chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered invalid 2nd dose of Pfizer vaccine (vaccine was stored 5 days beyond recommended freezing time). Pfizer was contacted and recommended that the patient receive a booster in the opposite arm. Patient can receive booster immediately and will be contacted to schedule booster dose.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia
Clinical narrative: U07.1, J12.82 - Pneumonia due to COVID-19 virus U07.1, J96.00 - Acute respiratory failure due to COVID-19
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Computerised tomogram, Epistaxis, Immune thrombocytopenia, Platelet count decreased
Clinical narrative: 6 weeks out woke up with nose bleed x3 days. Went to ER ran test platlet count was at 2,000.sent to be admitted at hospital started steroids, fusion treatments. Was in hospital 16 days platlet count would not stay steady and was very low had bone marrow Which came back fine. Had spleen removed that was eating up all platelets. Had to have blood and was diagnosed with ITP which I never had before.  Was perfectly healthy up to this time
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Splenectomy
Clinical narrative: 6 weeks out woke up with nose bleed x3 days. Went to ER ran test platlet count was at 2,000.sent to be admitted at hospital started steroids, fusion treatments. Was in hospital 16 days platlet count would not stay steady and was very low had bone marrow Which came back fine. Had spleen removed that was eating up all platelets. Had to have blood and was diagnosed with ITP which I never had before.  Was perfectly healthy up to this time
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Headache, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, headache, severe upper body aches, fatigue
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Pyrexia
Clinical narrative: Fever, chills, diarrhea and sever headache - lasted exactly 24 hours.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Discomfort, Loss of personal independence in daily activities, Mobility decreased, Pain, Sleep disorder
Clinical narrative: The evening of the flu shot, I felt "dead arm" pain when moving my left arm backwards.  When driving my vehicle or vehicles at work, there was again the same pain moving my left arm down/backwards.  I now cannot raise my left arm enough to wash my hair or tie a ponytail with both hands.  I have difficulty dressing and undressing, personal grooming, putting on deodorant, cleaning around the house, ironing and doing laundry, lifting/moving/reaching objects at counter height or above my head, and sleeping.  I feel pain of various levels when just sitting or standing.  The Voltaren helps a bit.  Ice packs and hot showers can reduce the discomfort for a short while. I have gone to physical theray and have had a cortisone shot.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: X-ray limb
Clinical narrative: The evening of the flu shot, I felt "dead arm" pain when moving my left arm backwards.  When driving my vehicle or vehicles at work, there was again the same pain moving my left arm down/backwards.  I now cannot raise my left arm enough to wash my hair or tie a ponytail with both hands.  I have difficulty dressing and undressing, personal grooming, putting on deodorant, cleaning around the house, ironing and doing laundry, lifting/moving/reaching objects at counter height or above my head, and sleeping.  I feel pain of various levels when just sitting or standing.  The Voltaren helps a bit.  Ice packs and hot showers can reduce the discomfort for a short while. I have gone to physical theray and have had a cortisone shot.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dyspnoea, Electrocardiogram, Feeling of body temperature change, Hypoaesthesia
Clinical narrative: Exactly 24 hours after vaccine I developed a severe racing heart, shortness of breath, numbness in my hands and cold/hot rushes down my neck and back. After trying to lower my heart rate at home for approx. 45 minutes, I went to the ER based on CDC recommendation as well as not having a primary caregiver. 1 1/2 hours into being there I felt my heart slow down back to normal as well as the hot/cold sensations ease up. Once my vitals became normal they released me.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Urine analysis
Clinical narrative: Exactly 24 hours after vaccine I developed a severe racing heart, shortness of breath, numbness in my hands and cold/hot rushes down my neck and back. After trying to lower my heart rate at home for approx. 45 minutes, I went to the ER based on CDC recommendation as well as not having a primary caregiver. 1 1/2 hours into being there I felt my heart slow down back to normal as well as the hot/cold sensations ease up. Once my vitals became normal they released me.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Runny nose x 2 weeks, cough and sore throat onset 5/14/21
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Patient experienced redness and itching to arms.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Discharge, Heavy menstrual bleeding, Menstruation irregular, Muscle spasms, Oligomenorrhoea
Clinical narrative: Recieved an extra 14 day menstrual cycle the day after second dose. I am always regular and had regular scheduled cycles before and after vaccine. The unexpected cycle that started after the vaccine was extremely heavy and had alot of cramping. This lasted 14 days with dark discharge on days 11-14. This is extremely irregular for me and was more painful and heavier then the bleeding after my 2 natural deliveries.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Recieved an extra 14 day menstrual cycle the day after second dose. I am always regular and had regular scheduled cycles before and after vaccine. The unexpected cycle that started after the vaccine was extremely heavy and had alot of cramping. This lasted 14 days with dark discharge on days 11-14. This is extremely irregular for me and was more painful and heavier then the bleeding after my 2 natural deliveries.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Syncope
Clinical narrative: It was reported to this writer that immediately following the administration of the vaccine, the patient reported to the vaccinator that he was feeling dizzy. He did state that he had not eaten prior to the appointment. It was observed that the patient had 3 brief syncopal episodes. EMS was on the scene to assess patient. The vital signs that EMS obtained were WNL. Patient declined water and juice. Patient was free to leave following assessment by EMS.
