chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Electrocardiogram, Fatigue
Clinical narrative: Chest pain, heart racing, extreme vomiting , extreme fatigue
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Vomiting
Clinical narrative: Chest pain, heart racing, extreme vomiting , extreme fatigue
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Facial pain, Monoplegia, Neck pain, Pain in extremity
Clinical narrative: Paralysis of Left Arm, and excruciating pain radiating to armpits, and left side of neck and face for about 36 hours. Severe pain of the left arm persisted for the following two days.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Cardiac flutter, Cardiac stress test, Cardiovascular evaluation, Chest discomfort
Clinical narrative: Fluttering, quivering, ticking sensation under left breast.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Electrocardiogram ambulatory, Sensory disturbance
Clinical narrative: Fluttering, quivering, ticking sensation under left breast.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac flutter, Electrocardiogram
Clinical narrative: Fluttering, quivering, ticking sensation under left breast.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Nausea, Neck pain, Pain
Clinical narrative: Extreme fatigue, nausea, dull headache, body aches, neck pain.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Feeling hot, Injection site reaction, Nervousness, Rash
Clinical narrative: Patient received IM Pfizer dose in Left arm at 4:10pm and moved to the waiting area.  About 5-10 min later she had developed a red, slightly raised blotch area around the injection site and down her left arm.  She said it did not itch, but felt warm and slight burning feeling.  Patient complained of being hot and nervous, but breathing was normal no chest tightness.  We had her get up and go outside (with 2 nursing staff members) to see if fresh air and no mask would help calm her.  On coming back in, the rash was still present and a small patch developed on her other arm.  WE gave her a cold compress and measured out 75mg of liquid diphenhydramine.  She took the diphenhydramine.  After about 5min, we saw the rash spread to her chest and connect the upper right and upper left arm area rashes.  We then called EMS to come assess the patient.  After assessment by the EMT and speaking with her PCP the patient decided not to go to the hospital for observation.  Rash was still present 1 hour later when patient left.  Breathing remained normal throughout the entire event and no swelling of face/tongue.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash macular, Rash papular, Skin warm
Clinical narrative: Patient received IM Pfizer dose in Left arm at 4:10pm and moved to the waiting area.  About 5-10 min later she had developed a red, slightly raised blotch area around the injection site and down her left arm.  She said it did not itch, but felt warm and slight burning feeling.  Patient complained of being hot and nervous, but breathing was normal no chest tightness.  We had her get up and go outside (with 2 nursing staff members) to see if fresh air and no mask would help calm her.  On coming back in, the rash was still present and a small patch developed on her other arm.  WE gave her a cold compress and measured out 75mg of liquid diphenhydramine.  She took the diphenhydramine.  After about 5min, we saw the rash spread to her chest and connect the upper right and upper left arm area rashes.  We then called EMS to come assess the patient.  After assessment by the EMT and speaking with her PCP the patient decided not to go to the hospital for observation.  Rash was still present 1 hour later when patient left.  Breathing remained normal throughout the entire event and no swelling of face/tongue.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Swelling of eyelid, Throat irritation
Clinical narrative: Patient had a reaction to the Pfizer vaccine.  Patient complained of itchy throat, puffy eyelids, and anaphylaxis reaction 15 minutes or so after the vaccine was given. Patient was given EpiPen IM, Benadryl 25 mg 2 tab.  Patient was stabilized onsite,  then she  advised to go to ER upon discharge.  Patient recovered.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Rash, Rash erythematous, Rash pruritic
Clinical narrative: APPROX 30 HOURS AFTER DOSE, PT DEVELOPED RED RASH SIMILAR TO SUNBURN ON UPPER TORSO/CHEST AREA. PT REPORTS FEELING ITCHY AND INFLAMMED. VISUALLY LOOKED LIKE SUNBURN.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial infarction, Sudden death, Thrombosis
Clinical narrative: Death, sudden heart attack or blood clot
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Pruritus, Pyrexia
Clinical narrative: Headache within a few hours that lasted for 3 days; Overall achy feeling within 12 hours and last for 2 days; Nausea within 12 hours and lasted for about 24 hours; Low grade fever about 8 hours (normal temperature is usually 97.8-98.6. temp was 99.8-100.5) Fever lasted for about 36 hours. Extremely itchy hives/rash began about 54 hours following the 2nd shot. Itching started on scalp and small patches on right arm and each leg. Itchy actually woke me up out of a deep sleep.  Today it has spread to  back of thighs, neck and several other smaller patches have popped up all over my body.  No breathing problems.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Sleep disorder, Urticaria
Clinical narrative: Headache within a few hours that lasted for 3 days; Overall achy feeling within 12 hours and last for 2 days; Nausea within 12 hours and lasted for about 24 hours; Low grade fever about 8 hours (normal temperature is usually 97.8-98.6. temp was 99.8-100.5) Fever lasted for about 36 hours. Extremely itchy hives/rash began about 54 hours following the 2nd shot. Itching started on scalp and small patches on right arm and each leg. Itchy actually woke me up out of a deep sleep.  Today it has spread to  back of thighs, neck and several other smaller patches have popped up all over my body.  No breathing problems.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Memory impairment, Neck pain
