chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carbon dioxide decreased, Chest discomfort, Chest pain, Dysphagia, Dyspnoea
Clinical narrative: Patient was receiving her COVID-19 vaccine earlier today.  While waiting the required 15 minutes after administration, she experienced chest tightness, throat swelling, and shortness of breath.  She was initially treated with oral prednisone and Zyrtec.  However, she did not have improvement in her symptoms and was admitted to the ED for further management.  She had continued shortness of breath, throat swelling, chest pressure, and intermittent chest pain.  She was given IM epinephrine 0.3 mg, prednisone 20 mg, and famotidine with improvement in her symptoms.  Shortly after, she experienced recurrent symptoms and required another dose of epinephrine.  Due to risk of recurrent anaphylaxis, ICU was consulted for evaluation and monitoring of patient.  At the time of evaluation, patient endorses chest pressure, mild shortness of breath, dysphagia, and left finger numbness.  She denies any headache, blurry vision, odynophagia, chest pain, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, weakness, or increased swelling in the extremities.  She endorses history of anaphylactic reaction to sulfa drugs but not previous vaccination.  Also denies any food allergies.  12/22/2020 1529 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg    12/22/2020 1532 diphenhydrAMINE (BENADRYL) capsule 25 mg 25 mg oral   12/22/2020 1532 famotidine (PEPCID) tablet 20 mg 20 mg oral  12/22/2020 1557 predniSONE (DELTASONE) tablet 20 mg 20 mg oral  12/22/2020 1557 diphenhydrAMINE (BENADRYL) injection 25 mg 25 mg intraMUSCULAR   12/22/2020 1616 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg 0.3 mg intraMUSCULAR   12/22/2020 1631 sodium chloride 0.9 % bolus 1,000 mL 1,000 mL intraVENOUS  12/22/2020 1701 methylPREDNISolone sodium succinate PF (SOLU-Medrol) injection 40 mg
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram T wave abnormal, Eosinophil count decreased, Eosinophil percentage decreased, Glomerular filtration rate, Haematocrit normal
Clinical narrative: Patient was receiving her COVID-19 vaccine earlier today.  While waiting the required 15 minutes after administration, she experienced chest tightness, throat swelling, and shortness of breath.  She was initially treated with oral prednisone and Zyrtec.  However, she did not have improvement in her symptoms and was admitted to the ED for further management.  She had continued shortness of breath, throat swelling, chest pressure, and intermittent chest pain.  She was given IM epinephrine 0.3 mg, prednisone 20 mg, and famotidine with improvement in her symptoms.  Shortly after, she experienced recurrent symptoms and required another dose of epinephrine.  Due to risk of recurrent anaphylaxis, ICU was consulted for evaluation and monitoring of patient.  At the time of evaluation, patient endorses chest pressure, mild shortness of breath, dysphagia, and left finger numbness.  She denies any headache, blurry vision, odynophagia, chest pain, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, weakness, or increased swelling in the extremities.  She endorses history of anaphylactic reaction to sulfa drugs but not previous vaccination.  Also denies any food allergies.  12/22/2020 1529 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg    12/22/2020 1532 diphenhydrAMINE (BENADRYL) capsule 25 mg 25 mg oral   12/22/2020 1532 famotidine (PEPCID) tablet 20 mg 20 mg oral  12/22/2020 1557 predniSONE (DELTASONE) tablet 20 mg 20 mg oral  12/22/2020 1557 diphenhydrAMINE (BENADRYL) injection 25 mg 25 mg intraMUSCULAR   12/22/2020 1616 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg 0.3 mg intraMUSCULAR   12/22/2020 1631 sodium chloride 0.9 % bolus 1,000 mL 1,000 mL intraVENOUS  12/22/2020 1701 methylPREDNISolone sodium succinate PF (SOLU-Medrol) injection 40 mg
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin normal, Hypoaesthesia, Immunoglobulins, Lymphocyte count decreased, Lymphocyte percentage decreased
Clinical narrative: Patient was receiving her COVID-19 vaccine earlier today.  While waiting the required 15 minutes after administration, she experienced chest tightness, throat swelling, and shortness of breath.  She was initially treated with oral prednisone and Zyrtec.  However, she did not have improvement in her symptoms and was admitted to the ED for further management.  She had continued shortness of breath, throat swelling, chest pressure, and intermittent chest pain.  She was given IM epinephrine 0.3 mg, prednisone 20 mg, and famotidine with improvement in her symptoms.  Shortly after, she experienced recurrent symptoms and required another dose of epinephrine.  Due to risk of recurrent anaphylaxis, ICU was consulted for evaluation and monitoring of patient.  At the time of evaluation, patient endorses chest pressure, mild shortness of breath, dysphagia, and left finger numbness.  She denies any headache, blurry vision, odynophagia, chest pain, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, weakness, or increased swelling in the extremities.  She endorses history of anaphylactic reaction to sulfa drugs but not previous vaccination.  Also denies any food allergies.  12/22/2020 1529 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg    12/22/2020 1532 diphenhydrAMINE (BENADRYL) capsule 25 mg 25 mg oral   12/22/2020 1532 famotidine (PEPCID) tablet 20 mg 20 mg oral  12/22/2020 1557 predniSONE (DELTASONE) tablet 20 mg 20 mg oral  12/22/2020 1557 diphenhydrAMINE (BENADRYL) injection 25 mg 25 mg intraMUSCULAR   12/22/2020 1616 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg 0.3 mg intraMUSCULAR   12/22/2020 1631 sodium chloride 0.9 % bolus 1,000 mL 1,000 mL intraVENOUS  12/22/2020 1701 methylPREDNISolone sodium succinate PF (SOLU-Medrol) injection 40 mg
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count decreased, Monocyte percentage decreased
