chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Flushing, Hyperhidrosis, Lacrimation increased
Clinical narrative: Pt w/ allergy to Penicillin (hives). PMH Psoriasis, HTN, HLD, GERD, CAD (NSTEMI 1/20), anxiety, carpal tunnel. PSH Nerve repair Left index finger, Cardiac Cath.  1/2020 hospitalization for NSTEMI:    s/p cardiac cath on 1/30/2020, which showed dominant RCA with proximal 70% lesion followed by 99% mid RCA lesion (LM/LAD/LCx without significant CAD) now s/p PCI of mid RCA with 3.0 x 15 mm Onyx DES and PCI of proximal RCA with 3.5 x 22 mm Onyx DES.   Today, via Spanish interpreter) , he reports that he has localized right chest discomfort 2/2 right arm tingling and pain when he received the vaccine today. Pt also has flushing/sweating. He is alert and oriented x 4. He was very "anxious" and tears in his eyes. He states that he has "panic attacks" in the past and he feels very "anxious" after getting the shot.  C/o tingling and pain right arm.    Pt given 2L O2 via NC. Slowly sx of chest discomfort resolved after 5 min.  Pt stable and released from the vaccination site.  Pt verbalized "he feels fine now". VSS. His is back to baseline. Right arm pain resolved, tingling improved. Denies CP, dizziness, HA, or palpitations. His son is  driving him home. Instructed patient to rest at home.  He has NTG prn for CP. ED precautions discussed. If CP recurs, he agrees to call 911. FU with PCP if right arm numbness and tingling are worsening or persist after 3 days or CP/pain/palpitations/HAs/syncope.  Current medications: acetaminophen (TYLENOL) 500 MG tablet Take 1 tablet by mouth every 6 (six) hours as needed for Pain. adalimumab (HUMIRA) 40 mg/0.8 mL subcutaneous injection pen kit Inject 0.8 mLs into the skin every 14 (fourteen) days. aspirin 81 MG EC tablet Take 1 tablet by mouth daily. atorvastatin (LIPITOR) 40 MG tablet Take 1 tablet by mouth at bedtime. carvedilol (COREG) 6.25 MG tablet Take 2 pills by mouth in the morning and 1 pill in the evening famotidine (PEPCID) 20 MG tablet Take 1 tablet by mouth 2 (two) times daily. gabapentin (NEURONTIN) 300 MG capsule Take 1 capsule by mouth 3 (three) times daily. For hand numbness hydrocortisone 2.5 % cream Apply to affected areas 2 (two) times daily. lisinopril (PRINIVIL,ZESTRIL) 10 MG tablet Take 1 tablet by mouth daily. loratadine (CLARITIN) 10 mg tablet Take 1 tablet by mouth daily. nitroglycerin (NITROSTAT) 0.4 MG SL tablet Dissolve 1 tablet under tongue every 5 minutes as needed for chest pain, max 3 tablets. If pain continues 5 minutes from first dose call 911
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Pt w/ allergy to Penicillin (hives). PMH Psoriasis, HTN, HLD, GERD, CAD (NSTEMI 1/20), anxiety, carpal tunnel. PSH Nerve repair Left index finger, Cardiac Cath.  1/2020 hospitalization for NSTEMI:    s/p cardiac cath on 1/30/2020, which showed dominant RCA with proximal 70% lesion followed by 99% mid RCA lesion (LM/LAD/LCx without significant CAD) now s/p PCI of mid RCA with 3.0 x 15 mm Onyx DES and PCI of proximal RCA with 3.5 x 22 mm Onyx DES.   Today, via Spanish interpreter) , he reports that he has localized right chest discomfort 2/2 right arm tingling and pain when he received the vaccine today. Pt also has flushing/sweating. He is alert and oriented x 4. He was very "anxious" and tears in his eyes. He states that he has "panic attacks" in the past and he feels very "anxious" after getting the shot.  C/o tingling and pain right arm.    Pt given 2L O2 via NC. Slowly sx of chest discomfort resolved after 5 min.  Pt stable and released from the vaccination site.  Pt verbalized "he feels fine now". VSS. His is back to baseline. Right arm pain resolved, tingling improved. Denies CP, dizziness, HA, or palpitations. His son is  driving him home. Instructed patient to rest at home.  He has NTG prn for CP. ED precautions discussed. If CP recurs, he agrees to call 911. FU with PCP if right arm numbness and tingling are worsening or persist after 3 days or CP/pain/palpitations/HAs/syncope.  Current medications: acetaminophen (TYLENOL) 500 MG tablet Take 1 tablet by mouth every 6 (six) hours as needed for Pain. adalimumab (HUMIRA) 40 mg/0.8 mL subcutaneous injection pen kit Inject 0.8 mLs into the skin every 14 (fourteen) days. aspirin 81 MG EC tablet Take 1 tablet by mouth daily. atorvastatin (LIPITOR) 40 MG tablet Take 1 tablet by mouth at bedtime. carvedilol (COREG) 6.25 MG tablet Take 2 pills by mouth in the morning and 1 pill in the evening famotidine (PEPCID) 20 MG tablet Take 1 tablet by mouth 2 (two) times daily. gabapentin (NEURONTIN) 300 MG capsule Take 1 capsule by mouth 3 (three) times daily. For hand numbness hydrocortisone 2.5 % cream Apply to affected areas 2 (two) times daily. lisinopril (PRINIVIL,ZESTRIL) 10 MG tablet Take 1 tablet by mouth daily. loratadine (CLARITIN) 10 mg tablet Take 1 tablet by mouth daily. nitroglycerin (NITROSTAT) 0.4 MG SL tablet Dissolve 1 tablet under tongue every 5 minutes as needed for chest pain, max 3 tablets. If pain continues 5 minutes from first dose call 911