Clinical narrative: My son developed neck soreness and and an enlarged lymph node that weekend.  On Monday following the vaccination a severe headache started which lasted 4 days, even with tylenol and ibuprofen.  On Tuesday, he started complaining about not remembering what he did the day before when he woke up in the morning..memory started coming back around noon. The memory issues lasted one week and began to dissipate thankfully.  After a few weeks got a call to schedule his second shot.  Called the pediatrician and the pediatrician told us not to administer the second vaccine due to adverse reaction to the first.   We are monitoring his memory issues..he is almost a straight A student in school last year and on an Advanced Learning Plan in high school due to high IQ. We will know if this is long lasting after attending school and monitoring his grades and headaches in the fall.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breast mass, Dizziness, Tinnitus
Clinical narrative: A lump appeared after the first shot in my left breast. It is still slightly present but has since diminished   Ongoing aide effect is tinnitus. Following second dose. Approximately 24-48 hours later ringing began. I had no ringing of anything noticeable before. Ringing gets severe and very loud. On June 14 I lost hearing in left ear for 15 seconds completely. Another time since the second a similar incident occurred. Ringing also resulted in curtail today June 16 which required myself to lay down due to being so dizzy.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Lethargy, Pyrexia
Clinical narrative: High fever 103 sustained Dizziness Chills Diarrhea Vomiting Extreme lethargy
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: High fever 103 sustained Dizziness Chills Diarrhea Vomiting Extreme lethargy
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Herpes zoster, Laboratory test, Pain in extremity
Clinical narrative: fWithin the first 24 hours I had a low grade fever, headache, and chills. About 35 days later I noticed serve pain in my leg and a skin rash which was diagnosed as shlinges.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: fWithin the first 24 hours I had a low grade fever, headache, and chills. About 35 days later I noticed serve pain in my leg and a skin rash which was diagnosed as shlinges.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Incorrect dose administered, Pyrexia
Clinical narrative: patient received a 0.5 ml dose of vaccine instead of 0.3 ml resulting in high fever chills headache
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity, Nasopharyngitis, Secretion discharge
Clinical narrative: Developed common cold-like symptoms which did not go away and have developed into persistent mucus/allergy problem.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: At irregular intervals I would experience chest pain. The chest pain wouldn't be onset by anything in particular. The pain felt like tightness in the chest around my heart.
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: ATC Vaccination Services was operating a COVID vaccination clinic . On 6/10/21 it was discovered that Lot # EW0186 was removed from the freezer on 6/4/21 (lot expiration date was 8/31/21). The CDC,  Department of Health and Pfizer hotlines were consulted by the lead nurse at the site and informed that the vaccine was to be in the freezer no longer than 14 days. The vaccine arrival log was checked and showed the vaccine was to be in the freezer until 5/14/21. The vaccine was administered to 899 individuals during the period of 6/5/21 to 6/9/21. All patients were attempted to be contacted. A list of patients, their date of birth and contact information. No side effects were reported when patients were contacted.  NYC Department of Health, NYCEM Plan Revision/Vaccine Operations provided the script with which to contact the patients and advise them of what happened and that they should get another dose of the vaccine. An email was also sent to the patients. The remaining doses of the lot number involved were wasted.   I am making this report in good faith based on information provided by healthcare professionals that were at the vaccination clinic. All records, dates and care was provided by clinical staff at the vaccination site on the applicable dates.   , RN
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Gait disturbance, Interchange of vaccine products, Lip pain, Lip swelling
Clinical narrative: Pt presented to pharmacy for a covid shot and received a dose of pfizer on 6/12/21. Later in the day the pharmacist that administered shot realized that the patient had received a dose of moderna on 5/11/21. She called the patient to discuss the situation and to let us know of any potential side effects.  Tonight 6/16/21 the patient calls the pharmacy and i discuss the situation with her. She said she started having severe body/bone/muscle aches on the afternoon of the pfizer shot which was 6/12. She said she knew that was somewhat normal but on 6/13 the body aches were worse and she started having swelling in her face and couldn't get her legs to work walking up two stairs without assistance. She started taking benadryl "around the clock". On 6/14 she said her symptoms were mostly unchanged, still having swelling in face and legs/arms hurting. On 6/15 she "blacked out" meaning she was sleeping and woke up and when she went to stand up her legs collapsed and she slid off the bed but she said she didn't hit her head. She said that happened two different times on 6/15. Today, 6/16 she called the pharmacy because her lips were the most swollen and sore they have been and it hurt to drink cold water and was hard to talk. She said she had to use her inhaler that morning because her chest was a little tight but she wasnt having any trouble breathing and her throat was fine. She said her face was still swollen and she looked like she'd been punched in the mouth. I counseled her to seek medical help asap since she was having trouble walking and the falling down and the face swelling hadn't gone away and she said she didn't want to go to the ER but would call her dr on the am of 6/17/21. I told her if anything changed she needed to go to ER or call 911. No other info at this time. 8:40 pm 6/16/21
