chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Monocyte count increased, Monocyte percentage, Nausea
Clinical narrative: Office visit - NP Chief Complaint: seen today, 3/4/2021, complaining of or following up for Fever (started today), Nausea (has nausea today), Abdominal Pain (c\o upper and lower abd pain has been constant for the last 3 days started on monday), Diarrhea (states she had diarrhea all day yesterday but has had no bm today), and Fatigue (pt states she is feeling very week today) . HPI Patient comes in to the office complaining of severe abdominal pain.  States the pain started on Monday and was less severe, stating the pain has escalated to a 9/10 today and "unbearable."  Pt. States she had diarrhea for a 24 hour period yesterday, but denies any bowel movement today.  Patient also complains of severe fatigue and states nausea with emesis a "few times over the last 4 days."  Patient states that on Tuesday her pain became "a little better," but states since that time it has worsened and is severe at approximately 1230 this morning."  Patient states she did not go to the ER because she "knew she had an appointment today."   BP 134/84 Pulse 104 Temp 101.6 °F (38.7 °C) Resp 20 SpO2 94% Abdominal:     General: There is distension.     Palpations: Abdomen is rigid.     Tenderness: There is generalized abdominal tenderness. There is guarding and rebound.     Comments: Tinkling bowel sounds noted to RLQ and RUQ with hypoactive bowel sounds to LUQ and LLQ.  Abdomen is rigid and guarding and rebound pain are noted with examination.     triaged to Emergency room:  HPI  75 y.o. female who presents with complaints of right upper quadrant pain since Monday reports is moderate to severe sharp better right upper quadrant without radiation better with rest and worse with movement   FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Calculus of gallbladder and bile duct with acute cholecystitis without obstruction  K80.62 574.60 2. Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC)  A41.9 038.9     995.91   Final Disposition Transfer to Another Facility current inpatient at Hospital
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count increased, Neutrophil percentage increased, Nitrite urine absent, Platelet count, Protein total normal
Clinical narrative: Office visit - NP Chief Complaint: seen today, 3/4/2021, complaining of or following up for Fever (started today), Nausea (has nausea today), Abdominal Pain (c\o upper and lower abd pain has been constant for the last 3 days started on monday), Diarrhea (states she had diarrhea all day yesterday but has had no bm today), and Fatigue (pt states she is feeling very week today) . HPI Patient comes in to the office complaining of severe abdominal pain.  States the pain started on Monday and was less severe, stating the pain has escalated to a 9/10 today and "unbearable."  Pt. States she had diarrhea for a 24 hour period yesterday, but denies any bowel movement today.  Patient also complains of severe fatigue and states nausea with emesis a "few times over the last 4 days."  Patient states that on Tuesday her pain became "a little better," but states since that time it has worsened and is severe at approximately 1230 this morning."  Patient states she did not go to the ER because she "knew she had an appointment today."   BP 134/84 Pulse 104 Temp 101.6 °F (38.7 °C) Resp 20 SpO2 94% Abdominal:     General: There is distension.     Palpations: Abdomen is rigid.     Tenderness: There is generalized abdominal tenderness. There is guarding and rebound.     Comments: Tinkling bowel sounds noted to RLQ and RUQ with hypoactive bowel sounds to LUQ and LLQ.  Abdomen is rigid and guarding and rebound pain are noted with examination.     triaged to Emergency room:  HPI  75 y.o. female who presents with complaints of right upper quadrant pain since Monday reports is moderate to severe sharp better right upper quadrant without radiation better with rest and worse with movement   FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Calculus of gallbladder and bile duct with acute cholecystitis without obstruction  K80.62 574.60 2. Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC)  A41.9 038.9     995.91   Final Disposition Transfer to Another Facility current inpatient at Hospital
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Protein urine absent, Protein urine present, Pulmonary granuloma, Pyrexia, Red blood cell count increased
Clinical narrative: Office visit - NP Chief Complaint: seen today, 3/4/2021, complaining of or following up for Fever (started today), Nausea (has nausea today), Abdominal Pain (c\o upper and lower abd pain has been constant for the last 3 days started on monday), Diarrhea (states she had diarrhea all day yesterday but has had no bm today), and Fatigue (pt states she is feeling very week today) . HPI Patient comes in to the office complaining of severe abdominal pain.  States the pain started on Monday and was less severe, stating the pain has escalated to a 9/10 today and "unbearable."  Pt. States she had diarrhea for a 24 hour period yesterday, but denies any bowel movement today.  Patient also complains of severe fatigue and states nausea with emesis a "few times over the last 4 days."  Patient states that on Tuesday her pain became "a little better," but states since that time it has worsened and is severe at approximately 1230 this morning."  Patient states she did not go to the ER because she "knew she had an appointment today."   BP 134/84 Pulse 104 Temp 101.6 °F (38.7 °C) Resp 20 SpO2 94% Abdominal:     General: There is distension.     Palpations: Abdomen is rigid.     Tenderness: There is generalized abdominal tenderness. There is guarding and rebound.     Comments: Tinkling bowel sounds noted to RLQ and RUQ with hypoactive bowel sounds to LUQ and LLQ.  Abdomen is rigid and guarding and rebound pain are noted with examination.     triaged to Emergency room:  HPI  75 y.o. female who presents with complaints of right upper quadrant pain since Monday reports is moderate to severe sharp better right upper quadrant without radiation better with rest and worse with movement   FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Calculus of gallbladder and bile duct with acute cholecystitis without obstruction  K80.62 574.60 2. Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC)  A41.9 038.9     995.91   Final Disposition Transfer to Another Facility current inpatient at Hospital
