through her nose. She was given a 3rd dose of epinephrine and transferred to the ED; during transport an IV was started with an epinephrine drip. She was seen at Emergency Department; she was given IV fluids, solu medrol, tryptase level and had a normal EKG.  She was discharged with an epi pen prescription. Tryptase is still pending at the time of her visit. She started a new prenatal vitamin at 11 am 4/28/21. Otherwise, she reports no new foods, medications or topical products. She did eat before going on a walk, pepper jack cheese, wheat thins, and black bean hummus. She is pretty sure she was not stung by a bee prior to onset of symptoms yesterday.   Interestingly she reports recent urticarial episodes that occurred in February of 2021. These occurred when she was visiting her in-laws and occurred in the middle of the night, 2 nights in a row during the middle of her visit.  She has never had hives previously.  She reports no family history of hives or anaphylaxis.  She reports no use of new topical products or medications.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Pruritus, Rash, Rhinitis perennial, Seasonal allergy
Clinical narrative: Patient is a 32-year-old female new patient 5 months post partum & currently breastfeeding, with seasonal and perennial allergic rhinitis and history of childhood asthma, referred by the emergency department to discuss anaphylaxis like reaction to the Johnson Johnson COVID-19 vaccination on 4/28/21.  She received her vaccine around 2:00 p.m. She began developing itchiness in her palms/soles of feet and scalp that quickly developed into a a welt like rash about 3-1/2 hours after receiving the vaccine while on a walk with her husband; this was shortly followed by facial swelling over her right eye.  They made it home and she got in a cold shower to cool down, became dizzy, started seeing spots and had difficulty breathing. Her husband called EMS and she was hypotensive when they arrived.  She was given 2 doses of epinephrine (0.2 mg each per ED note) and a dose of Benadryl which helped. Shortly after the 2nd dose, she began having difficulty swallowing, maintaining the ability to breathe through her nose. She was given a 3rd dose of epinephrine and transferred to the ED; during transport an IV was started with an epinephrine drip. She was seen at Emergency Department; she was given IV fluids, solu medrol, tryptase level and had a normal EKG.  She was discharged with an epi pen prescription. Tryptase is still pending at the time of her visit. She started a new prenatal vitamin at 11 am 4/28/21. Otherwise, she reports no new foods, medications or topical products. She did eat before going on a walk, pepper jack cheese, wheat thins, and black bean hummus. She is pretty sure she was not stung by a bee prior to onset of symptoms yesterday.   Interestingly she reports recent urticarial episodes that occurred in February of 2021. These occurred when she was visiting her in-laws and occurred in the middle of the night, 2 nights in a row during the middle of her visit.  She has never had hives previously.  She reports no family history of hives or anaphylaxis.  She reports no use of new topical products or medications.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Tryptase, Urticaria, Visual impairment
Clinical narrative: Patient is a 32-year-old female new patient 5 months post partum & currently breastfeeding, with seasonal and perennial allergic rhinitis and history of childhood asthma, referred by the emergency department to discuss anaphylaxis like reaction to the Johnson Johnson COVID-19 vaccination on 4/28/21.  She received her vaccine around 2:00 p.m. She began developing itchiness in her palms/soles of feet and scalp that quickly developed into a a welt like rash about 3-1/2 hours after receiving the vaccine while on a walk with her husband; this was shortly followed by facial swelling over her right eye.  They made it home and she got in a cold shower to cool down, became dizzy, started seeing spots and had difficulty breathing. Her husband called EMS and she was hypotensive when they arrived.  She was given 2 doses of epinephrine (0.2 mg each per ED note) and a dose of Benadryl which helped. Shortly after the 2nd dose, she began having difficulty swallowing, maintaining the ability to breathe through her nose. She was given a 3rd dose of epinephrine and transferred to the ED; during transport an IV was started with an epinephrine drip. She was seen at Emergency Department; she was given IV fluids, solu medrol, tryptase level and had a normal EKG.  She was discharged with an epi pen prescription. Tryptase is still pending at the time of her visit. She started a new prenatal vitamin at 11 am 4/28/21. Otherwise, she reports no new foods, medications or topical products. She did eat before going on a walk, pepper jack cheese, wheat thins, and black bean hummus. She is pretty sure she was not stung by a bee prior to onset of symptoms yesterday.   Interestingly she reports recent urticarial episodes that occurred in February of 2021. These occurred when she was visiting her in-laws and occurred in the middle of the night, 2 nights in a row during the middle of her visit.  She has never had hives previously.  She reports no family history of hives or anaphylaxis.  She reports no use of new topical products or medications.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 immunisation
