chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Pharyngeal swelling
Clinical narrative: Moderate anaphylactic reaction - according to doctor I consulted afterward.   Throat swelled  - difficulty breathing and swallowing, weak, dizzy, rapid heart beat - started about 16-17 minutes after the vaccination.  Lasted a little over 3 hours.  Profound fatigue the next day.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: 2swollen circular areas on arm
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Feeling hot
Clinical narrative: Pt with history of allergy to PCN, while sitting observation reported a weird taste in her mouth and a warming sensation which traveled from her arm to her throat, then to her chest, and stomach. Pt was evaluated by EMS, she signed a refusal for transport to the hospital. Pt was given ED precautions and advised to contact her PCP to discuss symptoms.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Pain in extremity
Clinical narrative: Moderna COVID-19 Vaccine EUA The evening after the shot, my arm was extremely sore.  Over the course of the next day, I developed a moderate to severe headache along with swelling in the lymph node under my right arm in the arm pit.  By the second day after the shot (March 3rd, 2021) all symptoms except some swelling in the lymph node had resolved.
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Electrocardiogram, Palpitations
Clinical narrative: Palpations & shortness of breath starting 7-10 days after first dose
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Amnesia, Chest X-ray normal, Confusional state, Crying
Clinical narrative: Had episode on 2/24/21  of altered mental state, was w husband and he noted this.Said bizarre things.  Has no memory of this, lapsed recall for about 8 minutes. Has never had a similar episode. No hx of psychosis, bipolar or major mental illness of any kind, When returned to alert/aware  mental state, was terrified and crying. No stressors, says has stable life, no violence or threats. Seen in ER 2/24/21, but no brain imaging or EEG.  Clarifies that dizziness and HA went on for several days, beginning same day 2/19 after got 2nd dose Covid vaccine, but the confusion/altered mental state was only for about 8 minutes. on 2/24. Still dizzy/HA/fatigue and some SOB as of 3/2/21.  No fall or head trauma.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count normal, Dizziness, Dyspnoea, Electrocardiogram normal, Fatigue
Clinical narrative: Had episode on 2/24/21  of altered mental state, was w husband and he noted this.Said bizarre things.  Has no memory of this, lapsed recall for about 8 minutes. Has never had a similar episode. No hx of psychosis, bipolar or major mental illness of any kind, When returned to alert/aware  mental state, was terrified and crying. No stressors, says has stable life, no violence or threats. Seen in ER 2/24/21, but no brain imaging or EEG.  Clarifies that dizziness and HA went on for several days, beginning same day 2/19 after got 2nd dose Covid vaccine, but the confusion/altered mental state was only for about 8 minutes. on 2/24. Still dizzy/HA/fatigue and some SOB as of 3/2/21.  No fall or head trauma.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fear, Full blood count normal, Headache, Hepatitis C antibody negative, Lipase normal
Clinical narrative: Had episode on 2/24/21  of altered mental state, was w husband and he noted this.Said bizarre things.  Has no memory of this, lapsed recall for about 8 minutes. Has never had a similar episode. No hx of psychosis, bipolar or major mental illness of any kind, When returned to alert/aware  mental state, was terrified and crying. No stressors, says has stable life, no violence or threats. Seen in ER 2/24/21, but no brain imaging or EEG.  Clarifies that dizziness and HA went on for several days, beginning same day 2/19 after got 2nd dose Covid vaccine, but the confusion/altered mental state was only for about 8 minutes. on 2/24. Still dizzy/HA/fatigue and some SOB as of 3/2/21.  No fall or head trauma.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic function test normal, Troponin I normal
Clinical narrative: Had episode on 2/24/21  of altered mental state, was w husband and he noted this.Said bizarre things.  Has no memory of this, lapsed recall for about 8 minutes. Has never had a similar episode. No hx of psychosis, bipolar or major mental illness of any kind, When returned to alert/aware  mental state, was terrified and crying. No stressors, says has stable life, no violence or threats. Seen in ER 2/24/21, but no brain imaging or EEG.  Clarifies that dizziness and HA went on for several days, beginning same day 2/19 after got 2nd dose Covid vaccine, but the confusion/altered mental state was only for about 8 minutes. on 2/24. Still dizzy/HA/fatigue and some SOB as of 3/2/21.  No fall or head trauma.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Nausea, Visual acuity reduced