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell morphology normal, Red blood cell nucleated morphology, Red blood cells urine negative, Red cell distribution width normal, SARS-CoV-2 test negative
Clinical narrative: Office visit - NP Chief Complaint: seen today, 3/4/2021, complaining of or following up for Fever (started today), Nausea (has nausea today), Abdominal Pain (c\o upper and lower abd pain has been constant for the last 3 days started on monday), Diarrhea (states she had diarrhea all day yesterday but has had no bm today), and Fatigue (pt states she is feeling very week today) . HPI Patient comes in to the office complaining of severe abdominal pain.  States the pain started on Monday and was less severe, stating the pain has escalated to a 9/10 today and "unbearable."  Pt. States she had diarrhea for a 24 hour period yesterday, but denies any bowel movement today.  Patient also complains of severe fatigue and states nausea with emesis a "few times over the last 4 days."  Patient states that on Tuesday her pain became "a little better," but states since that time it has worsened and is severe at approximately 1230 this morning."  Patient states she did not go to the ER because she "knew she had an appointment today."   BP 134/84 Pulse 104 Temp 101.6 °F (38.7 °C) Resp 20 SpO2 94% Abdominal:     General: There is distension.     Palpations: Abdomen is rigid.     Tenderness: There is generalized abdominal tenderness. There is guarding and rebound.     Comments: Tinkling bowel sounds noted to RLQ and RUQ with hypoactive bowel sounds to LUQ and LLQ.  Abdomen is rigid and guarding and rebound pain are noted with examination.     triaged to Emergency room:  HPI  75 y.o. female who presents with complaints of right upper quadrant pain since Monday reports is moderate to severe sharp better right upper quadrant without radiation better with rest and worse with movement   FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Calculus of gallbladder and bile duct with acute cholecystitis without obstruction  K80.62 574.60 2. Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC)  A41.9 038.9     995.91   Final Disposition Transfer to Another Facility current inpatient at Hospital
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Spinal osteoarthritis, Umbilical hernia, Urinary sediment present, Urine analysis abnormal
Clinical narrative: Office visit - NP Chief Complaint: seen today, 3/4/2021, complaining of or following up for Fever (started today), Nausea (has nausea today), Abdominal Pain (c\o upper and lower abd pain has been constant for the last 3 days started on monday), Diarrhea (states she had diarrhea all day yesterday but has had no bm today), and Fatigue (pt states she is feeling very week today) . HPI Patient comes in to the office complaining of severe abdominal pain.  States the pain started on Monday and was less severe, stating the pain has escalated to a 9/10 today and "unbearable."  Pt. States she had diarrhea for a 24 hour period yesterday, but denies any bowel movement today.  Patient also complains of severe fatigue and states nausea with emesis a "few times over the last 4 days."  Patient states that on Tuesday her pain became "a little better," but states since that time it has worsened and is severe at approximately 1230 this morning."  Patient states she did not go to the ER because she "knew she had an appointment today."   BP 134/84 Pulse 104 Temp 101.6 °F (38.7 °C) Resp 20 SpO2 94% Abdominal:     General: There is distension.     Palpations: Abdomen is rigid.     Tenderness: There is generalized abdominal tenderness. There is guarding and rebound.     Comments: Tinkling bowel sounds noted to RLQ and RUQ with hypoactive bowel sounds to LUQ and LLQ.  Abdomen is rigid and guarding and rebound pain are noted with examination.     triaged to Emergency room:  HPI  75 y.o. female who presents with complaints of right upper quadrant pain since Monday reports is moderate to severe sharp better right upper quadrant without radiation better with rest and worse with movement   FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Calculus of gallbladder and bile duct with acute cholecystitis without obstruction  K80.62 574.60 2. Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC)  A41.9 038.9     995.91   Final Disposition Transfer to Another Facility current inpatient at Hospital
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, Uterine leiomyoma, Vomiting
Clinical narrative: Office visit - NP Chief Complaint: seen today, 3/4/2021, complaining of or following up for Fever (started today), Nausea (has nausea today), Abdominal Pain (c\o upper and lower abd pain has been constant for the last 3 days started on monday), Diarrhea (states she had diarrhea all day yesterday but has had no bm today), and Fatigue (pt states she is feeling very week today) . HPI Patient comes in to the office complaining of severe abdominal pain.  States the pain started on Monday and was less severe, stating the pain has escalated to a 9/10 today and "unbearable."  Pt. States she had diarrhea for a 24 hour period yesterday, but denies any bowel movement today.  Patient also complains of severe fatigue and states nausea with emesis a "few times over the last 4 days."  Patient states that on Tuesday her pain became "a little better," but states since that time it has worsened and is severe at approximately 1230 this morning."  Patient states she did not go to the ER because she "knew she had an appointment today."   BP 134/84 Pulse 104 Temp 101.6 °F (38.7 °C) Resp 20 SpO2 94% Abdominal:     General: There is distension.     Palpations: Abdomen is rigid.     Tenderness: There is generalized abdominal tenderness. There is guarding and rebound.     Comments: Tinkling bowel sounds noted to RLQ and RUQ with hypoactive bowel sounds to LUQ and LLQ.  Abdomen is rigid and guarding and rebound pain are noted with examination.     triaged to Emergency room:  HPI  75 y.o. female who presents with complaints of right upper quadrant pain since Monday reports is moderate to severe sharp better right upper quadrant without radiation better with rest and worse with movement   FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Calculus of gallbladder and bile duct with acute cholecystitis without obstruction  K80.62 574.60 2. Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC)  A41.9 038.9     995.91   Final Disposition Transfer to Another Facility current inpatient at Hospital