Age: 99.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Agitation, Asthenia, Bedridden, Cachexia, Cognitive disorder
Clinical narrative: This 99 year old female received the Covid shot on  4/9/21    and died on 5/8/21.
Age: 99.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Death, Dyspnoea, Hallucination, Incontinence
Clinical narrative: This 99 year old female received the Covid shot on  4/9/21    and died on 5/8/21.
Age: 99.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Livedo reticularis, Loss of personal independence in daily activities, Mobility decreased, Patient uncooperative, Respiratory rate decreased
Clinical narrative: This 99 year old female received the Covid shot on  4/9/21    and died on 5/8/21.
Age: 99.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Restlessness, Skin wound, Unresponsive to stimuli
Clinical narrative: This 99 year old female received the Covid shot on  4/9/21    and died on 5/8/21.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Syncope
Clinical narrative: FAINTING. PATIENT HADN'T EATEN ALL DAY AND WAS VERY ANXIOUS. SAT IN CHAIR, HAD A PROTEIN BAR AND WATER AND ISSUES RESOLVED.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Cerebral venous sinus thrombosis, Computerised tomogram head abnormal, Headache, Magnetic resonance imaging head abnormal
Clinical narrative: May 11th had the worse headache of my life. Went to ED. CT scan showed  SAH in right frontal/parietal regions. MRA showed multifocal venous sinus thrombosis. Partial thrombosis of superior sagittal. Heparin gtt and sent home on Lovenox BID
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Subarachnoid haemorrhage, Superior sagittal sinus thrombosis
Clinical narrative: May 11th had the worse headache of my life. Went to ED. CT scan showed  SAH in right frontal/parietal regions. MRA showed multifocal venous sinus thrombosis. Partial thrombosis of superior sagittal. Heparin gtt and sent home on Lovenox BID
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Presyncope
Clinical narrative: Vasovagal reaction,  patient was lightheaded and sweating, he remained consciousness and  was placed on the floor in a supine position.  Remained After about 15 minutes he was able to resume a sitting position and had no other problems.  He was able to leave with parents
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Student administered vaccine without meeting age requirement. Phone call to mother confirmed he was administered J&J Vaccine, mother reports no adverse effects noted.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: High fever  102F - 103.4 F for three days following vaccine. Muscle pain, headaches for 5 days following shot. Lymphadenopathy for a week after shot administered.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Tinnitus
Clinical narrative: Bi-lateral Tinnitus.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Altered state of consciousness, Blood glucose decreased, Dyspnoea, Seizure
Clinical narrative: Pt received his vaccine and was being monitored.  He mentioned he was feeling short of breath.  He had an altered level of consciousness but did not pass out, but ammonia salts were used.  He had his BP taken which was normal, Blood glucose was 70, pulse ox was 97% on room air.  He appeared to have a seizure x 15 seconds. He has no hx of seizure activity.  An onsite physician examined him and was supported by a PharmD and RN.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Ear discomfort, Fatigue, Nausea, Pain
Clinical narrative: I had typical side effects the day after the shot...nausea, achy, tired, etc. Two days after the shot (Tuesday late afternoon)...all of a sudden I have loud ringing in my right ear and pressure. I do have ringing issues regularly, but not like this. I normally hear a very faint ring and can only hear when it is really quiet in the room. This current ringing is loud and I hear it constantly. By Wednesday morning it was gone. It is now Thursday afternoon and it just came back.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I had typical side effects the day after the shot...nausea, achy, tired, etc. Two days after the shot (Tuesday late afternoon)...all of a sudden I have loud ringing in my right ear and pressure. I do have ringing issues regularly, but not like this. I normally hear a very faint ring and can only hear when it is really quiet in the room. This current ringing is loud and I hear it constantly. By Wednesday morning it was gone. It is now Thursday afternoon and it just came back.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Paraesthesia oral, Pharyngeal swelling
Clinical narrative: tingling tongue, difficulty swallowing, throat feeling "thick"
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Headache, Myalgia, Pain, Pain in extremity