Clinical narrative: Patient had Moderna as first dose at another facility.  Patient received Pfizer as the second dose.  Per CDC guidelines, dose was  not repeated and patient was counseled that there wasn't any intervention necessary.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Feeling abnormal, Headache, Palpitations, Sinus pain
Clinical narrative: Heart palpitations/racing lasting the pup ugh the day of the injection. This was also accompanied chest pains which have persisted into day 2. On top of all this my head feels like I have a flu. (Cloudy vision, headache, and sinus pain)
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: extreme constant throbbing headache to my right side and back of head. Never had a headache like this before. Position of head, neck movement does not make a difference. Tooke 600 mg of ibuprofen and only helps about 20%. Headache has not progress and stay the same on 05/01/21. 05/02/21, 05/03/21, 05/04/21. Felt better 05/04/21 around 10 pm. 05/05/21 headache has decrease in intensity. No other symptoms
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Disorientation, Hallucination, visual
Clinical narrative: Person was disoriented. Confused. Did not know where he was at , hallucination , thought people were in the room when the were not
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Pruritus, Skin irritation, Throat clearing
Clinical narrative: Patient came to staff and said she was "very hot and itching all over", very shaky.  Nurses visibly saw patient's skin angry red and patient scratching all over. Vitals were checked, ABC's were done. Gave patient an injection of Benadryl 50mg IM right arm. Covid vaccine given in left arm.  Had a nurse sit with her for another 30min. patient reported the itchiness and redness was resolving after 10 min, by 25min the symptoms returned and pt started to clear her throat. She denied any throat fullness or cough, vitals were checked 4 times, stable. Epi-pen was administered and 911 was called. Patient was alert and oriented x 4, no SOB or respiratory distress reported.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in the left ear
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Pain in extremity, Periarthritis, Product administered at inappropriate site, Rotator cuff syndrome
Clinical narrative: I experienced pain in my left arm which resulted in a lock shoulder. It has not gotten better. I had to seek treatment with my PCP.   I underwent x-rays of my left shoulder and MRI as well.  I've had two different steroid injections to my left shoulder, oral dose of steroids, physical therapy and I am going to go back to see my orthopedic surgeon. They think the vaccine was given to high.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tendon disorder, X-ray limb abnormal
Clinical narrative: I experienced pain in my left arm which resulted in a lock shoulder. It has not gotten better. I had to seek treatment with my PCP.   I underwent x-rays of my left shoulder and MRI as well.  I've had two different steroid injections to my left shoulder, oral dose of steroids, physical therapy and I am going to go back to see my orthopedic surgeon. They think the vaccine was given to high.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated patient tested COVID-19- PCR  positive pre-procedure. She is asymptomatic and has no known new exposures.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Neuralgia, Rash
Clinical narrative: Approximately 7 weeks post 2nd dose of the Moderna COVID19 vaccine, developed intermittent nerve pain evidently associated with T4/T5 nerve roots. Approximately 1 week later developed rash/pox consistent with Shingles (varicella zoster) confirmed by a visit to university health care. Doctor prescribed 2 weeks treatment with antiviral VALACYCLOVIR.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Hyperhidrosis, Pain
Clinical narrative: Starting 12 hrs after 2nd vaccination I started having aches, fever, chills, sweats, headaches. Side effects lasted about 4-5 days. Fever reached 102/103. Started feeling better, but about 10 days later had the same reoccurring symptoms, although milder. 3 weeks after vaccine still hadn?t  returned to normal energy level.  Just recently started feeling better.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Starting 12 hrs after 2nd vaccination I started having aches, fever, chills, sweats, headaches. Side effects lasted about 4-5 days. Fever reached 102/103. Started feeling better, but about 10 days later had the same reoccurring symptoms, although milder. 3 weeks after vaccine still hadn?t  returned to normal energy level.  Just recently started feeling better.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Feeling abnormal, Impaired work ability, Nausea
Clinical narrative: 5/5/21: "Good morning sorry to bother you had a question about this shot (Janssen Covid19 vaccine). I have been checking in with that website (V-safe App)  you gave me no one has contacted me. Monday (5/3/21) I missed work due to me not feeling good and still today (5/5/21) I'm at work but feel like I could fall asleep, no energy, nausea still, and like I haven't slept in weeks even though I get good sleep. My breathing has gotten to the point that it hurts to take a deep breath. I believe this is all due to the shot but didn't know what you thought."
