chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: COVID19
Symptoms: Needle issue, Peripheral swelling, Underdose
Clinical narrative: Patient in clinic to receive second COVID vaccine.  Nurse drew up dose of 0.5 mL Moderna vaccine and noticed needle was bent inside the vial.   The nurse changed out the needle ( it is not known if the volume in the needle was withdrawn into the syringe prior to needle change.   Also patient noted the nurse pushed on the plunger and expelled some vaccine.  Per patient, it looked as though she only received about 0.2 mL instead of 0.5 mL.  Her arm was a little swollen the next day but not sore and she did not suffer from side effects.  A group with quality, risk management, and pharmacy has reviewed and plans to reach out the patient.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Musculoskeletal stiffness, Neck pain, Sleep disorder
Clinical narrative: 12 days after 2nd Moderna dose, woke up around 2:15 am to a painful, sore, burning lump on the base of my rightside neck, clavicle area.  Scheduled apt with PCP same day.  Also had just began three treatments of a new product, Olay Peptide 24.  Not sure if swollen lymphnode due to vaccine or new product.  PCP instructed to monitor and take ibuprofen for pain/inflamation.  When receiving both doses of the moderna vaccine, I experienced right neck stiffness within 2 hours of vaccination that lasted approximately 36 hours each time.  To note previous medical history, I had Bells Palsy at the age of 12 years and Shingles around age 45, both impacting my right side.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Ocular hyperaemia, Photophobia
Clinical narrative: 2/16/2021, CLIENT NOTICED RIGHT EYE SWELLING WHEN RETURNED HOME FROM VACCINATION AT 1200 PM.  EYE ALSO LOOKED BLOOD SHOT.  CLIENT APPLIED COLD MOIST COMPRESS TO EYE.  BY EVENING, SWELLING WAS GONE BUT SCLERA PINK AND LIGHT SENSITIVE.  THIS AM, 2/17/2021 EYE IS A LITTLE PINK YET, NO SWELLING.  HAS NOT AFFECTED VISION.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Had symptoms of a Sinus Infection, went to PCP and tested positive for COVID.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Within 24 hrs. had Vertigo
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Hives Difficulty breathing
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Nausea, Pyrexia
Clinical narrative: Fatigue started about 12 hours after 2d dose. About 13 to 14 hrs in, I felt chilled, then feverish, then intense nausea. The fever lasted about 24 hrs and went down slowly from over 100 to 98, while the nausea lasted only 2 or so hrs. No vomiting.  Slept all day long and was fatigued. About 24 hrs after the symptoms began, I felt fine. Perhaps the fatigue lasted into the next morning as did the fogginess, but I was all better within 48 hrs from the dose.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: ITCHY WARM RED BULLSEYE AT INJECTION SITE
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Hypertension, Pain in extremity
Clinical narrative: BPH become much worse in a short period of time. It went from moderate annoyance, having to go to relief myself 2-3 times a night, to  complete  retention.   Was near point of going to ER, but Ibuprofen seems to work to help something come out -- although limited.  Tried Flomax for first time, (had prescription for if needed), but the Ibuprofen seems to help best. Makes me suspect inflammation from the vaccine. Other than that possibility, only reaction to the vaccine was a sore arm for a couple days.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Skin discolouration
Clinical narrative: Bruising at or near injection site. Muscle area below was discolored, yellowish, as if there had been bleeding in the muscle.  No pain or discomfort during or after injection.  Site was not examined until discoloration was observed by wife about 5 days after the injection (2/13/2021) when he came out of shower.  The discoloration covers a circular area of about 1.5" diameter.  The red area at the top of the circle has not subsided.  Observed by a physician during routine office visit for another purpose on 2/16.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: Itching at injection site. BP 154/93, pulse 82; repeat BP 150/82, pulse 76. O2 sat 95%. Stabilized.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Erythema, Skin swelling
Clinical narrative: Large swelling, bruising and redness
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Day 2 - fatigue, body aches, chills, headache, extreme arm soreness, nausea.  Symptoms subsided Day 3 but headache continued and large red circle appeared on arm, just below shot site, itchy and hot.  At Day 6, arm is finally only moderately sore, redness gone, itchiness gone.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site warmth, Nausea, Pain, Pain in extremity
Clinical narrative: Day 2 - fatigue, body aches, chills, headache, extreme arm soreness, nausea.  Symptoms subsided Day 3 but headache continued and large red circle appeared on arm, just below shot site, itchy and hot.  At Day 6, arm is finally only moderately sore, redness gone, itchiness gone.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dysstasia, Mobility decreased, Pain
Clinical narrative: I had my 2nd Pfizer vaccine , Lot:EL9264 at 10:30 on Feb. 13, 2021 at MC.  I was beginning to get slight pain in my back by late afternoon the same day.  By bedtime, it was much worse.  I woke up around 2:am to go to the bathroom.  I couldn't even stand up.  My husband was able to help me and get me back to bed.  I had excruciating pain with every step.  I couldn't bend, turn, etc.  I spend all of the next 2 days in bed.  Yesterday, on the 3rd day, I was able to sit in a chair for a short time.  Today I am better and can get along without assistance.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Death, Foaming at mouth, Pain in extremity, Unresponsive to stimuli
Clinical narrative: Patient had COVID in Sept.  Minimal symptoms.  Received 1st dose 1/18 without adverse reactions.  Second dose on 2/8-had complaints of arm soreness several days after then appeared in usual state of health.  On 2/14 @ 2 hours after having lunch, patient was found unresponsive with Respirations 60, pulse 130, PO 84%, blood pressure 105/68.  Patient with lots of white foam coming out of mouth.   Temperature to 101.3.  Patient DNR B and family deferred transfer, wanted comfort measures only.  Nursing received order for MSIR.  Patient continued with temps in 99-100 range with tylenol suppositories.  Patient passed on 2/16.
