chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Anxiety, Dizziness
Clinical narrative: 4/20/2021   Patient was observed post Covid-19 immunization for 30 minutes .  During the observation period, she experienced an adverse reaction with the following symptoms:  dizziness.   Assessment : Time of assessment 1620 Alert and oriented and Anxious.   Actions taken:  Vitals sign taken  VAERS form obtained and completed by RN. Jiuce given, VS at 1620- BP- 137 98, P- 11, O2- 99%, recheck of VS at 1634, BP- 145/94, P- 97, O2- 100%       Medications administered: No medication administered.   Disposition: Reports no further symptoms of adverse reaction after observation for 45 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the V-Safe system.      Immunizations Administered    Name Date Dose VIS Date Route   Pfizer COVID-19 Vaccine 4/20/2021  3:37 PM
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: Immediate lightheadedness lasting 8 hours
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness
Clinical narrative: Immediate lightheadedness lasting 8 hours
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Catheterisation cardiac, Chest X-ray, Computerised tomogram, Diarrhoea
Clinical narrative: Onset ~3/24/21 c/o SOB, DOE, intermittent fever and N/D. SOB/DOE worsened. Sought care at Medical Center 3/31/21 and admitted to another hospital hypoxemic on room air and tachycardic w/ respiratory distress. CHF Dx w/ EF 15-20% on 4/1/21. OGT placed 4/6/21. Multiple infarcts 4/15/21. NGT placed 4/16/21. Acute Motor Axial Neuropathy (variant GBS) on 4/19/21.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Echocardiogram, Hypoxia, Laboratory test
Clinical narrative: Onset ~3/24/21 c/o SOB, DOE, intermittent fever and N/D. SOB/DOE worsened. Sought care at Medical Center 3/31/21 and admitted to another hospital hypoxemic on room air and tachycardic w/ respiratory distress. CHF Dx w/ EF 15-20% on 4/1/21. OGT placed 4/6/21. Multiple infarcts 4/15/21. NGT placed 4/16/21. Acute Motor Axial Neuropathy (variant GBS) on 4/19/21.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Myocardial infarction, Nausea, Pyrexia, Respiratory distress
Clinical narrative: Onset ~3/24/21 c/o SOB, DOE, intermittent fever and N/D. SOB/DOE worsened. Sought care at Medical Center 3/31/21 and admitted to another hospital hypoxemic on room air and tachycardic w/ respiratory distress. CHF Dx w/ EF 15-20% on 4/1/21. OGT placed 4/6/21. Multiple infarcts 4/15/21. NGT placed 4/16/21. Acute Motor Axial Neuropathy (variant GBS) on 4/19/21.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Onset ~3/24/21 c/o SOB, DOE, intermittent fever and N/D. SOB/DOE worsened. Sought care at Medical Center 3/31/21 and admitted to another hospital hypoxemic on room air and tachycardic w/ respiratory distress. CHF Dx w/ EF 15-20% on 4/1/21. OGT placed 4/6/21. Multiple infarcts 4/15/21. NGT placed 4/16/21. Acute Motor Axial Neuropathy (variant GBS) on 4/19/21.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dyspnoea, Mental status changes, Tachycardia, Throat tightness
Clinical narrative: Anaphylaxis (SOB, throat closing, wheezing, tachycardia, change in mentation over 10 minutes) Given Epi-Pen and Benadryl, Transported via EMT to ER
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Anaphylaxis (SOB, throat closing, wheezing, tachycardia, change in mentation over 10 minutes) Given Epi-Pen and Benadryl, Transported via EMT to ER
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Cough, Headache, Pain, Pallor
Clinical narrative: Headache Body aches Severe coughing Fever 100.6 Started 3 hours after vaccine. In bed for next 38 hours. Fever finally broke.  Felt decent day 2.  Still achy and coughing. Day 4 very congested, achy headache , sunlight bothered my eyes. Voice gone, pale but no fever.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Pyrexia
Clinical narrative: Headache Body aches Severe coughing Fever 100.6 Started 3 hours after vaccine. In bed for next 38 hours. Fever finally broke.  Felt decent day 2.  Still achy and coughing. Day 4 very congested, achy headache , sunlight bothered my eyes. Voice gone, pale but no fever.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site haemorrhage
Clinical narrative: Pt was given her vaccine and after blood dripped down her arm. It is possible that she did not get the full dose of her vaccine
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: itchy hands
Age: 22.0
Sex: U
Vaccine: COVID19
Symptoms: Balance disorder, Disorientation, Dizziness, Immediate post-injection reaction
Clinical narrative: Patient reported dizziness immediately post vaccination. Patient said "this kind of thing happens to me a lot." Patient asked for fresh air so was instructed to stand slowly while supervised by medical staff. Patient walk outdoors but was unsteady on their feet. The patient ended up becoming disoriented enough to lose their balance. Patient was brought to the ground by a nurse standing with them. Patient never lost consciousness and was provided with water. Patient recovered from the event after approximately 10 minutes. Patient was able to leave the clinic under their own power and no longer reported dizziness when they left.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Hypoaesthesia, Vomiting
Clinical narrative: dizzyness, vomiting, fatigue, numbness
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Covid-19 Moderna given to pt who was 16 years of age.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Asthenia, Blood glucose fluctuation, Dizziness, Dyspnoea