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Myalgia, Pain, Pain in extremity, Swelling face
Clinical narrative: Pt presented to pharmacy for a covid shot and received a dose of pfizer on 6/12/21. Later in the day the pharmacist that administered shot realized that the patient had received a dose of moderna on 5/11/21. She called the patient to discuss the situation and to let us know of any potential side effects.  Tonight 6/16/21 the patient calls the pharmacy and i discuss the situation with her. She said she started having severe body/bone/muscle aches on the afternoon of the pfizer shot which was 6/12. She said she knew that was somewhat normal but on 6/13 the body aches were worse and she started having swelling in her face and couldn't get her legs to work walking up two stairs without assistance. She started taking benadryl "around the clock". On 6/14 she said her symptoms were mostly unchanged, still having swelling in face and legs/arms hurting. On 6/15 she "blacked out" meaning she was sleeping and woke up and when she went to stand up her legs collapsed and she slid off the bed but she said she didn't hit her head. She said that happened two different times on 6/15. Today, 6/16 she called the pharmacy because her lips were the most swollen and sore they have been and it hurt to drink cold water and was hard to talk. She said she had to use her inhaler that morning because her chest was a little tight but she wasnt having any trouble breathing and her throat was fine. She said her face was still swollen and she looked like she'd been punched in the mouth. I counseled her to seek medical help asap since she was having trouble walking and the falling down and the face swelling hadn't gone away and she said she didn't want to go to the ER but would call her dr on the am of 6/17/21. I told her if anything changed she needed to go to ER or call 911. No other info at this time. 8:40 pm 6/16/21
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Vein disorder
Clinical narrative: A lot of blood vessel were highly visible in his center chest area. This adverse event disappeared after approximately five day.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Computerised tomogram thorax, Dyspnoea, Headache
Clinical narrative: Chest pain, shortness of breath, headaches.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Nausea, Urticaria
Clinical narrative: After administering the 1st Moderna vaccine patient immediately said she felt faint. She did faint for about 5 seconds, when she became alert she said she felt nauseous. 911 was called. Patient started to look red in the face and arms like hives were starting. Firefighters arrived and gave her IV Benadryl and an ambulance took her to the nearest hospital.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling, Rash erythematous, Rash pruritic, SARS-CoV-2 test negative
Clinical narrative: developed patchy red rash in upper arm around injection site.  Area size of orange was swollen; area with it was bumpy, itchy red rash
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Head discomfort
Clinical narrative: At 1309 she alerted EMT she was feeling lightheaded. EMT began assessment and took vitals. Client reported feeling "heaviness in head". First vitals at 1313: blood pressure 132/90, oxygen sat 97%, pulse 82. PHN arrived at 1515. Client sitting upright in chair, alert and oriented x4. EMT gave client water. Per client no relevant medical history, no medications and no known allergies. Vitals at 1319: blood pressure 128/86, pulse 68, oxygen sat 95%. Client reports lightheaded improving, "head pressure" improving. Client denied blurry vision, headache, chest pain, shortness of breath. Client finished water bottle. Vitals at 1324: blood pressure 124/84, pulse, oxygen sat 97%. Client reports improvement of lightheadedness. Vitals at 1331: blood pressure 120/82, pulse 78, oxygen sat 96%. Client reports feeling "relaxed" and lightheadedness resolved and no more "head pressure".  PHN asked client if she drove, per client taking public transportation. Client declined to contact someone to pick her up. PHN advised client to follow up with provider and gave ER precautions. Last vitals at 1341: blood pressure 120/82, pulse 76, oxygen sat 96%. Client reports all symptoms have resolved. Client left facility with steady gait at 1349.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriogram carotid normal, Cerebral thrombosis, Cerebrovascular accident, Computerised tomogram head abnormal, Seizure
Clinical narrative: Clot on brain, seizure, massive stroke
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombectomy
Clinical narrative: Clot on brain, seizure, massive stroke
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Vomiting and pale after dose.  Patient reported a history of vomiting in past immunizations.  Gave patient water and monitored for 30 min.  He was able to feel better and left the store feeling better.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Computerised tomogram thorax normal, Echocardiogram normal, Fibrin D dimer increased, Heart rate increased
