chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pelvic mass, Red blood cell sedimentation rate increased, Renal artery stenosis, Sensory loss, Spinal X-ray abnormal
Clinical narrative: Seen at the walk-In clinic on 3/9/2021 where he presented with complaints of right leg weakness, numbness, and tingling.  He was transferred to ER for further evaluation and management.    The symptoms (numbness in his hip and thigh) began around 1400 while he was working.  He went about his day. The symptoms progressively worsened while he was ambulating around the hardware store. In the ER, his sensation of his right leg was dulled as compared to the left. The numbness extended from his hip to his toes. Felt a pressure-like sensation in his thigh and calf.  Denies pain. Felt as though his right foot is floating 2 inches off the ground when standing with both feet on the ground. Reported his right leg is 1-2 inches shorter after a femur fracture many years ago. Nothing made his symptoms better or worse.  Did have an episode of feeling generally hot and then cold the evening prior to admission. Denied any trauma.     Denied any dizziness, lightheadedness, headaches, shortness of breath, cough, chest pain, palpitations, vomiting, diarrhea, constipation, blood in stools, urinary habit changes, hematuria, dysuria, pyuria, myalgias, arthralgias, recent illness, or fever.   MRI showed T2 changes on the right side of the cord down of the thoracic spine concerning for her transverse myelitis.  Patient did have Covid vaccine 7 days prior to onset of symptoms, one dose mRNA vaccine.    He is on day 3 high-dose methylprednisolone thousand milligrams IV ×3 days.  He has noticed an improvement in the pressure sensation from the knee up the thigh on the right, no longer having tingling in the right lower leg or the left foot.  He is still having numbness over the anterior right thigh.  Yesterday when he went to bear weight on the right heel, he had a sharp pain with increase in weakness.  That has since settled down.  He did have a few involuntary myoclonic movements as described yesterday.  This writer reached out on 3/22/2021 for information on his Vaccine lot number. He stated "At this point I am attending physical therapy, I am walking with the aid of crutches or a walker. There is improvement in the foot and lower leg regarding the numbness, but the upper thigh is still pretty much completely numb yet."
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Streptococcus test negative, Treponema test negative, Varicella virus test negative, Vitamin B12 normal, Vitamin B6 normal
Clinical narrative: Seen at the walk-In clinic on 3/9/2021 where he presented with complaints of right leg weakness, numbness, and tingling.  He was transferred to ER for further evaluation and management.    The symptoms (numbness in his hip and thigh) began around 1400 while he was working.  He went about his day. The symptoms progressively worsened while he was ambulating around the hardware store. In the ER, his sensation of his right leg was dulled as compared to the left. The numbness extended from his hip to his toes. Felt a pressure-like sensation in his thigh and calf.  Denies pain. Felt as though his right foot is floating 2 inches off the ground when standing with both feet on the ground. Reported his right leg is 1-2 inches shorter after a femur fracture many years ago. Nothing made his symptoms better or worse.  Did have an episode of feeling generally hot and then cold the evening prior to admission. Denied any trauma.     Denied any dizziness, lightheadedness, headaches, shortness of breath, cough, chest pain, palpitations, vomiting, diarrhea, constipation, blood in stools, urinary habit changes, hematuria, dysuria, pyuria, myalgias, arthralgias, recent illness, or fever.   MRI showed T2 changes on the right side of the cord down of the thoracic spine concerning for her transverse myelitis.  Patient did have Covid vaccine 7 days prior to onset of symptoms, one dose mRNA vaccine.    He is on day 3 high-dose methylprednisolone thousand milligrams IV ×3 days.  He has noticed an improvement in the pressure sensation from the knee up the thigh on the right, no longer having tingling in the right lower leg or the left foot.  He is still having numbness over the anterior right thigh.  Yesterday when he went to bear weight on the right heel, he had a sharp pain with increase in weakness.  That has since settled down.  He did have a few involuntary myoclonic movements as described yesterday.  This writer reached out on 3/22/2021 for information on his Vaccine lot number. He stated "At this point I am attending physical therapy, I am walking with the aid of crutches or a walker. There is improvement in the foot and lower leg regarding the numbness, but the upper thigh is still pretty much completely numb yet."