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased, White blood cells urine positive, pH urine normal
Clinical narrative: Office visit - NP Chief Complaint: seen today, 3/4/2021, complaining of or following up for Fever (started today), Nausea (has nausea today), Abdominal Pain (c\o upper and lower abd pain has been constant for the last 3 days started on monday), Diarrhea (states she had diarrhea all day yesterday but has had no bm today), and Fatigue (pt states she is feeling very week today) . HPI Patient comes in to the office complaining of severe abdominal pain.  States the pain started on Monday and was less severe, stating the pain has escalated to a 9/10 today and "unbearable."  Pt. States she had diarrhea for a 24 hour period yesterday, but denies any bowel movement today.  Patient also complains of severe fatigue and states nausea with emesis a "few times over the last 4 days."  Patient states that on Tuesday her pain became "a little better," but states since that time it has worsened and is severe at approximately 1230 this morning."  Patient states she did not go to the ER because she "knew she had an appointment today."   BP 134/84 Pulse 104 Temp 101.6 °F (38.7 °C) Resp 20 SpO2 94% Abdominal:     General: There is distension.     Palpations: Abdomen is rigid.     Tenderness: There is generalized abdominal tenderness. There is guarding and rebound.     Comments: Tinkling bowel sounds noted to RLQ and RUQ with hypoactive bowel sounds to LUQ and LLQ.  Abdomen is rigid and guarding and rebound pain are noted with examination.     triaged to Emergency room:  HPI  75 y.o. female who presents with complaints of right upper quadrant pain since Monday reports is moderate to severe sharp better right upper quadrant without radiation better with rest and worse with movement   FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Calculus of gallbladder and bile duct with acute cholecystitis without obstruction  K80.62 574.60 2. Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC)  A41.9 038.9     995.91   Final Disposition Transfer to Another Facility current inpatient at Hospital
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Diarrhoea, Headache
Clinical narrative: rigors, fever body aches muscle and joints, awful headache,Back pain diarrhea last from 03/03/2021 0130 am  ending 0715 am 03/05/2021
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: rigors, fever body aches muscle and joints, awful headache,Back pain diarrhea last from 03/03/2021 0130 am  ending 0715 am 03/05/2021
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Pt. called 3-5-21 @ 8:34am to report that starting around 10:00 last night the pt. developed a raised rash approximately 1" in diameter at the injection site along with extreme itching and a painful burning sensation.  Pt. advised that she may use hydrocortisone cream and ice at the injection site, as well as alternate acetaminophen and ibuprofen for pain.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Lip swelling, Wheezing
Clinical narrative: wheezing, lip swelling, chest heaviness
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Herpes zoster, Injection site pain, Injection site pruritus
Clinical narrative: Headache; chills; aches; itching. I also had pain and severe itching of the left shoulder. I was later treated for shingles one week after the shot. I know the Pfizer triggered this. I had these symptoms of pain and itching within 2 1/2 hours of taking the vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pruritus
Clinical narrative: Headache; chills; aches; itching. I also had pain and severe itching of the left shoulder. I was later treated for shingles one week after the shot. I know the Pfizer triggered this. I had these symptoms of pain and itching within 2 1/2 hours of taking the vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash pruritic
Clinical narrative: Headache; chills; aches; itching. I also had pain and severe itching of the left shoulder. I was later treated for shingles one week after the shot. I know the Pfizer triggered this. I had these symptoms of pain and itching within 2 1/2 hours of taking the vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Patient presented to ED o 2/13 for right knee pain post fall (pain level 10/10) starting 11/3/2020 post rehab. Right knee x-ray showed extensive osteoarthritis with periarticular calcification, intra-articular loose bodies, no fracture. Pain initially  managed with Percocet.  PT/OT recommended outpatient physical therapy and NSAIDS. Patient stable and  discharged for further rehab 2/15. Per , hospitalizations are to be reported irrespective of attribution to the vaccine. This hospitalization does not appear to be related to the vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node above clavicle near acromion on  same side as injection site - no other symptoms to indicate other underlying health issue
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder, Tongue discomfort
Clinical narrative: Initially a medicine like taste in mouth. But 45 minutes later having burning sensation on my tongue that is still here today as 03-052021. Vaccine was 2-25-2021. As a side note, years ago ,my dentist described me as having Geographical tongue.The vaccine seemed to stir something maybe.