Clinical narrative: 12 hours after shot - slight fever, strong metallic taste in mouth, aches, sore arm, headache .  These lasted about 12 hours 24 hours after shot - fever of 102. slight metallic taste in mouth, strong headache, muscle soreness.  Took Tylenol for all symptoms, and alternated Advil as well.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 12 hours after shot - slight fever, strong metallic taste in mouth, aches, sore arm, headache .  These lasted about 12 hours 24 hours after shot - fever of 102. slight metallic taste in mouth, strong headache, muscle soreness.  Took Tylenol for all symptoms, and alternated Advil as well.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Brain natriuretic peptide increased, Cardiac failure congestive, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Z79.01 - Chronic anticoagulation J18.9 - Left lower lobe pneumonia R29.6 - Multiple falls A41.9 - Sepsis (CMS/HCC) R09.02 - Hypoxemia J44.1 - COPD exacerbation (CMS/HCC) I50.9 - CHF exacerbation (CMS/HCC) R79.89 - Elevated brain natriuretic peptide (BNP) level
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fall, Hypoxia, Pneumonia, Sepsis
Clinical narrative: Z79.01 - Chronic anticoagulation J18.9 - Left lower lobe pneumonia R29.6 - Multiple falls A41.9 - Sepsis (CMS/HCC) R09.02 - Hypoxemia J44.1 - COPD exacerbation (CMS/HCC) I50.9 - CHF exacerbation (CMS/HCC) R79.89 - Elevated brain natriuretic peptide (BNP) level
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Red swollen patch on my arm and it constantly itch
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Fatigue, Headache, Pain in extremity
Clinical narrative: Very fatigued the next day and arm soreness
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Restlessness
Clinical narrative: Very fatigued the next day and arm soreness
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Peripheral swelling, Pruritus, Skin exfoliation, Urticaria
Clinical narrative: 10 days post vaccine swelling bilaterally hands with hives and itching and peeling hands. Swelling also noted in bilaterally feet/ankles currently ongoing for 6 weeks.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal distension, Peripheral swelling
Clinical narrative: Right arm and leg swelling. Abdominal swelling
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, severe headache.  Lasted 24 hours.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Peripheral swelling
Clinical narrative: Patient complains of lymph node enlargement in her breasts, armpits, and neck.  She also claims both arms and legs are swollen.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Immediate post-injection reaction, Joint range of motion decreased, Pain
Clinical narrative: Pain immediately after injection with increasing discomfort and decrease reange in motion as days went on. Taking Nsaid and applying heat to site 2/16/21- folllow up= pain and still not the best range of motion- will be getting MRI and seeking orthopedic Unknow- no follow up with orthopedic
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Blurry vision. BP 114/60; HR 78; RR 16. Pt stable & released from vaccination site
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Chest discomfort
Clinical narrative: Patient became asphasic and was unable to keep her eyes open approximately 5 minutes after injection. Placed on stretcher, vital signs stable. Epi pen injected into her left thigh. Started to complain of chest pressure approximately 25 minutes after epi, ambulance called. Triaged by EMS and taken to ER
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Infection, Lymphadenopathy, Ultrasound breast
Clinical narrative: Swollen lymph nodes in right armpit causing pain in armpit and breast.  Armpit was swollen and nodule could be felt by doctor.  Took 10 days of antibiotics and swelling went down temporarily but flared back up before time for second shot.  Pain and swelling was back two days before second shot on 05/11/21.  Follow up doctor appointment scheduled on 05/19/21.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal
Clinical narrative: Swollen lymph nodes in right armpit causing pain in armpit and breast.  Armpit was swollen and nodule could be felt by doctor.  Took 10 days of antibiotics and swelling went down temporarily but flared back up before time for second shot.  Pain and swelling was back two days before second shot on 05/11/21.  Follow up doctor appointment scheduled on 05/19/21.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Upon reviewing patient's need for 2nd dose of Moderna, patient's power of attorney informed me that the patient passed away on 5/11/21 without any further information disclosed.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Computerised tomogram normal, Electrocardiogram normal, Headache, Loss of consciousness