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: Patient fainted for a few seconds within a couple minutes of vaccine. He the was shaking uncontrollably for a few seconds. We laid him down as per his request. We called 911. BP was 119/94. Fire dpt arrived and BP was 81/31 then 84/42. EMS arrived and took him into ambulance. Within 15-20 minutes, BP returned to normal and EMS sent patient home. We informed the MD and patient not to get her second one.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Inflammation, Joint stiffness
Clinical narrative: The same day I had uncontrollable chills and tiredness.  A few days later, maybe March 1, I had joint stiffness in my hands, knees, ankles and feet.  To this day I still have the inflammation.  It is more pronounced at night, but is still present during the day. I have taken Tylenol, but have not seen any improvement.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Craniotomy
Clinical narrative: Patient hospitalized for s/p craniotomy within 6 weeks of receiving COVID vaccination.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram normal, Fatigue, Headache
Clinical narrative: Patient reports receiving his first Pfizer vaccine on 02/08/2021.  The following day, he experienced fatigue and headache.  He received his second Pfizer vaccine on 03/01/2021.  The following day, he reports experiencing worsening headaches and extreme fatigue.  He states that headaches increased in severity and frequency over the next month, so he saw his PCP, who ordered a head CT scan.  He does not remember the exact date, but it has been "about a month" ago.  CT scan was normal per the patient report.  He has continued to experience up to 4 headaches per day, and takes Tylenol with little to no relief.  Patient states his PCP referred him to a neurologist, with whom he cannot get an appointment until September.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received the dose after manufacturer recommended freezer storage duration.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received Pfizer as their 2nd dose instead as Moderna, which was their 1st dose.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Cellulitis, Culture negative, Eczema, Erythema
Clinical narrative: The initial symptoms were flu-like; elevated temperature; I didn't get to the point that I was having chills but I kept getting really cold. It started aggravating my eczema (I have had eczema since I was a kid). The skin stuff is ongoing. It started on my legs, back of knees and then my inner thighs and then my calves and arms. It's still kind of on my arms (inside my elbow down and up). The doctor had me get compression stockings when my ankle wound was healed and those didn't have cotton on them and they created two spots around my lower legs near both of my ankles and that seemed to all blow up and get more irritated and red and that stuff is just starting to get healed. It's still problematic. They gave me Cephalexin  (that took care of the initial parts that wasn't healing around the ankles) but it was making me itchier). They told me to use Neosporin and polysporin and put a Telfa pad over the wound area. I've been off med that for three week and it's still like an increase eczema symptoms are still around. The doctor is calling it Cellulitis Dermatitis and Venous insufficiency and Eczema is what the doctor is calling it. Also, It's 100 and something degrees temperature outside and I still have times and I feel cold. It doesn't get to the point that my teeth are chattering but it's just an odd feeling.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Influenza like illness, Peripheral venous disease, Pruritus, Skin irritation
Clinical narrative: The initial symptoms were flu-like; elevated temperature; I didn't get to the point that I was having chills but I kept getting really cold. It started aggravating my eczema (I have had eczema since I was a kid). The skin stuff is ongoing. It started on my legs, back of knees and then my inner thighs and then my calves and arms. It's still kind of on my arms (inside my elbow down and up). The doctor had me get compression stockings when my ankle wound was healed and those didn't have cotton on them and they created two spots around my lower legs near both of my ankles and that seemed to all blow up and get more irritated and red and that stuff is just starting to get healed. It's still problematic. They gave me Cephalexin  (that took care of the initial parts that wasn't healing around the ankles) but it was making me itchier). They told me to use Neosporin and polysporin and put a Telfa pad over the wound area. I've been off med that for three week and it's still like an increase eczema symptoms are still around. The doctor is calling it Cellulitis Dermatitis and Venous insufficiency and Eczema is what the doctor is calling it. Also, It's 100 and something degrees temperature outside and I still have times and I feel cold. It doesn't get to the point that my teeth are chattering but it's just an odd feeling.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Heart rate increased, Rash erythematous, Swollen tongue, Tinnitus