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Walking aid user, Weight bearing difficulty, West Nile virus test negative
Clinical narrative: Seen at the walk-In clinic on 3/9/2021 where he presented with complaints of right leg weakness, numbness, and tingling.  He was transferred to ER for further evaluation and management.    The symptoms (numbness in his hip and thigh) began around 1400 while he was working.  He went about his day. The symptoms progressively worsened while he was ambulating around the hardware store. In the ER, his sensation of his right leg was dulled as compared to the left. The numbness extended from his hip to his toes. Felt a pressure-like sensation in his thigh and calf.  Denies pain. Felt as though his right foot is floating 2 inches off the ground when standing with both feet on the ground. Reported his right leg is 1-2 inches shorter after a femur fracture many years ago. Nothing made his symptoms better or worse.  Did have an episode of feeling generally hot and then cold the evening prior to admission. Denied any trauma.     Denied any dizziness, lightheadedness, headaches, shortness of breath, cough, chest pain, palpitations, vomiting, diarrhea, constipation, blood in stools, urinary habit changes, hematuria, dysuria, pyuria, myalgias, arthralgias, recent illness, or fever.   MRI showed T2 changes on the right side of the cord down of the thoracic spine concerning for her transverse myelitis.  Patient did have Covid vaccine 7 days prior to onset of symptoms, one dose mRNA vaccine.    He is on day 3 high-dose methylprednisolone thousand milligrams IV ×3 days.  He has noticed an improvement in the pressure sensation from the knee up the thigh on the right, no longer having tingling in the right lower leg or the left foot.  He is still having numbness over the anterior right thigh.  Yesterday when he went to bear weight on the right heel, he had a sharp pain with increase in weakness.  That has since settled down.  He did have a few involuntary myoclonic movements as described yesterday.  This writer reached out on 3/22/2021 for information on his Vaccine lot number. He stated "At this point I am attending physical therapy, I am walking with the aid of crutches or a walker. There is improvement in the foot and lower leg regarding the numbness, but the upper thigh is still pretty much completely numb yet."
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Dizziness, Dyspnoea, Feeling abnormal
Clinical narrative: Almost immediately after I received my dose, I felt very dizzy and began sweating profusely. My vision became very blurry, and I had trouble breathing. No one came to check and see if I was ok. They just waved me out of the building, being terrified of what was going on and what wanting to leave the facility I drove out into the parking lot for the additional assessment. In the parking lot, I continued panting and sweating, feeling as though I was going to vomit. Again, no one checked on me, and I was too incapacitated to "honk my horn 3 times." After the additional 15 minutes, they waved everyone through to leave, so I left. There was no professional around to speak with at this point anyways. Covered in sweat and dizzy. I drove home to go to bed.  When I got home about 10 minutes later, my arm where I received the vaccine was already very sore. I laid in bed and fell asleep and continued sleeping off and on for the rest of the day and night. My shoulder was still sore the following morning when I woke up. As the day progressed my fatigue increased (Sunday was not too bad.) Monday (3.22.21) I felt terrible, (headache, brain-fog, bad back pain, bad knee pain, bad hip pain.) My symptoms have persisted all week. I am unsure as to what to do. I do not have a doctor that I regular see. I am afraid to receive another dose and have even worse reactions/side-effects
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Vaccination site pain, Vision blurred
Clinical narrative: Almost immediately after I received my dose, I felt very dizzy and began sweating profusely. My vision became very blurry, and I had trouble breathing. No one came to check and see if I was ok. They just waved me out of the building, being terrified of what was going on and what wanting to leave the facility I drove out into the parking lot for the additional assessment. In the parking lot, I continued panting and sweating, feeling as though I was going to vomit. Again, no one checked on me, and I was too incapacitated to "honk my horn 3 times." After the additional 15 minutes, they waved everyone through to leave, so I left. There was no professional around to speak with at this point anyways. Covered in sweat and dizzy. I drove home to go to bed.  When I got home about 10 minutes later, my arm where I received the vaccine was already very sore. I laid in bed and fell asleep and continued sleeping off and on for the rest of the day and night. My shoulder was still sore the following morning when I woke up. As the day progressed my fatigue increased (Sunday was not too bad.) Monday (3.22.21) I felt terrible, (headache, brain-fog, bad back pain, bad knee pain, bad hip pain.) My symptoms have persisted all week. I am unsure as to what to do. I do not have a doctor that I regular see. I am afraid to receive another dose and have even worse reactions/side-effects
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Procedural pain, Spinal pain
Clinical narrative: Extreme pain in spine at sit of surgery with metal titanium implants , pain remains, no treatment available
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Discomfort, Dizziness, Hypoaesthesia oral