Sex: M
Vaccine: COVID19
Symptoms: Cluster headache, Headache, Impaired work ability, Migraine
Clinical narrative: I have never suffered from headaches in my life - I had mild headache with the 1st dose; however, this second dose literally gave me migrane - now it is a cluster headache that I've had since February 5th, 2021 - the cluster headaches have not stopped - they are intolerable - I had to miss two days of work as a result - by the way the website gave me an error message when entering my age 52 years of age - it asked me for my age at time of vaccine and it tells me that it does not match their calculator
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Extreme itching about 10 days after
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Malaise, Pyrexia, Rash
Clinical narrative: Beginning Saturday 2/13/21 5:00 pm began with the rash. Prior to that had  malaise,  chills, joint pain &fever which started 2/12/21 evening. No rash after first dose-only had fever and malaise after first dose which subsided after 7 hours.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site rash, Injection site swelling, Myalgia
Clinical narrative: Fever (100-103° F for ~36 hrs), chills (~36 hrs) muscles aches (~48 hrs), headache (~72 hrs), rash/swelling to upper arm distal to injection site (~48 hrs after vax admin, ~2? x 3?, present for ~1wk)
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever (100-103° F for ~36 hrs), chills (~36 hrs) muscles aches (~48 hrs), headache (~72 hrs), rash/swelling to upper arm distal to injection site (~48 hrs after vax admin, ~2? x 3?, present for ~1wk)
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: 60 hrs after receiving 2nd Moderna vaccine, rash began to emerge all over body from head to toe including palms & webs of fingers, arms, legs & trunk of body. The rash was extremely itchy & since this happened on wknd, took doses of  chlortrimaton every 4 hrs for 3 days until new rash sites stopped erupting.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness, took Meclizine 03/16/2021 around 3:30 pm
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Large area of redness and swelling at injection site,  on day 5  symptoms continue but improving
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allodynia, Arthralgia, Back pain, Chills, Headache
Clinical narrative: Severe systemic inflammatory symptoms including high fever, shaking chills, full body myalgias, diffuse arthralgias (especially neck and back), headache, full body dermatologic allodynia - all beginning approximately 8-10hrs after vaccine administration and lasting up to 24hrs afterwards with only mild amelioration by NSAIDs. Severe arm soreness/pain including limited ability to ABduct the arm for 3 days due to pain.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint range of motion decreased, Myalgia, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: Severe systemic inflammatory symptoms including high fever, shaking chills, full body myalgias, diffuse arthralgias (especially neck and back), headache, full body dermatologic allodynia - all beginning approximately 8-10hrs after vaccine administration and lasting up to 24hrs afterwards with only mild amelioration by NSAIDs. Severe arm soreness/pain including limited ability to ABduct the arm for 3 days due to pain.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Adverse event: Mild fever, body aches and fatigue 24 hrs after 2nd dose. Treatment: Ibuprofen and acetaminophen every 4 hrs . Outcome: reduced signs and symptoms.  Adverse event: swollen L lymph nodes for  one week (ended 2/4/2021)Treatment: Ibuprofen every 8-16 hrs . Outcome: reduced signs and symptoms.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site reaction, Pain, Pain in extremity
Clinical narrative: Left arm soreness began the night of (approx. 5hrs after injection). Body aches began the next morning (approx. 7am). Fever and chills began at approx. 12:00pm and extended for several hours, getting to a maximum of 102.5. Chills continued until evening past 10:00pm. Accompanying headache lasted throughout the day. Ibuprofen was taken throughout the day to help with headache and body aches. Erythematous rash surrounding injection site was noted in the afternoon, eased by the application of OTC hydrocortisone cream.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Left arm soreness began the night of (approx. 5hrs after injection). Body aches began the next morning (approx. 7am). Fever and chills began at approx. 12:00pm and extended for several hours, getting to a maximum of 102.5. Chills continued until evening past 10:00pm. Accompanying headache lasted throughout the day. Ibuprofen was taken throughout the day to help with headache and body aches. Erythematous rash surrounding injection site was noted in the afternoon, eased by the application of OTC hydrocortisone cream.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: I have had dermal fillers in my lips and about 18 or 20 hrs after vaccine i had swelling on my upper lip two and half days .