Clinical narrative: Patient was receiving her COVID-19 vaccine earlier today.  While waiting the required 15 minutes after administration, she experienced chest tightness, throat swelling, and shortness of breath.  She was initially treated with oral prednisone and Zyrtec.  However, she did not have improvement in her symptoms and was admitted to the ED for further management.  She had continued shortness of breath, throat swelling, chest pressure, and intermittent chest pain.  She was given IM epinephrine 0.3 mg, prednisone 20 mg, and famotidine with improvement in her symptoms.  Shortly after, she experienced recurrent symptoms and required another dose of epinephrine.  Due to risk of recurrent anaphylaxis, ICU was consulted for evaluation and monitoring of patient.  At the time of evaluation, patient endorses chest pressure, mild shortness of breath, dysphagia, and left finger numbness.  She denies any headache, blurry vision, odynophagia, chest pain, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, weakness, or increased swelling in the extremities.  She endorses history of anaphylactic reaction to sulfa drugs but not previous vaccination.  Also denies any food allergies.  12/22/2020 1529 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg    12/22/2020 1532 diphenhydrAMINE (BENADRYL) capsule 25 mg 25 mg oral   12/22/2020 1532 famotidine (PEPCID) tablet 20 mg 20 mg oral  12/22/2020 1557 predniSONE (DELTASONE) tablet 20 mg 20 mg oral  12/22/2020 1557 diphenhydrAMINE (BENADRYL) injection 25 mg 25 mg intraMUSCULAR   12/22/2020 1616 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg 0.3 mg intraMUSCULAR   12/22/2020 1631 sodium chloride 0.9 % bolus 1,000 mL 1,000 mL intraVENOUS  12/22/2020 1701 methylPREDNISolone sodium succinate PF (SOLU-Medrol) injection 40 mg
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neutrophil count increased, Neutrophil percentage increased, Pharyngeal swelling, Platelet count increased, Protein total normal
Clinical narrative: Patient was receiving her COVID-19 vaccine earlier today.  While waiting the required 15 minutes after administration, she experienced chest tightness, throat swelling, and shortness of breath.  She was initially treated with oral prednisone and Zyrtec.  However, she did not have improvement in her symptoms and was admitted to the ED for further management.  She had continued shortness of breath, throat swelling, chest pressure, and intermittent chest pain.  She was given IM epinephrine 0.3 mg, prednisone 20 mg, and famotidine with improvement in her symptoms.  Shortly after, she experienced recurrent symptoms and required another dose of epinephrine.  Due to risk of recurrent anaphylaxis, ICU was consulted for evaluation and monitoring of patient.  At the time of evaluation, patient endorses chest pressure, mild shortness of breath, dysphagia, and left finger numbness.  She denies any headache, blurry vision, odynophagia, chest pain, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, weakness, or increased swelling in the extremities.  She endorses history of anaphylactic reaction to sulfa drugs but not previous vaccination.  Also denies any food allergies.  12/22/2020 1529 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg    12/22/2020 1532 diphenhydrAMINE (BENADRYL) capsule 25 mg 25 mg oral   12/22/2020 1532 famotidine (PEPCID) tablet 20 mg 20 mg oral  12/22/2020 1557 predniSONE (DELTASONE) tablet 20 mg 20 mg oral  12/22/2020 1557 diphenhydrAMINE (BENADRYL) injection 25 mg 25 mg intraMUSCULAR   12/22/2020 1616 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg 0.3 mg intraMUSCULAR   12/22/2020 1631 sodium chloride 0.9 % bolus 1,000 mL 1,000 mL intraVENOUS  12/22/2020 1701 methylPREDNISolone sodium succinate PF (SOLU-Medrol) injection 40 mg
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red blood cell count normal, Red blood cell nucleated morphology, Red cell distribution width normal, SARS-CoV-2 test negative, White blood cell count increased
Clinical narrative: Patient was receiving her COVID-19 vaccine earlier today.  While waiting the required 15 minutes after administration, she experienced chest tightness, throat swelling, and shortness of breath.  She was initially treated with oral prednisone and Zyrtec.  However, she did not have improvement in her symptoms and was admitted to the ED for further management.  She had continued shortness of breath, throat swelling, chest pressure, and intermittent chest pain.  She was given IM epinephrine 0.3 mg, prednisone 20 mg, and famotidine with improvement in her symptoms.  Shortly after, she experienced recurrent symptoms and required another dose of epinephrine.  Due to risk of recurrent anaphylaxis, ICU was consulted for evaluation and monitoring of patient.  At the time of evaluation, patient endorses chest pressure, mild shortness of breath, dysphagia, and left finger numbness.  She denies any headache, blurry vision, odynophagia, chest pain, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, weakness, or increased swelling in the extremities.  She endorses history of anaphylactic reaction to sulfa drugs but not previous vaccination.  Also denies any food allergies.  12/22/2020 1529 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg    12/22/2020 1532 diphenhydrAMINE (BENADRYL) capsule 25 mg 25 mg oral   12/22/2020 1532 famotidine (PEPCID) tablet 20 mg 20 mg oral  12/22/2020 1557 predniSONE (DELTASONE) tablet 20 mg 20 mg oral  12/22/2020 1557 diphenhydrAMINE (BENADRYL) injection 25 mg 25 mg intraMUSCULAR   12/22/2020 1616 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg 0.3 mg intraMUSCULAR   12/22/2020 1631 sodium chloride 0.9 % bolus 1,000 mL 1,000 mL intraVENOUS  12/22/2020 1701 methylPREDNISolone sodium succinate PF (SOLU-Medrol) injection 40 mg
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: headache, injection site arm pain
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Confusional state, Disturbance in attention, Dizziness
Clinical narrative: Initially; confusion/difficultly focusing. Secondary: imbalance. Then developed, dizziness (room spinning sensation).