Clinical narrative: 1618 vaccine given 1625 nausea onset followed by "feels like I'm on laughing gas", then started seeing sillhouettes but unable to see faces. b/p 118/82, hr-107, 0s sat 92% ra. 1636 starting to feel better b/p 118/82, hr-103, 02 sat 96% ra. 1646 all issues have resolved. Instructed to f/u with MD as needed. Discharged with grandpa to home.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory loss
Clinical narrative: Patient reported loss of sensation in arm 4 days following vaccine administration. Reported to pharmacy 2 days following symptom onset. Patient reported feeling has improved since onset.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Parosmia
Clinical narrative: I tested positive for COVID on 12/09/2020, symptoms began 12/02/2020. At the time, I list my sense of smell and taste. They returned around 12/20/2020. When I got my Covid vaccine on 3/2/2021, and hour later, I began smelling smoke. I don?t smoke, nobody in my household smokes, it is not coming in from the vents, and nobody in my household can smell it. It?s nauseous and it won?t go away.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain, Loss of personal independence in daily activities, Mobility decreased, SARS-CoV-2 test positive
Clinical narrative: STARTED HAVING SHOULDER PAIN IN RIGHT ARM RIGHT AFTER VACCINE BUT PAIN DID NOT IMPROVE AND STARTED HAVING LIMITED MOBILITY WHICH KEPT GETTING WORSE. BY 3RD WEEK I WENT TO MY PCP AND SHE SAID I NOW NEED PHYSICAL THERAPY AND IS NOT SURE HOW LONG  I WILL NEED TREATMENT. SHE COULD FEEL A LARGE LUMP ON MY RIGHT DELTOID WHERE THE VACCINE WAS GIVEN AND RECOMMENDED HEAT AND IBUPROFEN/TYLENOL, ALSO. I AM NOT ABLE TO WASH MY HAIR WITHOUT ARM  PAIN, REACH BEHIND ME, LIFT OBJECTS LIKE MY PURSE OR A MILK UG, PICK UP MY WATER BOTTLE WHILE SITTING AT MY DESK, SLEEP WITH MY ARM STRETCHED OUT, AMONG OTHER DAILY THINGS.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Cold sweat, Dizziness, Flushing, Swelling face
Clinical narrative: Post vaccination and in recovery recipeint complained of: dizziness, fullness in forehead, cramping in stomach and urgency. States the with the first dose she expereinced 'horrible chills'.  Recipient was observed to be flushed and clammy.  Rapid Response called, recipient transported to ED.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: 15 minutes after vaccine, c/o scratchy throat. RN on site gave benadryl 25mg. BP 134/84, o2sat 98, pulse 90. Lungs clear, no wheezing. No hives. Monitored an hour and 15 minutes. No change in throat, no difficulty swallowing. Released to home, instructed if change in symptoms or develops hives or respiratory symptoms to call 911.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Nausea, Pain
Clinical narrative: Woke up in the night with chills.  In the morning.....headache, body ache, chills slight nausea. (No vomit). He spent the day on the couch trying to stay warm.  No energy.....felt terrible.  Next morning  MUCH better later in the afternoon he was up and out.  No stuffy nose, no cough or sore throat.  Never lost taste or smell.  He has no idea what was wrong.  He has been very careful, wears mask, washes his hands and other than the store stays away from people.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Headache, Nausea
Clinical narrative: The individual felt neck, back and shoulder pain.    Symptoms started 1-18-2021.  On 1-31-21 she went to hospital and was admitted on 2-1-21 with nausea, chilss, headaches, vomiting, and body aches.  COVID-19 test was reportedly negative.  All tests were normal.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, SARS-CoV-2 test negative, Vomiting
Clinical narrative: The individual felt neck, back and shoulder pain.    Symptoms started 1-18-2021.  On 1-31-21 she went to hospital and was admitted on 2-1-21 with nausea, chilss, headaches, vomiting, and body aches.  COVID-19 test was reportedly negative.  All tests were normal.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Fatigued, dizzy, chest pain, difficulty breathing, low heart rate on third day after vaccine. Went to walk in clinic and was sent an ambulance to hospital to do heart work ups. Acute Pericarditis was the diagnosis.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Heart rate decreased, Pericarditis, Troponin