Age: 64.0
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Fever, extreme muscle pain, headache, fatigue, lasted approximately 30 hours
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Right arm parathesia, hx of blood clots
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Blood test, Computerised tomogram, Computerised tomogram normal
Clinical narrative: I started having abdominal pain and bloating around 9 pm. Pain continued to worsen to the point I was throwing up. Took some gas x to see if that helped. It did not. Pain got so bad that I went to er.  They thought it was my appendix,  how ever CT showed my appendix was good.  I had and still have inflammation in my intestines and still have right side pain not sure if it is related to the vaccine or not
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal inflammation, Pain, Vomiting
Clinical narrative: I started having abdominal pain and bloating around 9 pm. Pain continued to worsen to the point I was throwing up. Took some gas x to see if that helped. It did not. Pain got so bad that I went to er.  They thought it was my appendix,  how ever CT showed my appendix was good.  I had and still have inflammation in my intestines and still have right side pain not sure if it is related to the vaccine or not
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Headache, Injection site pain, Injection site warmth, Pain
Clinical narrative: Later in the evening after receiving the vaccine, I experienced a very strong and pounding headache. I took some Ibuprofens and went to sleep around 9pm and the headache was resolved around 11:30pm. However, later during the night the headache came back. Also, my body aches all over and just generally uncomfortable feelings. The injection site felt warm to the touch and sore.
Age: 19.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Student had gotten a flu vaccine on 01/05/21 at pharmacy. He came to the flu clinic on 1/26/21 and received another flu vaccine, his first dose being unbeknownst to the flu clinic staff.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, Sneezing
Clinical narrative: Extreme runny nose and sneezing.   Minor body aches.  Taken an antihistamine with minor improvement.  Also using oxymetazoline hydrochloride nasal decongestant with temporary improvement.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore upper arm
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Pain
Clinical narrative: Persistent shoulder soreness ever since receiving the vaccine.  Patient complains of occasional "shooting pains down her arm".
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure decreased, Dizziness, Hyperhidrosis, Oxygen saturation decreased
Clinical narrative: It was about 5 minutes after my shot and I started feeling dizzy and going to passout.  I got a nurse and my blood pressure and oxygen levels went down.  They laid me on the floor and put a ice pack on while I'm breaking out in a sweat. They called the parmetrics to monitor me.  They didn't like my reading and took me to the ER to monitor me.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Condition aggravated, Hyperhidrosis, Hypoaesthesia, Pallor
Clinical narrative: It was about 5 minutes after my shot and I started feeling dizzy and going to passout.  I got a nurse and my blood pressure and oxygen levels went down.  They laid me on the floor and put a ice pack on while I'm breaking out in a sweat. They called the parmetrics to monitor me.  They didn't like my reading and took me to the ER to monitor me.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: It was about 5 minutes after my shot and I started feeling dizzy and going to passout.  I got a nurse and my blood pressure and oxygen levels went down.  They laid me on the floor and put a ice pack on while I'm breaking out in a sweat. They called the parmetrics to monitor me.  They didn't like my reading and took me to the ER to monitor me.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Patient experience shortness of breath and chest pain
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: ?Covid arm? - swollen red patch at injection site. Hard and itchy.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Eyelid function disorder, Facial paralysis, Feeling abnormal, Paraesthesia, Periorbital swelling
Clinical narrative: ?Abnormal feeling? to his lateral, right upper and lower eyelids, and around the region of his right cheek bone, which he can best describe as tingling. He reports he has not had any symptoms to the right eye, itself. He states he has some mild facial drooping involving his right upper eyelid and his right cheek. He reports mild swelling under his right eye, as well as to his right cheek area. He also reports that he can?t fully open his right eye, which impairs his field of vision; otherwise, denies any vision changes. Instructed that the symptoms were suggestive of Bell?s Palsy, but to go straight to ER for further evaluation.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face, Visual field defect
Clinical narrative: ?Abnormal feeling? to his lateral, right upper and lower eyelids, and around the region of his right cheek bone, which he can best describe as tingling. He reports he has not had any symptoms to the right eye, itself. He states he has some mild facial drooping involving his right upper eyelid and his right cheek. He reports mild swelling under his right eye, as well as to his right cheek area. He also reports that he can?t fully open his right eye, which impairs his field of vision; otherwise, denies any vision changes. Instructed that the symptoms were suggestive of Bell?s Palsy, but to go straight to ER for further evaluation.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Dysphagia, Dyspnoea, Pharyngeal swelling, Swollen tongue