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Fatigue
Clinical narrative: fatigue, anorexia, generalized weakness.  patient describes as severe
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: On Monday, 15 February my mother in law suffered a stroke. She has been hospitalized since the stroke at Hospital.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Paraesthesia oral
Clinical narrative: Received first dose of covid vaccine Within 15 min of receiving experienced tingling in lips and tongue. Then rings on arm. Did not receive anything at facility. Left and went back to office.  Within 45 minutes asthma attack presented slowly. Treated with benedryl 25 mg , then took rescue inhaler. Checking pulse oxygen. It was normal.  Chest remained tight throughout the  got tighter last night and took more benadryl.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysarthria, Heart rate increased, Pharyngeal hypoaesthesia
Clinical narrative: Increased heart rate, numbness (right area of throat), difficulty talking. BP 190/109 (HR 130); repeat BP 172/102 (HR 123). Epi-Pen given, then taken to the ED. ED progress note - MD doubted anaphylactic reaction. Patient stabilized after observation in the ED and was discharged.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: large oval red rash occurred adjacent to injection site -
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Groin pain, Muscle spasms, Myalgia, Nausea
Clinical narrative: pt stated that her left leg around the groin area  in the muscles started to hurt.  She had severe pain in the left lower back.  She also had muscle spasms in the top part of her back then got nausea and vomited.  No fever.  Pt will call her PCP for medical advice.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: pt stated that her left leg around the groin area  in the muscles started to hurt.  She had severe pain in the left lower back.  She also had muscle spasms in the top part of her back then got nausea and vomited.  No fever.  Pt will call her PCP for medical advice.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness at injection site, first noticed on 02/13/2021, eight days after injection, resolved after ~48 hours. No other symptoms.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Echocardiogram normal, Electrocardiogram normal, Hypertension
Clinical narrative: 1/6 vaccination 1/7  I started feeling light headed and dizzy. Chest pressure. Went to ER. Hypertensive.  Put on medication. Kept as inpatient; observation.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Hypoaesthesia
Clinical narrative: left Lower jaw and neck Numb, Pain in shoulder (not at inection site), headache
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood albumin decreased, Blood alkaline phosphatase increased, Blood creatinine increased
Clinical narrative: Death on 1/31/2021 multiple comorbidities
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea increased, Death, Globulins increased, Lymphocyte percentage decreased, White blood cell count increased
Clinical narrative: Death on 1/31/2021 multiple comorbidities
Age: 67.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Erythema, Induration, Peripheral swelling, Pruritus, Tenderness
Clinical narrative: Red swollen indurated  tender  arm..  itches
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Asthenia, Back pain, Hypoaesthesia, Musculoskeletal chest pain
Clinical narrative: Symptoms right arm shoukder back and chest pain and numbness and neck stil numb no strength
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Painful respiration
Clinical narrative: Symptoms right arm shoukder back and chest pain and numbness and neck stil numb no strength
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood pressure increased, Dizziness, Dry mouth, Dry throat
Clinical narrative: Patient received the first dose of her covid vaccine by Moderna in her left arm at 1445. Lot number 023M20A. Exp. 8-10-2021.  Patient had no pain with injection. Tolerated well. Approximately 30 seconds to one minute after injection patient reported to nurse that her mouth and throat felt dry. This nurse asked the patient if she was feeling anything else different and if her throat felt itchy. Patient reported that her throat did feel a little itchy. This nurse called for assistance. RN obtained Dynamap to take patient vital signs. This nurse stayed by patient's side at all times. NP responded and was by patient's side throughout event. Patient now reporting feeling very hot. Ice pack applied to back of her neck. Initial vital signs 184/87, Map 123, HR 119. Patient tachypnic and tachycardic. Pulse ox WNL at 99%. Lung sounds clear. Radial pulse obtained, rapid. First responder called for with overhead page. Next vital signs 189/79.map of 113. HR 116. Patient still tachypnic and tachycardic with a pulse ox of 99%. Patient reports she is feeling dizzy and hot still. Able to answer questions and was oriented at all times. Dr and first responder team arrived at scene. Patient able to answer questions. Is still dizzy and not feeling well. Patient transferred safely to cart and strapped in with safety straps. All patient belongings placed on cart with her. Patient taken to ED for evaluation.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Heart rate increased, Radial pulse increased, Tachycardia, Tachypnoea