Clinical narrative: Situation:  Pt here for covid vaccine #2. After vaccination pt experienced reaction.   Background:  @ 0815 TEAM ALERT was called to covid vaccine clinic.  This RN arrived @ 0818 to find pt sitting in chair in observation room.  Received report from RN, pt received covid vaccine #2 and began experiencing cough, clearing throat, runny nose, and chills. Benadryl 25mg PO given @ 0810. Overall discomfort 1/10.   0818:  VS:  BP 132/98. HR 63. R 14. O2 Sat 98%. Pt c/o clearing throat, chills, coughing, itchy throat, itchy chest. Pt alert & oriented. 0820: overall discomfort 3/10. 0828:  VS:  BP 124/92. HR 63. O2 Sat 100%. Still experiencing above symptoms plus dizzines, lip numbness and discomfort in diaphragm region. "feels like it won't go down. Like something is stuck there." pt moved to gurney in hallway. 0842:  VS:  BP 122/86. HR 63. O2 Sat 100%. Pt still feeling diaphragm discomfort. States other symptoms are resolving. Noted pt no longer clearing throat. States lip numbness improved and diaphragm discomfort improving. Pt alert & oriented.  0855: Manager, spoke to pt. Advised pt she may go home when she feels okay. Pt states she feels well enough to go home. This RN advised pt to go home and relax for the remainder of the day, benadryl will make her feel sleepy. Advised pt to watch for symptoms of shortness of breath, difficulty breathing, and chest pain and go to ED if she experiences any of those symptoms. Pt verbalized understanding. VS:  BP 118/72. HR 63. O2 Sat 100%. 0857:  Pt left covid vaccine clinic ambulatory in stable condition.   COVID Vaccine Worksheet   1. Did the patient have an immediate allergic reaction of any severity such as urticaria, angioedema, respiratory distress, or anaphylaxis (<4 hours following administration of the COVID vaccine)?  Yes   2. Did the patient previously have an immediate allergic reaction of any severity to polysorbate or polyethylene glycol?  No   3. Has the patient had prior anaphylactic reactions from another vaccine, medication or any other cause?  No   4. Did the patient have an allergic reaction >4 hours after administration? OR have an expected side effect of the COVID vaccine?  No   Assessment:  Pt had reaction to covid vaccine. Pt reported previous reaction to first dose with similar symptoms.  After close observation and benadryl 25mg PO pt symptoms resolved and pt was able to leave clinic ambulatory in stable condition.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Respiratory distress, Rhinorrhoea, Throat clearing, Throat irritation
Clinical narrative: Situation:  Pt here for covid vaccine #2. After vaccination pt experienced reaction.   Background:  @ 0815 TEAM ALERT was called to covid vaccine clinic.  This RN arrived @ 0818 to find pt sitting in chair in observation room.  Received report from RN, pt received covid vaccine #2 and began experiencing cough, clearing throat, runny nose, and chills. Benadryl 25mg PO given @ 0810. Overall discomfort 1/10.   0818:  VS:  BP 132/98. HR 63. R 14. O2 Sat 98%. Pt c/o clearing throat, chills, coughing, itchy throat, itchy chest. Pt alert & oriented. 0820: overall discomfort 3/10. 0828:  VS:  BP 124/92. HR 63. O2 Sat 100%. Still experiencing above symptoms plus dizzines, lip numbness and discomfort in diaphragm region. "feels like it won't go down. Like something is stuck there." pt moved to gurney in hallway. 0842:  VS:  BP 122/86. HR 63. O2 Sat 100%. Pt still feeling diaphragm discomfort. States other symptoms are resolving. Noted pt no longer clearing throat. States lip numbness improved and diaphragm discomfort improving. Pt alert & oriented.  0855: Manager, spoke to pt. Advised pt she may go home when she feels okay. Pt states she feels well enough to go home. This RN advised pt to go home and relax for the remainder of the day, benadryl will make her feel sleepy. Advised pt to watch for symptoms of shortness of breath, difficulty breathing, and chest pain and go to ED if she experiences any of those symptoms. Pt verbalized understanding. VS:  BP 118/72. HR 63. O2 Sat 100%. 0857:  Pt left covid vaccine clinic ambulatory in stable condition.   COVID Vaccine Worksheet   1. Did the patient have an immediate allergic reaction of any severity such as urticaria, angioedema, respiratory distress, or anaphylaxis (<4 hours following administration of the COVID vaccine)?  Yes   2. Did the patient previously have an immediate allergic reaction of any severity to polysorbate or polyethylene glycol?  No   3. Has the patient had prior anaphylactic reactions from another vaccine, medication or any other cause?  No   4. Did the patient have an allergic reaction >4 hours after administration? OR have an expected side effect of the COVID vaccine?  No   Assessment:  Pt had reaction to covid vaccine. Pt reported previous reaction to first dose with similar symptoms.  After close observation and benadryl 25mg PO pt symptoms resolved and pt was able to leave clinic ambulatory in stable condition.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Computerised tomogram normal, Electrocardiogram, Hemiparesis, Magnetic resonance imaging
Clinical narrative: Pt suffered a TIA. She had right sided weakness and difficulty speaking. She was taken to the ER, CT waa preformed and no abnormalities were detected. The symptoms resolved in 24 hours.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: Pt suffered a TIA. She had right sided weakness and difficulty speaking. She was taken to the ER, CT waa preformed and no abnormalities were detected. The symptoms resolved in 24 hours.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Chromaturia, Cystitis, Diarrhoea
Clinical narrative: Minimal reaction the first 2 days after receiving the shot. on the 3rd day I became fatigued but noticed some lower abdominal discomfort. 4th day had loose stools and noticed some burning when urinating.. Late in the day had a splitting headache, i never get headaches, took Tylenol and felt better. At 2 am that night woke up with teeth chattering and limbs shaking. Urinated and noticed a pink tinge. My husband took me to the ER ( He had had a similar reaction to his first Pfizer shot)  Found to have a fever, increased heart rate and a raging bladder infection (significant amount of blood in urine). Treated with Keflex via IV . Went home with a presciption for Keflex  They are running a culture. I HAD COVID IN NOVEMBER AS DID MY HUSBAND   IT APPEARS THAT MAYBE ONE DOSE WOULD HAVE BEEN SUFFICIENT FOR US. I HOPE THIS WILL BE EVALUATED AND THE PUBLIC INFORMED OF BEST PRACTICE
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dysuria, Fatigue, Full blood count, Headache, Heart rate increased