Clinical narrative: Headaches, nausea, passed out, EMT administered Narcan, went into afib in the ambulance 160 beats per minute.  Toxicology negative. Given eliquis and metoprolol. CT scan, MRI and ECG showed nothing.  AFIB resolved itself without a cardioversion or ablation.  No AFIB to date.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging heart, Nausea, Toxicologic test normal
Clinical narrative: Headaches, nausea, passed out, EMT administered Narcan, went into afib in the ambulance 160 beats per minute.  Toxicology negative. Given eliquis and metoprolol. CT scan, MRI and ECG showed nothing.  AFIB resolved itself without a cardioversion or ablation.  No AFIB to date.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event occurred. Patient incidentally received 2nd dose 1 week earlier than scheduled  (she presented to the community clinic earlier than scheduled). Documented "error" per requirements.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Feeling hot, Hypoaesthesia
Clinical narrative: Pt reports L sided numbness/tingling, warmth and feelings of facial paralysis 40 minutes after receiving the 1st vaccine. Pt was driving so was not able to look in the mirror to see if facial paralysis was true. Resolved after 10 minutes.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Unable to get out bed for ~18 hours, had 2 incidents where my heart was pounding and I felt like my blood pressure was very high, attempted to take my own blood pressure, wife brought the tester in but it wouldn?t work.  Felt fine the next morning but I think I would take my chances with Covid than do that again.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Acute respiratory failure, COVID-19, Chest X-ray abnormal, Chills
Clinical narrative: Nursing home pt w/hx of dementia and recent hospital stay (5/1-5/7) for treatment of healthcare associated PNA, recurrent UTI, recent antifen CDiff+ but toxin negative. Pt p/w worsening SOB, generalized body aches, abdominal pain, chills and test positive for COVID (5/8) despite having received Moderna vaccine (1/18 & 2/15). Was admitted for additional management of acute hypoxic respiratory failure due to COVID complicated w/chronic hypoxic resp failure d/t COPD. Pt treated with dexamethasone and bronchodilators as well as diuretics for volume overload in setting of diastolic heart failure. Pt was ultimately discharged to nursing home on 4L of O2.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Clostridium test, Dyspnoea, Pain, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Nursing home pt w/hx of dementia and recent hospital stay (5/1-5/7) for treatment of healthcare associated PNA, recurrent UTI, recent antifen CDiff+ but toxin negative. Pt p/w worsening SOB, generalized body aches, abdominal pain, chills and test positive for COVID (5/8) despite having received Moderna vaccine (1/18 & 2/15). Was admitted for additional management of acute hypoxic respiratory failure due to COVID complicated w/chronic hypoxic resp failure d/t COPD. Pt treated with dexamethasone and bronchodilators as well as diuretics for volume overload in setting of diastolic heart failure. Pt was ultimately discharged to nursing home on 4L of O2.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Nursing home pt w/hx of dementia and recent hospital stay (5/1-5/7) for treatment of healthcare associated PNA, recurrent UTI, recent antifen CDiff+ but toxin negative. Pt p/w worsening SOB, generalized body aches, abdominal pain, chills and test positive for COVID (5/8) despite having received Moderna vaccine (1/18 & 2/15). Was admitted for additional management of acute hypoxic respiratory failure due to COVID complicated w/chronic hypoxic resp failure d/t COPD. Pt treated with dexamethasone and bronchodilators as well as diuretics for volume overload in setting of diastolic heart failure. Pt was ultimately discharged to nursing home on 4L of O2.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Ageusia, Anosmia, Back pain, Diarrhoea
Clinical narrative: Symptomatic 4/22 really bad muscle pains and aches in her back. She was having sore throat, diarrhea, and abdominal pains. She also lost her taste and smell.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Oropharyngeal pain
Clinical narrative: Symptomatic 4/22 really bad muscle pains and aches in her back. She was having sore throat, diarrhea, and abdominal pains. She also lost her taste and smell.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Chest discomfort, Headache, Nausea, Paraesthesia