Clinical narrative: Fatigued, dizzy, chest pain, difficulty breathing, low heart rate on third day after vaccine. Went to walk in clinic and was sent an ambulance to hospital to do heart work ups. Acute Pericarditis was the diagnosis.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Injection site induration, Injection site pruritus, Injection site warmth, Muscle tightness
Clinical narrative: I had typical arm soreness for about 2 days, slightly swollen. Nauseous off and on (not severe) for about 6 days, mostly in the middle of the night. About 9 days later, I noticed more swelling and tightness, along with a small pink patch. The patch grew much larger on day 10, 11, 12, 13 and became hot and slightly itchy. It is pink in color, with a white center (at injection sight- about 4 inches in diameter) and SLIGHTLY bruised-looking at the same time. The white area is very hard and hot to the touch. At the time of this report, the entire patch was measured at 9 inches x 6 inches. It looks worse than it feels. Not painful, but irritating.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Peripheral swelling
Clinical narrative: I had typical arm soreness for about 2 days, slightly swollen. Nauseous off and on (not severe) for about 6 days, mostly in the middle of the night. About 9 days later, I noticed more swelling and tightness, along with a small pink patch. The patch grew much larger on day 10, 11, 12, 13 and became hot and slightly itchy. It is pink in color, with a white center (at injection sight- about 4 inches in diameter) and SLIGHTLY bruised-looking at the same time. The white area is very hard and hot to the touch. At the time of this report, the entire patch was measured at 9 inches x 6 inches. It looks worse than it feels. Not painful, but irritating.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: tremors of hands, feeling like shaking inside all over, difficulty texting, typing, and signing my name
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Enlarged lymph node, abnormally large compared to normal inflammatory response
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Musculoskeletal stiffness, Pruritus
Clinical narrative: Swollen red bump at injection site. The bump went down roughly 5 days after shot. It reappeared 8 days after shot but was not as raised. It is itchy and stiff.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Contusion, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Bruising and pain at palm up to mid-arm. Swollen arm.  24 hours Fever and chills.  4 hours
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Energy increased, Heart rate increased, Paraesthesia
Clinical narrative: At 8am Jan 20th (30 hrs after shot) I woke feeling extremely strong and powered up, very energized and liken the mental energy to feeling like I was on steroids. Went downstairs to kitchen to make a cup of tea and it was then I realized my pulse was going extremely fast (about 180bpm). I didn't think much of it or get nervous, but went to sit down and work at my computer, hoping it would go away, After about 20 minutes I realized it hadn't slowed down, so I went back to my bedroom to get dressed in the event I had to go to an urgent care or hospital. On the way up the stairs to my bedroom I realized I was getting a bit light-headed.  After about another 10 minutes I decided to lie down and called up a "calming meditation" app to see if that could lower my heart rate. I was able to get my heart rate down to about 125 after the10 minute meditation and it returned to normal shortly thereafter. The second episode was on February 11th. This time I was woken up out of my sleep at 4:45am by an extremely rapid heartbeat. Again, about 180bpm. This time I was a bit frightened. I walked around the house for about 15 minutes and when it didn't go down  I decided to go out for a walk. I did about a 30 minute walk , I had some tingling in my hands, but by the end of the walk my heart rate came down to about 100 and dropped back to normal shortly after.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient tested COVID+ on  11/13/2020 following household exposure. Received first COVID vaccine 12/23/2020. Symptoms of sore throat, N/V/D started on 1/12/21 prior to receiving her 2nd vaccine dose.  COVID test on 1/13/21 resulted as positive.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on chest
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Eustachian tube dysfunction
Clinical narrative: Eustachian tube dysfunction
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Flushing, Muscle spasms, Respiratory distress, Swollen tongue
