chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.17
Sex: M
Vaccine: FLU4, MMR
Symptoms: Red cell distribution width, Rhesus antigen positive, White blood cell count normal
Clinical narrative: petechiae and bruising presenting on Jan 4, brought to ER and diagnosed with idiopathic thrombocytopenic purpura
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired vaccine.  No events reported to the pharmacy at this time.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Pain in extremity
Clinical narrative: The arm where I had the vaccine still feels sore at that place after all this time. While doing simple stretching my right arm feels normal while the left's muscles hurt and can't extend as usual.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: patient reports having bodyaches affecting both legs and arms.  symptoms still persistent approximately 1 week after vaccination
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Appendicectomy, Appendix disorder, Body temperature fluctuation, Computerised tomogram abdomen abnormal
Clinical narrative: After approximately 3 weeks I began to feel abdomen pain.  I went to sleep with the dull pain. The next morning I felt terrible. No appetite, fluctuating body temperature and dull abdomen pain. My appendix was about to go. I received an appendectomy.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Feeling abnormal
Clinical narrative: After approximately 3 weeks I began to feel abdomen pain.  I went to sleep with the dull pain. The next morning I felt terrible. No appetite, fluctuating body temperature and dull abdomen pain. My appendix was about to go. I received an appendectomy.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea
Clinical narrative: Severe abdominal pain and diarrhea.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The vaccine refrigerator went out of allowed temperature, crept up from 8 C to 12 C over a period of 16 hours.  Vaccine was being stored at 2-8C for the allowed 30 days in the refrigerator. Patient was given a dose of the vaccine After the refrigerator temperature excursion.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Hypersensitivity, Injection site induration, Injection site mass
Clinical narrative: Left arm swelled up two to three times the size from shoulder all the way down to wrist. Arm was a light red color. Injection site was a large bump size of half golf ball, very red and warm to touch. I became very pale in complexion and very lightheaded and dizzy. This continued for 4 days.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pallor, Peripheral swelling
Clinical narrative: Left arm swelled up two to three times the size from shoulder all the way down to wrist. Arm was a light red color. Injection site was a large bump size of half golf ball, very red and warm to touch. I became very pale in complexion and very lightheaded and dizzy. This continued for 4 days.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus, Rash, Rash erythematous, Rash papular
Clinical narrative: Patient received their first dose of the Pfizer COVID-19 vaccine in their left deltoid intramuscularly. Patient was advised about the 15 minute recommendation to stay at pharmacy for observation after vaccination. Approximately 20 minutes after vaccination at 5:00, patient returns to pharmacy complaining of extreme itching on her back and legs. I saw redness and raised irritation on her back. I advised patient to sit. I spoke to her and mom and got their consent to give 1 dose of 25 mg Bendadryl (diphenhydramine) by mouth to patient. EMS were called. At 5:30 patient began complaining of "trouble breathing." No wheezing was observed but patient said she could not breath. Epinephrine 0.3 mg was administered to right thigh at 5:33 pm. Immediately pt said she was feeling better however a few minutes later she again said she, "has trouble breathing." A second dose of Epinephrine 0.3 mg was administered at 5:38 pm on the left thigh, 5 minutes after her first dose. EMS arrives at 5:43 pm. All medications administered and times given were provided to EMS as well as a synopsis of situation. Patient will be taken to hospital downtown. Patient alert at time of departure. Pulse ox from EMT showed 100.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Extra dose administered, Headache
Clinical narrative: Diarrhea and headaches. Started 1 day post vaccine. Improving but not completely resolved 1 week post-vaccine
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out and was unconscious for a couple seconds. No treatment was given. Patient was conscious and alert afterwards
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Urticaria
Clinical narrative: Patient received the vaccine around 8am without incident.  The patient returned to the pharmacy at around 3pm later that day.  She reported that a few hours after her vaccine she broke out into hives.  At the pharmacy she had small red hives visible behind both arms and redness across her chest.  The patient denied difficulty breathing and reported that she was breathing just fine.  The patient was counseled to take otc antihistamines and to seek medical attention if it worsens.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, C-reactive protein increased, Polymyalgia rheumatica, Red blood cell sedimentation rate normal, Weight decreased
Clinical narrative: Was diagnosed with Polymyalgia Rheumatica in June 2021. Severe bilateral shoulder and hip pain with weight loss. Symptoms controlled with prednisone; on steroids for at least 6 months.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Headache
Clinical narrative: I have been having continous headaches and also tightening of my chest that feels like if I have a weight on my chest in the middle of my chest.