Clinical narrative: I experienced sudden heart palpitations.  I was at work and had not been doing any sort of strenuous exercises.  My watch recorded a heart rate of 210 bpm.  After about 20 minutes, heart rate did not decrease and my co-workers called 911.  Once the paramedics arrived and I was in the ambulance I was given 6 mg of Adenosine intravenously, which did not bring my heart rate down.  After a second administration  of 12 mg adenosine, heart rate decreased to about 130 bpm.  I was hospitalized that evening.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: I experienced sudden heart palpitations.  I was at work and had not been doing any sort of strenuous exercises.  My watch recorded a heart rate of 210 bpm.  After about 20 minutes, heart rate did not decrease and my co-workers called 911.  Once the paramedics arrived and I was in the ambulance I was given 6 mg of Adenosine intravenously, which did not bring my heart rate down.  After a second administration  of 12 mg adenosine, heart rate decreased to about 130 bpm.  I was hospitalized that evening.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Discomfort, Influenza like illness, Lymph node pain, Lymphadenopathy
Clinical narrative: I had flu like symtoms the following day of my second shot received on April 14, 2021, and then had flu-like symptoms on April 15, 2021, then felt much better on April 16, 2021.  However, I had swelling and pain in my underarm lymph nodes on the same side I received my shot, left side, that began April 16th but seem to subside.  Now June 14, 2021, those lymph nodes  in that underarm same side of the shot seem to be swollen periodically and are bothersome.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenopia, Blister, Rash, Toothache
Clinical narrative: On the third day after receiving my 2nd Pfizer vaccine I broke out in a vesicular type rash in the V2 dermatome. I was prescribed Valcyvlovir 1gm TID after being  diagnosed in the ER the same day. The next day some more blisters broke out in the same dermatome above my left eye off to the corner, my left nostril, left lip, and left side of bridge of nose. I also have increased pain in my left tooth in the incisor section. I followed up with the eye doctor.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Condition aggravated, Full blood count, Lipoma, Polycystic ovaries
Clinical narrative: Giant lipoma 10x15x5 cm developed on upper abdominal wall. Tender, sharp pains.  Also 50 cysts now on ovaries as opposed to prior imaging consistently being at 9 on one side 12 on the other.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound abdomen, Ultrasound scan vagina
Clinical narrative: Giant lipoma 10x15x5 cm developed on upper abdominal wall. Tender, sharp pains.  Also 50 cysts now on ovaries as opposed to prior imaging consistently being at 9 on one side 12 on the other.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Arm moving range is limited; feel pain if raising arm high
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Injection site pain, Nausea, Pain
Clinical narrative: 2nd Dose: - Pain in the injection arm roughly ~9 hours after. - Pain escalated from a 1-2 to a 4-5 throughout the night. - Pain on left arm, near first injection site returned. Unsure if correlation or just early signs of body fatigue/soreness starting. - Minor swelling on right arm & was warm to touch. Applied ice pack and went to sleep. - Pain escalated to a 5-6 the following morning (6/16) at ~8-10am. - Full body fatigue started around 10-11am on 6/16. (No mental fog present, fatigue incl. soreness & general pain) - Throughout the day, chills are present intermittently. - Throughout the day, nausea is present intermittently. - At time of writing (9:05pm 6/16) pain is at a 3-4 on right arm, pain throughout body is a 2-3 depending on location. OTC pain medication such as Tylenol has limited effect.  1st Dose: (not sure if you want this but I will add it anyway) Received 5/13/2021 @ 1:40pm @ Clinic (same location as above; lot # above as well) - Pain in the injection arm roughly ~3-4 hours after. - Pain remained a low level 2-3 on a general pain index throughout the day. - Following morning, at ~8am (5/14) pain was a 3-4. Responded to OTC Tylenol immediately. - Arm was tender for 3-4 days, until it resolved.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Peripheral swelling, Skin warm, Tenderness
Clinical narrative: 2nd Dose: - Pain in the injection arm roughly ~9 hours after. - Pain escalated from a 1-2 to a 4-5 throughout the night. - Pain on left arm, near first injection site returned. Unsure if correlation or just early signs of body fatigue/soreness starting. - Minor swelling on right arm & was warm to touch. Applied ice pack and went to sleep. - Pain escalated to a 5-6 the following morning (6/16) at ~8-10am. - Full body fatigue started around 10-11am on 6/16. (No mental fog present, fatigue incl. soreness & general pain) - Throughout the day, chills are present intermittently. - Throughout the day, nausea is present intermittently. - At time of writing (9:05pm 6/16) pain is at a 3-4 on right arm, pain throughout body is a 2-3 depending on location. OTC pain medication such as Tylenol has limited effect.  1st Dose: (not sure if you want this but I will add it anyway) Received 5/13/2021 @ 1:40pm @ Clinic (same location as above; lot # above as well) - Pain in the injection arm roughly ~3-4 hours after. - Pain remained a low level 2-3 on a general pain index throughout the day. - Following morning, at ~8am (5/14) pain was a 3-4. Responded to OTC Tylenol immediately. - Arm was tender for 3-4 days, until it resolved.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Head discomfort, Heavy menstrual bleeding, Laboratory test
Clinical narrative: - presents with a cc of heavy menstrual bleeding - for the past year she has only had light spotting with menstrual cycles; today she went through 4-5 of the largest available commercial tampon (dark purple) every 1-3 hours - in the drive in to the ER she reports feeling wozzy and had pressure in the front of her head, now resolved - denies abd pain