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache
Clinical narrative: The morning after receiving the vaccine I woke up with a headache. I drank lots of fluids and tested, but the headache seemed to get worse. It was throbbing with associated light-headedness and general fatigue. Maximum temperature after vaccine so far has been 98.8
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: Right arm weakness
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Cough, Dyspnoea, Headache, Lymphadenitis
Clinical narrative: Left axillary lymph nodes swelling and pain;  Left arm pain Headaches Cough Dyspnea with exertion Body aches
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Left axillary lymph nodes swelling and pain;  Left arm pain Headaches Cough Dyspnea with exertion Body aches
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: This patient received last year's (2019-20) influenza Vaccine on 9/26/20 due to oversight in the supply management process. The patient was notified and had not experienced any adverse effects from that vaccine. The patient did return to the office and received the appropriate Fluad Quadrivalent (2020-21) Influenza Vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Vaccine recipient received COVID-19 Vaccine on 12/22/20 and 3 minutes after felt that they were going to pass out and developed dizziness and headache. Vaccine recipient was administered ketorolac 15 mg IV, acetaminophen 650 mg, IV fluids in the emergency department. Patient felt better and was subsequently discharged to home. During a follow-up phone call on 12/23, vaccine recipient reported that their symptoms have resolved and they were able to return to work.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Cough, Dyspnoea, Hyperhidrosis, Pain
Clinical narrative: cough, sob, sweating, belly pain for 48 hours after vaccination, body soreness, advised to contact PCP.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dry mouth, Electrocardiogram abnormal, Feeling of body temperature change, Hypoaesthesia oral
Clinical narrative: Patient summoned nurse over while waiting 10 minutes post-vaccination. Stated felt heart racing and like she was alternating getting hot/cold however skin was warm, pink and dry on palpation. Radial pulse 140 bpm. SpO2 100%. Stated she had a history of anxiety; nurse reassured and distracted her which helped symptoms initially but then symptom of heart racing returned accompanied by dry mouth and numbness of upper lip. Was transported in wheelchair to ED by RN.  Discharged from ED after 2 hour observation diagnosed as suspected anxiety attack; was instructed to follow-up with PCP and Employee Health regarding receipt of 2nd dose.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Sinus tachycardia
Clinical narrative: Patient summoned nurse over while waiting 10 minutes post-vaccination. Stated felt heart racing and like she was alternating getting hot/cold however skin was warm, pink and dry on palpation. Radial pulse 140 bpm. SpO2 100%. Stated she had a history of anxiety; nurse reassured and distracted her which helped symptoms initially but then symptom of heart racing returned accompanied by dry mouth and numbness of upper lip. Was transported in wheelchair to ED by RN.  Discharged from ED after 2 hour observation diagnosed as suspected anxiety attack; was instructed to follow-up with PCP and Employee Health regarding receipt of 2nd dose.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Individual developed rash 5-7 minutes after vaccination.  Denies other symptoms including difficulty breathing or itchy/scratchy throat.   Says "I'm fine".    Individual self administered benadryl.  went back to department and  later called Employee Health.  Employee Health instructed individual to go home and self monitor
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: This patient received last year's (2019-20) influenza Vaccine on 9/26/20 due to oversight in the supply management process. The patient was notified and had not experienced any adverse effects from that vaccine. The patient did return to the office and received the appropriate Fluad Quadrivalent (2020-21) Influenza Vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Myalgia
Clinical narrative: Muscle aches and temperature of 100.3 began 1 day post injection, headache additional symptom on day 2 post injection.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia
Clinical narrative: Soreness at injection site and surrounding area, deltoid muscle soreness
Age: 71.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Chills, Dizziness, Headache, Injection site bruising, Injection site inflammation
Clinical narrative: After the patient was administered the Shingrix vaccine, I proceeded to administer the Fluzone vaccine in the same arm, since she had a condition in the left arm. After the administration of Fluzone, the injection site became a bruise. Two days later, patient was called to follow-up on arm condition and she mentioned that after the vaccine she suffered headaches, dizziness, shivering chills and vomiting. Also, she presented with inflammation at the injection site.