Age: 71.0
Sex: M
Vaccine: FLUA3
Symptoms: Chest discomfort, Flushing
Clinical narrative: Within a few minutes, patient's wife came back to pharmacy to tell us she thought he was having a reaction. He hadn't made it far from the pharmacy (he was riding a scooter). He described a warm flushing feeling and chest tightness. I then asked a technician to call 911. He currently uses oxygen for COPD, and he wasn't sure if it was the shot or the oxygen tank causing the problem. I grabbed my first aid kit and offered Benadryl and an Epipen, but the patient declined both. The paramedics arrived shortly after, and the patient stated he was starting to feel better. Paramedics assessed him. Vitals were stable and lungs were clear. He was asked by paramedics if he wanted to go to the hospital to be checked out, but he declined stating he felt like he was back to normal. The paramedics released him into his wife's care.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Tremor, Unresponsive to stimuli
Clinical narrative: At approximately 1318, security guard alerted facility staff that medical personnel are needed outside. At approximately 1318, 2 nurses responded to security and ran patient to outside. RN saw patient sitting inside vehicle in driver's seat. Patient's eyes were closed. Patient was unresponsive to verbal and physical stimuli. At approximately 1318, RN notified Lead RN. At 1319, RN  activated EMS. Lead RN arrived on scene and assessed patient. Patient was responsive to verbal and physical stimuli. Patient was oriented to person, place, and situation. Patient denied itchiness, rashes, and difficulty swallowing. Patient's husband reported patient was driving out of parking space and patient asked "do your muscles hurt". Patient then parked car. Patient's left and right hands started "cramping" and "shaking". Patient then closed eyes and became unresponsive to verbal stimuli. Patient's husband alerted security guard and said he "needs to see a nurse". RN educated patient's husband on signs/symptoms of when to seek care, to follow up with primary care provider, and to sign up on v-safe. At approximately 1322 patient vomited on asphalt. At approximately 1325, paramedics arrived on scene and assumed care. At approximately 1345, patient transported to hospital for further care. At approximately 1345, patient left facility via ambulance.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Cold sweat, Dizziness, Hypertension, Immediate post-injection reaction
Clinical narrative: PT c/o vertigo and lightheadedness immediately after post vaccination at 11:02 am. Pt transferred to post observation cot via w/c. VS at 11:10 am with PT supine were HR 95 BP 144/88 O2 sat 100. PT c/o nausea,? clammy?. PT states that she feels better laying supine with cold pack and knees bent.  PT sat up and reports a decrease in nausea, requesting H20 and tolerated drinking without emesis. Continued to monitor; PT anxious, but without agitation and was affable. PT presented with HTN (does not believe she has a hx of HTN, except for preeclampsia with my twins), though PTs BP did drop once when attempting to sit. (See below for progression of vital signs) PT recovered BP quickly and reported feeling better at 1147, denies dizziness/nausea and shakiness?. PTs VS improved after bathroom visit, PT was able to stand without VS change at 1208, verbalized that she was feeling better. PTs appearance had returned to baseline. At 1219, after further monitoring, PT exited facility accompanied by daughter, reports she will be at home with family today.    1110 BP 144/88 HR 95 O2sat 100 supine    1114 am HR 108 BP 160/100 O2 sat 100%   1119 BP 146/96 HR 94 O2sat 99% sitting did not tolerate well resumed supine position    1122 BP 142/88 HR 87 O2 sat 100%   1126 BP 150/88 HR 94 O2sat 100% sitting    1137 BP 104/70 HR 105 O2sat 100% sitting and immediately reverted to supine position   11:38 BP 132/80 HR96 O2sat100% Pt states feels much better   1150 BP 168/96 HR 103 O2sat% 100. sitting   1201BP 130/84 HR 71 O2sat 100% post bathroom break    1205 BP 144/98 HR81 O2sat 100%   1208 BP 136/8 HR 89 O2sat 100% standing
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: PT c/o vertigo and lightheadedness immediately after post vaccination at 11:02 am. Pt transferred to post observation cot via w/c. VS at 11:10 am with PT supine were HR 95 BP 144/88 O2 sat 100. PT c/o nausea,? clammy?. PT states that she feels better laying supine with cold pack and knees bent.  PT sat up and reports a decrease in nausea, requesting H20 and tolerated drinking without emesis. Continued to monitor; PT anxious, but without agitation and was affable. PT presented with HTN (does not believe she has a hx of HTN, except for preeclampsia with my twins), though PTs BP did drop once when attempting to sit. (See below for progression of vital signs) PT recovered BP quickly and reported feeling better at 1147, denies dizziness/nausea and shakiness?. PTs VS improved after bathroom visit, PT was able to stand without VS change at 1208, verbalized that she was feeling better. PTs appearance had returned to baseline. At 1219, after further monitoring, PT exited facility accompanied by daughter, reports she will be at home with family today.    1110 BP 144/88 HR 95 O2sat 100 supine    1114 am HR 108 BP 160/100 O2 sat 100%   1119 BP 146/96 HR 94 O2sat 99% sitting did not tolerate well resumed supine position    1122 BP 142/88 HR 87 O2 sat 100%   1126 BP 150/88 HR 94 O2sat 100% sitting    1137 BP 104/70 HR 105 O2sat 100% sitting and immediately reverted to supine position   11:38 BP 132/80 HR96 O2sat100% Pt states feels much better   1150 BP 168/96 HR 103 O2sat% 100. sitting   1201BP 130/84 HR 71 O2sat 100% post bathroom break    1205 BP 144/98 HR81 O2sat 100%   1208 BP 136/8 HR 89 O2sat 100% standing
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Coordination abnormal, Inflammation, Migraine, Nausea