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Smoking cessation therapy, Walking aid user
Clinical narrative: Client received his first COVID19 Pfizer dose (Lot #EW0187 Exp:  08/31/21) on 06/15/21 at 1654.  Client was accompanied by a friend and after receiving the injection they were instructed by RN1 to sit in the observation room for 15 minutes.  At approximately 1710 client was sitting in a chair in the observation room and informed RN2 and EMT that he felt dizzy.  RN2 and EMT opened the zero-gravity chair for client to sit in and client was able to transfer himself into it.  EMT also gave client a bottle of water and he took a few sips.  Client reclined in the zero-gravity chair and EMT took his vitals at 1722 (BP:  160/104, HR:  102, O2Sat:  97).  RN2observed that client was alert and oriented to time, place, event & self and did not exhibit any cognitive impairment.  Client informed EMT and RN2 that he did not have any shortness of breath or trouble breathing.  Client also stated that he has a history of high blood pressure and fibromyalgia.  Additionally, client stated he was currently chewing nicotine gum because he had quit smoking two weeks prior.  EMT obtained vitals at 1731 (BP:  155/100, HR: 112, O2Sat: 97).  Client stated he was feeling a little better.  EMT took vitals at 1736 (BP:  151/102, HR: 109, O2Sat: 97).  Client stated he had eaten and drank plenty prior to getting vaccinated.  EMT took client?s vitals again (BP:  141/101, HR: 94, O2Sat: 97).  At 1755 client informed RN2 and EMT that he felt fine and was leaving.  EMT and RN2 observed client was using a walker and could stand just fine.  RN2 informed client that he should go to urgent care if he began to experience any dizziness and/or his blood pressure continued to exceed recommended guidelines. RN2 also recommended client monitor his blood pressure and seek medical attention if he began to experience any shortness of breath, trouble breathing, or chest pain.  Client and his friend then left the observation room.  EMT went to the Lead room at 1758 and informed Lead RN of the incident that just occurred with the client.  Lead RN reviewed details with EMT and determined that EMT and RN2 had not obtained a complete medical history on the client, determined what medications he was taking, and/or if he had any known allergies.  Lead RN immediately walked to the observation room with EMT and informed both he and RN2 of the proper protocol for follow if a client has a reaction to a vaccine.  Lead RN noted that while RN2 and EMT adequately monitored the client and documented their actions, they did not obtain all necessary information or notify a Lead or Co-Lead RN of the situation as it was occurring.  EMT and RN2 communicated that they now understand what the proper protocol is and will ensure that it is followed if future incidents occur.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Rash
Clinical narrative: Client received the 2nd dose of Moderna COVID vaccine lot #026C21A and expiration date 7/11/21 at approximately 3:57PM.  Client arrives to the vaccine observation room and reports feeling dizziness to EMT. Client is provided with a water bottle and drinks some.  Client reports having eaten an hour ago. EMT takes vitals: blood pressure 140/98, heart rate 76 and oxygen: 97%. PHN arrives to assess client.  Client is upright in chair alert and oriented x 4.  Client denies chest pain, blurred vision, headache or difficulty breathing. Client reports having a history of high blood pressure and takes aspirin, metropolol and two other anti-hypertensive medications but she cannot remember their names. Client reports no history of allergies.  At 4:03pm client reports feeling sweaty, no sweat is visible and that dizziness has resolved.  At 4:07pm vitals: blood pressure:140/92, pulse:73, and oxygen:96%.  PHN notes rash on chest and offers client Benadryl. Client declines Benadryl. PHN calls another PHN over to discuss Benadryl with client. Upon arrival PHN notes rash on right side of neck and chest. Client denies itchiness, shortness of breath or feeling throat closing. Client explains she needs to drive her children and does not want to be drowsy and will be unable to get home.  Client reports no shortness of breath and only feels sweaty. At 4:10pm client is still feeling sweaty but no sweat is visible.   At 4:12pm client reports no dizziness, no chest pain and no other symptoms except for mild sweating, not visible.  At 4:15pm client reports sweatiness is resolving and PHN check rash and does not observe any spread.  Client reports it is not itchy and is not having any difficult swallowing or breathing.  At 4:18pm vitals: blood pressure:140/90, pulse:78, and oxygen:97%.  Client reports no chest pain, no shortness of breath, no dizziness, no difficulty breathing, no blurred vision,  and no headache. Client is alert and oriented x 4.  At 4:21pm client reports sweating has completely resolved. At 4:23pm vitals: blood pressure:140/90, pulse:83, and oxygen:98%.  Client reports no symptoms. At 4:30pm vitals: blood pressure 138/92, pulse:83, and oxygen:97%. Client reports no chest pain, no headache, no trouble breathing, no other symptoms. At 4:35pm, vitals: blood pressure:148/98 and pulse:80 and oxygen: 98%. No symptoms reported, assessed for hypertensive crisis.  At 4:42pm,reassess blood pressure:150/90 and client reports no shortness of breath, no chest pain. PHN provided ER precautions and advised client see PCP about rash. Client completed 30 minute observation and rash still noted on chest and neck. Client reports no difficulty breathing and that she "feels fine to drive."  Client left facility at 4:46pm walking out with a steady gait, unassisted.