Age: 71.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Vomiting
Clinical narrative: After the patient was administered the Shingrix vaccine, I proceeded to administer the Fluzone vaccine in the same arm, since she had a condition in the left arm. After the administration of Fluzone, the injection site became a bruise. Two days later, patient was called to follow-up on arm condition and she mentioned that after the vaccine she suffered headaches, dizziness, shivering chills and vomiting. Also, she presented with inflammation at the injection site.
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Eye pain, Fatigue, Feeling cold, Feeling of body temperature change
Clinical narrative: Vaccine administered around 10:45(am) on 12/21/2020. Around 23:00(pm) (12/21/2020) I was feeling chilly, put my jacket while at work (night shift) on but continued to feel tired, eyes hurt a little, slight headache, general muscle soreness, and increasing pain in my left arm where I got the shot. I took 600mg Advil, felt fine most the night but still really tired. End of shift (07:30(am)) I was very tired with symptoms returning. Got home (08:00 on 12/22/2020), went right to sleep but at that point had chills, felt cold, headache, body aches, pain in left arm worse / really hurting - tender to touch but not swollen or red, neck glands ?felt swollen? but I don't think they actually were swollen. I woke up 4 hours later (12:00 - 12/22/2020) around noon exactly sweating, with all the same symptoms. No GI discomfort. I took 975mg Tylenol. Checked my temp, 99.9F. I couldn't fall back asleep for several hours and my body temperature felt like it was all over the place (sweating and hot, then cold, repeat). Finally fell asleep again from 16:00 to 21:30. Symptoms were all still present. Took Tylenol 1,000mg and stayed up until 05:00 (12/23/2020) with good relief from the Tylenol throughout the night and then went back to sleep from 05:00 to 10:00 (12/23/2020). Woke up symptom free and have remained symptom free.
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Hyperhidrosis, Injection site pain, Lymphadenopathy, Myalgia
Clinical narrative: Vaccine administered around 10:45(am) on 12/21/2020. Around 23:00(pm) (12/21/2020) I was feeling chilly, put my jacket while at work (night shift) on but continued to feel tired, eyes hurt a little, slight headache, general muscle soreness, and increasing pain in my left arm where I got the shot. I took 600mg Advil, felt fine most the night but still really tired. End of shift (07:30(am)) I was very tired with symptoms returning. Got home (08:00 on 12/22/2020), went right to sleep but at that point had chills, felt cold, headache, body aches, pain in left arm worse / really hurting - tender to touch but not swollen or red, neck glands ?felt swollen? but I don't think they actually were swollen. I woke up 4 hours later (12:00 - 12/22/2020) around noon exactly sweating, with all the same symptoms. No GI discomfort. I took 975mg Tylenol. Checked my temp, 99.9F. I couldn't fall back asleep for several hours and my body temperature felt like it was all over the place (sweating and hot, then cold, repeat). Finally fell asleep again from 16:00 to 21:30. Symptoms were all still present. Took Tylenol 1,000mg and stayed up until 05:00 (12/23/2020) with good relief from the Tylenol throughout the night and then went back to sleep from 05:00 to 10:00 (12/23/2020). Woke up symptom free and have remained symptom free.
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Cold sweat, Fatigue, Headache, Injection site pain
Clinical narrative: Vaccine administered around 10:45(am) on 12/21/2020. Around 23:00(pm) (12/21/2020) I was feeling chilly, put my jacket while at work (night shift) on but continued to feel tired, eyes hurt a little, slight headache, general muscle soreness, and increasing pain in my left arm where I got the shot. I took 600mg Advil, felt fine most the night but still really tired. End of shift (07:30(am)) I was very tired with symptoms returning. Got home (08:00 on 12/22/2020), went right to sleep but at that point had chills, felt cold, headache, body aches, pain in left arm worse / really hurting - tender to touch but not swollen or red, neck glands ?felt swollen? but I don't think they actually were swollen. I woke up 4 hours later (12:00 - 12/22/2020) around noon exactly sweating, with all the same symptoms. No GI discomfort. I took 975mg Tylenol. Checked my temp, 99.9F. I couldn't fall back asleep for several hours and my body temperature felt like it was all over the place (sweating and hot, then cold, repeat). Finally fell asleep again from 16:00 to 21:30. Symptoms were all still present. Took Tylenol 1,000mg and stayed up until 05:00 (12/23/2020) with good relief from the Tylenol throughout the night and then went back to sleep from 05:00 to 10:00 (12/23/2020). Woke up symptom free and have remained symptom free.