Clinical narrative: Developed persistent migraine symptoms three days after shot.  Nausea, dull neck ache, vertigo/coordination issues.  These persisted at a low level until examined by nurse practitioner at chiropractor office on September 2nd when they found my whole upper right back/neck inflamed and gave me dexamethasone injections.  NP and also now my general practioner, believe vaccine caused a significant inflammatory response in my neck and upper back. Steroid shots worked for a few days but low level migraine has returned and CT/neuro consult is pending.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Vertigo
Clinical narrative: Developed persistent migraine symptoms three days after shot.  Nausea, dull neck ache, vertigo/coordination issues.  These persisted at a low level until examined by nurse practitioner at chiropractor office on September 2nd when they found my whole upper right back/neck inflamed and gave me dexamethasone injections.  NP and also now my general practioner, believe vaccine caused a significant inflammatory response in my neck and upper back. Steroid shots worked for a few days but low level migraine has returned and CT/neuro consult is pending.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Headache, Hypoaesthesia oral, Inflammation, Migraine
Clinical narrative: Developed persistent migraine symptoms three days after shot.  Nausea, dull neck ache, vertigo/coordination issues.  These persisted at a low level until examined by nurse practitioner at chiropractor office on September 2nd when they found my whole upper right back/neck inflamed and gave me dexamethasone injections.  NP and also now my general practioner, believe vaccine caused a significant inflammatory response in my neck and upper back. Steroid shots worked for a few days but low level migraine has returned and CT/neuro consult is pending.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral, Vertigo
Clinical narrative: Developed persistent migraine symptoms three days after shot.  Nausea, dull neck ache, vertigo/coordination issues.  These persisted at a low level until examined by nurse practitioner at chiropractor office on September 2nd when they found my whole upper right back/neck inflamed and gave me dexamethasone injections.  NP and also now my general practioner, believe vaccine caused a significant inflammatory response in my neck and upper back. Steroid shots worked for a few days but low level migraine has returned and CT/neuro consult is pending.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Pt reported a rash all over her body
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Eye disorder, Eye haemorrhage, Gait disturbance, Impaired driving ability, Lacrimation increased
Clinical narrative: 03/30/2021 Two weeks after her COVID shot referred by GO to Opthamologist sent to eye doctor to see what happens. I had blurry vision, like looking underwater and peripheral vision and getting more sensitive to light, watering a lot, all to do her eyesight. General ophthalmologist retina specialist to neuropathologist, and he checked in eye for distance. Capillary of the outer edge blood leaking out of the side of her eye right was worse than the left, the nerve doctor notice the tissue in eye in both eyes was light in color. Quality of her eyesight which impacted her driving abilities. It affected walking and the fall risk and unsteady on feet.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological examination abnormal, Photophobia, Vision blurred
Clinical narrative: 03/30/2021 Two weeks after her COVID shot referred by GO to Opthamologist sent to eye doctor to see what happens. I had blurry vision, like looking underwater and peripheral vision and getting more sensitive to light, watering a lot, all to do her eyesight. General ophthalmologist retina specialist to neuropathologist, and he checked in eye for distance. Capillary of the outer edge blood leaking out of the side of her eye right was worse than the left, the nerve doctor notice the tissue in eye in both eyes was light in color. Quality of her eyesight which impacted her driving abilities. It affected walking and the fall risk and unsteady on feet.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Approximately 10 minutes after administration, patient fainted. He woke up within 30 seconds, blood pressure 110/80; HR = 70.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired vaccine.  No symptoms reported.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: 2:58 pm PT c/o dizziness, staff helped him down on his back, legs elevated, SpO2-98%, HR-40, AOx4 2:59 pm EMS arrived, SpO2-98%, HR-40, AOx4,  3:04pm PT repositioned upright, drinking Gatorade, he c/o nausea, diaphoretic 3:07 pm staff helped PT on his back , BP 88/42 mmHg, PT diaphoretic, c/o nausea 3:09pm PT sitting, c/o nausea, drinking  Gatorade, diaphoretic, BS 119mg/dl, T-96.6 15:10 911 called, AOx4, EMS doing EKG, 15:13 HR-59, SpO2 98%,  15:15 PT c/o nausea 2/10, not diaphoretic, skin warm to touch, AOx4,  15:18pm EKG NSR per EMS,HR-66, SpO2 -97% 15:22 PT standing BP 131/77, HR 50, SPO2 98%, PT reported feelong "OK"  15:25 PT sitting AOX4, BP 107/70, PT reports "feeling good" also is eating food.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Sever outbreak of shingles left side of face, left ear including inner left ear hindering hearing in that ear, scalp, upper back near neck
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation delayed
Clinical narrative: Delayed menstrual cycle (1 month) severe cramping and heavier bleeding
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Anticoagulant therapy, Catheterisation cardiac abnormal, Chest pain, Computerised tomogram thorax normal
Clinical narrative: 2 days after vaccination, pt developed right sided chest pain, swelling  and tenderness. It resolved after 4-5 days and he thought he was better. Then two weeks after the vaccination he developed tiredness, and cough, that lasted for several weeks until pt presented to hospital on 8/17/21. He was admitted for full cardiac workup due to extensive cardiac hx, and elevated cardiac enzymes.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Coronary artery disease, Cough, Diaphragmatic disorder, Electrocardiogram QT prolonged