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Painful respiration, Somnolence
Clinical narrative: 5/5/21: "Good morning sorry to bother you had a question about this shot (Janssen Covid19 vaccine). I have been checking in with that website (V-safe App)  you gave me no one has contacted me. Monday (5/3/21) I missed work due to me not feeling good and still today (5/5/21) I'm at work but feel like I could fall asleep, no energy, nausea still, and like I haven't slept in weeks even though I get good sleep. My breathing has gotten to the point that it hurts to take a deep breath. I believe this is all due to the shot but didn't know what you thought."
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Arthralgia, Lip swelling, Rash pruritic, Tryptase
Clinical narrative: Patient is a 37 yo female new patient referred by the ED for allergy consult on delayed urticarial/angioedema 2 days following the initial dose of Pfizer Covid19 vaccination.   Timeline:  4/19/21 Received her first Pfizer immunization at clinic.   4/21/21: She woke up with a systemic itchy rash. Worst in flexural regions like the folds of her groin, elbows, knees and where her bra meets her skin. The hives didn't stay fixed and didn't respond to benadryl. She also was experiencing joint pain in her hands and ankles.   4/23/21: Increased benadryl dose to 50 milligram Q4 hours which initially helped but then the hives returned.   4/27/21: Seen at a local urgent care and was prescribed a medrol dosepak. She didn't fill this immediately given pharmacy wait time.   4/28/21: Woke up with upper lip swelling. Went back to urgent care and was given epinephrine which didn't help. She was referred to the ED where she was given an IV, IV benadryl and more epinephrine. Tryptase was not obtained. At no time did she have dizziness, throat swelling, or difficulty breathing. Her lip swelling resolved and she was discharged home. Her blood pressure and respiratory exam in the ED were normal.   She continues to have itching and rare hives.   She is currently on day 3 of the medrol dosepak and is taking benadryl 50 mg. Q6H    She denies a history of medication/vaccine allergies/reactions.   She had recent IVF retrieval on 3/29 and is currently taking birth control pills for ovarian suppression.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient is a 37 yo female new patient referred by the ED for allergy consult on delayed urticarial/angioedema 2 days following the initial dose of Pfizer Covid19 vaccination.   Timeline:  4/19/21 Received her first Pfizer immunization at clinic.   4/21/21: She woke up with a systemic itchy rash. Worst in flexural regions like the folds of her groin, elbows, knees and where her bra meets her skin. The hives didn't stay fixed and didn't respond to benadryl. She also was experiencing joint pain in her hands and ankles.   4/23/21: Increased benadryl dose to 50 milligram Q4 hours which initially helped but then the hives returned.   4/27/21: Seen at a local urgent care and was prescribed a medrol dosepak. She didn't fill this immediately given pharmacy wait time.   4/28/21: Woke up with upper lip swelling. Went back to urgent care and was given epinephrine which didn't help. She was referred to the ED where she was given an IV, IV benadryl and more epinephrine. Tryptase was not obtained. At no time did she have dizziness, throat swelling, or difficulty breathing. Her lip swelling resolved and she was discharged home. Her blood pressure and respiratory exam in the ED were normal.   She continues to have itching and rare hives.   She is currently on day 3 of the medrol dosepak and is taking benadryl 50 mg. Q6H    She denies a history of medication/vaccine allergies/reactions.   She had recent IVF retrieval on 3/29 and is currently taking birth control pills for ovarian suppression.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose, Cold sweat, Dizziness, Hyperhidrosis, Nervousness
Clinical narrative: Patient stated he felt dizzy after injection. Had the patient take slow deep breaths. Patient began to lightly shake, then patient was unresponsive with blank stare. Pt clammy, pale, and diaphoretic, Pt transferred via w/c and taken to medical monitoring.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Unresponsive to stimuli
Clinical narrative: Patient stated he felt dizzy after injection. Had the patient take slow deep breaths. Patient began to lightly shake, then patient was unresponsive with blank stare. Pt clammy, pale, and diaphoretic, Pt transferred via w/c and taken to medical monitoring.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Faeces discoloured
Clinical narrative: Frequent loose stools with multiple episodes of dark red blood mixed with loose stools
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Administration error. Patient requested Johnson and Johnson vaccine and received Moderna
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: About 1pm I got really tire and sleepy. About 6pm I started getting small headache. Not serious. But at 1 am in the morning of May 5th I started having stomache pain cramping. Alos cols childs ,that lasted for 4 hrs. Unable to sleep. Finally after 4 hrs the chills subsided. I was able to sleep a couple hours. BY 10 am on May 5th I was able to get up and eat some breakfast. Also had swelling of shot location like a hard knot. Still there as of 11:30am.  Had some loose stool and pains in stomach. I        talked to many people who had the Maderma and no one had any of these systems. This means I will really be sick for the second shot.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site nodule, Injection site swelling, Muscle spasms, Somnolence