Clinical narrative: SWELLING OF TOUNGE, HIGH HEART RATE, BLURRED VISION, RINGING IN EARS, METAL TAISTE IN MOUTH, RED RASH ON HEAD AND CHEST.  WAS TREATED AT THE EMERGENCY ROOM AND RELEASED.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: SWELLING OF TOUNGE, HIGH HEART RATE, BLURRED VISION, RINGING IN EARS, METAL TAISTE IN MOUTH, RED RASH ON HEAD AND CHEST.  WAS TREATED AT THE EMERGENCY ROOM AND RELEASED.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received the dose after manufacturer recommended freezer storage duration.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Chills, Headache, Lymphadenopathy, Malaise
Clinical narrative: So about 4/4:30pm the evening of my vaccine I had a low fever, aches and chills that type of thing. Then around 6:30pm I started throwing up continually for several hours. I called someone and at 10:15pm they took me to the ER. They put me on an IV with anti-nausea medication and within 2-3 hours I was feeling better, and they sent me home. Then after that I just had the general not feeling well - the aches, chills, headache. The next day I was not feeling very good still and then the following morning after that I was pretty much back to normal. I don't know if this pertains or not but at the end of May I had a mammogram and I had a lump in my breast and then a couple weeks ago they did more tests and they saw I had an enlarged lymph node, and that is abnormal for me that has happened since my vaccination.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Mammogram abnormal, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: So about 4/4:30pm the evening of my vaccine I had a low fever, aches and chills that type of thing. Then around 6:30pm I started throwing up continually for several hours. I called someone and at 10:15pm they took me to the ER. They put me on an IV with anti-nausea medication and within 2-3 hours I was feeling better, and they sent me home. Then after that I just had the general not feeling well - the aches, chills, headache. The next day I was not feeling very good still and then the following morning after that I was pretty much back to normal. I don't know if this pertains or not but at the end of May I had a mammogram and I had a lump in my breast and then a couple weeks ago they did more tests and they saw I had an enlarged lymph node, and that is abnormal for me that has happened since my vaccination.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Cytogenetic abnormality, Foetal heart rate abnormal, Placental transfusion syndrome, Subchorionic haemorrhage
Clinical narrative: Missed miscarriage of 11 week old, mo/di identical twins. Discovered as lack of heartbeat on ultrasound on June 21.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound antenatal screen abnormal
Clinical narrative: Missed miscarriage of 11 week old, mo/di identical twins. Discovered as lack of heartbeat on ultrasound on June 21.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site erythema, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: My lymph nodes in my arm pit swell and caused my arm to go numb. My arm at the injection shot was red, swell, and hot all the way down to my elbow.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Rash, Throat tightness
Clinical narrative: Pt reported that they developed a rash, throat swelling/closure after the first dose.  Pt was presenting for second dose on 6/22. Unknown time course for development/resolution of reaction. Pt also has an allergy to Peanut butter flavor (SOB) and Egg (rash)
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered lot #047B21A, but lot #008C21A (exp: 5/20/2021) was logged on forms. Lot #047B21A expired on 5/13/2021.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Patient developed redness around the site of injection.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received the dose after manufacturer recommended freezer storage duration.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pityriasis rosea, Pruritus, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Red, itchy hives/rash that started on my chest and spread to torso (mostly on the left side) front and back; gradually spread to arms and legs.  Small itchy spots first appeared in mid-April and stayed small until early June, when the rash began intensifying and spreading.  It seems to be fading now, and spreading has stopped.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Red, itchy hives/rash that started on my chest and spread to torso (mostly on the left side) front and back; gradually spread to arms and legs.  Small itchy spots first appeared in mid-April and stayed small until early June, when the rash began intensifying and spreading.  It seems to be fading now, and spreading has stopped.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Joint swelling
Clinical narrative: Left Elbow swelling & burning in left ankle.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Nausea