Clinical narrative: 2 days after vaccination, pt developed right sided chest pain, swelling  and tenderness. It resolved after 4-5 days and he thought he was better. Then two weeks after the vaccination he developed tiredness, and cough, that lasted for several weeks until pt presented to hospital on 8/17/21. He was admitted for full cardiac workup due to extensive cardiac hx, and elevated cardiac enzymes.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Musculoskeletal chest pain, Peripheral vein stenosis, Pulmonary mass, Swelling
Clinical narrative: 2 days after vaccination, pt developed right sided chest pain, swelling  and tenderness. It resolved after 4-5 days and he thought he was better. Then two weeks after the vaccination he developed tiredness, and cough, that lasted for several weeks until pt presented to hospital on 8/17/21. He was admitted for full cardiac workup due to extensive cardiac hx, and elevated cardiac enzymes.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: 2 days after vaccination, pt developed right sided chest pain, swelling  and tenderness. It resolved after 4-5 days and he thought he was better. Then two weeks after the vaccination he developed tiredness, and cough, that lasted for several weeks until pt presented to hospital on 8/17/21. He was admitted for full cardiac workup due to extensive cardiac hx, and elevated cardiac enzymes.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Arteriogram coronary normal, Echocardiogram normal, Ejection fraction normal, Musculoskeletal chest pain
Clinical narrative: 2 days after vaccination, pt developed right sided chest pain, swelling  and tenderness. It resolved after 4-5 days and he thought he was better. Then two weeks after the vaccination he developed tiredness, and cough, that lasted for several weeks until pt presented to hospital on 8/17/21. He was admitted for full cardiac workup due to extensive cardiac hx, and elevated cardiac enzymes.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin
Clinical narrative: 2 days after vaccination, pt developed right sided chest pain, swelling  and tenderness. It resolved after 4-5 days and he thought he was better. Then two weeks after the vaccination he developed tiredness, and cough, that lasted for several weeks until pt presented to hospital on 8/17/21. He was admitted for full cardiac workup due to extensive cardiac hx, and elevated cardiac enzymes.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient feels dizzy  and light headed. She was given water and laid down for 15 minutes. Patient felt immediate relief. She said she has a history of feeling light headed when receiving vaccines.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Vision blurred
Clinical narrative: The morning after my 1st vaccination, I woke up with blurry vision. I wear progressives and just got the prescription renewed 4 months prior to the vaccine. I was very happy with my eyesight and was having no issues until after the vaccination. I have waited to see if it would clear up on its own but it has not. It's making my job more difficult as reading/filling out forms and evaluating mammographic images for motion, etc. I'm on the computer off and on all day and that has become more difficult, as well as just trying to read a book at lunch time.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: Treatment:  Observation LN responded immediately, PT transferred to cot, walking without difficulty. PT was affable, responding appropriately to questions. PT reported itching to face, right and left arm, and lower back. No evidence of hives, swelling of face/tongue noted. No respiratory distress noted. VS at 900 were BP 124/82, HR 82, RR 18, SPO2 96% RA. EpiPens were made ready, but PT declined EPI treatment or calling 911. PT accepted 50mg Benadryl PO at 0901. PT reported that treatment was effective in reducing itchiness, especially to left arm, 15 minutes after Benadryl administration. VS at 0910: BP 136/80, HR 83, RR 18, SPO2 98% RA. 0920 VS: 134/78, HR 74, SPO2 98% RA. VS at 0930: BP 124/82, HR 76, SPO2 97% RA. PT self-administered 10mg Zyrtec at 0922 from his personal supply. PT remained stable throughout episode of care, with no changes to mentation, vital signs, breathing. PT educated on s/s anaphylaxis, when to seek medical help. PT verbalized understanding of education, reports he plans to take a repeat dose of 50mg Benadryl in 4-6 hours, if needed. PT reports that he is a firefighter and that he would not be home alone.    Outcome:  PT reported that he felt safe and ready to return home. PT returned to post-observation area to wait through partner?s observation period, will exit with partner.    Witnesses:  RN, RN, ARNP, RN.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Dyspnoea, Laboratory test, Night sweats
Clinical narrative: Treatment:  Observation LN responded immediately, PT transferred to cot, walking without difficulty. PT was affable, responding appropriately to questions. PT reported itching to face, right and left arm, and lower back. No evidence of hives, swelling of face/tongue noted. No respiratory distress noted. VS at 900 were BP 124/82, HR 82, RR 18, SPO2 96% RA. EpiPens were made ready, but PT declined EPI treatment or calling 911. PT accepted 50mg Benadryl PO at 0901. PT reported that treatment was effective in reducing itchiness, especially to left arm, 15 minutes after Benadryl administration. VS at 0910: BP 136/80, HR 83, RR 18, SPO2 98% RA. 0920 VS: 134/78, HR 74, SPO2 98% RA. VS at 0930: BP 124/82, HR 76, SPO2 97% RA. PT self-administered 10mg Zyrtec at 0922 from his personal supply. PT remained stable throughout episode of care, with no changes to mentation, vital signs, breathing. PT educated on s/s anaphylaxis, when to seek medical help. PT verbalized understanding of education, reports he plans to take a repeat dose of 50mg Benadryl in 4-6 hours, if needed. PT reports that he is a firefighter and that he would not be home alone.    Outcome:  PT reported that he felt safe and ready to return home. PT returned to post-observation area to wait through partner?s observation period, will exit with partner.    Witnesses:  RN, RN, ARNP, RN.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal swelling, Pruritus