Clinical narrative: Adverse Event: PT c/o headache, nausea, arms and hands tingling. RN responded, called for aid at 0900. EMTS arrived at 0903 and began assessment. RNs also responded at this time. PT then stated "I feel nauseated and my head hurts." At 0924, PT c/o upper chest discomfort. VS were assessed again (see below). At 0936, PT reports feeling better and back to baseline.   Treatment: Water and juice provided, EMTs assessed PT, obtained vital signs (0905: BP 138/88, HR 105, T 97.6, SPO2 100%. 0936: 126/84, HR 104, CBG 130. 0938: BP 134/92, HR 97, SPO2 99%). Outcome: PT medically  cleared by EMTs at 0938, exited facility with husband. Husband to drive home.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: left supraclavicular lymphadenopathy that resolved within 2 weeks
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram, Dyspnoea
Clinical narrative: Patient reported to the ED 3 days after vaccination with shortness of breath and chest pain. ST elevation noted and sent to cath lab, CT angio revealed that he could have a small subsegmental pulmonary embolism.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Head injury, Hyperhidrosis, Mydriasis, Syncope
Clinical narrative: Patient was the 4th person to receive today?s vaccine of Pfizer. This was his second dose. He did fine the first dose. Patient sat down in the chair and rolled sleeve up. Chose L deltoid for injection site. He was talking with a friend and writer gave injection. Placed band aid. Patient was quiet and looked like he was going to get up but fell forward out of the chair. He hit his L forehead on side of wall. Writer caught patient and sat him up on the ground. Eye?s were dilated, he was diaphoretic, zoned out and not responding initially to voice, but eyes were open. Eventually got patient up to a wheelchair and taken to office area to lay down and monitor. Father was notified and sat with us after he arrived at the school. Patient drank 1 full 120cc orange juice and approximately 6oz of water. Throughout monitoring patient gradually felt better. Pupils corrected to normal, wasn?t diaphoretic anymore, and vitals improved. He stated this has happened before with lab draws and shots, but not this severe. Writer and colleagues informed him to notify people that are going to give him shots or lab draws about his history. Also informed him to notify his teachers if he feels anything out the ordinary for the rest of the day. Make sure he hydrates. Patient then sat up and walked in the room. He stated he felt fine like before getting the shot. Patient left stable and under his own power.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient was the 4th person to receive today?s vaccine of Pfizer. This was his second dose. He did fine the first dose. Patient sat down in the chair and rolled sleeve up. Chose L deltoid for injection site. He was talking with a friend and writer gave injection. Placed band aid. Patient was quiet and looked like he was going to get up but fell forward out of the chair. He hit his L forehead on side of wall. Writer caught patient and sat him up on the ground. Eye?s were dilated, he was diaphoretic, zoned out and not responding initially to voice, but eyes were open. Eventually got patient up to a wheelchair and taken to office area to lay down and monitor. Father was notified and sat with us after he arrived at the school. Patient drank 1 full 120cc orange juice and approximately 6oz of water. Throughout monitoring patient gradually felt better. Pupils corrected to normal, wasn?t diaphoretic anymore, and vitals improved. He stated this has happened before with lab draws and shots, but not this severe. Writer and colleagues informed him to notify people that are going to give him shots or lab draws about his history. Also informed him to notify his teachers if he feels anything out the ordinary for the rest of the day. Make sure he hydrates. Patient then sat up and walked in the room. He stated he felt fine like before getting the shot. Patient left stable and under his own power.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous
Clinical narrative: Red rash across arm at and above injection site
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Injection site pain
Clinical narrative: (05/11/21 - second dose administered) sore arm at point of injection.   (05/12/21) sore arm at point of injection, fatigue, muscle soreness in upper back, headache, fever, cold chills, nausea, diarrhea.   (05/13/21) sore arm at point of injection, fatigue, muscle soreness in upper back, muscle soreness in neck, headache, fever, cold chills, nausea, vomiting, diarrhea.   (05/14/21 today?s date) sore arm at point of injection, fatigue, muscle soreness in neck, nausea, diarrhea.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: (05/11/21 - second dose administered) sore arm at point of injection.   (05/12/21) sore arm at point of injection, fatigue, muscle soreness in upper back, headache, fever, cold chills, nausea, diarrhea.   (05/13/21) sore arm at point of injection, fatigue, muscle soreness in upper back, muscle soreness in neck, headache, fever, cold chills, nausea, vomiting, diarrhea.   (05/14/21 today?s date) sore arm at point of injection, fatigue, muscle soreness in neck, nausea, diarrhea.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Spinal X-ray normal, Syncope