Clinical narrative: After waiting the necessary 15 minutes post vaccination, patient started to feel nauseated when she stood up to walk away. She made it a couple aisles away from the pharmacy and felt weak and she felt like she was going to throw up. So, patient dropped to her knees to avoid passing out. Patient was brought back to the pharmacy vaccine observation area and was giving a mat to lie on with a pillow and blanket. Patient was given a box of apple juice and a few minutes after patient felt much better, was no longer dizzy, weak or nauseated. Patient left area with mother after returning back to feeling normal.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered lot #047B21A, but lot #008C21A (exp: 5/20/2021) was logged on forms. Lot #047B21A expired on 5/13/2021.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Injection site pain
Clinical narrative: 6/23/2021 - pain at injection site, shortness of breath 6/24 /2021 - found dead in bed at 7AM
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Apnoeic attack, Cardiac arrest, Cough, Electrocardiogram abnormal
Clinical narrative: 6/23/2021 - pain at injection site, shortness of breath 6/24 /2021 - found dead in bed at 7AM
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling hot, Livedo reticularis, Lividity, Peripheral coldness, Pulse absent
Clinical narrative: 6/23/2021 - pain at injection site, shortness of breath 6/24 /2021 - found dead in bed at 7AM
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory arrest, Resuscitation, SARS-CoV-2 test negative, Supine position
Clinical narrative: 6/23/2021 - pain at injection site, shortness of breath 6/24 /2021 - found dead in bed at 7AM
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Injection site pain
Clinical narrative: Per ambulance run report: "Medic 4 responded to a female down not breathing. We arrived on scene to find patient supine lying across her bed with legs over the side. Her daughter woke this morning and found her pulseless and Apneic. She started CPR and called 911. Patient is very cold to the touch, mottled skin and levity in her lower extremities. Patient placed on 4 lead EKG and Asystole noted in all leads. Daughter said she had her second COVID-19 shot yesterday and last night she had a cough, complained of being hot. She got a glass of ice water and went to bed. Daughter said her father died from COVID in December, and her mother has been anxious and now takes medication for anxiety as well as hypertension. She also states her mom had a stroke several years ago."
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Apnoeic attack, Cardiac arrest, Cough, Electrocardiogram abnormal
Clinical narrative: Per ambulance run report: "Medic 4 responded to a female down not breathing. We arrived on scene to find patient supine lying across her bed with legs over the side. Her daughter woke this morning and found her pulseless and Apneic. She started CPR and called 911. Patient is very cold to the touch, mottled skin and levity in her lower extremities. Patient placed on 4 lead EKG and Asystole noted in all leads. Daughter said she had her second COVID-19 shot yesterday and last night she had a cough, complained of being hot. She got a glass of ice water and went to bed. Daughter said her father died from COVID in December, and her mother has been anxious and now takes medication for anxiety as well as hypertension. She also states her mom had a stroke several years ago."
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling hot, Livedo reticularis, Lividity, Peripheral coldness, Pulse absent
Clinical narrative: Per ambulance run report: "Medic 4 responded to a female down not breathing. We arrived on scene to find patient supine lying across her bed with legs over the side. Her daughter woke this morning and found her pulseless and Apneic. She started CPR and called 911. Patient is very cold to the touch, mottled skin and levity in her lower extremities. Patient placed on 4 lead EKG and Asystole noted in all leads. Daughter said she had her second COVID-19 shot yesterday and last night she had a cough, complained of being hot. She got a glass of ice water and went to bed. Daughter said her father died from COVID in December, and her mother has been anxious and now takes medication for anxiety as well as hypertension. She also states her mom had a stroke several years ago."
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory arrest, Resuscitation, SARS-CoV-2 test negative, Supine position
Clinical narrative: Per ambulance run report: "Medic 4 responded to a female down not breathing. We arrived on scene to find patient supine lying across her bed with legs over the side. Her daughter woke this morning and found her pulseless and Apneic. She started CPR and called 911. Patient is very cold to the touch, mottled skin and levity in her lower extremities. Patient placed on 4 lead EKG and Asystole noted in all leads. Daughter said she had her second COVID-19 shot yesterday and last night she had a cough, complained of being hot. She got a glass of ice water and went to bed. Daughter said her father died from COVID in December, and her mother has been anxious and now takes medication for anxiety as well as hypertension. She also states her mom had a stroke several years ago."