Age: 16.0
Sex: M
Vaccine: FLUR4
Symptoms: Expired product administered, Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was administered an expired, 10 May 21, Flublok instead of an unexpired Fluzone at 1548. The patient was administered a COVID-19 Pfizer vaccine at the same visit. He was monitored for 15 minutes before being allowed to leave the clinic at 1602. The patient showed no signs of an adverse reaction to the vaccine when he left the clinic. Once I was aware of the medication error, I informed my clinic manager and physician of the medication error. I contacted the patient's mother @ 1757 and informed her of the medication error.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Blood test, Computerised tomogram, Deafness unilateral, Magnetic resonance imaging
Clinical narrative: 9 days after 2nd dose experience sudden onset vertigo and hearing loss in left ear. Vertigo went away over next 48 hours, but hearing loss has persisted.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: 9 days after 2nd dose experience sudden onset vertigo and hearing loss in left ear. Vertigo went away over next 48 hours, but hearing loss has persisted.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Cardiac discomfort, Chest discomfort, Dyspnoea, Palpitations
Clinical narrative: Increased Heart palpitations, feeling of chest tightness, tightness In heart, pain/squeezing in heart, shortness of breath and slight vertigo. Symptoms increase when I take my Buspar or medical marijuana
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Increased Heart palpitations, feeling of chest tightness, tightness In heart, pain/squeezing in heart, shortness of breath and slight vertigo. Symptoms increase when I take my Buspar or medical marijuana
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itching
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Echocardiogram normal, Electrocardiogram ambulatory normal, Electrocardiogram normal, Palpitations
Clinical narrative: Heart palpitations at night.  I went to the ER two straight nights.  After numerous heart tests, nothing has been found.  My doctor has suggested stress could be the cause; however, this is the first time such issues have ever occurred.  Given recent news, I felt I needed to report it as a potential side effect.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep study normal, Stress
Clinical narrative: Heart palpitations at night.  I went to the ER two straight nights.  After numerous heart tests, nothing has been found.  My doctor has suggested stress could be the cause; however, this is the first time such issues have ever occurred.  Given recent news, I felt I needed to report it as a potential side effect.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Inappropriate schedule of product administration, Pain, Palpitations, Pyrexia
Clinical narrative: Patient was given the 2nd dose 21 days after 1st dose. Patient described more severe side effects such as fatigue, fever, body ache, and heart palpitation
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Ageusia, Anosmia, Chest pain
Clinical narrative: Patient is a 62 y.o. female with a history of HIV on retroviral therapy, CAD status post CABG presenting to the emergency department with generalized fatigue and chest pain.  Patient reports feeling unwell ever since receiving her second dose of the Covid vaccine on May 28.  Describes decreased appetite, burning constant chest pain and shortness of breath worsened with exertion.  Reports that the symptoms are similar to prior heart attack.  Also reports intermittent burning epigastric/right upper quadrant abdominal pain sometimes worsening with eating, denies other exacerbating factors.  Endorses nausea, no vomiting.  Also reports productive cough, loss of taste and smell
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Decreased appetite, Dyspnoea, Dyspnoea exertional, Fatigue
Clinical narrative: Patient is a 62 y.o. female with a history of HIV on retroviral therapy, CAD status post CABG presenting to the emergency department with generalized fatigue and chest pain.  Patient reports feeling unwell ever since receiving her second dose of the Covid vaccine on May 28.  Describes decreased appetite, burning constant chest pain and shortness of breath worsened with exertion.  Reports that the symptoms are similar to prior heart attack.  Also reports intermittent burning epigastric/right upper quadrant abdominal pain sometimes worsening with eating, denies other exacerbating factors.  Endorses nausea, no vomiting.  Also reports productive cough, loss of taste and smell
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Magnetic resonance imaging normal, Malaise, Nausea, Productive cough
Clinical narrative: Patient is a 62 y.o. female with a history of HIV on retroviral therapy, CAD status post CABG presenting to the emergency department with generalized fatigue and chest pain.  Patient reports feeling unwell ever since receiving her second dose of the Covid vaccine on May 28.  Describes decreased appetite, burning constant chest pain and shortness of breath worsened with exertion.  Reports that the symptoms are similar to prior heart attack.  Also reports intermittent burning epigastric/right upper quadrant abdominal pain sometimes worsening with eating, denies other exacerbating factors.  Endorses nausea, no vomiting.  Also reports productive cough, loss of taste and smell
Sex: U
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lympb nodes
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Decreased appetite, Dyspnoea