Clinical narrative: Treatment:  Observation LN responded immediately, PT transferred to cot, walking without difficulty. PT was affable, responding appropriately to questions. PT reported itching to face, right and left arm, and lower back. No evidence of hives, swelling of face/tongue noted. No respiratory distress noted. VS at 900 were BP 124/82, HR 82, RR 18, SPO2 96% RA. EpiPens were made ready, but PT declined EPI treatment or calling 911. PT accepted 50mg Benadryl PO at 0901. PT reported that treatment was effective in reducing itchiness, especially to left arm, 15 minutes after Benadryl administration. VS at 0910: BP 136/80, HR 83, RR 18, SPO2 98% RA. 0920 VS: 134/78, HR 74, SPO2 98% RA. VS at 0930: BP 124/82, HR 76, SPO2 97% RA. PT self-administered 10mg Zyrtec at 0922 from his personal supply. PT remained stable throughout episode of care, with no changes to mentation, vital signs, breathing. PT educated on s/s anaphylaxis, when to seek medical help. PT verbalized understanding of education, reports he plans to take a repeat dose of 50mg Benadryl in 4-6 hours, if needed. PT reports that he is a firefighter and that he would not be home alone.    Outcome:  PT reported that he felt safe and ready to return home. PT returned to post-observation area to wait through partner?s observation period, will exit with partner.    Witnesses:  RN, RN, ARNP, RN.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia eye, Hypoaesthesia oral
Clinical narrative: I had numbness and tingling in left arm, face and neck about 5 minutes after receiving the shot in the same arm.   The numbness started in my arm and them radiated to my lower arm, up my neck and across my jaw, lips and up to my left eye.  From the start of the numbness to the time when the numbness started to go away was about 1 hour 30 minutes.  In the days, weeks, and months since receiving the shot, I still have occasional numbness in my left arm and face.  The numbness did not affect my eating, drinking or function.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given expired vaccine. No symptoms reported.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Cardiac flutter, Cardiac imaging procedure normal, Cardiac monitoring
Clinical narrative: On 2/11/21, watching television sitting on the couch, I felt really warm and started to sweat, slight tunnel vision , started having pressure in the left side of my chest, fluttery sensation in my chest, felt weak, extremely fatigued, arms felt heavy, mild shortness of breath, nauseous then vomited once. Felt better after @ 30-40 minutes.  I made an appointment with my pcp on 2/19/21.  I had an EKG done and it was normal and was given orders for lab work and a chest x-ray. I was referred to a cardiologist. I saw the cardiologist on 3/22/21.  I had an EKG performed and it was normal.  I was scheduled for a stress test, echocardiogram, and nuclear medicine perfusion study for the following week.  On 3/23/21, while driving my car, I started to feel really warm, got tunnel vision, then passed out.  I woke up after crashing my car.  I don?t recall the accident, just woke up with the car on it?s side in a wooded area.  My car was totaled.  I was taken to the Hospital by ambulance.   While at the hospital I had blood work, CT Scans of my head, c-spine, abdomen, and pelvis, chest and shoulder x-rays, carotid ultrasound, stress test, nuclear medicine perfusion study, echocardiogram done.  All results were normal.  I was given a cardiac event monitor to wear. On 4/6/21 at 6:19 pm, while sitting on the couch watching television, I started feeling short of breath and had a fluttery feeling in my chest.  My event recorder recorded my heart rate at 144  and a 4 beat run of nonsustained vtach.  I got a call from the event recorder monitoring service and was told to contact my cardiologist and if I had more symptoms, go the ER. I called my cardiologist on 4/7/21 and was instructed to come straight in to their office and be prepared to be admitted into another hospital for a heart cath.  I was admitted into Grandview and had a heart cath performed on 4/8/21.  The heart cath was normal so my cardiologist implanted a loop recorder at that time per the instructions of the electrophysiologist.  I was discharged from the hospital on 4/9/21. On 5/6/21, my heart paused for 3 seconds and was caught by my loop recorder. On 5/12/21 I had a cardiac MRI and it was normal. On 7/2/21 at 3:57 am, my loop recorder recorded my heart slowing down, then paused for 15 seconds, started to beat again slowly then returned to a normal rhythm.  I was diagnosed with vasovagal syncope. On 7/26/21, I had a pacemaker placed.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac pacemaker insertion, Cardiac stress test normal, Catheterisation cardiac normal, Chest X-ray normal, Chest discomfort