Clinical narrative: A few days after my shot I started feeling very tired and groggy.  My head was dizzy most of the day.  Five days after the vaccination I started to go into a sweat if I exerted myself too much.  I continued to have a dizzy head and my stamina was greatly reduced.  I used to ride my exercise bike for 90 -150 minutes a day but  after the vaccine I could only go 20 minutes the first week and then I got progressively weaker and more dizzy.  I could barely walk a half block.  I also experienced some shortness of breath and a racing heart at times.  The third week out was the worse.  I could hardly care for myself.  I started to get a lot of pain behind my eyes and other sinus pressure.  Also the lymph gland under my ear was swollen and painful.  I was extremely tired for a couple of days at that point but have found it hard to sleep on most other nights.  I have strange dreams that are almost like an hallucination.  I also have head aches but they seem to have improved as the weeks have gone by, especially since I have been taking Aleve every day.  I am unable to exercise and have very little energy still.  The dizzy head continues to persist even  6 weeks out.  I had this same kind of dizzy head in August when I had Covid but it went away in a week or two.  I get dizzy just reading a book or looking at my piano music also.  Having had Covid twice I am very confident that these symptoms were caused by this vaccination.  It also seemed to make my blood sugar more volatile.  The sad thing is that I was feeling perfectly normal when I went in!  I am devastated by these symptoms and they have completely altered my life.  I am so discouraged that they never go away.  Some days I feel like I am improving and then they pop up again.  I was a very active person and now I can hardly do anything.  I think I got the shot too close to when I had covid and that it has triggered an immune response that is overwhelming my body.  Will it ever get better?  I can't stand to go on like this!
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Fatigue, Gait disturbance, Headache, Hyperhidrosis
Clinical narrative: A few days after my shot I started feeling very tired and groggy.  My head was dizzy most of the day.  Five days after the vaccination I started to go into a sweat if I exerted myself too much.  I continued to have a dizzy head and my stamina was greatly reduced.  I used to ride my exercise bike for 90 -150 minutes a day but  after the vaccine I could only go 20 minutes the first week and then I got progressively weaker and more dizzy.  I could barely walk a half block.  I also experienced some shortness of breath and a racing heart at times.  The third week out was the worse.  I could hardly care for myself.  I started to get a lot of pain behind my eyes and other sinus pressure.  Also the lymph gland under my ear was swollen and painful.  I was extremely tired for a couple of days at that point but have found it hard to sleep on most other nights.  I have strange dreams that are almost like an hallucination.  I also have head aches but they seem to have improved as the weeks have gone by, especially since I have been taking Aleve every day.  I am unable to exercise and have very little energy still.  The dizzy head continues to persist even  6 weeks out.  I had this same kind of dizzy head in August when I had Covid but it went away in a week or two.  I get dizzy just reading a book or looking at my piano music also.  Having had Covid twice I am very confident that these symptoms were caused by this vaccination.  It also seemed to make my blood sugar more volatile.  The sad thing is that I was feeling perfectly normal when I went in!  I am devastated by these symptoms and they have completely altered my life.  I am so discouraged that they never go away.  Some days I feel like I am improving and then they pop up again.  I was a very active person and now I can hardly do anything.  I think I got the shot too close to when I had covid and that it has triggered an immune response that is overwhelming my body.  Will it ever get better?  I can't stand to go on like this!
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Laboratory test, Lymph node pain, Lymphadenopathy, Palpitations
Clinical narrative: A few days after my shot I started feeling very tired and groggy.  My head was dizzy most of the day.  Five days after the vaccination I started to go into a sweat if I exerted myself too much.  I continued to have a dizzy head and my stamina was greatly reduced.  I used to ride my exercise bike for 90 -150 minutes a day but  after the vaccine I could only go 20 minutes the first week and then I got progressively weaker and more dizzy.  I could barely walk a half block.  I also experienced some shortness of breath and a racing heart at times.  The third week out was the worse.  I could hardly care for myself.  I started to get a lot of pain behind my eyes and other sinus pressure.  Also the lymph gland under my ear was swollen and painful.  I was extremely tired for a couple of days at that point but have found it hard to sleep on most other nights.  I have strange dreams that are almost like an hallucination.  I also have head aches but they seem to have improved as the weeks have gone by, especially since I have been taking Aleve every day.  I am unable to exercise and have very little energy still.  The dizzy head continues to persist even  6 weeks out.  I had this same kind of dizzy head in August when I had Covid but it went away in a week or two.  I get dizzy just reading a book or looking at my piano music also.  Having had Covid twice I am very confident that these symptoms were caused by this vaccination.  It also seemed to make my blood sugar more volatile.  The sad thing is that I was feeling perfectly normal when I went in!  I am devastated by these symptoms and they have completely altered my life.  I am so discouraged that they never go away.  Some days I feel like I am improving and then they pop up again.  I was a very active person and now I can hardly do anything.  I think I got the shot too close to when I had covid and that it has triggered an immune response that is overwhelming my body.  Will it ever get better?  I can't stand to go on like this!