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Insomnia, Lymphadenopathy, Myalgia, Pain
Clinical narrative: Vaccine administered around 10:45(am) on 12/21/2020. Around 23:00(pm) (12/21/2020) I was feeling chilly, put my jacket while at work (night shift) on but continued to feel tired, eyes hurt a little, slight headache, general muscle soreness, and increasing pain in my left arm where I got the shot. I took 600mg Advil, felt fine most the night but still really tired. End of shift (07:30(am)) I was very tired with symptoms returning. Got home (08:00 on 12/22/2020), went right to sleep but at that point had chills, felt cold, headache, body aches, pain in left arm worse / really hurting - tender to touch but not swollen or red, neck glands ?felt swollen? but I don't think they actually were swollen. I woke up 4 hours later (12:00 - 12/22/2020) around noon exactly sweating, with all the same symptoms. No GI discomfort. I took 975mg Tylenol. Checked my temp, 99.9F. I couldn't fall back asleep for several hours and my body temperature felt like it was all over the place (sweating and hot, then cold, repeat). Finally fell asleep again from 16:00 to 21:30. Symptoms were all still present. Took Tylenol 1,000mg and stayed up until 05:00 (12/23/2020) with good relief from the Tylenol throughout the night and then went back to sleep from 05:00 to 10:00 (12/23/2020). Woke up symptom free and have remained symptom free.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Patient presents palpitations
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: This patient received last year's (2019-20) influenza Vaccine on 9/26/20 due to oversight in the supply management process. The patient was notified and had not experienced any adverse effects from that vaccine. The patient did return to the office and received the appropriate Fluad Quadrivalent (2020-21) Influenza Vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Employee complained of lightheadedness/dizziness after vaccination which was at 9:15am
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Palpitations
Clinical narrative: Date and time of symptom onset: 12/17/20 at 4:15 PM Symptoms: 12/17 during 30 minute observation window, patient reports the following symptoms:  felt dizzy, heart palpitations, shortness of breath and difficulty breathing.  Patient reports, ?I didn?t tell anyone because I didn?t know who the monitors were.  I tried to get eye contact with someone, but I wasn?t able to.  I didn?t want to stand up because I was afraid I would pass out and would be really embarrassed for causing a scene.?  Patient was tearful on phone when describing account.  Patient verbalized concerns with being unable to determine who was assigned to be monitoring employees after vaccination administration.  Patient reports she did not notify anyone of her symptoms/what she experienced and remained at designated ?monitoring? location for 40 minutes before she drove home.  Patient endorses, ?I probably shouldn?t have driven, but I did anyway.?  Patient reports she struggles with anxiety and wondered if what she was feeling was a result of hx of anxiety.  Patient reports resolution of SOB approx. 1 hour she got home.   Patient endorses hx of ADHD, depression, thyroid issues and hypoglycemia.  Patient reports compliance of prescribed medications.  Patient reports the following timeline for symptoms listed: Dizziness:  Patient reports continued intermittent dizziness (denied at time of call) and feelings of ?cloudiness/spaciness?, currently experiencing today Headache:  began with severe headache on night of 12/17 and continued with headaches, pt denies headaches today (12/23).  Patient with hx of migraines Heart palpitations:  continued with heart palpitations through evening of 12/17, intermittent palpitations on 12/18 and 12/19, denies palpitations today. Fever:  low-grade fever on 12/17 (pm) and 12/21 (am), denies fever since 12/21 and has not taken antipyretics since 12/21 at approx. 9:30 pm. At time of call:  Patient endorses continued ?cloudiness and feeling spacy.?  Patient reports feelings of fatigue.  Last day of work and shift: 12/23, working from home  Home remedies: Rotated Tylenol and motrin, last dose of motrin at 9:30 PM on 12/21  Patient scheduled PTO on 12/18 and 12/21 due to concerns of not feeling well after vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tearfulness
Clinical narrative: Date and time of symptom onset: 12/17/20 at 4:15 PM Symptoms: 12/17 during 30 minute observation window, patient reports the following symptoms:  felt dizzy, heart palpitations, shortness of breath and difficulty breathing.  Patient reports, ?I didn?t tell anyone because I didn?t know who the monitors were.  I tried to get eye contact with someone, but I wasn?t able to.  I didn?t want to stand up because I was afraid I would pass out and would be really embarrassed for causing a scene.?  Patient was tearful on phone when describing account.  Patient verbalized concerns with being unable to determine who was assigned to be monitoring employees after vaccination administration.  Patient reports she did not notify anyone of her symptoms/what she experienced and remained at designated ?monitoring? location for 40 minutes before she drove home.  Patient endorses, ?I probably shouldn?t have driven, but I did anyway.?  Patient reports she struggles with anxiety and wondered if what she was feeling was a result of hx of anxiety.  Patient reports resolution of SOB approx. 1 hour she got home.   Patient endorses hx of ADHD, depression, thyroid issues and hypoglycemia.  Patient reports compliance of prescribed medications.  Patient reports the following timeline for symptoms listed: Dizziness:  Patient reports continued intermittent dizziness (denied at time of call) and feelings of ?cloudiness/spaciness?, currently experiencing today Headache:  began with severe headache on night of 12/17 and continued with headaches, pt denies headaches today (12/23).  Patient with hx of migraines Heart palpitations:  continued with heart palpitations through evening of 12/17, intermittent palpitations on 12/18 and 12/19, denies palpitations today. Fever:  low-grade fever on 12/17 (pm) and 12/21 (am), denies fever since 12/21 and has not taken antipyretics since 12/21 at approx. 9:30 pm. At time of call:  Patient endorses continued ?cloudiness and feeling spacy.?  Patient reports feelings of fatigue.  Last day of work and shift: 12/23, working from home  Home remedies: Rotated Tylenol and motrin, last dose of motrin at 9:30 PM on 12/21  Patient scheduled PTO on 12/18 and 12/21 due to concerns of not feeling well after vaccine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Blood thyroid stimulating hormone, Chest pain, Dizziness