Clinical narrative: One hour after vaccination, she experienced itchy throat, facial flushing, tongue swelling, respiratory distress, and abdominal pain and cramping.   Patient self-administered epinephrine injection 0.3 mg in the car on the way home.  Administered a second dose at home 45 minutes later.  Then went to Hospital ER. she was given injections of benadryl and phenergan.  observed and released.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: One hour after vaccination, she experienced itchy throat, facial flushing, tongue swelling, respiratory distress, and abdominal pain and cramping.   Patient self-administered epinephrine injection 0.3 mg in the car on the way home.  Administered a second dose at home 45 minutes later.  Then went to Hospital ER. she was given injections of benadryl and phenergan.  observed and released.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria, Injection site vesicles
Clinical narrative: On Day 9 after receiving the vaccine, I developed hives around the injection site. The affected area was approximately 4" diameter. The skin was raised with red  blisters that were extremely itchy.  The injection site also became tender to touch, as it did the first 36 hours after receiving the shot. I thought it strange to have a reaction so long after the initial shot.  I used anti-itch lotion and the hives   subsided completely in 3 days. I did not take any oral medication because I take several medications for Parkinson's and related conditions. I did not want to chance  another reaction.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea
Clinical narrative: Headache; muscle pain; nausea.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Developed Bells Palsy after 4 days it eventually resolved and patient came back for second dose
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Injection site pain, Lymphadenopathy, Pain
Clinical narrative: headache, body aches, injection site pain, GI upset and severe swelling of lymph nodes under my L arm (axillary region)  at this time I have a golf ball sized lymph node in my L armpit that is tender to the touch
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: headache, body aches, injection site pain, GI upset and severe swelling of lymph nodes under my L arm (axillary region)  at this time I have a golf ball sized lymph node in my L armpit that is tender to the touch
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Dyspnoea
Clinical narrative: Patient's spouse alerted nurse that patient was "having trouble breathing". Patient reported feeling dizzy, clammy, and short of breath. Vitals were obtained and provider on call was alerted. Serial vitals taken from 3:05 PM to 3:43PM when Dr. discharged patient home. IM diphenhydramine 25mg administered per physician order at 3:25 PM. Patient reported no trouble breathing following medication administration and dizziness beginning to improve.  Initial Vitals (3:05PM):  BP 167/107 HR 105 O2 98% BP 153/93 HR 95 O2 99% BP 140/86 HR 75 O2 99% BP 140/94 HR 70 O2 98% Final Vitals (3:43 PM): BP 138/81 HR 76 O2 99%
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Diffuse erythematous pruritic rash primarily lower extremities and back, wax and wanes.  Started on 2/21 and has persisted until seen today in clinic on 3/3/2021.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blood pressure decreased, Blood test normal, Chills, Computerised tomogram normal
Clinical narrative: Syncope times 5 at home starting at 630 am.  Called 911.  Syncope 2 times at hospital.  Hospitalized 2 days until it subsided. Blood pressure kept dropping and heart rate kept spiking.  Had chills and aches off and on for 48 hours. orthostatic hypotension.  It?s now been 5 days since being released and I?m still dizzy. Feels like I?m off balance/vertigo. Syncope has subsided but dizziness is still present.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased, Orthostatic hypotension, Pain, Pregnancy test negative
Clinical narrative: Syncope times 5 at home starting at 630 am.  Called 911.  Syncope 2 times at hospital.  Hospitalized 2 days until it subsided. Blood pressure kept dropping and heart rate kept spiking.  Had chills and aches off and on for 48 hours. orthostatic hypotension.  It?s now been 5 days since being released and I?m still dizzy. Feels like I?m off balance/vertigo. Syncope has subsided but dizziness is still present.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Syncope, Vertigo
Clinical narrative: Syncope times 5 at home starting at 630 am.  Called 911.  Syncope 2 times at hospital.  Hospitalized 2 days until it subsided. Blood pressure kept dropping and heart rate kept spiking.  Had chills and aches off and on for 48 hours. orthostatic hypotension.  It?s now been 5 days since being released and I?m still dizzy. Feels like I?m off balance/vertigo. Syncope has subsided but dizziness is still present.