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Somnolence
Clinical narrative: A few days after my shot I started feeling very tired and groggy.  My head was dizzy most of the day.  Five days after the vaccination I started to go into a sweat if I exerted myself too much.  I continued to have a dizzy head and my stamina was greatly reduced.  I used to ride my exercise bike for 90 -150 minutes a day but  after the vaccine I could only go 20 minutes the first week and then I got progressively weaker and more dizzy.  I could barely walk a half block.  I also experienced some shortness of breath and a racing heart at times.  The third week out was the worse.  I could hardly care for myself.  I started to get a lot of pain behind my eyes and other sinus pressure.  Also the lymph gland under my ear was swollen and painful.  I was extremely tired for a couple of days at that point but have found it hard to sleep on most other nights.  I have strange dreams that are almost like an hallucination.  I also have head aches but they seem to have improved as the weeks have gone by, especially since I have been taking Aleve every day.  I am unable to exercise and have very little energy still.  The dizzy head continues to persist even  6 weeks out.  I had this same kind of dizzy head in August when I had Covid but it went away in a week or two.  I get dizzy just reading a book or looking at my piano music also.  Having had Covid twice I am very confident that these symptoms were caused by this vaccination.  It also seemed to make my blood sugar more volatile.  The sad thing is that I was feeling perfectly normal when I went in!  I am devastated by these symptoms and they have completely altered my life.  I am so discouraged that they never go away.  Some days I feel like I am improving and then they pop up again.  I was a very active person and now I can hardly do anything.  I think I got the shot too close to when I had covid and that it has triggered an immune response that is overwhelming my body.  Will it ever get better?  I can't stand to go on like this!
Age: 11.0
Sex: M
Vaccine: MENB
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: LARGE HARD RED AREA TO LEFT ARM
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint stiffness, X-ray
Clinical narrative: stiffness and pain in hip, knee and ankle joints
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Feeling hot, Pruritus
Clinical narrative: Patient presents to med obs 1 via wheelchair and staff member. The patient requires a medical translator.  The patient states her body feels cold and her face feels warm, patient reports it feels "like a hot flash".  The patient reports feeling "itchy" in her thighs, arms and "all over". The patient is placed in a semi fowlers position and vitals obtained. After 15 minutes the patient reports she "feels fine" and requests to leave. Patient will be driving herself home and states she feels comfortable doing so. The patient is escorted out by staff without incident.    HR- 64   Resp- 20   BP-133/74   SpO2-99%  1504 - Sitting  HR- 62   Resp- 20   BP-110/73   SpO2- 100%
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: 9-10 hrs after vaccination -- fatigue, sore arm;Events completely wore off overnight, after I slept it off.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna given to 17 y/o- out of age date for manufacture. No adverse reaction noted at this time.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: pt hospitalized within 6 weeks of COVID vaccination
Age: 46.0
Sex: F
Vaccine: UNK
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: PAIN, SWELLING OF LYMPH NODE IN RIGHT ARM PIT
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient had called to schedule a COVID vaccination at our clinic, on 04/19/21 when asked if  this would be her first Covid Vaccination shot, patient stated yes, she hasn't had the shot before. Patient was scheduled for a 1st shot Covid prime that day and was instructed to come 15 minutes early to receive education on vaccination. Patient arrived and completed the CDC Prevaccination Checklist for COVID-19 Vaccines.  Patient had stated NO- to question 2( Have you ever received a dose of COVID-19 vaccine ). This nurse makes it a routine to go over the questionnaire  with patients, to address and thing they might not understand. This nurse did ask patient again if she had had any vaccinations, and the patient stated no. Patient was given the Moderna vaccination at visit and scheduled a booster shot ( second Covid on May 17th on her Covid Immunization card. When going to update patients  Immunization record on the state site, it was discovered that patient had received one dose of  the Covid Pfizer shot on 02/03/21 at another Clinic. This means the patient didn't notify this nurse prior and had stated verbally and on written questionnaire that they had never received the Covid vaccine prior to 04/19/21.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Emotional distress, Wheezing
Clinical narrative: About 10 minutes after vaccine, I was going out to give another vaccine and saw pt in distress. Got her in vaccination room and got 2 Benadryl from Emergency Bag down her - pt was able to talk but her wheezing was getting progressively worse so we called her emergency person (because she wanted to take herself to ER) to take her and let them know what was happening then I called 911 because even I could tell it was getting worse (Pt was reluctant to take an EpiPen - wanted to wait til it was worse) Dispatch highly recommended EpiPen and since I felt it was getting worse also I gave an EpiPen from Emergency Bag as well. Within 5 minutes pt was clearly doing better. Kept her in room just to stave off gawkers since we had 5 other shots waiting in waiting room - took ambulance about 15 minutes to arrive ...  but that gave pt mom time to get to the store and accompany pt to ER with ambulance.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Aortic stenosis, Asthenia, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: Positive COVId-19 PCR test and hospital admission on 4/18/21 for Sob