Clinical narrative: Patient received the first dose of her covid vaccine by Moderna in her left arm at 1445. Lot number 023M20A. Exp. 8-10-2021.  Patient had no pain with injection. Tolerated well. Approximately 30 seconds to one minute after injection patient reported to nurse that her mouth and throat felt dry. This nurse asked the patient if she was feeling anything else different and if her throat felt itchy. Patient reported that her throat did feel a little itchy. This nurse called for assistance. RN obtained Dynamap to take patient vital signs. This nurse stayed by patient's side at all times. NP responded and was by patient's side throughout event. Patient now reporting feeling very hot. Ice pack applied to back of her neck. Initial vital signs 184/87, Map 123, HR 119. Patient tachypnic and tachycardic. Pulse ox WNL at 99%. Lung sounds clear. Radial pulse obtained, rapid. First responder called for with overhead page. Next vital signs 189/79.map of 113. HR 116. Patient still tachypnic and tachycardic with a pulse ox of 99%. Patient reports she is feeling dizzy and hot still. Able to answer questions and was oriented at all times. Dr and first responder team arrived at scene. Patient able to answer questions. Is still dizzy and not feeling well. Patient transferred safely to cart and strapped in with safety straps. All patient belongings placed on cart with her. Patient taken to ED for evaluation.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Patient received the first dose of her covid vaccine by Moderna in her left arm at 1445. Lot number 023M20A. Exp. 8-10-2021.  Patient had no pain with injection. Tolerated well. Approximately 30 seconds to one minute after injection patient reported to nurse that her mouth and throat felt dry. This nurse asked the patient if she was feeling anything else different and if her throat felt itchy. Patient reported that her throat did feel a little itchy. This nurse called for assistance. RN obtained Dynamap to take patient vital signs. This nurse stayed by patient's side at all times. NP responded and was by patient's side throughout event. Patient now reporting feeling very hot. Ice pack applied to back of her neck. Initial vital signs 184/87, Map 123, HR 119. Patient tachypnic and tachycardic. Pulse ox WNL at 99%. Lung sounds clear. Radial pulse obtained, rapid. First responder called for with overhead page. Next vital signs 189/79.map of 113. HR 116. Patient still tachypnic and tachycardic with a pulse ox of 99%. Patient reports she is feeling dizzy and hot still. Able to answer questions and was oriented at all times. Dr and first responder team arrived at scene. Patient able to answer questions. Is still dizzy and not feeling well. Patient transferred safely to cart and strapped in with safety straps. All patient belongings placed on cart with her. Patient taken to ED for evaluation.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Nausea, Pain
Clinical narrative: Beginning about 48 hours after shot, I became nausea, vomiting, severe diarrhea, headache, body aches and exhaustion until Tuesday February 16  (5 days post vaccine).
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Beginning about 48 hours after shot, I became nausea, vomiting, severe diarrhea, headache, body aches and exhaustion until Tuesday February 16  (5 days post vaccine).
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash
Clinical narrative: Skin rash on upper arm below injection site.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Erythema, Pruritus, Skin warm
Clinical narrative: Bruised. Itchy. Red. Warm
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Speech disorder, Swollen tongue
Clinical narrative: 10:25 - Pt compalins of tingling in mouth. Will continute to monitor. Initate VS. Lung sounds clear. 10:40 - Pt speech is muffled. Tongue minimally swollen.  10:41 - Benadryl 25 mg IM RA administered. 10:45 - Patient reports resolution of tingling in mouth. Tongue swollen resolved. 10:55 - Patient left.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Pruritus, Rash, Swelling face
Clinical narrative: within 15 minutes of Pfizer vaccine had itchy arms and facial twitching. She was observed for an hour and was told to take benadryl as needed after leaving. Noticed facial rash later that night. The next day patient was itchy in both arms and has some facial swelling, does not have any trouble breathing. was taking benadryl every 4 hours, seen by allergist next day for telemedicine visit and was advised to switch to cetirizine, max 2 tab bid.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Patient received the first dose of Pfizer covid-19 vaccine on 1/22/2021. He was observed for 15 minutes with no adverse events. On February 15th, he came back to the vaccine pod to receive his second dose of the vaccine and reported that he experienced an episode of Bell's palsy after the first dose. He reported it to his neurologist at the time and the reaction was self-resolved. The case was escalated to medical provider for second dose clearance. Patient was cleared to receive the second dose and did not experience any adverse effects while in the clinic.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Eye pain, Headache, Injection site swelling, Lymphadenopathy
Clinical narrative: 2/12 pm- start of sore arm and slight headache approaching at bedtime.  2/13- swollen lymph node in left axilla with pain, painful left arm and swelling at injection site, headache, fever over 101 degrees F, body aches, on/off nausea  2/14- on/off nausea 2/15- severe headache all day, on/off nausea, sensitivity to smells, light sensitivity, eye pain 2/16- slight nausea  2/17- slight nausea
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Parosmia, Photophobia
Clinical narrative: 2/12 pm- start of sore arm and slight headache approaching at bedtime.  2/13- swollen lymph node in left axilla with pain, painful left arm and swelling at injection site, headache, fever over 101 degrees F, body aches, on/off nausea  2/14- on/off nausea 2/15- severe headache all day, on/off nausea, sensitivity to smells, light sensitivity, eye pain 2/16- slight nausea  2/17- slight nausea