Clinical narrative: Pt was at 2nd dose scheduling & had syncopal episode. Assisted fall to the floor by mother. EMS C-spine negative; VS stable (BP 126/78; HR 87; RR 18). Pt felt better after juice & water.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Per recovery RN notes:  Patient: DOB 10/22/1961, Female 05/10/21 at 1025am   Vaccine Time: 1013 Symptoms: Patient stated, "I am not feeling well, I want to lay down". Intervention: RN took vital signs  157/94 in R arm sitting. Pulse 99. 02sat on room air 98%. RR 16. Patient placed on stretcher and in recumbent position, given some water, and a cold compress to the forehead and neck. BP rechecked at 1002am. BP 145/86, HR 77, 02 sat 99% RR14. Recheked VS at 1122am BP 125/82. HR 67 and 02 sat 99%. Response: Patient felt better at 1124 and verbalized feeling well to go home.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Albumin globulin ratio normal, Anion gap normal, Aortic aneurysm, Aspartate aminotransferase increased
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Bacterial test positive, Base excess negative, Basophil count decreased, Basophil percentage decreased
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Bilirubin urine, Blood alkaline phosphatase increased, Blood bicarbonate normal, Blood bilirubin increased, Blood calcium decreased
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride increased, Blood creatinine increased, Blood gases, Blood glucose decreased, Blood lactic acid
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium increased, Blood pH decreased, Blood potassium normal, Blood sodium increased, Blood urea increased
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea nitrogen/creatinine ratio, Blood urine present, Calcium ionised normal, Carbon dioxide decreased, Cardiac arrest
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Drooling, Electrocardiogram, Electroencephalogram abnormal, Encephalopathy
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Eosinophil count normal, Eosinophil percentage, Flatulence, Full blood count
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Globulins increased, Glomerular filtration rate decreased, Glucose urine absent, Granulocyte percentage, Haematocrit decreased
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Imaging procedure artifact, Immature granulocyte count, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean cell volume increased
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume increased, Metabolic function test, Monocyte count normal, Monocyte percentage, Neutrophil count normal
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil percentage increased, Nitrite urine absent, Nucleated red cells, Oxygen saturation normal, PCO2 increased
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: PO2 increased, Platelet count decreased, Protein total normal, Protein urine present, Red blood cell count decreased
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell nucleated morphology, Red blood cells urine positive, Red cell distribution width increased, Respiratory syncytial virus test negative, Resuscitation
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Specific gravity urine normal, Unresponsive to stimuli, Urinary sediment present, Urine analysis
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, White blood cell count normal, White blood cells urine negative
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: pH urine
Clinical narrative: Cardiac arrest at home Patient found down at home by son; son found patient drooling; initially thought she was sleeping but found her with her eyes open sitting in a recliner unresponsive at home. EMS arrived and CPR was initiated; patient was intubated and transferred to local hospital. CPR was performed approximately 10 minutes. Per family, patient was in normal state of health prior to incident
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bedridden, Dizziness, Influenza like illness, Limb discomfort