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Incomplete course of vaccination, Interchange of vaccine products
Clinical narrative: Patient received 1st dose of Moderna on 2/24/2021 never returned for final dose and later came back to restart doses with Pfizer. Both Pfizer doses were administered to patient 1st dose 5/25/2021 & 2nd dose 6/22/2021.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received the dose after manufacturer recommended freezer storage duration.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Decreased appetite, Diarrhoea, Laboratory test, Nausea
Clinical narrative: Lost of appetite, stomach cramping, nausea  and diarrhea
Age: 36.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Electrocardiogram, Hypotension, Laboratory test, Loss of consciousness
Clinical narrative: Pt arrived for first dose of Pfizer vaccine, no history of reactions to vaccines and no known allergies. Patient did fine initially after her shot, dad denies patient feeling anxious and nurses noted patient seemed calm before and after her vaccine. Pt was sitting/leaning on dad towards the end of her 15 mins, he then felt her become heavy on his arm and noticed she had passed out. Observation nurse and another nurse working the clinic got the patient on her side (she was on a bench seat) and took vitals, put a cold water bottle behind her neck. Initially her bp was low (88/62) and progressively became higher, getting up to 146/98 at one point. Pulse/Respirations were WNL. Patient was in and out of consciousness so EMS was called and transported to Hospital emergency department.  Patient evaluated with EKG, labs, and neurology consult.  Urinalysis consistent with urinary tract infection.  Patient discharged from emergency department with antibiotics and follow-up with primary care provider.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Pt arrived for first dose of Pfizer vaccine, no history of reactions to vaccines and no known allergies. Patient did fine initially after her shot, dad denies patient feeling anxious and nurses noted patient seemed calm before and after her vaccine. Pt was sitting/leaning on dad towards the end of her 15 mins, he then felt her become heavy on his arm and noticed she had passed out. Observation nurse and another nurse working the clinic got the patient on her side (she was on a bench seat) and took vitals, put a cold water bottle behind her neck. Initially her bp was low (88/62) and progressively became higher, getting up to 146/98 at one point. Pulse/Respirations were WNL. Patient was in and out of consciousness so EMS was called and transported to Hospital emergency department.  Patient evaluated with EKG, labs, and neurology consult.  Urinalysis consistent with urinary tract infection.  Patient discharged from emergency department with antibiotics and follow-up with primary care provider.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received the dose after manufacturer recommended freezer storage duration.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder, Hyperhidrosis, Loss of consciousness, Nausea
Clinical narrative: Patient stated she started to feel dizzy and nauseated. I gave her a bottle of soda. As I was about to check her blood pressure, she seemed to lose consciousness. Her eyes rolled back in her head, and she seemed to be out of it for a few seconds. She came back to about 10 seconds later. She was pale, sweating, and had urinated on herself. I gave her a cold rag to wipe her face off. We called 911. Kept reminding the patient to take slow, deep breaths. Ambulance came and checked patient out, but she refused to be transported to hospital. I called to check on the patient later that night. She stated she had taken a nap when she got home, but was overall feeling better
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Urinary incontinence
Clinical narrative: Patient stated she started to feel dizzy and nauseated. I gave her a bottle of soda. As I was about to check her blood pressure, she seemed to lose consciousness. Her eyes rolled back in her head, and she seemed to be out of it for a few seconds. She came back to about 10 seconds later. She was pale, sweating, and had urinated on herself. I gave her a cold rag to wipe her face off. We called 911. Kept reminding the patient to take slow, deep breaths. Ambulance came and checked patient out, but she refused to be transported to hospital. I called to check on the patient later that night. She stated she had taken a nap when she got home, but was overall feeling better
Age: 82.0
Sex: M
Vaccine: PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: gave patient an expired vaccine, Vaccine exp date 06/12/21 given 06/14/21 No adverse reactions Patient is going to get repeat dose when he has his next appointment with our clinic
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Urticaria  and rash 7 days after first dose.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Muscle spasms, Pyrexia, Rash
Clinical narrative: I had a slight fever the night of the vaccine. The next day I had back pain. Three days after, I was in the ER for four hours with back muscle spasms. I did have covid in April. I had a ultrasound done a week or two ago because I had developed lumps in my shins. They thought it could be blood clots, but it was not. My Doctor advised me to not get the second dose.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal
Clinical narrative: I had a slight fever the night of the vaccine. The next day I had back pain. Three days after, I was in the ER for four hours with back muscle spasms. I did have covid in April. I had a ultrasound done a week or two ago because I had developed lumps in my shins. They thought it could be blood clots, but it was not. My Doctor advised me to not get the second dose.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Swelling of eyelid
Clinical narrative: facial rash and eyelid swelling