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 2/12 pm- start of sore arm and slight headache approaching at bedtime.  2/13- swollen lymph node in left axilla with pain, painful left arm and swelling at injection site, headache, fever over 101 degrees F, body aches, on/off nausea  2/14- on/off nausea 2/15- severe headache all day, on/off nausea, sensitivity to smells, light sensitivity, eye pain 2/16- slight nausea  2/17- slight nausea
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Body temperature increased, Decreased appetite, Fatigue
Clinical narrative: Day of shot -OK.  First day after--Injection site sore, Elbows and knees very sore and weak, 2 degree temperature increase, extremely tired, and no appetite.    Second day after-feeling much better.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Day of shot -OK.  First day after--Injection site sore, Elbows and knees very sore and weak, 2 degree temperature increase, extremely tired, and no appetite.    Second day after-feeling much better.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Lymph node pain, Lymphadenopathy, Mobility decreased, Nausea
Clinical narrative: After the first shot I just had a sore arm and nauseous for 4 days.  After the second shot I had a sore arm (significantly more than after the 1st), had a massive headache for about 24 hours, but woke up this morning (2nd day after the shot) with swollen nymph nodes under my left arm along with pain and tenderness.  It hurts to lift my arm or have anything putting any form of pressure on it.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: After the first shot I just had a sore arm and nauseous for 4 days.  After the second shot I had a sore arm (significantly more than after the 1st), had a massive headache for about 24 hours, but woke up this morning (2nd day after the shot) with swollen nymph nodes under my left arm along with pain and tenderness.  It hurts to lift my arm or have anything putting any form of pressure on it.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Needle issue, Syringe issue, Underdose
Clinical narrative: When RN administered dose, the liquid of the vaccine leaked out between needle and syringe and it is unclear how much of the vaccine client received.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Hot flush, SARS-CoV-2 test positive
Clinical narrative: Heat flash and stomach pain
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Arthralgia, Back pain, Blindness, Body temperature increased
Clinical narrative: On evening of vaccine, patient developed arthralgias,right eye felt irritated, 30% vision loss with blurring . During the night, developed fevers, chills, substernal chest pain with radiation towards his back and bilateral arms. mild SOB. Next day, continued chest pain/angina, worsened with climbing a flight of stairs. Admitted to ED/ICU 2/16, general myalgias, Temp 100.7,  CP 1/10 on arrival to ED. Small abrasion to right eye noted after flouroscein stain.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Chills, Corneal abrasion, Dyspnoea
Clinical narrative: On evening of vaccine, patient developed arthralgias,right eye felt irritated, 30% vision loss with blurring . During the night, developed fevers, chills, substernal chest pain with radiation towards his back and bilateral arms. mild SOB. Next day, continued chest pain/angina, worsened with climbing a flight of stairs. Admitted to ED/ICU 2/16, general myalgias, Temp 100.7,  CP 1/10 on arrival to ED. Small abrasion to right eye noted after flouroscein stain.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Eye irritation, Intensive care, Laboratory test, Myalgia, Pain
Clinical narrative: On evening of vaccine, patient developed arthralgias,right eye felt irritated, 30% vision loss with blurring . During the night, developed fevers, chills, substernal chest pain with radiation towards his back and bilateral arms. mild SOB. Next day, continued chest pain/angina, worsened with climbing a flight of stairs. Admitted to ED/ICU 2/16, general myalgias, Temp 100.7,  CP 1/10 on arrival to ED. Small abrasion to right eye noted after flouroscein stain.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Vision blurred
Clinical narrative: On evening of vaccine, patient developed arthralgias,right eye felt irritated, 30% vision loss with blurring . During the night, developed fevers, chills, substernal chest pain with radiation towards his back and bilateral arms. mild SOB. Next day, continued chest pain/angina, worsened with climbing a flight of stairs. Admitted to ED/ICU 2/16, general myalgias, Temp 100.7,  CP 1/10 on arrival to ED. Small abrasion to right eye noted after flouroscein stain.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Underdose
Clinical narrative: Patient, a certified MA, was administering the vaccine and noticed the solution had substantially leaked around the syringe onto the patient's arm. Attempted to contact PFizer Medical Information twice without success. I was disconnected both times after waiting a total of 1.5 hrs. Contacted Our district immunization coordinator. She responded via email that we should administer another dose since it was a substantial amount of vaccine that leaked around the syringe. The patient verbally agreed to this plan with, LPN, present. LPN, administered Pfizer COVID-19 vaccine 0.3 mL (lot EL9267) intramuscularly in the patient's right deltoid without difficulty at 4:03 P.M.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cough, Erythema, Fatigue
Clinical narrative: In left arm- red swollen pain warm itchy Sat. Symptoms- headaches coughing chills muscle pain joint pain tiredness nausea vomiting night sweats Medicine took - ibuprofen for pain n headache and pedialyte and saltines for nausea and drank lots of water Sunday I was feeling better ate some soup and more pedialyte my arm pain redness swelling was still there but not as bad I could move my arm easier Monday I was all back to normal!