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium decreased, Blood chloride decreased, Blood creatinine increased, Blood glucose increased
Clinical narrative: Positive COVId-19 PCR test and hospital admission on 4/18/21 for Sob
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood urea increased, COVID-19, Cardiac failure congestive
Clinical narrative: Positive COVId-19 PCR test and hospital admission on 4/18/21 for Sob
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray, Coronary artery disease, Cough, Dyspnoea
Clinical narrative: Positive COVId-19 PCR test and hospital admission on 4/18/21 for Sob
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Haematocrit decreased, Hyperlipidaemia, Hypertension, International normalised ratio normal
Clinical narrative: Positive COVId-19 PCR test and hospital admission on 4/18/21 for Sob
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume normal, Peripheral vascular disorder, Platelet count normal, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Positive COVId-19 PCR test and hospital admission on 4/18/21 for Sob
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Positive COVId-19 PCR test and hospital admission on 4/18/21 for Sob
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heavy menstrual bleeding, Pain in extremity, Suppressed lactation
Clinical narrative: I am a breastfeeding mother. I almost exclusively pump and bottle feed. I have not had a menstrual cycle since my child was born in October because of this. 72 hours after getting this vaccine, I started bleeding heavily. I am also not producing as much milk as I was before the vaccination. Prior to the vaccine I was pumping a total of 6 ounces every 4 hours. After the vaccine I have been pumping about 4 ounces every 4 hours. I have not had any change in my eating or drinking habits that would account for this loss of milk output. I also had a headache and sore arm but that was to be expected. These two issues have since resolved. The bleeding and loss of milk production are ongoing.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pyrexia
Clinical narrative: High fever of 102.7 on the next day. Arm sore and red patch.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fatigue, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: Symptom onset: 04/12/21  Symptoms include:  o body aches, fatigue, nasal congestion and sore throat Tsted + for COVID-19 on 4/19/2021
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Symptom onset: 04/12/21  Symptoms include:  o body aches, fatigue, nasal congestion and sore throat Tsted + for COVID-19 on 4/19/2021
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia
Clinical narrative: Atypical heartbeat -- arythmia, onset 1 day after injection. Each event was a single "double-beat". Started with several events per day and night (~10-15), diminished in frequency over several weeks, and largely gone by week 4 after injection.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Chest X-ray, Computerised tomogram, Dizziness, Electrocardiogram
Clinical narrative: Received the second dose of Moderna Covid vaccine at 1:00 p.m.  Around 5:00 p.m. the same day, started experiencing dizziness and fatigue.  Around 9:00 p.m. experienced nausea, along with the dizziness.  At 2:00 a.m. the following day, began sweating,  extreme nausea, and had loss of consciousness.   I was brought to the emergency room at .  As of the date of this report, it is six days of receiving the vaccine, and I am still dizzy and very fatigued.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Loss of consciousness, Nausea
Clinical narrative: Received the second dose of Moderna Covid vaccine at 1:00 p.m.  Around 5:00 p.m. the same day, started experiencing dizziness and fatigue.  Around 9:00 p.m. experienced nausea, along with the dizziness.  At 2:00 a.m. the following day, began sweating,  extreme nausea, and had loss of consciousness.   I was brought to the emergency room at .  As of the date of this report, it is six days of receiving the vaccine, and I am still dizzy and very fatigued.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Throat irritation
Clinical narrative: Tingling arms, itchy throat. Evaluated by EMS-Cleared
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Angiogram normal, Anion gap, Blood creatinine increased, Blood glucose normal
Clinical narrative: presentation to the ED on 4/17 with intractable HA & dizziness x3 days.  Pt with MS.  Normal & nonfocal neurologic exam.  Given her use of Coumadin with described severe headache, head CT was obtained.  This did not reveal any acute pathology.  Patient was treated with a combination of IV fluids, IV Reglan, IV Benadryl, oral Valium, scopolamine patch, IV Haldol, IV magnesium, IV Decadron for combined dizziness and headache.  She reported complete resolution of headache thereafter.  She was able to ambulate midway through her emergency department visit but later reported intractable dizziness for which she felt uncomfortable being discharged.  As such, general medicine was contacted for observation admission to obtain MRI to rule out posterior infarct and continue treatment for her intractable dizziness.  MRI obtained 4/18 with and without contrast showed no evidence of acute infarct and no evidence of active demyelinating lesions.  Findings compatible with known history of multiple sclerosis with supratentorial demyelination.  There was no of opacified right maxillary sinus for which she will continue Flonase.  Patient was seen by physical therapy who felt she was safe for discharge as she was able to ambulate independently without persistent dizziness.  PT and Care Management arranged for in-home physical therapy 3-5 times per week.  Prescriptions for Antivert and Zofran provided for presumed peripheral vertigo.  Did discuss the possibility of current symptoms being related to Janssen COVID 19 vaccination on March 25th, although I did convey this seemed unlikely to patient and her brother.  Patient is to follow up with her primary care doctor and was provided strict return precautions.  in 4/20/21 phone call f/u with RN Care Manager pt reports ongoing dizziness, headaches including new onset diarrhea.  PCP informed