Clinical narrative: On 2/11/21, watching television sitting on the couch, I felt really warm and started to sweat, slight tunnel vision , started having pressure in the left side of my chest, fluttery sensation in my chest, felt weak, extremely fatigued, arms felt heavy, mild shortness of breath, nauseous then vomited once. Felt better after @ 30-40 minutes.  I made an appointment with my pcp on 2/19/21.  I had an EKG done and it was normal and was given orders for lab work and a chest x-ray. I was referred to a cardiologist. I saw the cardiologist on 3/22/21.  I had an EKG performed and it was normal.  I was scheduled for a stress test, echocardiogram, and nuclear medicine perfusion study for the following week.  On 3/23/21, while driving my car, I started to feel really warm, got tunnel vision, then passed out.  I woke up after crashing my car.  I don?t recall the accident, just woke up with the car on it?s side in a wooded area.  My car was totaled.  I was taken to the Hospital by ambulance.   While at the hospital I had blood work, CT Scans of my head, c-spine, abdomen, and pelvis, chest and shoulder x-rays, carotid ultrasound, stress test, nuclear medicine perfusion study, echocardiogram done.  All results were normal.  I was given a cardiac event monitor to wear. On 4/6/21 at 6:19 pm, while sitting on the couch watching television, I started feeling short of breath and had a fluttery feeling in my chest.  My event recorder recorded my heart rate at 144  and a 4 beat run of nonsustained vtach.  I got a call from the event recorder monitoring service and was told to contact my cardiologist and if I had more symptoms, go the ER. I called my cardiologist on 4/7/21 and was instructed to come straight in to their office and be prepared to be admitted into another hospital for a heart cath.  I was admitted into Grandview and had a heart cath performed on 4/8/21.  The heart cath was normal so my cardiologist implanted a loop recorder at that time per the instructions of the electrophysiologist.  I was discharged from the hospital on 4/9/21. On 5/6/21, my heart paused for 3 seconds and was caught by my loop recorder. On 5/12/21 I had a cardiac MRI and it was normal. On 7/2/21 at 3:57 am, my loop recorder recorded my heart slowing down, then paused for 15 seconds, started to beat again slowly then returned to a normal rhythm.  I was diagnosed with vasovagal syncope. On 7/26/21, I had a pacemaker placed.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram head normal, Computerised tomogram spine, Dyspnoea, Echocardiogram normal
Clinical narrative: On 2/11/21, watching television sitting on the couch, I felt really warm and started to sweat, slight tunnel vision , started having pressure in the left side of my chest, fluttery sensation in my chest, felt weak, extremely fatigued, arms felt heavy, mild shortness of breath, nauseous then vomited once. Felt better after @ 30-40 minutes.  I made an appointment with my pcp on 2/19/21.  I had an EKG done and it was normal and was given orders for lab work and a chest x-ray. I was referred to a cardiologist. I saw the cardiologist on 3/22/21.  I had an EKG performed and it was normal.  I was scheduled for a stress test, echocardiogram, and nuclear medicine perfusion study for the following week.  On 3/23/21, while driving my car, I started to feel really warm, got tunnel vision, then passed out.  I woke up after crashing my car.  I don?t recall the accident, just woke up with the car on it?s side in a wooded area.  My car was totaled.  I was taken to the Hospital by ambulance.   While at the hospital I had blood work, CT Scans of my head, c-spine, abdomen, and pelvis, chest and shoulder x-rays, carotid ultrasound, stress test, nuclear medicine perfusion study, echocardiogram done.  All results were normal.  I was given a cardiac event monitor to wear. On 4/6/21 at 6:19 pm, while sitting on the couch watching television, I started feeling short of breath and had a fluttery feeling in my chest.  My event recorder recorded my heart rate at 144  and a 4 beat run of nonsustained vtach.  I got a call from the event recorder monitoring service and was told to contact my cardiologist and if I had more symptoms, go the ER. I called my cardiologist on 4/7/21 and was instructed to come straight in to their office and be prepared to be admitted into another hospital for a heart cath.  I was admitted into Grandview and had a heart cath performed on 4/8/21.  The heart cath was normal so my cardiologist implanted a loop recorder at that time per the instructions of the electrophysiologist.  I was discharged from the hospital on 4/9/21. On 5/6/21, my heart paused for 3 seconds and was caught by my loop recorder. On 5/12/21 I had a cardiac MRI and it was normal. On 7/2/21 at 3:57 am, my loop recorder recorded my heart slowing down, then paused for 15 seconds, started to beat again slowly then returned to a normal rhythm.  I was diagnosed with vasovagal syncope. On 7/26/21, I had a pacemaker placed.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Feeling hot, Heart rate irregular, Hyperhidrosis
Clinical narrative: On 2/11/21, watching television sitting on the couch, I felt really warm and started to sweat, slight tunnel vision , started having pressure in the left side of my chest, fluttery sensation in my chest, felt weak, extremely fatigued, arms felt heavy, mild shortness of breath, nauseous then vomited once. Felt better after @ 30-40 minutes.  I made an appointment with my pcp on 2/19/21.  I had an EKG done and it was normal and was given orders for lab work and a chest x-ray. I was referred to a cardiologist. I saw the cardiologist on 3/22/21.  I had an EKG performed and it was normal.  I was scheduled for a stress test, echocardiogram, and nuclear medicine perfusion study for the following week.  On 3/23/21, while driving my car, I started to feel really warm, got tunnel vision, then passed out.  I woke up after crashing my car.  I don?t recall the accident, just woke up with the car on it?s side in a wooded area.  My car was totaled.  I was taken to the Hospital by ambulance.   While at the hospital I had blood work, CT Scans of my head, c-spine, abdomen, and pelvis, chest and shoulder x-rays, carotid ultrasound, stress test, nuclear medicine perfusion study, echocardiogram done.  All results were normal.  I was given a cardiac event monitor to wear. On 4/6/21 at 6:19 pm, while sitting on the couch watching television, I started feeling short of breath and had a fluttery feeling in my chest.  My event recorder recorded my heart rate at 144  and a 4 beat run of nonsustained vtach.  