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Night sweats, Pain in extremity
Clinical narrative: In left arm- red swollen pain warm itchy Sat. Symptoms- headaches coughing chills muscle pain joint pain tiredness nausea vomiting night sweats Medicine took - ibuprofen for pain n headache and pedialyte and saltines for nausea and drank lots of water Sunday I was feeling better ate some soup and more pedialyte my arm pain redness swelling was still there but not as bad I could move my arm easier Monday I was all back to normal!
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Skin warm
Clinical narrative: In left arm- red swollen pain warm itchy Sat. Symptoms- headaches coughing chills muscle pain joint pain tiredness nausea vomiting night sweats Medicine took - ibuprofen for pain n headache and pedialyte and saltines for nausea and drank lots of water Sunday I was feeling better ate some soup and more pedialyte my arm pain redness swelling was still there but not as bad I could move my arm easier Monday I was all back to normal!
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pain in extremity, Sleep disorder
Clinical narrative: Shortly after receiving injection arm was very sore. By evening arm was extremely painful to move or touch. Difficult to sleep due to pain. Day after injection arm was very sore,  also felt body aches, headache  and fatigue.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Nausea
Clinical narrative: Patient reported feeling, dizzy, hot and nauseated at  beginning at 3:04pm , patient was given an ice pack to cool off and remove several layers of clothing to help with cooling off. Pt requested water asked to remove face mask  to help with adequate breathing. Patient was asked questions regarding medical history and medications as well as given time to rest. Patient reported feeling better after 20 minutes and requested to go home. Patient had an assistant who reported she would drive her home. RN spoke with daughter on the phone who reported patient to stay at daughter's home, however patient refused and requested to go home. Pt reported feeling much better was adamant about going home.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood creatinine increased, Blood culture negative, Blood urea increased, Brain natriuretic peptide increased, Cerebral haemorrhage
Clinical narrative: 61 yo F with history of bilateral lung transplant 6/23/17 presented to ED on 2/4/21 with chief complaint of worsening shortness of breath, nausea and diarrhea for past week since receiving since receiving COVID-19 vaccine (Pfizer) on 1/28/21. Upon arrival to triage she was obviously dyspneic with significantly low oxygen saturations. O2 sats on arrival were 65%, improved to mid 90's with O2 6 liters per NC. Admitting diagnosis: hypoxic respiratory failure post COVID vaccine. Lab work shows an elevation of the BUN and creatinine at 31 and 1.71 which is slightly higher than her usual baseline levels. BNP is elevated at 2 448 with a mildly elevated troponin. Procalcitonin is also elevated. Patient's white blood cell count is 11.07. Full viral panel including COVID-19 is not detected. All blood cultures and respiratory cultures were negative. Patient chest x-ray shows numerous bilateral patchy opacities which is significantly different from her previous chest x-ray here. Empiric rejection treatment initiated including high dose methylprednisolone, plasmapheresis, IVIG, Thymoglobulin. She continued to decline and ultimately required intubation, proning and paralyzing on 2/8/2021 and then VV ECMO cannulation on 2/13/2021. EGD done 2/14/2021 as unable to pass the TEE probe during cannulation prior day (unable to complete due to abnormal anatomy). Acute pupil exam change in the early am hours of 2/15/2021 prompted urgent head CT which revealed catastrophic brain bleed. Brainstem reflexes were lost soon after. Despite placing an EVD emergently at bedside, brain stem reflexes were not recovered. GOL engaged and patient not an organ donation candidate. Therefore discussion with sister at bedside resulted in decision for cessation of life support. Patient expired shortly after support withdrawn and pronounced dead on 2/15/2021 at 11:11 AM.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head abnormal, Condition aggravated, Culture negative, Death
Clinical narrative: 61 yo F with history of bilateral lung transplant 6/23/17 presented to ED on 2/4/21 with chief complaint of worsening shortness of breath, nausea and diarrhea for past week since receiving since receiving COVID-19 vaccine (Pfizer) on 1/28/21. Upon arrival to triage she was obviously dyspneic with significantly low oxygen saturations. O2 sats on arrival were 65%, improved to mid 90's with O2 6 liters per NC. Admitting diagnosis: hypoxic respiratory failure post COVID vaccine. Lab work shows an elevation of the BUN and creatinine at 31 and 1.71 which is slightly higher than her usual baseline levels. BNP is elevated at 2 448 with a mildly elevated troponin. Procalcitonin is also elevated. Patient's white blood cell count is 11.07. Full viral panel including COVID-19 is not detected. All blood cultures and respiratory cultures were negative. Patient chest x-ray shows numerous bilateral patchy opacities which is significantly different from her previous chest x-ray here. Empiric rejection treatment initiated including high dose methylprednisolone, plasmapheresis, IVIG, Thymoglobulin. She continued to decline and ultimately required intubation, proning and paralyzing on 2/8/2021 and then VV ECMO cannulation on 2/13/2021. EGD done 2/14/2021 as unable to pass the TEE probe during cannulation prior day (unable to complete due to abnormal anatomy). Acute pupil exam change in the early am hours of 2/15/2021 prompted urgent head CT which revealed catastrophic brain bleed. Brainstem reflexes were lost soon after. Despite placing an EVD emergently at bedside, brain stem reflexes were not recovered. GOL engaged and patient not an organ donation candidate. Therefore discussion with sister at bedside resulted in decision for cessation of life support. Patient expired shortly after support withdrawn and pronounced dead on 2/15/2021 at 11:11 AM.