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea increased, Computerised tomogram head normal, Diarrhoea, Dizziness, Glomerular filtration rate decreased
Clinical narrative: presentation to the ED on 4/17 with intractable HA & dizziness x3 days.  Pt with MS.  Normal & nonfocal neurologic exam.  Given her use of Coumadin with described severe headache, head CT was obtained.  This did not reveal any acute pathology.  Patient was treated with a combination of IV fluids, IV Reglan, IV Benadryl, oral Valium, scopolamine patch, IV Haldol, IV magnesium, IV Decadron for combined dizziness and headache.  She reported complete resolution of headache thereafter.  She was able to ambulate midway through her emergency department visit but later reported intractable dizziness for which she felt uncomfortable being discharged.  As such, general medicine was contacted for observation admission to obtain MRI to rule out posterior infarct and continue treatment for her intractable dizziness.  MRI obtained 4/18 with and without contrast showed no evidence of acute infarct and no evidence of active demyelinating lesions.  Findings compatible with known history of multiple sclerosis with supratentorial demyelination.  There was no of opacified right maxillary sinus for which she will continue Flonase.  Patient was seen by physical therapy who felt she was safe for discharge as she was able to ambulate independently without persistent dizziness.  PT and Care Management arranged for in-home physical therapy 3-5 times per week.  Prescriptions for Antivert and Zofran provided for presumed peripheral vertigo.  Did discuss the possibility of current symptoms being related to Janssen COVID 19 vaccination on March 25th, although I did convey this seemed unlikely to patient and her brother.  Patient is to follow up with her primary care doctor and was provided strict return precautions.  in 4/20/21 phone call f/u with RN Care Manager pt reports ongoing dizziness, headaches including new onset diarrhea.  PCP informed
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, International normalised ratio increased, Magnetic resonance imaging normal, Neurological examination, Prothrombin time prolonged
Clinical narrative: presentation to the ED on 4/17 with intractable HA & dizziness x3 days.  Pt with MS.  Normal & nonfocal neurologic exam.  Given her use of Coumadin with described severe headache, head CT was obtained.  This did not reveal any acute pathology.  Patient was treated with a combination of IV fluids, IV Reglan, IV Benadryl, oral Valium, scopolamine patch, IV Haldol, IV magnesium, IV Decadron for combined dizziness and headache.  She reported complete resolution of headache thereafter.  She was able to ambulate midway through her emergency department visit but later reported intractable dizziness for which she felt uncomfortable being discharged.  As such, general medicine was contacted for observation admission to obtain MRI to rule out posterior infarct and continue treatment for her intractable dizziness.  MRI obtained 4/18 with and without contrast showed no evidence of acute infarct and no evidence of active demyelinating lesions.  Findings compatible with known history of multiple sclerosis with supratentorial demyelination.  There was no of opacified right maxillary sinus for which she will continue Flonase.  Patient was seen by physical therapy who felt she was safe for discharge as she was able to ambulate independently without persistent dizziness.  PT and Care Management arranged for in-home physical therapy 3-5 times per week.  Prescriptions for Antivert and Zofran provided for presumed peripheral vertigo.  Did discuss the possibility of current symptoms being related to Janssen COVID 19 vaccination on March 25th, although I did convey this seemed unlikely to patient and her brother.  Patient is to follow up with her primary care doctor and was provided strict return precautions.  in 4/20/21 phone call f/u with RN Care Manager pt reports ongoing dizziness, headaches including new onset diarrhea.  PCP informed
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Scan with contrast normal, Urine analysis normal
Clinical narrative: presentation to the ED on 4/17 with intractable HA & dizziness x3 days.  Pt with MS.  Normal & nonfocal neurologic exam.  Given her use of Coumadin with described severe headache, head CT was obtained.  This did not reveal any acute pathology.  Patient was treated with a combination of IV fluids, IV Reglan, IV Benadryl, oral Valium, scopolamine patch, IV Haldol, IV magnesium, IV Decadron for combined dizziness and headache.  She reported complete resolution of headache thereafter.  She was able to ambulate midway through her emergency department visit but later reported intractable dizziness for which she felt uncomfortable being discharged.  As such, general medicine was contacted for observation admission to obtain MRI to rule out posterior infarct and continue treatment for her intractable dizziness.  MRI obtained 4/18 with and without contrast showed no evidence of acute infarct and no evidence of active demyelinating lesions.  