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Fever/fatigue/dizziness/site soreness afternoon and evening of June 17. Sore arm lasted about four days. Fever/fatigue/dizziness resolved within 24 hour. Red, feverish patch on skin around injection site beginning June 25.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pain in extremity, Pyrexia
Clinical narrative: Fever/fatigue/dizziness/site soreness afternoon and evening of June 17. Sore arm lasted about four days. Fever/fatigue/dizziness resolved within 24 hour. Red, feverish patch on skin around injection site beginning June 25.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Dysmenorrhoea, Fatigue, Hypomenorrhoea, Menstruation delayed
Clinical narrative: My period was 2 weeks late which is uncommon and when it did start the worse cramps, the period was lighter than normal, and I was extra fatigued.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Ear disorder, Electrocardiogram normal, Electroencephalogram, Fall
Clinical narrative: Within 2 hours of the vaccine, patient was experiencing nausea and general feeling of unwellness. Within 3 hours, patient had a fever of 99.9. At 11 pm, patient had a fever of 100. Mother administered Tylenol and patient went to bed. Patient woke up around 4:30 am with her whole body shaking uncontrollably. Mother heard her stirring and went to check on her. Her temperature was 100. Mother sat and talked with her and offered a snack, drink, and more Tylenol. Mother checked her pulse, which was normal. Patient was coherent and able to communicate. Mother left the room to get snack and drink and heard something fall over in patient's room and Mother called out and waited a few seconds for a response. Patient did not respond. Mother went back in the room, as it was unusual for patient not to respond, and found patient sitting back up and placing her head in her hands, stating in a panicked voice that she felt she was going to throw up and that she was very hot and that her head hurt really bad. Patient stated that her ears felt weird and everything went black and she somehow fell over from a sitting position on her bed to laying on her bed and had landed on the dog. Patient was unaware that she had knocked over her water bottle and had no recollection of the loud sound it made as it fell over (unusual because loud sounds are very startling for her). The shaking subsided to a tremor a few minutes after the black out. Patient then reported feeling very cold and her temperature had risen to 101. Patient complained of an extreme headache and continued nausea. Mother took patient to Urgent Care, who performed bloodwork and an EKG, and then referred patient to the Emergency Room for an EEG.  ER repeated EKG and declined to do EEG and told patient to follow up with her doctor in 5 - 7 days.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Feeling hot, Headache, Loss of consciousness, Malaise
Clinical narrative: Within 2 hours of the vaccine, patient was experiencing nausea and general feeling of unwellness. Within 3 hours, patient had a fever of 99.9. At 11 pm, patient had a fever of 100. Mother administered Tylenol and patient went to bed. Patient woke up around 4:30 am with her whole body shaking uncontrollably. Mother heard her stirring and went to check on her. Her temperature was 100. Mother sat and talked with her and offered a snack, drink, and more Tylenol. Mother checked her pulse, which was normal. Patient was coherent and able to communicate. Mother left the room to get snack and drink and heard something fall over in patient's room and Mother called out and waited a few seconds for a response. Patient did not respond. Mother went back in the room, as it was unusual for patient not to respond, and found patient sitting back up and placing her head in her hands, stating in a panicked voice that she felt she was going to throw up and that she was very hot and that her head hurt really bad. Patient stated that her ears felt weird and everything went black and she somehow fell over from a sitting position on her bed to laying on her bed and had landed on the dog. Patient was unaware that she had knocked over her water bottle and had no recollection of the loud sound it made as it fell over (unusual because loud sounds are very startling for her). The shaking subsided to a tremor a few minutes after the black out. Patient then reported feeling very cold and her temperature had risen to 101. Patient complained of an extreme headache and continued nausea. Mother took patient to Urgent Care, who performed bloodwork and an EKG, and then referred patient to the Emergency Room for an EEG.  ER repeated EKG and declined to do EEG and told patient to follow up with her doctor in 5 - 7 days.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Tremor
Clinical narrative: Within 2 hours of the vaccine, patient was experiencing nausea and general feeling of unwellness. Within 3 hours, patient had a fever of 99.9. At 11 pm, patient had a fever of 100. Mother administered Tylenol and patient went to bed. Patient woke up around 4:30 am with her whole body shaking uncontrollably. Mother heard her stirring and went to check on her. Her temperature was 100. Mother sat and talked with her and offered a snack, drink, and more Tylenol. Mother checked her pulse, which was normal. Patient was coherent and able to communicate. Mother left the room to get snack and drink and heard something fall over in patient's room and Mother called out and waited a few seconds for a response. Patient did not respond. Mother went back in the room, as it was unusual for patient not to respond, and found patient sitting back up and placing her head in her hands, stating in a panicked voice that she felt she was going to throw up and that she was very hot and that her head hurt really bad. Patient stated that her ears felt weird and everything went black and she somehow fell over from a sitting position on her bed to laying on her bed and had landed on the dog. Patient was unaware that she had knocked over her water bottle and had no recollection of the loud sound it made as it fell over (unusual because loud sounds are very startling for her). The shaking subsided to a tremor a few minutes after the black out. Patient then reported feeling very cold and her temperature had risen to 101. Patient complained of an extreme headache and continued nausea. Mother took patient to Urgent Care, who performed bloodwork and an EKG, and then referred patient to the Emergency Room for an EEG.  ER repeated EKG and declined to do EEG and told patient to follow up with her doctor in 5 - 7 days.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after the expiration date of 04/28/21. Patient reports no adverse events.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Dysuria, Fatigue, Feeling abnormal