Clinical narrative: After the 2nd dose, I experienced flu-like symptoms. I had fever and muscle pain all over for one and a half day.  I was basically bed ridden.  Then after 2 weeks of my 2nd dose, I felt muscle pain again like the time of the vaccination. My arms and legs feels so tired and heavy, thus I feel weak and somehow light headed. No fever, but the weak body.  I hope if this is a side effect of Moderna, this will go away and will not affect me permanently.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: After the 2nd dose, I experienced flu-like symptoms. I had fever and muscle pain all over for one and a half day.  I was basically bed ridden.  Then after 2 weeks of my 2nd dose, I felt muscle pain again like the time of the vaccination. My arms and legs feels so tired and heavy, thus I feel weak and somehow light headed. No fever, but the weak body.  I hope if this is a side effect of Moderna, this will go away and will not affect me permanently.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Vomiting and extreme nausea the next day
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted for a few seconds and regained consciousness quickly. We gave him some water and he was fine.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt 7 days early for 2nd dose of vaccine. Pt made aware of CDC recommendations, still wished to proceed with vaccine.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient, who is a pharmacy intern, completed screening form and checked "No" to the question ?Have you ever received a COVID-19 vaccine?  If so, when and type/manufacturer.?  Based on this, he received the Moderna Vaccine and stated he would return for his second dose in 28 days.  Upon entering the vaccination into IMMTRAC, it was found that he in fact had a Pfizer Covid-19 Vaccine on 03/05/2021.  He was contacted and at that time admitted he did receive the vaccine on 03/05/2021 from a different manufacturer.  He stated that he felt fine and was not having any issues when asked by the Pharmacy Director.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Cold sweat, Dizziness, Dyspnoea
Clinical narrative: Fever, chills, hot/cold sweats, extreme fatigue, chest pain, shortness of breath, every part of my body feels pain and aches, didn't feel alert much on day one but i did drink a lot of water, day two i am a little more alert but could hardly stay sitting up, extreme fatigue both days so far, dizziness, shortness of breath, had chest pain on day one throughout the day.  Tomorrow will be day 3.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Pain, Pyrexia, Sluggishness
Clinical narrative: Fever, chills, hot/cold sweats, extreme fatigue, chest pain, shortness of breath, every part of my body feels pain and aches, didn't feel alert much on day one but i did drink a lot of water, day two i am a little more alert but could hardly stay sitting up, extreme fatigue both days so far, dizziness, shortness of breath, had chest pain on day one throughout the day.  Tomorrow will be day 3.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing
Clinical narrative: Pt felt faint & flushed post vaccine. Given water VS stable (BP 95/60; HR 100; RR 18; T 97.8; o2 sat 100%).  NP assessed pt, symptoms resolved. Pt sent home in stable condition with father.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.5 ML INJECTION INSTEAD OF 0.3 ML INJECTION ADMINISTERED
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Exposure to SARS-CoV-2, Pain, Pain in extremity
Clinical narrative: By next morning arm sore injection site arm. The 21st of January, I had exposure to a patient who tested positive to COVID. Wednesday, 13th, is when I developed high fever, shortness of breath, cough, body aches. My SATS were 93/94. I had those symptoms for about a week. Treatment: Z Pak and support supplements Tylenol/ Advil/ OTC Nyquil; Tessalon Pearls for cough suppressant. In between I was due for my second vaccine I still had a fever when I had my second vaccine 1/18/2021. After that second vaccine, my fever spiked and my fever was worse. Since I've been sick I've been having weird abdominal pains that come and go and I have more irritable and down since I've been sick.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: By next morning arm sore injection site arm. The 21st of January, I had exposure to a patient who tested positive to COVID. Wednesday, 13th, is when I developed high fever, shortness of breath, cough, body aches. My SATS were 93/94. I had those symptoms for about a week. Treatment: Z Pak and support supplements Tylenol/ Advil/ OTC Nyquil; Tessalon Pearls for cough suppressant. In between I was due for my second vaccine I still had a fever when I had my second vaccine 1/18/2021. After that second vaccine, my fever spiked and my fever was worse. Since I've been sick I've been having weird abdominal pains that come and go and I have more irritable and down since I've been sick.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: It has been 14 days since first dose - patient is going to military training on Monday and will not be able to get second dose any later. Patient is aware of risks and wishes to continue.