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Endotracheal intubation, Immunoglobulin therapy, Lung opacity
Clinical narrative: 61 yo F with history of bilateral lung transplant 6/23/17 presented to ED on 2/4/21 with chief complaint of worsening shortness of breath, nausea and diarrhea for past week since receiving since receiving COVID-19 vaccine (Pfizer) on 1/28/21. Upon arrival to triage she was obviously dyspneic with significantly low oxygen saturations. O2 sats on arrival were 65%, improved to mid 90's with O2 6 liters per NC. Admitting diagnosis: hypoxic respiratory failure post COVID vaccine. Lab work shows an elevation of the BUN and creatinine at 31 and 1.71 which is slightly higher than her usual baseline levels. BNP is elevated at 2 448 with a mildly elevated troponin. Procalcitonin is also elevated. Patient's white blood cell count is 11.07. Full viral panel including COVID-19 is not detected. All blood cultures and respiratory cultures were negative. Patient chest x-ray shows numerous bilateral patchy opacities which is significantly different from her previous chest x-ray here. Empiric rejection treatment initiated including high dose methylprednisolone, plasmapheresis, IVIG, Thymoglobulin. She continued to decline and ultimately required intubation, proning and paralyzing on 2/8/2021 and then VV ECMO cannulation on 2/13/2021. EGD done 2/14/2021 as unable to pass the TEE probe during cannulation prior day (unable to complete due to abnormal anatomy). Acute pupil exam change in the early am hours of 2/15/2021 prompted urgent head CT which revealed catastrophic brain bleed. Brainstem reflexes were lost soon after. Despite placing an EVD emergently at bedside, brain stem reflexes were not recovered. GOL engaged and patient not an organ donation candidate. Therefore discussion with sister at bedside resulted in decision for cessation of life support. Patient expired shortly after support withdrawn and pronounced dead on 2/15/2021 at 11:11 AM.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Oesophagogastroduodenoscopy, Oxygen saturation decreased, Paralysis, Procalcitonin increased
Clinical narrative: 61 yo F with history of bilateral lung transplant 6/23/17 presented to ED on 2/4/21 with chief complaint of worsening shortness of breath, nausea and diarrhea for past week since receiving since receiving COVID-19 vaccine (Pfizer) on 1/28/21. Upon arrival to triage she was obviously dyspneic with significantly low oxygen saturations. O2 sats on arrival were 65%, improved to mid 90's with O2 6 liters per NC. Admitting diagnosis: hypoxic respiratory failure post COVID vaccine. Lab work shows an elevation of the BUN and creatinine at 31 and 1.71 which is slightly higher than her usual baseline levels. BNP is elevated at 2 448 with a mildly elevated troponin. Procalcitonin is also elevated. Patient's white blood cell count is 11.07. Full viral panel including COVID-19 is not detected. All blood cultures and respiratory cultures were negative. Patient chest x-ray shows numerous bilateral patchy opacities which is significantly different from her previous chest x-ray here. Empiric rejection treatment initiated including high dose methylprednisolone, plasmapheresis, IVIG, Thymoglobulin. She continued to decline and ultimately required intubation, proning and paralyzing on 2/8/2021 and then VV ECMO cannulation on 2/13/2021. EGD done 2/14/2021 as unable to pass the TEE probe during cannulation prior day (unable to complete due to abnormal anatomy). Acute pupil exam change in the early am hours of 2/15/2021 prompted urgent head CT which revealed catastrophic brain bleed. Brainstem reflexes were lost soon after. Despite placing an EVD emergently at bedside, brain stem reflexes were not recovered. GOL engaged and patient not an organ donation candidate. Therefore discussion with sister at bedside resulted in decision for cessation of life support. Patient expired shortly after support withdrawn and pronounced dead on 2/15/2021 at 11:11 AM.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pupillary disorder, Pupillary light reflex tests abnormal, Respiratory failure, SARS-CoV-2 test negative, Troponin increased