Clinical narrative: Extremely High Fever, Chills, Urination burning, Nausea, Headache, Sore Throat, Extreme Fatigue, Mental fog and unusual thoughts.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Extremely High Fever, Chills, Urination burning, Nausea, Headache, Sore Throat, Extreme Fatigue, Mental fog and unusual thoughts.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thinking abnormal
Clinical narrative: Extremely High Fever, Chills, Urination burning, Nausea, Headache, Sore Throat, Extreme Fatigue, Mental fog and unusual thoughts.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Heart rate increased, Nausea
Clinical narrative: Pt was given second dose in supine position due to reaction for first dose.  Pt c/o nausea, dizziness, rapid heart rate, and chest tightness @9:24 ~5mins after vaccination.  @9:24 BP 128/65, HR 80, RR 20 -- > @9:33 121/52, 79, 20.  Pt symptoms improved. Pt stable and released from the vaccination site w/ husband.  Recommended that the pt f/u with their healthcare provider.  Instructions provided.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chest discomfort, Chest pain, Diarrhoea, Dizziness
Clinical narrative: Tight chest pains, extreme nausea and upset stomach, diarrhea, dizziness
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Tight chest pains, extreme nausea and upset stomach, diarrhea, dizziness
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient requested to receive her second dose one day early due to her going out of the country and will be unable to receive her second dose within the 4-6 week period after her first dose. Confirmed with patient that there was no other time she could come in for her second dose on/after the 28th day before her trip.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received the dose after manufacturer recommended freezer storage duration.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the expiration date of 04/28/2021. Patient reported no adverse events.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral calcification, Cerebrovascular accident, Computerised tomogram head abnormal, Dysarthria, Echocardiogram
Clinical narrative: Slurring of speech. Went to hospital. Suspected Stroke, hospital administered tPA shot. Neurologist diagnosed a stroke caused by calcification.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Neurological examination abnormal, Ultrasound Doppler
Clinical narrative: Slurring of speech. Went to hospital. Suspected Stroke, hospital administered tPA shot. Neurologist diagnosed a stroke caused by calcification.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: pins and needles sensations that came and went in the fingers and toes, mostly the fingers.  getting better, but was "constant" and now a couple times a day.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A was logged. Lot#047B21A expired on 5/13/2021.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A was logged. Both lots expired on 5/13/2021.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Febrile neutropenia, Full blood count, Pneumonia, X-ray
Clinical narrative: Neutropenic fever and pneumonia
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the expiration date of 04/28/2021. Patient reports no adverse events.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fatigue, Pain in extremity, Paraesthesia, Throat tightness
Clinical narrative: RPh administered vaccine into left deltoid at 11:45am patient stated arm hurt and felt tingling in left arm/hand.  Patient felt too lightheaded to move so remained seated until about 12noon was able to move patient to waiting/observation area with Dad.  RPh continued to check in on patient.  12:20pm patient stated felt tired and still was having tingling in arm and soreness.  12:40pm patient presented back at Pharmacy counter stating she was having "tightness in the throat" and "getting worse". EMS contacted, then 12:45pm RPh administered EPiPen into left leg and patient taken to hospital for further evaluation/cardiac monitoring.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood potassium, Blood potassium decreased, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: RPh administered vaccine into left deltoid at 11:45am patient stated arm hurt and felt tingling in left arm/hand.  Patient felt too lightheaded to move so remained seated until about 12noon was able to move patient to waiting/observation area with Dad.  RPh continued to check in on patient.  12:20pm patient stated felt tired and still was having tingling in arm and soreness.  12:40pm patient presented back at Pharmacy counter stating she was having "tightness in the throat" and "getting worse". EMS contacted, then 12:45pm RPh administered EPiPen into left leg and patient taken to hospital for further evaluation/cardiac monitoring.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia oral, Lymphadenopathy, Myalgia