Clinical narrative: Minimal reaction the first 2 days after receiving the shot. on the 3rd day I became fatigued but noticed some lower abdominal discomfort. 4th day had loose stools and noticed some burning when urinating.. Late in the day had a splitting headache, i never get headaches, took Tylenol and felt better. At 2 am that night woke up with teeth chattering and limbs shaking. Urinated and noticed a pink tinge. My husband took me to the ER ( He had had a similar reaction to his first Pfizer shot)  Found to have a fever, increased heart rate and a raging bladder infection (significant amount of blood in urine). Treated with Keflex via IV . Went home with a presciption for Keflex  They are running a culture. I HAD COVID IN NOVEMBER AS DID MY HUSBAND   IT APPEARS THAT MAYBE ONE DOSE WOULD HAVE BEEN SUFFICIENT FOR US. I HOPE THIS WILL BE EVALUATED AND THE PUBLIC INFORMED OF BEST PRACTICE
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor, Urine analysis
Clinical narrative: Minimal reaction the first 2 days after receiving the shot. on the 3rd day I became fatigued but noticed some lower abdominal discomfort. 4th day had loose stools and noticed some burning when urinating.. Late in the day had a splitting headache, i never get headaches, took Tylenol and felt better. At 2 am that night woke up with teeth chattering and limbs shaking. Urinated and noticed a pink tinge. My husband took me to the ER ( He had had a similar reaction to his first Pfizer shot)  Found to have a fever, increased heart rate and a raging bladder infection (significant amount of blood in urine). Treated with Keflex via IV . Went home with a presciption for Keflex  They are running a culture. I HAD COVID IN NOVEMBER AS DID MY HUSBAND   IT APPEARS THAT MAYBE ONE DOSE WOULD HAVE BEEN SUFFICIENT FOR US. I HOPE THIS WILL BE EVALUATED AND THE PUBLIC INFORMED OF BEST PRACTICE
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Loss of consciousness, Malaise, Nausea, Pallor
Clinical narrative: 5 minutes after receiving 1st dose of Moderna vaccine, patient slumped over in waiting area, patient aroused with contact, appeared pale, stated anxious, nausea, "not feeling right," A&O x 4, denied SOB, chest pain, swelling, itching, no redness, swelling, hives noted.  B/P: 98/60, HR: 58, BG: 98, SPO2: 99%. Per DO, MA applied 4L face mask. Patient laid supine: feet up, given water, removed O2. After 15 minutes: B/P 105/66, HR: 59 supine, SPO2 99%RA. After 30 minutes: B/P 97/67, HR 59 sitting, SPO2 100%RA. Patient stated "feeling better" another 30 minutes later. B/P: 110/67 HR: 58. Patient stated all symptoms resolved, had been anxious about vaccine, has had syncope prior at dental appts. Patient denied SOB, chest pain, swelling, itching. Patient advised to call EMS if develops any above symptoms. Patient monitored for 1 hour total.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Headache, chills, fever, body aches, fatigue
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Lactation disorder
Clinical narrative: Significant decrease in well established breast milk supply. Have been breastfeeding with no issues for 4.5 months. After the second vaccine, supply dramatically decreased.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna COVID was accidentally given to a 16 y/o, who was here to get her first Pfizer COVID vaccine. Pt was observed for 15 minutes without any adverse reaction.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Head discomfort, Loss of consciousness, Malaise
Clinical narrative: Gave patient Shot.  Patient stated it burned, and stated that he wasn't feeling well.  Head started to slump, and patient passed out.  Called 911.  Patient passed out 4 times including once while EMS was present.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Headache, muscle pain, nausea, extreme fatigue, feeling tired. Last 48 hours.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Eye swelling, Pharyngeal swelling
Clinical narrative: Patient received Moderna vaccine and approximately 30 minutes later she returned to clinic with complaint of left eye swelling that progressed to throat swelling and shortness of breath. She was transferred to emergency room via ambulance.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash macular, Vomiting
Clinical narrative: On the night of the 1/11, I was up vomiting. On 1/12, I started to experience the basic symptoms. By that Friday, all of that was resolved. Then on 2/13, I had red, rosy, blotchy cheeks that lasted until 2/17. I was told to take Claritin, Zyrtec and Pepcid AC twice a day 24 hours before my vaccine and I continued the same regimen after the vaccine, with the addition of Prednisone. That lasted for 10 days-2 weeks.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Flushing, Hypoaesthesia, Paraesthesia, Pharyngeal swelling
Clinical narrative: She reported a previous reaction to initial Pfizer dose: complained of left facial numbness/tingling as well as flushing, she also reported facial swelling. She was treated with Benadryl 25mg PO.  She was unable to make an appointment with allergy/immunology prior to obtaining this dose.  She received the dose and was given a 30-minute observation time.  While in observation, I spoke to patient and she reported right-sided facial numbness and tingling but no flushing or swelling. She was otherwise feeling fine.  Approx 10 minutes after injection, she complained of difficulty swallowing and mild throat swelling. Pulse was 110, O2 was 98% on room air.  She denied SOB, wheezing. No stridor was noted and oropharyngeal exam was normal, no swelling or erythema noted.  At this point, Benadryl liquid 50mg was given.  After another 15 minutes of direct observation, her swallowing had improved and she felt stable to go home. Her pulse was 82, O2 98%.  Suggested that they keep Benadryl at home, she can use every 6 hours as needed. If symptoms worsen, seek higher level of care. Patient and partner stated understanding.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Rash pruritic
Clinical narrative: At first my right arm became red, swollen and sore. The area measured about 3"X 3". That was on March 16th. I called my primary doctor on Wednesday, and he recommended ice for 20 min on and off followed by heat. It remained that way until the 18th when the swelling went down and an itchy rash appeared and I called the doctor again and he recommended cortisone cream. The rash went away and then a 3"X 3" row of dots encircled the area disappearing about two days ago.