Clinical narrative: Two days after I had my second Moderna shot, I began having severe shortness of breath, no appetite and chest pain.    On the 2nd day  after my flu-like symptoms had disappeared, I woke up feeling like someone was sitting on the middle of my chest.  I have never in my life experienced that before and it scared me to death! I was also have sporadic shortness of breath over the silliest of things - like vacuuming, walking up a few stairs, washing dishes, etc.   Keep in mind - I have exercised all my life so this was very unusual for me.    The tightness in my chest happened several times over the next few weeks - at different times of day and night - and even in bed.  All those symptoms disappeared about 2 months after the second shot.  After reading some people had heart inflmation after the second dose, I Googled it and alot of those symptoms were the same ones I had.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Feeling abnormal, Feeling jittery, Pain
Clinical narrative: The side effects I still have to this day are tingling in my left arm (it comes and goes but it is daily) and tinnitus.  I remember the tingling started a few days after the shot and I've had every day since, Tinnitus about the same.  I also have on and off loose bowels -- still. My diet and physical activity have been about the same long before and after I had the second shot, but my digestive system has been different.  I'll note the other side effects I had that went away -- just so you have all the information. 12 hours after I had the second shot I suddenly felt jittery and had a fever of 100.7. It was late so I took tylenol and went to bed. Woke up feeling fine. Was a little achy and tired later in the morning. I took tylenol and after that wore off I felt completely fine.  I also have felt I've had on and off brain fog. I can have that anyway but I would say it felt the worst 2 weeks ago.  Even though my ongoing side effects are not severe, it seems odd that I still have them over a month later so I thought I should report them.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia, Tinnitus
Clinical narrative: The side effects I still have to this day are tingling in my left arm (it comes and goes but it is daily) and tinnitus.  I remember the tingling started a few days after the shot and I've had every day since, Tinnitus about the same.  I also have on and off loose bowels -- still. My diet and physical activity have been about the same long before and after I had the second shot, but my digestive system has been different.  I'll note the other side effects I had that went away -- just so you have all the information. 12 hours after I had the second shot I suddenly felt jittery and had a fever of 100.7. It was late so I took tylenol and went to bed. Woke up feeling fine. Was a little achy and tired later in the morning. I took tylenol and after that wore off I felt completely fine.  I also have felt I've had on and off brain fog. I can have that anyway but I would say it felt the worst 2 weeks ago.  Even though my ongoing side effects are not severe, it seems odd that I still have them over a month later so I thought I should report them.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Pain
Clinical narrative: Chills / Body Aches / Cold Sweat
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I experienced a minor recurrence of shingles less than two weeks after receiving the Pfizer Covid19 vaccine, in spite of having received the Shingrix vaccine in the past. The vesicles appeared on my right upper shoulder blade. The infection was treated with a short course of Valtrex, which cleared it within a week.  I had previously suffered a very serious case of shingles in the early 1990s.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Eye pruritus, Fear
Clinical narrative: I have been sick every day with fever, heavy chest pains, like a brick on my chest, shivering, muscles aches and itchy skin and eyes?
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pruritus
Clinical narrative: I have been sick every day with fever, heavy chest pains, like a brick on my chest, shivering, muscles aches and itchy skin and eyes?
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: My tongue has a tingling sensation. It's intensity ranges from very mild to moderate. I have been unable to determine if there foods or drinks that make it worse or time of day.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Injection site swelling, Joint swelling, X-ray normal
Clinical narrative: Severe shoulder pain vax site spreading to other shoulder. Numbness right side of face. Large swelling left shoulder below vaccination site.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Atrioventricular block, Blood test, Cardiac monitoring, Chest X-ray abnormal, Chest pain
Clinical narrative: Admitted to Tri-Valley Medical/Stanford in Pleasanton, CA for shortness of breath and chest pain, on June 1st. Diagonosed with Pulmonary Embolism in Right Lung.  Admitted to Tri-Valley Medical/Stanford in Pleasanton, CA on June 14th for shortness of breath and chest pain, later diagnosed with a Heart Block
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Dyspnoea, Pulmonary embolism
Clinical narrative: Admitted to Tri-Valley Medical/Stanford in Pleasanton, CA for shortness of breath and chest pain, on June 1st. Diagonosed with Pulmonary Embolism in Right Lung.  Admitted to Tri-Valley Medical/Stanford in Pleasanton, CA on June 14th for shortness of breath and chest pain, later diagnosed with a Heart Block
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Client reported that the same evening she had fatigue, fever, chills, and pressure headache that lasted 14 days.  Client was approved for 2nd dose.  Client had no reactions during her 30 minute observation.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Areflexia, Arthralgia, Asthenia, Dysaesthesia, Electromyogram
Clinical narrative: Shortly after receiving my second dose of the Pfizer vaccine on 30 Mar 2021, there was insidious and unilateral onset of pain of the left shoulder that quickly amplified in severity and intensity.  This pain was subsequently replaced over the ensuing days and weeks with progressive weakness, reflex changes, and sensory abnormalities in shoulder girdle musculature and proximal upper limb. The progressive neurologic deficits of motor weakness, dysesthesias, and numbness have persisted.  Subsequent tests (MRIs and EMGs) have been ordered to confirm and/or rule out possible causes of the event.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging neck, Magnetic resonance imaging spinal, Motor dysfunction, Neurological symptom