Clinical narrative: Initial symptom date was 12/20/2020 around 4PM while driving.  I felt hot, dizzy, and short of breath with no  prodromal symptoms.  I had felt as if my brain was in a fog the entire time and was having intermittent waxing and waning bouts of worse shortness of breath.  However, the pulse oximetry at the time was within normal limits ranging from 95% to 99% at rest but with a few instances where it dropped to 94%.  At that time, I had returned back home and laid in bed.  I did feel anxious because I have never had these symptoms in the past.  Admittedly I was worried that it could have been COVID.  So I went with my symptoms to the ED later that day because I developed nausea and near vomiting (I am a reluctant vomiter and it is hard for me to vomit).  There I was given antiemetics and fluids and had a CBC done along with a thyroid panel which were within normal limits.  I was discharged with zofran after feeling improved with the treatment at the ED.  The next day I was feeling weak but the feeling of shortness of breath was intermittent but not unmanageable.  I could see that with my portable pulse oximeter that my pulse ox sometimes dropped to 93/94% on room air while I was walking around so I opted to stay in bed.  I was able to eat some food at this point because the nausea has improved.  I am staying hydrated with both water and Gatorade.  I received my results of the COVID19 swab at 18:40 and it was negative and not in a pooled sample.  I am relieved but I still feel the similar symptoms previously described above.  I then prepared to go to bed and after taking a shower I went to lay down and felt hot all over and extremely nauseous with a right sided headache and mild dizziness.  At this point, I feel my heart is racing and my chest is burning.  I was able to check my pulse ox and it was great, 99% the time I was sitting there but my pulse was in the 110s.  As these events unfold, naturally I am feeling very anxious about the prognosis as I have not had these symptoms before.  I was brought to the ED again on 12/22/20 for those symptoms and was given IV Reglan and Benadryl to help with the nausea and headache.  The medications helped but I did have another episode of palpitations while receiving the medications.  I discussed with the ED physician that it might still be anxiety and to not rule it out and was given 2mg of Ativan by mouth.  Afterwards I felt calmer but I still felt unwell.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Feeling hot, Fibrin D dimer normal, Full blood count normal
Clinical narrative: Initial symptom date was 12/20/2020 around 4PM while driving.  I felt hot, dizzy, and short of breath with no  prodromal symptoms.  I had felt as if my brain was in a fog the entire time and was having intermittent waxing and waning bouts of worse shortness of breath.  However, the pulse oximetry at the time was within normal limits ranging from 95% to 99% at rest but with a few instances where it dropped to 94%.  At that time, I had returned back home and laid in bed.  I did feel anxious because I have never had these symptoms in the past.  Admittedly I was worried that it could have been COVID.  So I went with my symptoms to the ED later that day because I developed nausea and near vomiting (I am a reluctant vomiter and it is hard for me to vomit).  There I was given antiemetics and fluids and had a CBC done along with a thyroid panel which were within normal limits.  I was discharged with zofran after feeling improved with the treatment at the ED.  The next day I was feeling weak but the feeling of shortness of breath was intermittent but not unmanageable.  I could see that with my portable pulse oximeter that my pulse ox sometimes dropped to 93/94% on room air while I was walking around so I opted to stay in bed.  I was able to eat some food at this point because the nausea has improved.  I am staying hydrated with both water and Gatorade.  I received my results of the COVID19 swab at 18:40 and it was negative and not in a pooled sample.  I am relieved but I still feel the similar symptoms previously described above.  I then prepared to go to bed and after taking a shower I went to lay down and felt hot all over and extremely nauseous with a right sided headache and mild dizziness.  At this point, I feel my heart is racing and my chest is burning.  I was able to check my pulse ox and it was great, 99% the time I was sitting there but my pulse was in the 110s.  As these events unfold, naturally I am feeling very anxious about the prognosis as I have not had these symptoms before.  I was brought to the ED again on 12/22/20 for those symptoms and was given IV Reglan and Benadryl to help with the nausea and headache.  The medications helped but I did have another episode of palpitations while receiving the medications.  I discussed with the ED physician that it might still be anxiety and to not rule it out and was given 2mg of Ativan by mouth.  Afterwards I felt calmer but I still felt unwell.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Malaise, Nausea, Palpitations, SARS-CoV-2 test negative