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity
Clinical narrative: Pain in my right leg and pain in my left arm. I took an aspirin and used cold compresses for my arm.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Hazy/foggy vision, temporary. For about 7 days after both doses, my eyesight got very foggy, severely limiting my ability to get anything done. It took about 2 days to get to its worst, was bad for about three days, then about 2 days to clear up. Vision basically returned to "normal" after each event.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Computerised tomogram abnormal, Dyspnoea, Hypopnoea
Clinical narrative: Two days after vaccination on 3/3,  deep, sharp pain in the upper right portion of the chest and the upper right back, to the point of painful inability to breath beyond shallow breaths.  This pain subsided, but returned shortly after contracting and testing positive for Covid-19 on the 3/12, at which point i decided to go to the hospital emergency room, Well I was tested for and found to have a PE (pulmonary embolism )  in the upper right portion of my right  lung.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Two days after vaccination on 3/3,  deep, sharp pain in the upper right portion of the chest and the upper right back, to the point of painful inability to breath beyond shallow breaths.  This pain subsided, but returned shortly after contracting and testing positive for Covid-19 on the 3/12, at which point i decided to go to the hospital emergency room, Well I was tested for and found to have a PE (pulmonary embolism )  in the upper right portion of my right  lung.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Hypoaesthesia, Paraesthesia
Clinical narrative: 1432hr Pt fell to the ground c/o shortness of breath & dizziness. Dose of J+J vaccine given about 15 minutes prior. B/P 70/50 HR 84 SPO2 100% on R.A., Lungs clear bilateral. Pt complained of tingling in both hands & feet. Pt refused epi but agreed to Benadryl 50MG po Liquid. Benadryl Administered at 1435hrs no improvement, pt feeling more short of breath & Numbness in Lt arm, 1 dose of epi administered at 1440. Pt had no improvement, pt complained of numbness now in right arm. At 1445 a 2nd epi pen was administered. 1447 pt stated he was feeling better. VS taken BP 100/60 R.24 HR 80 SPO2 97% RA. Lungs Clear bilateral. EMS arrived @1448. Pt stable and was transported to the hospital.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Red, warm, itchy arm, continuing from 3/18 to present.  Taking Benadryl.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Trismus
Clinical narrative: Within five minutes of leaving the facility I was in my car taking a drink of water from a bottle. My left jaw got a strong cramp in it and I couldn't drink the water. I rubbed the gland area under my chin and tried to take another drink. The same thing happened. I tried one more time...same thing. I continued to rubbed the area and the problem went away after about three minutes. This has never happened to me before.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Palpitations
Clinical narrative: Heart pounding, lips swelling (reported).  Pt did not appear to be swollen, pt " felt better" soon after assessment.  Pt refused transport to hospital.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Paraesthesia
Clinical narrative: Tingling down left arm, hand, into right arm, & hand, down both legs And rapid heartbeat. Occurred within 5 mins of getting vaccine, lasted A couple minutes.  Should I not get the 2nd vaccine?