Clinical narrative: About 1pm I got really tire and sleepy. About 6pm I started getting small headache. Not serious. But at 1 am in the morning of May 5th I started having stomache pain cramping. Alos cols childs ,that lasted for 4 hrs. Unable to sleep. Finally after 4 hrs the chills subsided. I was able to sleep a couple hours. BY 10 am on May 5th I was able to get up and eat some breakfast. Also had swelling of shot location like a hard knot. Still there as of 11:30am.  Had some loose stool and pains in stomach. I        talked to many people who had the Maderma and no one had any of these systems. This means I will really be sick for the second shot.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Peripheral swelling, Ultrasound scan abnormal
Clinical narrative: 5 days after first dose of Moderna Covid-19 vaccine, pt noticed his leg was swelling and told his doctor that his leg was swollen at a routine doctor visit that was scheduled ahead of time prior to vaccine. The doctor told the patient to go next door to vascular clinic. They did an ultrasound and found an acute DVT and chronic deep vein thrombosis. Pt was put on Eliquis the same day (4/12/21) to treat the issue. Mild swelling is still present in leg, but pt was cleared by Dr. to receive second dose which he did on 5/5/21.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Red rash in clusters increasing everyday all over her body. Client had a cortisone shot on 5/3/2021 with no relief. She had a Zoom visit with PCP on 5/4/2021  - ordered a topical cream (Triamcinolone) which did not help at all. Client has tried various OTC meds - Benadryl, Tylenol, Advil - without relief.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injection site warmth, Pain, Pyrexia, Rash
Clinical narrative: On 4/23/21 I felt run-down, achey, and had a low-grade fever that did not register. Late in the day I started developing a rash similar to what I experienced after dose #1 on forearms, area between shoulders and chest, and a little on the neck. On 4/24/21 the rash had spread on my neck and on my toes of both feet. It hurt for me to put pressure on my toes with just normal walking. This lasted around 36 hours. The rash did not fully subside until 48-56 hours.  The injection site on my left arm was hot for around 4-5 days.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Dizziness, Fatigue, Loss of consciousness
Clinical narrative: The patient reports the following: "So about 30 min -1 hour after my vaccine shot, I got extremely light headed and fatigued. I couldn't keep my eyes open. I was driving and must have lost consciousness for a really short time but enough for someone to report my driving/or cop seeing me. When the police officer was talking to me I didn't have any energy to speak, generally fatigued, and couldn't remember basic Information. The police officer issued me a ticket after I told him I didn't feel well after receiving vax. "  The patient was advised by co-workers to report the event to the vaccine provider.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Significant chest pain. Much difficulty breathing. Most intense for about 4 hours. Soreness when breathing is still persisting, but not as intensely.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Sudden onset headache to right side of the head. PT states "never had these symptoms before"
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Haemorrhage, Muscle spasms, Nipple pain, Polymenorrhoea
Clinical narrative: I am on hormonal birth control and I always start my period 3 days into the placebo pills. This month (2 weeks after the second dose) my period started before I finished the hormones. About 3 days before they were done. I also had noticibly more cramping and the bleeding was light but a very dark brown. I haven't done anything for it yet. I am monitoring it to see if it gets better or worse. I believe that maybe the vaccine did something to my hormones because the morning after Vax #2 my breasts and nipples were sore.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in extremity
Clinical narrative: - Achy body - Very sore arm near injection point - Headache - Chills
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Muscle spasms
Clinical narrative: cough, shortness of breath, chest tightness, unable to take a full breath, feels like her neck has a spasm
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling abnormal, Nightmare, Sleep disorder
Clinical narrative: Nightmares, fogged brain, anxiety, erratic sleep
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Low-grade fever and headache. Acetaminophen, ibuprofen. Lasted ~24 hours
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: patient described shooting pain, tingling and numbness in the left arm (arm of vaccination)
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaesthesia, Asthenia, Blood pressure measurement, Body temperature, Cardiovascular evaluation
Clinical narrative: patient described shooting pain, tingling and numbness in the left arm (arm of vaccination)
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Ear, nose and throat examination, Generalised anxiety disorder, Heart rate, Hypoaesthesia