Clinical narrative: 61 yo F with history of bilateral lung transplant 6/23/17 presented to ED on 2/4/21 with chief complaint of worsening shortness of breath, nausea and diarrhea for past week since receiving since receiving COVID-19 vaccine (Pfizer) on 1/28/21. Upon arrival to triage she was obviously dyspneic with significantly low oxygen saturations. O2 sats on arrival were 65%, improved to mid 90's with O2 6 liters per NC. Admitting diagnosis: hypoxic respiratory failure post COVID vaccine. Lab work shows an elevation of the BUN and creatinine at 31 and 1.71 which is slightly higher than her usual baseline levels. BNP is elevated at 2 448 with a mildly elevated troponin. Procalcitonin is also elevated. Patient's white blood cell count is 11.07. Full viral panel including COVID-19 is not detected. All blood cultures and respiratory cultures were negative. Patient chest x-ray shows numerous bilateral patchy opacities which is significantly different from her previous chest x-ray here. Empiric rejection treatment initiated including high dose methylprednisolone, plasmapheresis, IVIG, Thymoglobulin. She continued to decline and ultimately required intubation, proning and paralyzing on 2/8/2021 and then VV ECMO cannulation on 2/13/2021. EGD done 2/14/2021 as unable to pass the TEE probe during cannulation prior day (unable to complete due to abnormal anatomy). Acute pupil exam change in the early am hours of 2/15/2021 prompted urgent head CT which revealed catastrophic brain bleed. Brainstem reflexes were lost soon after. Despite placing an EVD emergently at bedside, brain stem reflexes were not recovered. GOL engaged and patient not an organ donation candidate. Therefore discussion with sister at bedside resulted in decision for cessation of life support. Patient expired shortly after support withdrawn and pronounced dead on 2/15/2021 at 11:11 AM.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ventricular drainage, Viral test negative, White blood cell count increased
Clinical narrative: 61 yo F with history of bilateral lung transplant 6/23/17 presented to ED on 2/4/21 with chief complaint of worsening shortness of breath, nausea and diarrhea for past week since receiving since receiving COVID-19 vaccine (Pfizer) on 1/28/21. Upon arrival to triage she was obviously dyspneic with significantly low oxygen saturations. O2 sats on arrival were 65%, improved to mid 90's with O2 6 liters per NC. Admitting diagnosis: hypoxic respiratory failure post COVID vaccine. Lab work shows an elevation of the BUN and creatinine at 31 and 1.71 which is slightly higher than her usual baseline levels. BNP is elevated at 2 448 with a mildly elevated troponin. Procalcitonin is also elevated. Patient's white blood cell count is 11.07. Full viral panel including COVID-19 is not detected. All blood cultures and respiratory cultures were negative. Patient chest x-ray shows numerous bilateral patchy opacities which is significantly different from her previous chest x-ray here. Empiric rejection treatment initiated including high dose methylprednisolone, plasmapheresis, IVIG, Thymoglobulin. She continued to decline and ultimately required intubation, proning and paralyzing on 2/8/2021 and then VV ECMO cannulation on 2/13/2021. EGD done 2/14/2021 as unable to pass the TEE probe during cannulation prior day (unable to complete due to abnormal anatomy). Acute pupil exam change in the early am hours of 2/15/2021 prompted urgent head CT which revealed catastrophic brain bleed. Brainstem reflexes were lost soon after. Despite placing an EVD emergently at bedside, brain stem reflexes were not recovered. GOL engaged and patient not an organ donation candidate. Therefore discussion with sister at bedside resulted in decision for cessation of life support. Patient expired shortly after support withdrawn and pronounced dead on 2/15/2021 at 11:11 AM.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood culture, Brain stem haemorrhage, Brain stem syndrome, Chest X-ray, Chest X-ray abnormal
Clinical narrative: 61 yo F with history of bilateral lung transplant 6/23/17 presented to ED on 2/4/21 with chief complaint of worsening shortness of breath, nausea and diarrhea for past week since receiving since receiving COVID-19 vaccine (Pfizer) on 1/28/21. Upon arrival to triage she was obviously dyspneic with significantly low oxygen saturations. O2 sats on arrival were 65%, improved to mid 90's with O2 6 liters per NC. Admitting diagnosis: hypoxic respiratory failure post COVID vaccine. Lab work shows an elevation of the BUN and creatinine at 31 and 1.71 which is slightly higher than her usual baseline levels. BNP is elevated at 2 448 with a mildly elevated troponin. Procalcitonin is also elevated. Patient's white blood cell count is 11.07. Full viral panel including COVID-19 is not detected. All blood cultures and respiratory cultures were negative. Patient chest x-ray shows numerous bilateral patchy opacities which is significantly different from her previous chest x-ray here. Empiric rejection treatment initiated including high dose methylprednisolone, plasmapheresis, IVIG, Thymoglobulin. She continued to decline and ultimately required intubation, proning and paralyzing on 2/8/2021 and then VV ECMO cannulation on 2/13/2021. EGD done 2/14/2021 as unable to pass the TEE probe during cannulation prior day (unable to complete due to abnormal anatomy). Acute pupil exam change in the early am hours of 2/15/2021 prompted urgent head CT which revealed catastrophic brain bleed. Brainstem reflexes were lost soon after. Despite placing an EVD emergently at bedside, brain stem reflexes were not recovered. GOL engaged and patient not an organ donation candidate. Therefore discussion with sister at bedside resulted in decision for cessation of life support. Patient expired shortly after support withdrawn and pronounced dead on 2/15/2021 at 11:11 AM.