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysphonia, Dyspnoea, Electrocardiogram, Nausea
Clinical narrative: Sudden tightening of throat, coughing, urgency to throw up (did not) repeatedly, difficulty getting air, could not speak, looked for allergy relief medicine, took 3-4 Hyland's seasonal allergy relief chewable. The meds reversesed the reaction enough to call a friend to go to hospital, voice broken and raspy, while focussing on breathing. To hospital about 1:05, still having difficulty breathing. They did not administer meds, did ekg, normal. Itchy chest, tightness in head at temples, clearing throat,  Symptoms continued to subside, left hospital about 2:23. Was told to contact my pcp if need.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Tension headache, Throat clearing, Throat tightness
Clinical narrative: Sudden tightening of throat, coughing, urgency to throw up (did not) repeatedly, difficulty getting air, could not speak, looked for allergy relief medicine, took 3-4 Hyland's seasonal allergy relief chewable. The meds reversesed the reaction enough to call a friend to go to hospital, voice broken and raspy, while focussing on breathing. To hospital about 1:05, still having difficulty breathing. They did not administer meds, did ekg, normal. Itchy chest, tightness in head at temples, clearing throat,  Symptoms continued to subside, left hospital about 2:23. Was told to contact my pcp if need.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Photophobia, Vomiting
Clinical narrative: Sharp squeezing frontal headache about 3am. Woke around 6am with headache and light sensitivity, sore body.  Went back to bed about 8am, woke at 9am vomiting, headache, slow moving. Took ibuprofen went back to bed. Woke at 11:30am vomiting again. Back to sleep shortly after.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Myalgia, Nausea
Clinical narrative: Sore arm, chills, fever, dizziness, nausea, aching muscles, diarrhea
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Sore arm, chills, fever, dizziness, nausea, aching muscles, diarrhea
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: gave mederna to person under 18 years od age
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Feeling of body temperature change, Nausea
Clinical narrative: NAUSUA BEGAN AT 3:30 - QUICKLY FOLLOWED BY FEVER, CHILLS, HOT COLD FLASHES AND VOMITING. DIARRHEA ALSO.   VOMITING WAS SEVERE UNTIL 6:30 PM WHEN I FINALLY FELL ASLEEP. FATIGUE.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: NAUSUA BEGAN AT 3:30 - QUICKLY FOLLOWED BY FEVER, CHILLS, HOT COLD FLASHES AND VOMITING. DIARRHEA ALSO.   VOMITING WAS SEVERE UNTIL 6:30 PM WHEN I FINALLY FELL ASLEEP. FATIGUE.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Hypersensitivity, Rash
Clinical narrative: After about 5 min of receiving his second Pfizer vaccine, pt suddenly developed generalized raise erythematous rash on arms legs, back . Hx: In anticipation  onset of anaphylaxis, after appearance of rash on lt arm, pt put on stretcher , undressed immediately, and generalized rash noted. none pruritic. v/s and sat NORMAL. airway NORMAL. lungs clear. given pt's very concerning rash but lack of indication of impending anaphylaxis, given 50mg po benadryl. rescue called for trans and observation in ER where given 30mg prednisone po  and monitored. was observed in ER and discharged after 2 hrs observation. 24 hrs later, pt continues to do well.  Dx : acute allergic reaction to pfizer vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Differential white blood cell count, Full blood count, Metabolic function test, Peripheral swelling
Clinical narrative: Severe allergic reaction including throat swelling, hives, burning /itching skin (head to toe), swelling of hands and feet. Over a thirty minute span, the reactions started to the time I made it to the ER. They got progressively worse during that 30 minute span. Required a shot of epinephrine due to anaphylaxis.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Pruritus, Skin burning sensation, Urticaria
Clinical narrative: Severe allergic reaction including throat swelling, hives, burning /itching skin (head to toe), swelling of hands and feet. Over a thirty minute span, the reactions started to the time I made it to the ER. They got progressively worse during that 30 minute span. Required a shot of epinephrine due to anaphylaxis.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Covid19 positive 3/12/21
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Injection site pain, Mobility decreased, Myalgia
Clinical narrative: Injection to L/arm and was very sore an hour later. Now 4 days later the pain is worse, the area is red, and I now have limited mobility in this arm. Significant muscle pain in this arm and can not lift it over my head.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Injection site swelling, Pruritus, Skin discolouration
Clinical narrative: Arm hard and swollen around injection site  and itchy in the area , has been almost 2 weeks arm still itchy and large red area around where the shot was given and starting to look bruised
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Nausea
Clinical narrative: Patient felt nauseous, dizzy, and flush. Patient was given a bottle of water and monitored for 30 minutes. After the 30 minutes he said he felt better and was able to leave.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Piloerection, Urticaria
Clinical narrative: Starting 4 hours post injection, patient developed severe chills and goosebumps. About a week later she developed hives and welps. She called 911 and was taken to the emergency room.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Aching knees
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Swollen tongue, Tongue ulceration
Clinical narrative: Tongue swelling with sores, burning sensation
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Dizziness, Fall, Fibrin D dimer, Full blood count normal
Clinical narrative: My arm was sore the next day which was fine and then on Tuesday I woke up and fell over, was dizzy until Friday and went to the er I had a horrible headache along the dizziness and they did a cat scan and blood work which all was normal and said it could be the vaccine, 2 weeks as of today and I?m still just as dizzy. I can?t even drive
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired driving ability, Pain in extremity