Clinical narrative: patient described shooting pain, tingling and numbness in the left arm (arm of vaccination)
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Insomnia, Investigation, Major depression, Neck pain, Neurological examination
Clinical narrative: patient described shooting pain, tingling and numbness in the left arm (arm of vaccination)
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ophthalmological examination, Oxygen saturation, Pain in extremity, Physical examination, Post-traumatic stress disorder
Clinical narrative: patient described shooting pain, tingling and numbness in the left arm (arm of vaccination)
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Radiculopathy, Respiratory rate, Tremor, Weight
Clinical narrative: patient described shooting pain, tingling and numbness in the left arm (arm of vaccination)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Chills, Fatigue, Headache
Clinical narrative: The evening I got headaches, chills, muscle, loss of smell and taste. The third day I woke up with swelling like hives and rash around my right eye. I took 10mg of Claritin. The hives spread around the back of my neck and the rest of my body over the course of the morning. Within a few hours it had spread to my chest and my throat felt like it was closing. I had taken Benadryl but it didn't seem to help. I was also fatigued but had no shortness of breath. I had not eaten anything before the hives started. It had been 48 hours after the shot that I was in the Emergency Room, the hives started around 36 hours. I was given Epinephrine 3mg, Prednisone and Famotidine and given steroids for a few days. I have not had any problems since the first three days after the ER visit.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Rash, Throat tightness, Urticaria
Clinical narrative: The evening I got headaches, chills, muscle, loss of smell and taste. The third day I woke up with swelling like hives and rash around my right eye. I took 10mg of Claritin. The hives spread around the back of my neck and the rest of my body over the course of the morning. Within a few hours it had spread to my chest and my throat felt like it was closing. I had taken Benadryl but it didn't seem to help. I was also fatigued but had no shortness of breath. I had not eaten anything before the hives started. It had been 48 hours after the shot that I was in the Emergency Room, the hives started around 36 hours. I was given Epinephrine 3mg, Prednisone and Famotidine and given steroids for a few days. I have not had any problems since the first three days after the ER visit.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Death, Pulse absent, Resuscitation
Clinical narrative: Death.   Approximately 12 hours after administering the vaccination shot, patient experienced a medical emergency and lost her pulse. Paramedics attempted to resuscitate her for about 80 minutes. Her heart was unable to be restarted. She was declared deceased at 3:00 AM locally.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling hot, Hypertension
Clinical narrative: Approximately 5 minutes after vaccination, patient complained of feeling hot, some fatigue.  Initial BP: 158/116.  O2Sat: 97%; P: 70.   BP rechecked at 10 minute intervals.  BP: 160/108; 172/ 118, 178/118.   BP remained high,  denied hx of HTN but reported feeling dizzy or lightheaded last week.   Recommended f/u at ER due to  elevated BP.   EMS activated, care transferred to ambulance crew at 10:55am.   Transported to Hospital.  Patient spoke another language; wife present to translate.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased, Blood pressure normal, Blood test abnormal, Chest discomfort, Dizziness
Clinical narrative: Pressure in chest, light-headedness, tingling in arms continuing for two weeks after initial symptoms.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Heart rate normal, Paraesthesia
Clinical narrative: Pressure in chest, light-headedness, tingling in arms continuing for two weeks after initial symptoms.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding
Clinical narrative: Period began early while taking birth control pill. Period was extremely heavy compared to the spotting I normally get for a few days. Heavy bleeding lasted at least 4 days. Increased cramps occurred as well.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Chills, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: within hours, had dizziness and vision problems. at 3am May 4th, woke up with rigors, incapacitating headache, muscle aches, nausea, and fatigue. Now at 48+ post dose, dizzy, vision issues (blurry and perception off), cloudy thinking, exhausted, nausea, memory issues.   consulted my doctor who told me to self-report and go to ER.  I've avoided COVID by not doing risky things like going to ER so these instructions are inappropriate.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Imperception, Myalgia, Nausea, Vision blurred
Clinical narrative: within hours, had dizziness and vision problems. at 3am May 4th, woke up with rigors, incapacitating headache, muscle aches, nausea, and fatigue. Now at 48+ post dose, dizzy, vision issues (blurry and perception off), cloudy thinking, exhausted, nausea, memory issues.   consulted my doctor who told me to self-report and go to ER.  I've avoided COVID by not doing risky things like going to ER so these instructions are inappropriate.