Findings compatible with known history of multiple sclerosis with supratentorial demyelination.  There was no of opacified right maxillary sinus for which she will continue Flonase.  Patient was seen by physical therapy who felt she was safe for discharge as she was able to ambulate independently without persistent dizziness.  PT and Care Management arranged for in-home physical therapy 3-5 times per week.  Prescriptions for Antivert and Zofran provided for presumed peripheral vertigo.  Did discuss the possibility of current symptoms being related to Janssen COVID 19 vaccination on March 25th, although I did convey this seemed unlikely to patient and her brother.  Patient is to follow up with her primary care doctor and was provided strict return precautions.  in 4/20/21 phone call f/u with RN Care Manager pt reports ongoing dizziness, headaches including new onset diarrhea.  PCP informed
Age: 11.0
Sex: M
Vaccine: HEPA, HPV9
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose of vaccine series given one month early, based on interval recommendations. No complaints or signs of symptoms at this time from patient.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Chest pain, Computerised tomogram head, Electrocardiogram, Headache
Clinical narrative: syncope, multiple episodes of LOC, lethargic, nauseated, Complaints of chest pain right after her COVID shot. wheezing and mild headache
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Lethargy, Loss of consciousness, Nausea, SARS-CoV-2 test
Clinical narrative: syncope, multiple episodes of LOC, lethargic, nauseated, Complaints of chest pain right after her COVID shot. wheezing and mild headache
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Wheezing
Clinical narrative: syncope, multiple episodes of LOC, lethargic, nauseated, Complaints of chest pain right after her COVID shot. wheezing and mild headache
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Bedridden, Chills, Dizziness, Feeling abnormal
Clinical narrative: Sat (4/17): severe chills for two hours starting at 11:55 pm Sun (4/18): woke and could not walk across the room without falling down due to dizziness, was nauseated, strong headache, fever of 102 all day, bedridden Mon (4/19): Fever was reduced but nausea, headache still persisted all day, continued chills. Right middle finger began to swell and turn purple Tues (4/20): Lost feeling/sensation in right middle finger, head feels off, nausea still persists, stomach pains.  Called doctor and had televisit with nurse practitioner
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Nausea, Peripheral swelling, Pyrexia
Clinical narrative: Sat (4/17): severe chills for two hours starting at 11:55 pm Sun (4/18): woke and could not walk across the room without falling down due to dizziness, was nauseated, strong headache, fever of 102 all day, bedridden Mon (4/19): Fever was reduced but nausea, headache still persisted all day, continued chills. Right middle finger began to swell and turn purple Tues (4/20): Lost feeling/sensation in right middle finger, head feels off, nausea still persists, stomach pains.  Called doctor and had televisit with nurse practitioner
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory loss
Clinical narrative: Sat (4/17): severe chills for two hours starting at 11:55 pm Sun (4/18): woke and could not walk across the room without falling down due to dizziness, was nauseated, strong headache, fever of 102 all day, bedridden Mon (4/19): Fever was reduced but nausea, headache still persisted all day, continued chills. Right middle finger began to swell and turn purple Tues (4/20): Lost feeling/sensation in right middle finger, head feels off, nausea still persists, stomach pains.  Called doctor and had televisit with nurse practitioner
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Paraesthesia
Clinical narrative: Deltoid/bicep completely numb then some numbness only in deltoid and then some tingling in forearm and back to numb in arm near shot
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Gait inability, Hyperhidrosis, Nausea
Clinical narrative: I had no symptoms except a very sore arm the first shot .  After 2nd shot I had Unexplained severe pain in my foot for hours and then it went away the next day. I could not walk as I could not bear any weight on it.   Also with the 2nd shot I had fever, chills, sweats, head ache, body aches, exhaustion  and nauseous for a good 36 hours.  My husband was afraid the pain in the foot was a blood clot and wanted me to go to the hospital but I was honestly just to sick to go to the hospital.  I was too sick to move.  After 36 hours most symptoms disappeared leaving just fatigue for the next 24 hours.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: I had no symptoms except a very sore arm the first shot .  After 2nd shot I had Unexplained severe pain in my foot for hours and then it went away the next day. I could not walk as I could not bear any weight on it.   Also with the 2nd shot I had fever, chills, sweats, head ache, body aches, exhaustion  and nauseous for a good 36 hours.  My husband was afraid the pain in the foot was a blood clot and wanted me to go to the hospital but I was honestly just to sick to go to the hospital.  I was too sick to move.  After 36 hours most symptoms disappeared leaving just fatigue for the next 24 hours.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Fatigue, Full blood count, Headache, Memory impairment