Clinical narrative: My arm was sore the next day which was fine and then on Tuesday I woke up and fell over, was dizzy until Friday and went to the er I had a horrible headache along the dizziness and they did a cat scan and blood work which all was normal and said it could be the vaccine, 2 weeks as of today and I?m still just as dizzy. I can?t even drive
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Swelling
Clinical narrative: Red.Swollen.Itchy.Rash
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: inflammation of lymph node over left clavicle
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: I had Moderna vaccine #1 one week ago - and since then I have had headaches every night at bedtime, and every morning when I wake up. In addiiton, I have been unusually tired every day for the last week, enough to take a nap (I am not a "naps" person!). It has not been bad enough to go to the doctor, but it has been noticeable.   My arm only hurt for 36 hours.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: covid positive 3/9/21
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Pain in extremity
Clinical narrative: At time of the shot, just a sore arm for about a day.  Then fine for a week.  One week later the injection site started to itch.  By the 8th day, there was a red itchy rash at injection site.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Pt returned for her second dose and reported Bilateral rash to hands within an hour of vaccine.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 antibody test negative
Clinical narrative: No Symptoms.  No signs. After 3 weeks of second dose, negative test of antibodies.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: palpitation  BP 182/86 /58  98%o2 after 10 minutes  BP 174/84/56  99%o2  #20 no more palpitations when she left for home #21 left went home against medical advice - adviced to go to hospital for evaluation
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Fever and Chills - low grade up to 103 from the night of 3/13-evening of 3/14.  Fatigue all day 3/14 and light fatigue 3/15.  Fever broke by 6pm 3/14
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: 13th, I noticed some redness on the site; it started to spread quickly - it was probably 6 inches by 3 inches of a warm spot. And tender and swollen. I did a telehealth appointment with a physician  through a service at work (physician's through Hospital - the doctor was ) and they said since it was warm to the touch and swollen they wanted to give me a prescription of Keflex for 10 days in case it was cellulitis. Next day (after I got on the Keflex) it was so swollen it was like the size of golf ball and I had a low grade fever of 99.5 and my arm hurt really bad. I took Tylenol and did cold compresses and it was still very painful. I went to my Dr in person on January 14 and he just said to continue on the antibiotics and if it didn't get better in a couple of days he would prescribe steroids but he didn't have to. It started to gradually go down.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Body temperature increased, Chills, Dyspnoea, Fatigue
Clinical narrative: 1st day thru 3rd day intermittent shortness of breath occurred about 4 hours after vaccine dose, some lymph swelling under left arm 2nd day, fatigue for a couple of days, light chills first night, on the 15th day pulsing tinnitus in both ears and intermittent rapid heartbeat and anxiety and feeling unwell, temp of 99.4 went and had covid test returned negative, pulsating tinnitus still happening on day 16 post 1st dose of vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Lymphadenopathy, Malaise, SARS-CoV-2 test negative, Tinnitus
Clinical narrative: 1st day thru 3rd day intermittent shortness of breath occurred about 4 hours after vaccine dose, some lymph swelling under left arm 2nd day, fatigue for a couple of days, light chills first night, on the 15th day pulsing tinnitus in both ears and intermittent rapid heartbeat and anxiety and feeling unwell, temp of 99.4 went and had covid test returned negative, pulsating tinnitus still happening on day 16 post 1st dose of vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea
Clinical narrative: Nausea, diarrhea is ongoing
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Tongue swelling x 24 hours. No respiratory compromise
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Blepharospasm, Hypoaesthesia, Muscle tightness
Clinical narrative: Approximately 15 minutes after injection, I first felt tightness in my left neck area, followed by a numbness sensation on the left side of my face and abdomen. Sensation has subsided in the abdomen area but remains on the left side of the face. Lower left eyelid twitches on its own throughout the day.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hypoaesthesia, Paraesthesia
Clinical narrative: Pt c/o numbness/tingling in arm.  Assessment showed speech not slurred, equal grip bilaterally.  High BP is abnormal for patient, but pt stated anxiety due to shot.  Pt refused transport, advised to contact PCP if HTN, symptoms occurs
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Headache began 8 hours later. 24 hours after injection 11am on the 23rd) became extremely tired, headache, body aches. After sleeping 4 hours, woke up with fever of 99.9. After 4 more hours, I felt better and had an appetite.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Rash, redness and swelling in the arm (where one of the short was injected). 6 days after shots there is the onset of headaches
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: 101.5 fever, nausea, dizziness, fatigue , headache, muscle aches, sore arm
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: 101.5 fever, nausea, dizziness, fatigue , headache, muscle aches, sore arm
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Influenza like illness
Clinical narrative: Patient states they feel dizzy, like they have a bad flu (no energy, achy) and they did fall. I advised patient to consult primary care physician.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Pain
Clinical narrative: Day 1 after vaccination sight of injection sore and entire body felt sore as well as fatigued.  Day 2 woke up feeling fine other than fatigued and developed chills later in the day.  Both days have I have felt exhausted after trying to complete a physical task such as cleaning out the car or pulling up weeds.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Headache, Pain, Pain in extremity, Sleep disorder