Clinical narrative: RPh administered vaccine into left deltoid at 11:45am patient stated arm hurt and felt tingling in left arm/hand.  Patient felt too lightheaded to move so remained seated until about 12noon was able to move patient to waiting/observation area with Dad.  RPh continued to check in on patient.  12:20pm patient stated felt tired and still was having tingling in arm and soreness.  12:40pm patient presented back at Pharmacy counter stating she was having "tightness in the throat" and "getting worse". EMS contacted, then 12:45pm RPh administered EPiPen into left leg and patient taken to hospital for further evaluation/cardiac monitoring.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Paraesthesia, Paraesthesia oral, Pharyngeal swelling, Pyrexia
Clinical narrative: RPh administered vaccine into left deltoid at 11:45am patient stated arm hurt and felt tingling in left arm/hand.  Patient felt too lightheaded to move so remained seated until about 12noon was able to move patient to waiting/observation area with Dad.  RPh continued to check in on patient.  12:20pm patient stated felt tired and still was having tingling in arm and soreness.  12:40pm patient presented back at Pharmacy counter stating she was having "tightness in the throat" and "getting worse". EMS contacted, then 12:45pm RPh administered EPiPen into left leg and patient taken to hospital for further evaluation/cardiac monitoring.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: RPh administered vaccine into left deltoid at 11:45am patient stated arm hurt and felt tingling in left arm/hand.  Patient felt too lightheaded to move so remained seated until about 12noon was able to move patient to waiting/observation area with Dad.  RPh continued to check in on patient.  12:20pm patient stated felt tired and still was having tingling in arm and soreness.  12:40pm patient presented back at Pharmacy counter stating she was having "tightness in the throat" and "getting worse". EMS contacted, then 12:45pm RPh administered EPiPen into left leg and patient taken to hospital for further evaluation/cardiac monitoring.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Blood pressure increased, Pharyngeal swelling, Rash, Rash pruritic
Clinical narrative: Patient requesting walk-in COVID-19 vaccine. Patient reported history of anaphylaxis to shellfish and iodine products during pre-vaccine screening and was told she would be observed for 30 minutes post vaccine, per protocol. Patient verbalized understanding. Vaccine administered. Patient observed for adverse reactions and verbally asked by nurse how she was feeling. Patient stated she was fine.  Approximately 15 minutes after vaccine was administered, patient requested some water, which she was given.  Nurse asked how she was feeling. Patient reported "It feels like I have something stuck in my throat." Sensation did not resolve with sips of water, nurse instructed clerk to call 911. Emergency cart was brought next to patient. Nurse drew up Epi. Patient was not in distress and continued to breathe unlabored. Nurse took patient's vital signs: heart beat was strong, steady, and a normal rate. BP was slightly elevated. Nurse uncertain whether clinical picture was consistent with anaphylaxis. Patient continued to breathe unlabored and stated throat felt the same: no better, no worse. Nurse called Clinic Nurse Supervisor by phone. Nurse Supervisor stated ?don?t give Epi unless you have to.? Nurse drew up IM Benadryl. Nurse used flashlight to look into patient?s throat and saw swelling. Nurse quickly explained to patient that this did appear to be mild anaphylaxis and that she did need the medications. Nurse administered Epi and then IM Benadryl, both to L thigh. EMS arrived shortly after and assessed patient. Vitals continued to be stable. Patient was transported to hospital.   Nurse called patient today (2 days post event). Patient reports is now doing fine. Patient reports at hospital she developed "itchy rash" on her neck. Patient was given additional dose of Benadryl prior to being discharged.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Sensation of foreign body
Clinical narrative: Patient requesting walk-in COVID-19 vaccine. Patient reported history of anaphylaxis to shellfish and iodine products during pre-vaccine screening and was told she would be observed for 30 minutes post vaccine, per protocol. Patient verbalized understanding. Vaccine administered. Patient observed for adverse reactions and verbally asked by nurse how she was feeling. Patient stated she was fine.  Approximately 15 minutes after vaccine was administered, patient requested some water, which she was given.  Nurse asked how she was feeling. Patient reported "It feels like I have something stuck in my throat." Sensation did not resolve with sips of water, nurse instructed clerk to call 911. Emergency cart was brought next to patient. Nurse drew up Epi. Patient was not in distress and continued to breathe unlabored. Nurse took patient's vital signs: heart beat was strong, steady, and a normal rate. BP was slightly elevated. Nurse uncertain whether clinical picture was consistent with anaphylaxis. Patient continued to breathe unlabored and stated throat felt the same: no better, no worse. Nurse called Clinic Nurse Supervisor by phone. Nurse Supervisor stated ?don?t give Epi unless you have to.? Nurse drew up IM Benadryl. Nurse used flashlight to look into patient?s throat and saw swelling. Nurse quickly explained to patient that this did appear to be mild anaphylaxis and that she did need the medications. Nurse administered Epi and then IM Benadryl, both to L thigh. EMS arrived shortly after and assessed patient. Vitals continued to be stable. Patient was transported to hospital.   Nurse called patient today (2 days post event). Patient reports is now doing fine. Patient reports at hospital she developed "itchy rash" on her neck. Patient was given additional dose of Benadryl prior to being discharged.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Stroke
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after the expiration date of 04/28/21. Patient reports no adverse events.