Clinical narrative: Initial symptom date was 12/20/2020 around 4PM while driving.  I felt hot, dizzy, and short of breath with no  prodromal symptoms.  I had felt as if my brain was in a fog the entire time and was having intermittent waxing and waning bouts of worse shortness of breath.  However, the pulse oximetry at the time was within normal limits ranging from 95% to 99% at rest but with a few instances where it dropped to 94%.  At that time, I had returned back home and laid in bed.  I did feel anxious because I have never had these symptoms in the past.  Admittedly I was worried that it could have been COVID.  So I went with my symptoms to the ED later that day because I developed nausea and near vomiting (I am a reluctant vomiter and it is hard for me to vomit).  There I was given antiemetics and fluids and had a CBC done along with a thyroid panel which were within normal limits.  I was discharged with zofran after feeling improved with the treatment at the ED.  The next day I was feeling weak but the feeling of shortness of breath was intermittent but not unmanageable.  I could see that with my portable pulse oximeter that my pulse ox sometimes dropped to 93/94% on room air while I was walking around so I opted to stay in bed.  I was able to eat some food at this point because the nausea has improved.  I am staying hydrated with both water and Gatorade.  I received my results of the COVID19 swab at 18:40 and it was negative and not in a pooled sample.  I am relieved but I still feel the similar symptoms previously described above.  I then prepared to go to bed and after taking a shower I went to lay down and felt hot all over and extremely nauseous with a right sided headache and mild dizziness.  At this point, I feel my heart is racing and my chest is burning.  I was able to check my pulse ox and it was great, 99% the time I was sitting there but my pulse was in the 110s.  As these events unfold, naturally I am feeling very anxious about the prognosis as I have not had these symptoms before.  I was brought to the ED again on 12/22/20 for those symptoms and was given IV Reglan and Benadryl to help with the nausea and headache.  The medications helped but I did have another episode of palpitations while receiving the medications.  I discussed with the ED physician that it might still be anxiety and to not rule it out and was given 2mg of Ativan by mouth.  Afterwards I felt calmer but I still felt unwell.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin normal, Vomiting
Clinical narrative: Initial symptom date was 12/20/2020 around 4PM while driving.  I felt hot, dizzy, and short of breath with no  prodromal symptoms.  I had felt as if my brain was in a fog the entire time and was having intermittent waxing and waning bouts of worse shortness of breath.  However, the pulse oximetry at the time was within normal limits ranging from 95% to 99% at rest but with a few instances where it dropped to 94%.  At that time, I had returned back home and laid in bed.  I did feel anxious because I have never had these symptoms in the past.  Admittedly I was worried that it could have been COVID.  So I went with my symptoms to the ED later that day because I developed nausea and near vomiting (I am a reluctant vomiter and it is hard for me to vomit).  There I was given antiemetics and fluids and had a CBC done along with a thyroid panel which were within normal limits.  I was discharged with zofran after feeling improved with the treatment at the ED.  The next day I was feeling weak but the feeling of shortness of breath was intermittent but not unmanageable.  I could see that with my portable pulse oximeter that my pulse ox sometimes dropped to 93/94% on room air while I was walking around so I opted to stay in bed.  I was able to eat some food at this point because the nausea has improved.  I am staying hydrated with both water and Gatorade.  I received my results of the COVID19 swab at 18:40 and it was negative and not in a pooled sample.  I am relieved but I still feel the similar symptoms previously described above.  I then prepared to go to bed and after taking a shower I went to lay down and felt hot all over and extremely nauseous with a right sided headache and mild dizziness.  At this point, I feel my heart is racing and my chest is burning.  I was able to check my pulse ox and it was great, 99% the time I was sitting there but my pulse was in the 110s.  As these events unfold, naturally I am feeling very anxious about the prognosis as I have not had these symptoms before.  I was brought to the ED again on 12/22/20 for those symptoms and was given IV Reglan and Benadryl to help with the nausea and headache.  The medications helped but I did have another episode of palpitations while receiving the medications.  I discussed with the ED physician that it might still be anxiety and to not rule it out and was given 2mg of Ativan by mouth.  Afterwards I felt calmer but I still felt unwell.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pruritus
Clinical narrative: coughing, itching IM soul-medrole given  seen entry detail
Age: 20.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Noticed red patch approx. 2 inches lower than injection site on arm and about the size of 3 quarters (around 10 am 12/22). Later (about 4 pm same day) still saw it and felt it was warm to the touch and swollen. Today (12/23 about 11:30 am) swelling is still present, redness and size is going down, and the warmth is slowly going away but still present.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: phone visit
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cardiovascular evaluation, Haematology test normal, Laboratory test normal, Rash
Clinical narrative: Rash, generalized weakness
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, FLU4, HEP, RV5
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given influenza vaccine to early. At age 2 months. Patient has had no adverse event.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Decreased appetite, Headache, Insomnia, Pain, Vomiting
Clinical narrative: headache, insomnia, vomiting, loss of appetite, body aches
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Dyspnoea, Hypoaesthesia oral, Paraesthesia oral, Tachycardia
Clinical narrative: Patient pre-medicated with diphenhydramine, albuterol, Claritin, and singulair.  After roughly 10 minutes after administration the patient reported tingling  in her lips and "felt like she needed to use her inhaler".  Our administration station is in our front lobby, when the patient reported her side effect she was taken to the Emergency department for observation.  The patient was hooked up to the monitor and a set of vitals were taken.  On arrvial she was tachy in the 100's wtih a BP of 140-90.  On the repeat vitals in 15 minutes she was within normal limits.    The patient was treated with Diphenhydramine 12.5 mg PO and Albuterol 2 puffs via spacer.  The patient was observed for ~3 hours, the patient had mild angioedema and a numb tongue/lips.  After resolution symptoms the patient was discharged from ED.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Fatigue, Headache, Injection site pain