Clinical narrative: 40 minutes after injection my tongue and throat began to swell and then close.  I had no saliva and could not swallow without sipping on water.  I stopped at a clinic to be near a facility in case I could not breath anymore.  They watched me for a bit (though I did not fully "check in".  The doctor suggested I get checked at an ER.  I went to ER and sat in the ER parking lot for two hours waiting to see if my symptoms got worse.  I did not want to use the ER unless I felt like I was in dire need.  After the couple of hours my symptoms weekend (but were still there).  I went to a friends place to not be alone in case the swelling increased again.  The next night I felt back to normal.  I have never had that reaction to anything, so I was a bit scared.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: 40 minutes after injection my tongue and throat began to swell and then close.  I had no saliva and could not swallow without sipping on water.  I stopped at a clinic to be near a facility in case I could not breath anymore.  They watched me for a bit (though I did not fully "check in".  The doctor suggested I get checked at an ER.  I went to ER and sat in the ER parking lot for two hours waiting to see if my symptoms got worse.  I did not want to use the ER unless I felt like I was in dire need.  After the couple of hours my symptoms weekend (but were still there).  I went to a friends place to not be alone in case the swelling increased again.  The next night I felt back to normal.  I have never had that reaction to anything, so I was a bit scared.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Resident previously positive for Covid-19 on 6/29/20.  She received both doses of the Pfizer vaccine - 12/17/20 and 1/5/21.  She tested positive again for Covid-19 on 3/1/21.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Adverse events include about 7-10 days of mild redness, itchiness and pain at the site and surrounding area of injection. I treated with over the counter hydrocortisone cream (1x daily). This mild adverse reaction only occurred after the first dose and resolved by around day 10. I had no symptoms or reactions to the second dose (systemic or locally). I had previously contracted COVID-19 in March 2020.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Peripheral swelling, Rash
Clinical narrative: arm swelled an had fever in it with a rash lasted for 5 days
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pruritus, Rash
Clinical narrative: Patient developed a rash that occurred 2 days after administration. Patient woke up 2 days later extremely itchy and a rash localized on the right arm which was the one where the vaccine was given. Rash is improving today 3/5 but still present. No severe side effects noted.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: itching all over.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Urticaria
Clinical narrative: Hives, erythema all over body. 19  x5 on side of stomach, 12x6  right thigh.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Heart rate increased, Myalgia
Clinical narrative: Moderna COVID-19 Vaccine EUA Fever/chills starting 5 hours after receiving , achy muscles and joints, fatigue, rapid heart beat and palpitations, and nauseous
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA Fever/chills starting 5 hours after receiving , achy muscles and joints, fatigue, rapid heart beat and palpitations, and nauseous
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: Had bad chills and  bad aches and pains that kept me on the couch for about 6 hours, unable to function normally.  Not even able to watch tv
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: The adolescent and mother misrepresented patients age at time of vaccination. At an outreach clinic one dose of Pfizer was remaining. Vaccine coordinator for site/office asked if this individual could receive a the last dose to exhaust and not have a wastage. The coordinator was informed they could as long as the person was at least 16 y/o old.  He was reported as being 16 so mother brought him to site to receive vaccination. Before administering the vaccinator asked patient if he had just turned 16 and he reported "yes".  On the consent form his birthday was clearly written. Which would have made him 16 at time of administration.  Vaccine was given and individual had no issues on site.  While trying to document in patients online/electronic shot record staff could not locate him under the date of birth written and verified by mother and patient.  It was later verified by mother that his year was 2006 and not 2005. State immunization MD notified and was informed to administer the second dose when the 21 days is due and to file a Vaers report since adolescent was under 16.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Reports diarrhea for 5 days following the vaccination.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Glossodynia, Pain in jaw
Clinical narrative: soreness in teeth, jaw and tongue;  left side only; location varied;  lasted 7 days, stopped for 1 day, resumed for 4 days
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Nasal congestion, Pruritus