I got a call from the event recorder monitoring service and was told to contact my cardiologist and if I had more symptoms, go the ER. I called my cardiologist on 4/7/21 and was instructed to come straight in to their office and be prepared to be admitted into another hospital for a heart cath.  I was admitted into Grandview and had a heart cath performed on 4/8/21.  The heart cath was normal so my cardiologist implanted a loop recorder at that time per the instructions of the electrophysiologist.  I was discharged from the hospital on 4/9/21. On 5/6/21, my heart paused for 3 seconds and was caught by my loop recorder. On 5/12/21 I had a cardiac MRI and it was normal. On 7/2/21 at 3:57 am, my loop recorder recorded my heart slowing down, then paused for 15 seconds, started to beat again slowly then returned to a normal rhythm.  I was diagnosed with vasovagal syncope. On 7/26/21, I had a pacemaker placed.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Implantable cardiac monitor insertion, Laboratory test, Limb discomfort, Loss of consciousness, Nausea
Clinical narrative: On 2/11/21, watching television sitting on the couch, I felt really warm and started to sweat, slight tunnel vision , started having pressure in the left side of my chest, fluttery sensation in my chest, felt weak, extremely fatigued, arms felt heavy, mild shortness of breath, nauseous then vomited once. Felt better after @ 30-40 minutes.  I made an appointment with my pcp on 2/19/21.  I had an EKG done and it was normal and was given orders for lab work and a chest x-ray. I was referred to a cardiologist. I saw the cardiologist on 3/22/21.  I had an EKG performed and it was normal.  I was scheduled for a stress test, echocardiogram, and nuclear medicine perfusion study for the following week.  On 3/23/21, while driving my car, I started to feel really warm, got tunnel vision, then passed out.  I woke up after crashing my car.  I don?t recall the accident, just woke up with the car on it?s side in a wooded area.  My car was totaled.  I was taken to the Hospital by ambulance.   While at the hospital I had blood work, CT Scans of my head, c-spine, abdomen, and pelvis, chest and shoulder x-rays, carotid ultrasound, stress test, nuclear medicine perfusion study, echocardiogram done.  All results were normal.  I was given a cardiac event monitor to wear. On 4/6/21 at 6:19 pm, while sitting on the couch watching television, I started feeling short of breath and had a fluttery feeling in my chest.  My event recorder recorded my heart rate at 144  and a 4 beat run of nonsustained vtach.  I got a call from the event recorder monitoring service and was told to contact my cardiologist and if I had more symptoms, go the ER. I called my cardiologist on 4/7/21 and was instructed to come straight in to their office and be prepared to be admitted into another hospital for a heart cath.  I was admitted into Grandview and had a heart cath performed on 4/8/21.  The heart cath was normal so my cardiologist implanted a loop recorder at that time per the instructions of the electrophysiologist.  I was discharged from the hospital on 4/9/21. On 5/6/21, my heart paused for 3 seconds and was caught by my loop recorder. On 5/12/21 I had a cardiac MRI and it was normal. On 7/2/21 at 3:57 am, my loop recorder recorded my heart slowing down, then paused for 15 seconds, started to beat again slowly then returned to a normal rhythm.  I was diagnosed with vasovagal syncope. On 7/26/21, I had a pacemaker placed.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Road traffic accident, Scan myocardial perfusion normal, Syncope, Tunnel vision, Ultrasound Doppler
Clinical narrative: On 2/11/21, watching television sitting on the couch, I felt really warm and started to sweat, slight tunnel vision , started having pressure in the left side of my chest, fluttery sensation in my chest, felt weak, extremely fatigued, arms felt heavy, mild shortness of breath, nauseous then vomited once. Felt better after @ 30-40 minutes.  I made an appointment with my pcp on 2/19/21.  I had an EKG done and it was normal and was given orders for lab work and a chest x-ray. I was referred to a cardiologist. I saw the cardiologist on 3/22/21.  I had an EKG performed and it was normal.  I was scheduled for a stress test, echocardiogram, and nuclear medicine perfusion study for the following week.  On 3/23/21, while driving my car, I started to feel really warm, got tunnel vision, then passed out.  I woke up after crashing my car.  I don?t recall the accident, just woke up with the car on it?s side in a wooded area.  My car was totaled.  I was taken to the Hospital by ambulance.   While at the hospital I had blood work, CT Scans of my head, c-spine, abdomen, and pelvis, chest and shoulder x-rays, carotid ultrasound, stress test, nuclear medicine perfusion study, echocardiogram done.  All results were normal.  I was given a cardiac event monitor to wear. On 4/6/21 at 6:19 pm, while sitting on the couch watching television, I started feeling short of breath and had a fluttery feeling in my chest.  My event recorder recorded my heart rate at 144  and a 4 beat run of nonsustained vtach.  I got a call from the event recorder monitoring service and was told to contact my cardiologist and if I had more symptoms, go the ER. I called my cardiologist on 4/7/21 and was instructed to come straight in to their office and be prepared to be admitted into another hospital for a heart cath.  I was admitted into Grandview and had a heart cath performed on 4/8/21.  The heart cath was normal so my cardiologist implanted a loop recorder at that time per the instructions of the electrophysiologist.  I was discharged from the hospital on 4/9/21. On 5/6/21, my heart paused for 3 seconds and was caught by my loop recorder. On 5/12/21 I had a cardiac MRI and it was normal. On 7/2/21 at 3:57 am, my loop recorder recorded my heart slowing down, then paused for 15 seconds, started to beat again slowly then returned to a normal rhythm.  I was diagnosed with vasovagal syncope. On 7/26/21, I had a pacemaker placed.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular tachycardia, Vomiting, X-ray limb normal