Clinical narrative: Diarrhea, Fatigue, headache, injection site pain, injection site swelling, malaise, new or worsened join pain and new or worsened muscle pain.  more than 23 hours of severe all over pain, horrible pounding headache and nausea
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Malaise, Myalgia, Nausea, Pain
Clinical narrative: Diarrhea, Fatigue, headache, injection site pain, injection site swelling, malaise, new or worsened join pain and new or worsened muscle pain.  more than 23 hours of severe all over pain, horrible pounding headache and nausea
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Paraesthesia oral
Clinical narrative: Injection at 12:46, Experienced Tingling on tip of tongue at 1303 took oral Benadryl 25 mg, reported symptoms at 1309- 161/93 sat 100% on room air, P-84, Repeat 1310 135/94 sat 98% P-81, 13:13  152/101 sat 99% P-87, 13:17 145/87 sat 99% P-86, 1330- 141/82 sat 99% P-89, reports tingling decreasing, 13:38 149/83 Sat 98% P-84 13:45 still having tingling transferred to Urgent Care
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 102
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Pain
Clinical narrative: Chills, Headache, Body Aches, Runny nose, congestion, dizzy , nausea
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Chills, Headache, Body Aches, Runny nose, congestion, dizzy , nausea
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope, Vomiting
Clinical narrative: syncope and vomiting about 3 minutes post vaccination - applied wet paper towel and instant cold compress to forehead area and reassured patient - complete recovery by patient after about 10 minutes
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Feeling of body temperature change, Hypertension, Nausea
Clinical narrative: Nexk to my head feel really hot, nauseous, dizziness, high blood pressure, shaking feel Hot and cold
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Nexk to my head feel really hot, nauseous, dizziness, high blood pressure, shaking feel Hot and cold
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pruritus
Clinical narrative: extreme fatigue, itching at site, some redness on deltoid.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pain
Clinical narrative: extreme fatigue, itching at site, some redness on deltoid.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: it did not hurt
Age: 55.0
Sex: M
Vaccine: VARCEL
Symptoms: Fatigue, Influenza like illness, Injection site pain, Nausea, Pain
Clinical narrative: Woke up day after receiving 2nd shot very achy, tired, flu like symptoms, nauseous stomach, low grade fever 101.6 F.  Took Aleve at night and fever came down.  Slept 10 hours and felt better (90%).  Injection site still sore BUT not as bad as first dose received in Mid-September 2020.  Note:  Only had bad arm pain at injection site after first dose.  Did not experience the above symptoms.  Second dose experienced worse symptoms.
Age: 55.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: Woke up day after receiving 2nd shot very achy, tired, flu like symptoms, nauseous stomach, low grade fever 101.6 F.  Took Aleve at night and fever came down.  Slept 10 hours and felt better (90%).  Injection site still sore BUT not as bad as first dose received in Mid-September 2020.  Note:  Only had bad arm pain at injection site after first dose.  Did not experience the above symptoms.  Second dose experienced worse symptoms.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dyspnoea, Pallor
Clinical narrative: Reports had joint pain & shoulder pain, shortness of breath, pale-instructed to go to ED for medical treatment.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Hypertension, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: patient covid +,on day 13 since identified. received covid 19 vaccine 19 hours prior to fever presentation. patient to receive full medical work up to rule out other medical contributions for fever. Confusion, Fever, HYPERtension & FEVER 101.5 fahrenheit, weakness
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Petechiae, Swelling, Swelling face
Clinical narrative: Per Vaccine recipient approximately 4-4 1/2 hours after receiving vaccine she noticed  facial swelling in and around nose, to neck area, to R elbow and a petechial rash near R elbow. She immediately took Benadryl and Pepcid and then went to ER for further evaluation, where she was given a dose of Zyrtec and 5 day course of Prednisone. She left ER with no further complication.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Enlarged uvula, Headache, Pain in extremity
Clinical narrative: Headache Arm soreness Swollen Uvula
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Full blood count, Metabolic function test, Pruritus, Troponin I
Clinical narrative: History to allergic to IVP dye, after the covid vaccine and said felt itchy in face. Patient given dexamethasone 10 mg diphenhydramine 50mg ,epinephrine 0.5 mg and lactated ringers.  Patient issue resolved and will be discharged home.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site streaking, Rash, Rash erythematous
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA  Patient stated that 2 1/2 to 3 hours after receiving vaccine she had 2 "red dots" on the arm she received the vaccine in. States one dot was where vaccine was administered and second dot was next to area where she received vaccine. The next day patient stated "the two dots became red, raised, and sore to touch". States they were not warm or hot to touch. 2 days following vaccination, the 2 "dot areas" were still present. Patient stated "running through the dot I got the shot in, I developed a red line that ran through the place I got the shot and was about 2 inches long down my arm. " Patient described red line as "It looks like a cat scratch".  3 days following vaccination, states "Bumps are still there but faint" also states "red line is still there". States line is not raised, tender, or hot to touch. States no other reactions. States no fever or fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Headache Sore injection site