Clinical narrative: Shortly after receiving my second dose of the Pfizer vaccine on 30 Mar 2021, there was insidious and unilateral onset of pain of the left shoulder that quickly amplified in severity and intensity.  This pain was subsequently replaced over the ensuing days and weeks with progressive weakness, reflex changes, and sensory abnormalities in shoulder girdle musculature and proximal upper limb. The progressive neurologic deficits of motor weakness, dysesthesias, and numbness have persisted.  Subsequent tests (MRIs and EMGs) have been ordered to confirm and/or rule out possible causes of the event.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Sensory loss
Clinical narrative: Shortly after receiving my second dose of the Pfizer vaccine on 30 Mar 2021, there was insidious and unilateral onset of pain of the left shoulder that quickly amplified in severity and intensity.  This pain was subsequently replaced over the ensuing days and weeks with progressive weakness, reflex changes, and sensory abnormalities in shoulder girdle musculature and proximal upper limb. The progressive neurologic deficits of motor weakness, dysesthesias, and numbness have persisted.  Subsequent tests (MRIs and EMGs) have been ordered to confirm and/or rule out possible causes of the event.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Pyrexia
Clinical narrative: Dizziness and vertigo, particularly when turning head to the left.  Began the evening of the second dose, and continued on for 5 additional days. This was above and beyond the other effects:  chills, low grade fever for 36 hours, fatigue, headache.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Dizziness and vertigo, particularly when turning head to the left.  Began the evening of the second dose, and continued on for 5 additional days. This was above and beyond the other effects:  chills, low grade fever for 36 hours, fatigue, headache.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: When dilution was performed.  1.9 ml of NaCl was used instead of 1.8ml.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cough, Fatigue, Feeling abnormal, Headache
Clinical narrative: Within 24 hours felt fatigued and arm soreness, mild body aches. Within one week felt joint pains which are ongoing (wrist, knees). Fatigue continues to -date and is not improving. Taking daily naps and not feeling rested.  Feel in a fog and constantly tired. Occasional headaches. Congestion for the last 3 weeks and mild dry cough. No fever. Hot flashes worsened.  Night sweats have worsened.  Fatigued and lethargic continues
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Nasal congestion, Night sweats, Pain, Pain in extremity
Clinical narrative: Within 24 hours felt fatigued and arm soreness, mild body aches. Within one week felt joint pains which are ongoing (wrist, knees). Fatigue continues to -date and is not improving. Taking daily naps and not feeling rested.  Feel in a fog and constantly tired. Occasional headaches. Congestion for the last 3 weeks and mild dry cough. No fever. Hot flashes worsened.  Night sweats have worsened.  Fatigued and lethargic continues
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received the Johnson and Johnson vaccination on 4/6/21 from facility. The patient presented to pharmacy for COVID-19 vaccination on 5/13/21 and received the first dose of Pfizer vaccination. The patient reported that a vaccine was given in April for the flu shot. Unknown if Rph who administered the vaccination checked the online system to verify if patient was previously vaccinated .  When checking system on 6/16/21, the pharmacy noted this possible error. The pharmacy attempted to contact the patient and the phone number provided was no longer in service.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bone pain, Injection site pain, Motor dysfunction
Clinical narrative: area where I received the shot on the left arm kept hurting for a week after second dose. Then the second week, it felt like my bone inside my left arm was hurting as well. It kept getting worse every week, and now I have issue holding anything with my left arm. The paint point is still the same where I received the shot.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac stress test, Chest discomfort, Chills, Computerised tomogram thorax
Clinical narrative: Uncontrollable shivering at 1:45 am following morning. Sat up with my wife and moved to the living room. Went unresponsive while sitting on couch for 45 seconds making a gurgling sound. I was disoriented when coming to and couldn?t hear. I went to the Er to be looked at and had a slightly abnormal ekg but felt comfortable discharging me even though my heart felt like it was squeezing.  I have since been dealing with more and more symptoms. Pain and numbness., shortness of breath, chronic pain, skin inflammation , palpitations, heart squeezing,  headaches, muscle weakness, facial numbness and pain, neurological symptoms  in limbs.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Disorientation, Electromyogram, Facial pain, Heart transplant
Clinical narrative: Uncontrollable shivering at 1:45 am following morning. Sat up with my wife and moved to the living room. Went unresponsive while sitting on couch for 45 seconds making a gurgling sound. I was disoriented when coming to and couldn?t hear. I went to the Er to be looked at and had a slightly abnormal ekg but felt comfortable discharging me even though my heart felt like it was squeezing.  I have since been dealing with more and more symptoms. Pain and numbness., shortness of breath, chronic pain, skin inflammation , palpitations, heart squeezing,  headaches, muscle weakness, facial numbness and pain, neurological symptoms  in limbs.