Age: 47.0
Sex: U
Vaccine: COVID19
Symptoms: Burning sensation, Full blood count, Rash, Red blood cell sedimentation rate, Treponema test
Clinical narrative: On 5/12/2021, he noticed a burning sensation in the lower extremities then he noticed a rash. The rash was on his arms, legs, and trunk.  He was seen at the Clinic and treated.  On 5/14/21, he reports that the rash has worsened so he returned to the clinic.  The rash does not itch and is not painful.     Diagnosis - Erythema Multiforme  TX - Prednisone taper dose x 8 days Follow up 5/17/2021
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Hyperaesthesia, Myalgia, Vomiting
Clinical narrative: At 10pm the day of receiving the shot, I got a horrific headache. I have never felt a headache so extremely painful. I almost went to the ER because it was that intense. I needed up going to bed, took Tylenol, and put on a heating pad. I then woke up at 4 am and vomited several times and had diarrhea. The following day, I felt better, but had muscle pain and skin sensitivity.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Facial pain, Headache, Neck pain, Sinus pain
Clinical narrative: Left Side of Head and Face Hurt Teeth, Head, Ear, Sinus, Neck Pain
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: Left Side of Head and Face Hurt Teeth, Head, Ear, Sinus, Neck Pain
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: fever, muscle aches, headache and exhaustion
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Myalgia
Clinical narrative: Joint pain, muscle pain and lower back pain.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Angiogram, Angiogram abnormal, Antithrombin III, Aortic thrombosis
Clinical narrative: Pt is a 45 y/o F who presents w/ epigastic pain and intermittent L arm numbness. She was found to have extensive clots in descending thoracic aorta with additional clot in  L subclavian and axillary arteries.   She denies any birth control and does not smoke. We have a hypercoaguable workup pending. Transthoracic echo 5/13 did not reveal a cardiac source nor PFO.   She developed sx and saw PCP 4/6/21 which was 3d after second dose COVID vaccine, Moderna (administered 4/3/21). At the PCP 4/6 pt complained of some left arm numbness and a decreased pulse and the doctor noted that it was a little bit cooler to touch and ordered a arterial ultrasound and MRI of the brain.  However, the patient did not feel like she needed it therefor did not have either test done.   During her admission the pt has been evaluated by vascular surgery and cardiothoracic surgery. Surgically the patient is to have 5/14/21 Penumbra thrombectomy of L axillary and L subclavian artery. Then she will have 5/17/21 removal of thrombus in descending thoracic aorta via L thoracotomy/L heart bypass.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood homocysteine, Cardiolipin antibody, Coagulation factor V level normal, Echocardiogram, Heart rate decreased
Clinical narrative: Pt is a 45 y/o F who presents w/ epigastic pain and intermittent L arm numbness. She was found to have extensive clots in descending thoracic aorta with additional clot in  L subclavian and axillary arteries.   She denies any birth control and does not smoke. We have a hypercoaguable workup pending. Transthoracic echo 5/13 did not reveal a cardiac source nor PFO.   She developed sx and saw PCP 4/6/21 which was 3d after second dose COVID vaccine, Moderna (administered 4/3/21). At the PCP 4/6 pt complained of some left arm numbness and a decreased pulse and the doctor noted that it was a little bit cooler to touch and ordered a arterial ultrasound and MRI of the brain.  However, the patient did not feel like she needed it therefor did not have either test done.   During her admission the pt has been evaluated by vascular surgery and cardiothoracic surgery. Surgically the patient is to have 5/14/21 Penumbra thrombectomy of L axillary and L subclavian artery. Then she will have 5/17/21 removal of thrombus in descending thoracic aorta via L thoracotomy/L heart bypass.