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Mobility decreased, Pyrexia
Clinical narrative: Fever 102, weak, and to tired to move
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pain, Injection site rash, Peripheral swelling, Pruritus
Clinical narrative: Rash not at the inject site but around the bicep and upper shoulder (rash is traveling down my arm and up my shoulder and back)  swollen arm, severe itching, throbbing pain at injection site, bruising at injection site.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Electrocardiogram normal, Syncope
Clinical narrative: suffered a syncopal episode after being administered COVID-19 Pfizer vaccine #1 dose at the conference room downstairs at our clinic. Prescriber came and upon arrival, patient was alert and oriented x 3 laying on the ground.  Blood pressure was initially elevated but decreased towards the end of visit.  The rest of his vital signs were normal.  His lungs were clear to auscultation bilaterally and his heart was regular rate and rhythm. EKG was normal. Patient reports he has had previous syncopal episode when having blood drawn.  Patient likely suffered an episode of vasovagal response syncope.  Patient was sat upright and sat on a chair for 15 minutes prior to discharge.  He has no more syncopal episodes after that and felt back to baseline prior to discharge
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Dry cough, body sore, throat sore, my chest hurts, phlegm  color yellow, headache, runny nose. Tiredness. All the symptoms till know.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Productive cough, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Dry cough, body sore, throat sore, my chest hurts, phlegm  color yellow, headache, runny nose. Tiredness. All the symptoms till know.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Covid arm- redness, swelling, itching
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Musculoskeletal stiffness, Neck pain
Clinical narrative: Pt received his first dose of the Moderna COVID19 vaccine, while sitting in observation he reported his neck started to feel stiff and painful. BP was 169/131, HR 81, O2Sat 99%. Pt also started to c/o mild shortness of breath. ER care on site and evaluated the pt. Repeat BP 162/119. Pt reported he took his Lisinopril 20 mg the night before. Pt signed a refusal for transport to the hospital. Pt was advised to contact his PCP to discuss his symptoms. ED precautions given. Pt verbalized understanding.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Fatigue, Hypoaesthesia, Syncope
Clinical narrative: Vaccine was administered to patient.  Within 10 minutes of administration, the patient had an episode of syncope and fell out of his chair.  I immediately went out to help the patient and a technician called for EMS.  The patient woke up within 2 minutes and reported feeling dizzy, tired, and numb. While waiting for EMS to arrive, the patient was situated in a sitting position and I continued talking to him to keep him awake. EMS assessed him and took him out to the ambulance to wait for a relative to come.  It is unknown if the patient went to the emergency room or not.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Throat tightness, Tryptase
Clinical narrative: Tingling to lips and tongue, throat "tightness". Treated with IV Benadryl, Pepcid and Solumedrol. Pt reported improvement of symptoms about 1 hour later.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Muscular weakness
Clinical narrative: severe chills, usually after getting up in mornings weakness muscle and joint soreness pain
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap increased, Aspartate aminotransferase normal, Asthenia, Basophil count decreased
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood lactic acid decreased, Blood potassium normal, Blood sodium normal
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea normal, Blood urine absent, Carbon dioxide decreased, Chest X-ray, Dysphonia
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Electrocardiogram, Eosinophil count decreased, Eosinophil percentage decreased, Full blood count
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Globulin, Glomerular filtration rate normal, Glucose urine absent, Grip strength decreased, Haematocrit normal
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Hypertension, Hyporesponsive to stimuli, Lethargy, Lip swelling
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count decreased, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte count normal, Monocyte percentage, Neutrophil count, Neutrophil count increased, Nitrite urine absent
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Protein total normal, Protein urine absent, Red blood cell count normal, Red cell distribution width normal
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Slow response to stimuli, Slow speech, Somnolence, Swollen tongue, Tachycardia