Clinical narrative: 10:05  PT C/O ITCHING AND REDNESS ON RIGHT HAND AND FOREARM.  PT STATES HIS NOSE FEELS CONGESTION. 10:11 PT DENIES ANY SHORTNESS OF BREATH 10:15 AM PT STATES HE CAN DRIVE HOME AND WILL TAKE SOME BENADRYL
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye pruritus, Pruritus, Rash erythematous
Clinical narrative: Patient received vaccine at 12:01, she stated that approximately 12:30  she noticed her right palm felt itchy and she noticed red bumps on the inside of her right wrist.   She reported the symptoms to the onsite paramedics.  She stated that she was placed on a stretcher and given 60 mg of liquid benadryl by the paramedics.   She stated she started feeling dizzy, but after 3 minutes the dizziness resolved.  She stated that soon after that the itchy right palm resolved, and the red spots on her right wrist diminished.  She stated the paramedics took her blood pressure, 150/100 and placed her on oxygen.  She stated she was monitored until 1:30 pm, then was discharged, at the time of discharge she had no dizziness, no itching, and only slight red bumps on her wrist.  When she got home she stated her eyes felt itchy at about 5:30 pm,  she took 2 OTC benadryl tablets, the symptoms resolved.  She has been asymptomatic since that time.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Lip swelling, Paraesthesia oral
Clinical narrative: 1044 - c/o lips tingling w/inner lips swelling BP 110/70, HR 92 RR 18 O2 99%. 1044 Benadryl 25mg PO administered 1045 119/71 88 18 100%, NAD 1050 118/70 82 18 100% NAD 1100 116/75 84 20 100% NAD, pt states swelling gone, numbness around mouth 1113 107/71 82 18 100% lips numb 1115 states a small amount of numbness remains, NAD 1127 107/62 16 100%, ststae she feels much better, dc to home. advised pt to notify PCP of incident
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cutaneous vasculitis, Platelet count
Clinical narrative: Leukocytoclastic vasculitis bilateral legs
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Condition aggravated, Eye movement disorder, Facial paralysis, Full blood count normal
Clinical narrative: Unknown COVID vaccine.  Patient did not receive the vaccine at our facility so unable to provide above information.  Patient presented to the ED on 3/3/21.  ED notes as follows  73 y.o. female who arrived to the emergency department for Facial droop.  Patient notes that she got her COVID vaccine on 2/26/21.  States that she noted having a facial droop on 3/1/21 and does note that she's had prior history of Bell's palsy.  States that he feels similar.  She states that she cannot move the left side of her face or close her eye.  She denies difficulty with ambulation numbness weakness or tingling of arms or legs, headache or other acute symptoms.  Diagnosed with Bell's palsy
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperglycaemia, Magnetic resonance imaging normal, Metabolic function test, Troponin normal
Clinical narrative: Unknown COVID vaccine.  Patient did not receive the vaccine at our facility so unable to provide above information.  Patient presented to the ED on 3/3/21.  ED notes as follows  73 y.o. female who arrived to the emergency department for Facial droop.  Patient notes that she got her COVID vaccine on 2/26/21.  States that she noted having a facial droop on 3/1/21 and does note that she's had prior history of Bell's palsy.  States that he feels similar.  She states that she cannot move the left side of her face or close her eye.  She denies difficulty with ambulation numbness weakness or tingling of arms or legs, headache or other acute symptoms.  Diagnosed with Bell's palsy
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Petechiae, Platelet count decreased, Thrombocytopenia
Clinical narrative: Severe thrombocytopenia Petichiae
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Moderna COVID-19 Vaccine EUA   Redness, swelling and pain at the injection site. Was most painful and swollen on the day following the injection. The pain and redness lessened each day without any interaction. By the 4th day following the injection, the injection site is still slightly red  with a very small bit of pain when touching it.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death, Diabetic ketoacidosis, Dysphagia, Gastrointestinal disorder
Clinical narrative: Patient had COVID pneumonia in January 2021. Readmitted 2/10 for nausea/vomiting found to be in DKA. Treated with IV insulin, fluids, pressors and admitted to ICU. DKA resolved but continued to have ongoing nausea and dysphagia. EGD showed possible candidiasis, GI symptoms started to improve and was discharged home 2/24 with O2, life care, home health care. Patient recorded deceased 02/26/2021.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Nausea, Oesophagogastroduodenoscopy, Vomiting
Clinical narrative: Patient had COVID pneumonia in January 2021. Readmitted 2/10 for nausea/vomiting found to be in DKA. Treated with IV insulin, fluids, pressors and admitted to ICU. DKA resolved but continued to have ongoing nausea and dysphagia. EGD showed possible candidiasis, GI symptoms started to improve and was discharged home 2/24 with O2, life care, home health care. Patient recorded deceased 02/26/2021.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Syncope
Clinical narrative: Syncope, hypotension, Pt. Vitals returned to normal after the 30 minute observation. Pt. stated this was normal for her when she gets injections.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus, Somnolence