Clinical narrative: On 2/11/21, watching television sitting on the couch, I felt really warm and started to sweat, slight tunnel vision , started having pressure in the left side of my chest, fluttery sensation in my chest, felt weak, extremely fatigued, arms felt heavy, mild shortness of breath, nauseous then vomited once. Felt better after @ 30-40 minutes.  I made an appointment with my pcp on 2/19/21.  I had an EKG done and it was normal and was given orders for lab work and a chest x-ray. I was referred to a cardiologist. I saw the cardiologist on 3/22/21.  I had an EKG performed and it was normal.  I was scheduled for a stress test, echocardiogram, and nuclear medicine perfusion study for the following week.  On 3/23/21, while driving my car, I started to feel really warm, got tunnel vision, then passed out.  I woke up after crashing my car.  I don?t recall the accident, just woke up with the car on it?s side in a wooded area.  My car was totaled.  I was taken to the Hospital by ambulance.   While at the hospital I had blood work, CT Scans of my head, c-spine, abdomen, and pelvis, chest and shoulder x-rays, carotid ultrasound, stress test, nuclear medicine perfusion study, echocardiogram done.  All results were normal.  I was given a cardiac event monitor to wear. On 4/6/21 at 6:19 pm, while sitting on the couch watching television, I started feeling short of breath and had a fluttery feeling in my chest.  My event recorder recorded my heart rate at 144  and a 4 beat run of nonsustained vtach.  I got a call from the event recorder monitoring service and was told to contact my cardiologist and if I had more symptoms, go the ER. I called my cardiologist on 4/7/21 and was instructed to come straight in to their office and be prepared to be admitted into another hospital for a heart cath.  I was admitted into Grandview and had a heart cath performed on 4/8/21.  The heart cath was normal so my cardiologist implanted a loop recorder at that time per the instructions of the electrophysiologist.  I was discharged from the hospital on 4/9/21. On 5/6/21, my heart paused for 3 seconds and was caught by my loop recorder. On 5/12/21 I had a cardiac MRI and it was normal. On 7/2/21 at 3:57 am, my loop recorder recorded my heart slowing down, then paused for 15 seconds, started to beat again slowly then returned to a normal rhythm.  I was diagnosed with vasovagal syncope. On 7/26/21, I had a pacemaker placed.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cerebral thrombosis, Cerebrovascular accident, Computerised tomogram, Fall
Clinical narrative: I had a stroke July 13th in the morning I was in restroom putting on my slacks and I fell over and that last I remember. I had 2 clots one went to my brain and one went to my heart.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Intracardiac thrombus, Magnetic resonance imaging
Clinical narrative: I had a stroke July 13th in the morning I was in restroom putting on my slacks and I fell over and that last I remember. I had 2 clots one went to my brain and one went to my heart.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired vaccine.  No symptoms have been reported.
Age: 52.0
Sex: M
Vaccine: FLUC4, VARZOS
Symptoms: Arthralgia, Headache, Injection site pain, Insomnia, Neuralgia
Clinical narrative: Severe pain in right arm at injection site; joint pain throughout body; severe headache; nerve pain in arms and torso; insomnia
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Neuropathy peripheral, Pain, Pruritus
Clinical narrative: The beginning of August, I developed Shingles, severe shingles, severe itching, blisters. I had what they called Diffuse shingles. At the beginning of August, I saw Dr. She diagnosed me with diffuse shingles. I had several prescriptions, one of them was Valtrex. I have not completely recovered from the AEs. I'm still dealing with neuropathy, pain and itching related to the shingles.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given expired vaccine.  No symptoms were reported.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Discharge, SARS-CoV-2 test positive, Uterine spasm
Clinical narrative: On August the 31st, 2021, immediately after getting the Pfizer vaccine, I experienced uterine cramping. It was abnormal because I take my birth control pills everyday. This cramping was abnormal. I brushed it off. On September 6th, I began to have abnormal cramping again. I went to the restroom and saw I had brown discharge. I freaked out. The rest of the day there was no discharge. On September 7th, I experienced cramping again. I went to the restroom and had a lot of brown discharge with many small pieces of tissue in it. It looked as if someone had rolled wet toilet tissue in their hands and dipped it in brown chocolate. It scared me. This was very unusual. The rest of the day there was no bleeding. Positive COVID-19 test on September 7, 2021.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test
Clinical narrative: Joint pain.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired vaccine.  No symptoms were reported.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Lymphadenopathy
Clinical narrative: My first Phizer In my left arm lot FA7484 3 days after I was at my desk and got dizzy like i stepped off a carnival ride, a couple different times for about 40 seconds each time,  the lymph gland in my right side neck swelled big and soft between my collar bone and neck, and I got a fingertip size rash on my right shoulder, that Is over three weeks trying to heal it to go away. , this second dose Lot FC3184  Left arm,  so far I was at my desk today 3rd day since the vaccine, and got a worse dizzy feeling like I stepped off a carnival ride for about a minute, i thought i was going to pass out or faint.