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Troponin, Troponin I normal, Urine analysis, Urine ketone body absent
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Urine leukocyte esterase, White blood cell count normal
Clinical narrative: 10:05 am Pt received vaccine and was seated in observation area. Pt alert, interacting with staff and other pts. 10:15am Pt appears asleep, rouses with touch and when spoken to. Observation area nurse notified, provided pt with bottle of water and helped her take a drink. Nurse then notified pharmacist who came to pt's side. Pt given 25 mg benadryl caplet. Able to swallow it, needed assistance for holding water bottle. Pt breathing regular, pulse regular and easily palpable. 10:25 Pt increasingly lethargic. Nurse and pharmacist with pt. Lips and tongue slowly swelling, responsiveness decreasing. Pharmacist called 911. 10:30am Pt's daughter administered epipen 30mg, L outer thigh. Swelling of lips and tongue quickly resolving. Pt lethargy increasing. Increasingly slow to open eyes and respond to questions. Pulse and breathing continue regular. EMS arrived on scene approx 10:35-10:40. BP 80/60, NSR, pulses palpable, pupils reactive, able to answer questions but slow to respond and weak voice. Pt transferred to Medical Center. In ER pt given IV solumedrol, IV fluids, CXR, EKG. Awake and oriented, arms shaking, weak, requires assistance to stand, intermittently drowsy. Admitted for observation. 3/3/21 pt preparing for discharge, BP extremely high. Pt given metoprolol, BP increased, tachycardia increased, pt very drowsy. Continued to monitor, given Lisinopril, bp decreasing. Pt feeling much stronger, alert, interacting with staff and daughter. Discharged home.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Depression, Dyskinesia, Fatigue, Headache
Clinical narrative: Day after vaccine :Started with headache, sore arm; then pain down  arm and pain in hand along veins. Pain that caused jerking response. Chills all day. Fatigue. Easily sleeping at any time.. pain in legs and feet. Feelings of depression. Pain awakening me during the night.  Hands cramped upon awakening.  No fever at any time. Took Tylenol (2 tabs) every 4 hours around the clock.  Next day: very tired. Headache.  Rash on abdomen. Chills. Pain a bit better. No fever. Rapid heart rate at rest (pulse 95) .  No fever. Mood much improved. Next day: only occasional pain.   Today: tire easily. But much better.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Muscle spasms, Pain in extremity, Sleep disorder
Clinical narrative: Day after vaccine :Started with headache, sore arm; then pain down  arm and pain in hand along veins. Pain that caused jerking response. Chills all day. Fatigue. Easily sleeping at any time.. pain in legs and feet. Feelings of depression. Pain awakening me during the night.  Hands cramped upon awakening.  No fever at any time. Took Tylenol (2 tabs) every 4 hours around the clock.  Next day: very tired. Headache.  Rash on abdomen. Chills. Pain a bit better. No fever. Rapid heart rate at rest (pulse 95) .  No fever. Mood much improved. Next day: only occasional pain.   Today: tire easily. But much better.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Headache, Hyperhidrosis
Clinical narrative: Extreme headache within one hour,  by evening body aches,  fever 100  (Sat 2/27) (Sun 2/28)  Body aches, shivering and excessive cold,  fever 102,  fatigue and severe headache.  Later the same day sweating and again fever 101,  extreme headache.  (Mon 3/1)  sweating, fatigue, no fever,  headache.  By (Tues 3/2 ) all symptoms except fatigue were gone.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Extreme headache within one hour,  by evening body aches,  fever 100  (Sat 2/27) (Sun 2/28)  Body aches, shivering and excessive cold,  fever 102,  fatigue and severe headache.  Later the same day sweating and again fever 101,  extreme headache.  (Mon 3/1)  sweating, fatigue, no fever,  headache.  By (Tues 3/2 ) all symptoms except fatigue were gone.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Injection site pain, Nausea, Tremor
Clinical narrative: Patient started shaking approx 1 hour after administration and site was very painful, denied fever,.  Took Tylenol and went to bed. Developed nausea as well.  Was better in the mornnig.  No medical attention sought
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: A headache started in the evening following the injection.  At about 2am Friday morning nausea began with passing out when getting out of bed.  A fever of 100.2 started about the same time and continued through Saturday when it spiked at 102.6. Extreme fatigue lingered for one week with ringing in the ears beginning on the Tuesday following the injection.  My typical resting heart rate is 65 and it was in the 80s at rest and over 115 when walking for 6 days following the injection.