Clinical narrative: Awoke around 9 hours post-1st vaccine with a gripping unnatural headache in back of brain.  This lasted for 3.5+ weeks, and moved to prefrontal lobe.  Headache still comes and goes 4 weeks post vaccine, with rainy weather.  Headaches were not an ailment prior to this vaccine.   Oxygen levels were normally at 99% as measured on oximeter, and were at 96% for 5 days.  Fatigue began morning after vaccine and lasted for 1.5-2 weeks.  Normal morning workout routine starting requiring a 5 min rest after each squat, when doing 30 squats or pushups was normal, now a rest was needed after each one.  Focus with glitch out.  Memory also would glitch out.  Almost like an electrical brown out or like the lines in the sand that connected a person to their memory, were no longer available, as if they'd been washed away.  Memory and focus returned after 2.5 weeks.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus developed in both ears about 5 days after vaccination and has not gone away.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Pain
Clinical narrative: Body aches and pains which are still ongoing after two months.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Injection site erythema
Clinical narrative: Inconsolable crying for 35 minutes, hyperemic left lower extremity starting from the site of injection down to the thigh, leg , ankle and foot. After 30 minutes of excessive crying and persistence of the hyperemia 0.06 ml of epinephrine 1:100 was given SQ. Five minutes later, the hyperemia started to regress but did not disappear completely. The baby was still crying on and off. Mother was instructed to put cold compresses on the site of the injection, Tylenol 15 mgm/kg  Q 4 hours and to return to the clinic in AM, uness ( AFTER HOURS ) baby's temperature rises > 103 despite the Tylenol or the baby continues to have excessive  inconsolable crying.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Client reported she was evaluated early April with complaint of ringing in ears and recieved a referral to see ENT. No official diagnosis but client has 'self-diagnosed' as having pulsatile tinnitus and requested report to VAERS.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Hospitalisation, Unevaluable event
Clinical narrative: ED/hospitalization within 6 weeks after COVID vaccine
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Lymph node pain, Pruritus, Rash
Clinical narrative: I had strong lymph node pain in both under arms and right shoulder pain in muscles after my first Moderna Covid vaccine on Feb 19. I had a two hour massage and it helped tremendously. After the second shot I had on March 19 I continued to have under arm lymph pain and I had pain in my right breast around my breast cancer scar. It finally broke out into a herpes or shingles like rash about the size of a madjool date. I took ibuprofin for a few days and it helped a bit with the pain and itching. The rash was painful and resolved after about two weeks but I still have a red spot on my breast about the size of a quarter  a month later. It is located in about the 8 oclock spot if one were facing me and looking at my breast. My right arm and should er are still achy.  I had the double shingles vaccine in 2019 I think. Coincidentally my son had his Moderna   Covid vaccines in his left arm the day after mine. He was diagnosed with shingles a week or so later. His right arm was covered with rash and he had bone pain as well. He went to the doctor who prescribed antivirals. He decided not to take them as by the time he got the diagnosis his pain was receding. A month later he still has scabs  healing on his arm and pain in his arm and shoulder.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood alkaline phosphatase normal, Blood lactate dehydrogenase normal, COVID-19
Clinical narrative: Patient is positive for COVID-19 (test on 4/18/21, symptoms began 4/15/21). Patient presented to ED on two occasions (4/18/21 and 4/20/21) for symptoms related to COVID-19, but has not been admitted either time. On 4/18 the patient presented with complaints of fatigue, sore throat, myalgias, arthralgias, and congestion. O2 saturation on 4/18 was 94% on room air at presentation. On 4/20 the patient again presented to the ED experiencing similar symptoms with the addition of nausea, diarrhea, sweats, fever, and cough. She also reports severe lower back, hip, and leg pain. Patient received IV fluids and also received a lumbar MRI, which did not reveal an acute abnormality. Patient was discharged with a prescription for hydrocodone-acetaminophen for management of severe myalgias and arthralgias.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Fatigue, Haemoglobin decreased, Hyperhidrosis
Clinical narrative: Patient is positive for COVID-19 (test on 4/18/21, symptoms began 4/15/21). Patient presented to ED on two occasions (4/18/21 and 4/20/21) for symptoms related to COVID-19, but has not been admitted either time. On 4/18 the patient presented with complaints of fatigue, sore throat, myalgias, arthralgias, and congestion. O2 saturation on 4/18 was 94% on room air at presentation. On 4/20 the patient again presented to the ED experiencing similar symptoms with the addition of nausea, diarrhea, sweats, fever, and cough. She also reports severe lower back, hip, and leg pain. Patient received IV fluids and also received a lumbar MRI, which did not reveal an acute abnormality. Patient was discharged with a prescription for hydrocodone-acetaminophen for management of severe myalgias and arthralgias.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal normal, Myalgia, Nausea, Oropharyngeal pain, Pain in extremity