Clinical narrative: The described waking up  around 9pm after going to be early the day after he received the vaccine.  He said that his hands burned and itched. He took Benadryl and the symptoms eased after about an hour. He reports he had a similar experience after being exposed to rubella many years ago. At that time the symptoms spread to his whole body.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pyrexia
Clinical narrative: Day 1 after shot , left arm was swollen and a little red at shot site  and had a mild fever, of 98.5  normal temp for me is around 97.2. Day 2 the red area around the shot site has grown about 2" X 3" and the site itches, and swollen where the red mark is, and hurts to the touch.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: after 6 (six) days of the 1st (first) shot, had fever of 100.2 degree  by arm and whole body aches. the symptoms gradually and finally went away in 36 hours
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Progress Notes    2/24/2021    Patient:                                                                       Date:  2/24/2021                                                                                               Subjective  is a 32 y.o. male who was seen at  COVID Vaccine Clinic today for his first  dose of the COVID 19 vaccination.    He was given the Pfizer vaccination in the right deltoid muscle.   During his 15 minute waiting period after the injection, the patient began to experience lightheadedness, nausea and headache.  He denied difficulty breathing, difficulty swallowing, wheezing and throat tightness. He ate breakfast this morning and was feeling well prior to having his vaccine.    This provider was notified of patient reaction and he was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to rapid progression of symptoms, respiratory distress and vomiting.     ALLERGY REVIEW OF SYSTEMS:  Patient complains of dizziness and headaches   Patient denies chills, facial swelling, cough, chest tightness, shortness of breath, wheezing, vomiting and abdominal pain    +Nausea:     Previous Reactions: Denies    Objective    Vitals Vitals:   02/24/21 1126 02/24/21 1222 BP: (!) 144/85 122/64 Pulse: 62 67 SpO2: 98% 100%      Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema.     Comments: No swelling or lips or tongue.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing or rales.  Skin:    General: Skin is warm and dry.  Neurological:     General: No focal deficit present.     Mental Status: He is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: water and Pepcid Follow up response to treatment: good. Sx resolved prior to discharge. Patient discharge: Stable to go home and follow up with PCP.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: I had a swollen lymph node on left arm lasting 5 days.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Malaise, Pain in extremity, Pyrexia
Clinical narrative: Woke up morning after shot feeling slightly unwell.  Then by mid-morning I was running a fever and had aches in my lower back, and chills.  Took temperature at 4:00 p.m. and it was 100.1.  Also had a sore left arm where shot was given.  Slept through the night and awoke 2nd morning after covid shot feeling fine and back to my normal self.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Neck pain, Pain in extremity
Clinical narrative: "the next day [after vaccination] the injection site was extremely sore and the pain went up to my neck and down into my hand. From what I heard this is pretty normal so I had no concerns. Over the next couple days the injection site pain was gone along with the neck pain but the wrist/hand pain persisted. It?s now been a week since the pain started and my wrist/hand/forearm are still really sore/achy. I?ve been icing it multiple times a day but the pain persists. It?s especially bad when typing or doing any repetitive motions with my hand. "
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Nausea, Visual impairment
Clinical narrative: 1 hour after the shot I experienced colorful floaters of different shapes  This lasted about 45 minutes. 2 hours later chills and nausea. This lasted about 3 hours    Approximately 12 hours after the shot feeling normal with no nausea or colorful floaters
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Headache, fever, chills, muscle ache, Nausea
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site warmth, Urticaria
Clinical narrative: "Covid Arm". Developed a hot, red, itchy welt at the injection site 10 days post-injection. Today is day 13 and it is gradually going away. I've used 2% Hydrocortisone cream on it 3x.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Burning sensation, Haemoglobin, Neuropathy peripheral, Pain in extremity
Clinical narrative: I did not experience an immediate reaction to the shot as they had me wait 30 mins to assure that I was not allergic to the shot as I do have allergies.  Not sure if the medical complications that I experience a week later after having the shot is related to the shot or not and my primary doctor or my endocrinology dr. is not sure either and had concerns as to weather I should take the second shot or not. I went to the emergency dr. because the (burning, itching, pain, pins/needles) were so bad in my upper and lower extremities.  They prescribe me pain med and another med that has help a lot.  I visited my endocrinology dr. for my dietetics.  After running all kinds of test she stated that my A1C levels were a 6.point.  She could not attributed my severe neuropathy to diabetics or to the virus shot.  She set me for an appointment to see a neurologist.  I also developed a week later severe bumps on my face, neck and both arms.  I went to urgent care and they gave me a shot of some sort and sent me home with steroids and take Benadryl.  My skin cleared up in a few days.  I had never had that happen to me.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus, Rash, Skin burning sensation