Clinical narrative: It started at 2am of 03/24/21, client had bad headache and bad body aches describes as "got hit by a truck" and was crying and no sleep until 7am that morning. About 10/10 in pain scale when asked. Took Aleve around 10pm that night, but it did not help. Took Robitussin at 7am and it helped out to get some sleep. Around noon, client reports from 10/10 went down to 2/10, still having sore arm, but reports feeling better compared at 2am. Advised to call us back at the clinic if any other concern(s) that may arise or to call PCP.  Client verbalizes understanding and no other concerns.  Additional info: Client had history of having rash and itchiness on site of injection, cheek, and leg from the 1st dose of Moderna dated 02/23/21 and VAERS report was made when came back for her 2nd dose on 03/23/21.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Pain
Clinical narrative: I ached all over and felt like I had the flu.  Called Dr. and he suggested I wait a couple more days before coming in.  I was very ill for a full week after the shot.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Cough, Headache, Myalgia, Neck pain
Clinical narrative: Severe headache, Fever, sleeping, sore throat, cough, and muscle aches from about 10 am - 6 pm Pain in neck and down back (spine) starting about 8:00 am Tuesday and lasting until about 4:00 pm the next day (Wednesday)  Woke up enough to take 2 Motrin about 4:00 pm (Tuesday) Red area approximately 2 inches wide and 3-4 inches dow snd diagonal from injection site that is warm and tender that appeared while sleeping during Tuesday day and is slowly fading still visible and aittle tender now (Thursday 8:00pm)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Somnolence
Clinical narrative: Severe headache, Fever, sleeping, sore throat, cough, and muscle aches from about 10 am - 6 pm Pain in neck and down back (spine) starting about 8:00 am Tuesday and lasting until about 4:00 pm the next day (Wednesday)  Woke up enough to take 2 Motrin about 4:00 pm (Tuesday) Red area approximately 2 inches wide and 3-4 inches dow snd diagonal from injection site that is warm and tender that appeared while sleeping during Tuesday day and is slowly fading still visible and aittle tender now (Thursday 8:00pm)
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Patient experienced an episode of syncope within 45 seconds of administering vaccine. Patient lost consciousness for approximately 20 seconds. Patient did not hit head or sustain any other injuries. Medical alert response was activated and patient vital signs were monitored until WNL. Patient was taken in wheelchair to curbside for discharge. Patient stated prior to vaccine that he had a history of anxiety and fainting.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: 2 hrs After injection / headache / soreness at injection site Morning after injection/ 100 degree fever / body aches / all day headache
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Chest pain, Dyspnoea, Fatigue
Clinical narrative: One hour after vaccination on Saturday got lethargic and so tired. Same the next day. Monday, the fatigue improved but Instartes to get muscle aches and stiffness. Soreness in my joints. By Wednesday evening my chest started to hurt for a few minutes and my heart rate temporarily Increased. As the days went on the symptoms became more regular. I also got extreme anxiety, a very fast heartbeat (up to 130 BPM), insomnia, sweating palms and feet, and very difficult to breathe. I couldn?t even get up to take a shower sometimes or sit up. I was admitted to the ER on I believe Tuesday the 23rd of March. This is all in the records. All tests came back normal  aside from low iron, but anemia tests came back negative. After all doctors refused to give me medication to directly treat it, I finally went to an urgent care where they gave me prednisone. It?s currently helping me. I was finally able to go for a walk today.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Insomnia, Lethargy, Loss of personal independence in daily activities
Clinical narrative: One hour after vaccination on Saturday got lethargic and so tired. Same the next day. Monday, the fatigue improved but Instartes to get muscle aches and stiffness. Soreness in my joints. By Wednesday evening my chest started to hurt for a few minutes and my heart rate temporarily Increased. As the days went on the symptoms became more regular. I also got extreme anxiety, a very fast heartbeat (up to 130 BPM), insomnia, sweating palms and feet, and very difficult to breathe. I couldn?t even get up to take a shower sometimes or sit up. I was admitted to the ER on I believe Tuesday the 23rd of March. This is all in the records. All tests came back normal  aside from low iron, but anemia tests came back negative. After all doctors refused to give me medication to directly treat it, I finally went to an urgent care where they gave me prednisone. It?s currently helping me. I was finally able to go for a walk today.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Myalgia
Clinical narrative: One hour after vaccination on Saturday got lethargic and so tired. Same the next day. Monday, the fatigue improved but Instartes to get muscle aches and stiffness. Soreness in my joints. By Wednesday evening my chest started to hurt for a few minutes and my heart rate temporarily Increased. As the days went on the symptoms became more regular. I also got extreme anxiety, a very fast heartbeat (up to 130 BPM), insomnia, sweating palms and feet, and very difficult to breathe. I couldn?t even get up to take a shower sometimes or sit up. I was admitted to the ER on I believe Tuesday the 23rd of March. This is all in the records. All tests came back normal  aside from low iron, but anemia tests came back negative. After all doctors refused to give me medication to directly treat it, I finally went to an urgent care where they gave me prednisone. It?s currently helping me. I was finally able to go for a walk today.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Hepatitis, Muscle tightness
Clinical narrative: Tightness on chest would come and go for 3 days Tightness on rear of neck would come and go for 2 days Inflammed Liver for a week
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient stated  feeling lightheadedness 13 minutes post vacccination, patient verbalize lighteadedness. Vitals signs obtained at 03:28pm B/P: 183/98 HR: 82 bpm SpO2: 100% Temp 97.4 F AT 03:34pm B/P 167/83 HR: 82bpm SpO2: 100%  AT 03:44pm B/P 161/74 HR: 86bpm SpO2: 100% Patient verbalized that she feels better @ 15:50 stood up w/o lightheadedness, picked up by son  at 15:52pm Patiet advised to follow up with PCP prior second dose.