Clinical narrative: Patient is positive for COVID-19 (test on 4/18/21, symptoms began 4/15/21). Patient presented to ED on two occasions (4/18/21 and 4/20/21) for symptoms related to COVID-19, but has not been admitted either time. On 4/18 the patient presented with complaints of fatigue, sore throat, myalgias, arthralgias, and congestion. O2 saturation on 4/18 was 94% on room air at presentation. On 4/20 the patient again presented to the ED experiencing similar symptoms with the addition of nausea, diarrhea, sweats, fever, and cough. She also reports severe lower back, hip, and leg pain. Patient received IV fluids and also received a lumbar MRI, which did not reveal an acute abnormality. Patient was discharged with a prescription for hydrocodone-acetaminophen for management of severe myalgias and arthralgias.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient is positive for COVID-19 (test on 4/18/21, symptoms began 4/15/21). Patient presented to ED on two occasions (4/18/21 and 4/20/21) for symptoms related to COVID-19, but has not been admitted either time. On 4/18 the patient presented with complaints of fatigue, sore throat, myalgias, arthralgias, and congestion. O2 saturation on 4/18 was 94% on room air at presentation. On 4/20 the patient again presented to the ED experiencing similar symptoms with the addition of nausea, diarrhea, sweats, fever, and cough. She also reports severe lower back, hip, and leg pain. Patient received IV fluids and also received a lumbar MRI, which did not reveal an acute abnormality. Patient was discharged with a prescription for hydrocodone-acetaminophen for management of severe myalgias and arthralgias.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoaesthesia, Hypoaesthesia oral, Syncope
Clinical narrative: Patient received the vaccine around 12:30 pm. After administering the vaccine, patient was told to wait 15 min in the waiting/observation area. After 10 min waiting her husband waived at the pharmacist stating she was not feeling ok. When I approached to her ask how she was feeling, she stated she had shortness of breath and was feeling that she was fainting. I decided to lay patient on the floor and pull legs up and ask patient to start breathing. I then asked patient if she was feeling ok and she stated was out of breath and had numbness on the lips and the arms. I asked the other pharmacist to call 911 and decided to administer an Epipen after checking on patient again and stated that she was out of breath and lips were still numb. After 5 mins patient continued with the shortness of breath and numbness but emergency services arrived at that moment and checked her vitals, administered IV fluids, and she was taken to hospital. She left awake and apparently ok and she never lost consciousness.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Individual recipient was given a first dose of Pfizer at medical facility on 4/13/21.  Recipient answered the questionnaire  NO.  On  4/17/21, wife of the recipient reported that recipient already received the first dose of Moderna on 3/24/21 at the Recipient has not reported any adverse event.  MD has been made aware.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage
Clinical narrative: Started bleeding like a period the day after
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Pain in extremity
Clinical narrative: Abnormally sore arm for 2+ weeks post-vaccination (March 26). -- No treatment; resolved on its own Intense chest tightness starting during late night on April 6th; continued through April 8th; dissipated April 9th. -- No treatment sought, as no dizziness nor shortness of breath accompanied chest pain; resolved on its own Hemiplegic episode April 7th. -- No treatment sought, as episode was very brief and resolved quickly
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: About 5 -10 min. patient started turning red, her blood pressure was 150/104, did not faint and no other reactions. Her skin was still red, so we administered 50mg of Diphenhydramine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Customer received her first covid vaccine.  After about 10 minutes, she came up to the pharmacy counter stating that she did not feel right and that she was having difficulty breathing.  We could hear her wheezing.  I called 911.  They told us to have her lay down and not eat or drink anything.  They told us not to administer the epipen.  They ambulance came and they took her to the hospital.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site discolouration
Clinical narrative: Large area of discoloration from injection site to the elbow.  No treatment recommended by pcp.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: right lung PE
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Gait disturbance, Wheelchair user
Clinical narrative: Pt began feeling BLE heaviness. Pt reports similar symptoms after first vaccine, which did not improve before d/c to home, so EMS was called to transport pt to ER for further evaluation. Pt brought to med obs #1 via personal wheelchair with spouse and staff. Pt ambulated with staff and reports symptoms aren't as bas as with first dose. Pt monitored and ambulated multiple times prior to d/c to home. Pt reports no worsening symptoms. Gait is slow and steady with SBA, which is baseline per pt and pt spouse report. Pt states she would like to go home and will seek further treatment should symptoms worsen. No s/s of distress noted at time of d/c to home. VSS. Escorted to exit via wheelchair by staff with spouse. VS are as follows: 1605: BP 145/75, HR 88, RR 17, O2 sat 98% on RA 1620: BP 134/75, HR 86, RR 17, O2 sat 97% on RA
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling hot, Headache, Hyperhidrosis
Clinical narrative: Extreme exhaustion within 3 hours, lasting 3 full days, unable to get out of bed and mostly slept the full time; piercing headache and extremely dizzy began within 17 hours and lasted 2 full days. Hot sweats off and on, continuing for 1 week and counting.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Tonsillolith
Clinical narrative: Swollen lymph nodes for two weeks after second dose Tonsil stones developed after two weeks