Clinical narrative: I did not experience an immediate reaction to the shot as they had me wait 30 mins to assure that I was not allergic to the shot as I do have allergies.  Not sure if the medical complications that I experience a week later after having the shot is related to the shot or not and my primary doctor or my endocrinology dr. is not sure either and had concerns as to weather I should take the second shot or not. I went to the emergency dr. because the (burning, itching, pain, pins/needles) were so bad in my upper and lower extremities.  They prescribe me pain med and another med that has help a lot.  I visited my endocrinology dr. for my dietetics.  After running all kinds of test she stated that my A1C levels were a 6.point.  She could not attributed my severe neuropathy to diabetics or to the virus shot.  She set me for an appointment to see a neurologist.  I also developed a week later severe bumps on my face, neck and both arms.  I went to urgent care and they gave me a shot of some sort and sent me home with steroids and take Benadryl.  My skin cleared up in a few days.  I had never had that happen to me.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Erythema, Throat irritation
Clinical narrative: PT BEING MONITORED FOR 30 MINUTES. AT 0930 PRIOR TO LEAVING. 0931: PT STATED THAT HER THROAT FELT SCRATCHY AND HER CHEST FELT FUNNY. PT AIRWAY ASSESSED. ERYTHEMA TO THROAT AND UVULA NOTED, NO EDEMA OR SWELLING NOTED AT THIS TIME. PT BROUGH BACK TO OBSERVATION FOR FURTHER ASSESSMENT, BY WRITER, PHYSICIAN AND EMT.  PT PLACED ON CARDIAC MONITOR- NORMAL SINUS RHYTHM. PT DENIES ANY CHEST PAIN, PALPITATIONS, PRESSURE, SOB, N/V/D NOTED. MD RECOMMENED PT GO TO ER FOR FURTHER EVALUATION PT REFUSED, BUT AGGREED TO STAY FOR TREATMENT OF IV BENADRYL AND IV DEXAMETHASONE. BOTH ADMINISTERED BT EMT AT 0958. PT TOLERATED WELL. PT CONTINUED TO BE MONITORED UNTIL S/S OF REACTION SUBSDED AT 10:20AM. PT STATES THAT THERE IS NO LONGER A SCRATCH FEELING IN THROAT AND HER CHEST FELT MUCH BETTER. VSS REMAIN STABLE. PT STILL REFUSES TO GO TO ER PRIOR TO LEAVING FACILIT. PT AMBULATED OFF SITE. ACCOMPANIED BY FAMILY.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Peripheral swelling, Skin warm
Clinical narrative: Right arm swollen and hot to the touch, my temperature got up to 103 and lasted two days.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: started with shingles rash  left chest about  about 2/26/2021 (<14 days after receiving vaccine)
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Palpitations 4 mins after receiving the vaccine. Vital signs were checked : BP 160/72, Pulse =77, 02 sat =98% Pt was monitored for 30 mins with resolution of her symptoms
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pain
Clinical narrative: woke up about 3am on March  5 with my whole left side hurting me  the vaccine site was swollen and red
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Nausea, Vomiting
Clinical narrative: body weakness, nausea, diariah  throwing-up.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia, Sleep disorder
Clinical narrative: 4 hours post inject pain at injection site dissipated at 6 hours post injection. 12 hours post injection fever of 100 detected, no pain, no aches, no fatigue, no sweats. 16 hours post injection awakened from sleep by fever of 104.3 and treated with running cool water for 1 hour which brought it down to 102 then 400mg of Nuprin taken (17 hours post) and attempted to lay back down but 20 minutes later fever was back to 104.7 so back to cool water until fever went down to 101 and medicine seemed working (18 hours post). Fever remained at 100-101 until finally dissipating at 40 hours post injection. All throughout there was no fatigue or sweats or aches/pain
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Pulmonary congestion
Clinical narrative: Pt. c/o feeling flush in the face and slight chest congestion.  Pt. voice that he had a history of bypass and ablation.  Pt. seen and assessed by EMT and vitals are:  Bp 140/90, HR 74, O2 97%.  After 20 min. of observation pt. voiced that he felt ell enough to go home and was cleared to do so by EMT.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood chloride increased, Blood chloride normal, Blood creatinine increased, Blood sodium increased, Blood urea increased
Clinical narrative: Patient became ill with pneumonia on 1/29/21 and then recurrent pneumonia on 2/10/21. Pt's plan of care was subsequently changed to comfort-focused on 2/11/21 and patient was deceased that same day.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Glomerular filtration rate normal, Influenza A virus test negative, Influenza virus test negative, Pneumonia
Clinical narrative: Patient became ill with pneumonia on 1/29/21 and then recurrent pneumonia on 2/10/21. Pt's plan of care was subsequently changed to comfort-focused on 2/11/21 and patient was deceased that same day.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Patient became ill with pneumonia on 1/29/21 and then recurrent pneumonia on 2/10/21. Pt's plan of care was subsequently changed to comfort-focused on 2/11/21 and patient was deceased that same day.