chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Left ventricular end-diastolic pressure increased, Myocardial fibrosis, Troponin increased
Clinical narrative: "Summary: Patient is a 35 y.o. year old female with below past cardiovascular history who was evaluated today, face-to-face, via interactive videoconferencing (secure 256-bit AES encrypted bidirectional video session).   Cardiovascular Problem List: #Suspected idiopathic myocarditis  o CTA chest 1/21/21: Normal CT angiogram of the chest.  o TTE 1/21/21: LVEF 55%. Normal RV size and function. No significant valvular disease.  o Coronary angiogram 1/21/21: Normal coronary arteries. LVEDP moderately elevated.  o cMRI 2/16/21: No evidence of acute myocarditis. There was a small focus of delayed enhancement in the mid inferior wall of the LV in a nonischemic distribution.  This is compatible with a focus of myocardial fibrosis, possibly from prior episode of myocarditis. Trace TR.  #Type 1 diabetes  #Hx of gestational diabetes      Assessment/Plan: #Myocarditis - COVID infection in 9/2020 and intense chest pain with positive troponin in 1/2021. CORS, Echo, CTA were negative for an etiology. CMR revealed a focal area of mid to subepicardial enhancement without evidence of active disease, suggestive of an old episode of myocarditis. Will treat supportively with colchicine BID. Will have RN call in 4 weeks to assess symptoms. If there is no improvement would get limited echo to make sure there is no decrement to LV function.  - Colchicine BID - total of 6 mos   Follow-up: I have scheduled a follow up appointment in 4 months to be with me. "Doctor"
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity, Pruritus
Clinical narrative: One week after the shot, My arm became red and swollen, near where the shot was, and them spread down my arm to my elbow over the course of week.  Dr. had given me Clindamycin HCL 300 mg capsule 3 times a day starting on 5/21/21, for what he thought may be an infection from the shot.  1 week later still not better went back to Dr. on 5-27-21 and got Prednisone 20 mg tablets to take  3,3,3,2,2,2,1,1,1, a day in this way for 9 days.  He think now it is an allergic reaction to the shot.  Hopefully this will take away the swollen, red, pain and at times itchyness that has slide down my left arm below the site of the injection and going to the elbow.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy tongue abnormal, Incomplete course of vaccination, Lethargy, Nausea, Oral lichen planus
Clinical narrative: I was lethargic off and on and had nausea for 3 weeks after 1st vaccine I developed Oral Lichen Planus about 2 wks after 1st injection  I did not have 2nd vaccine because of my reactions to the 1st one!
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: i  cant upload my data information in the application my job is requesting my information and i have to travel as well . i keep saying my information cant not be found . can some one help me
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing
Clinical narrative: pt  had flushing of the face.  spoke to patient at 3:45pm and patient was fine.  No flushing.  Thinks it was nervers and outside heat that caused flushing
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Blood test, Burning sensation, Dysuria
Clinical narrative: Excessive tiredness Severe low back pain under severe kidney area Weakness in the arms Constant fatigue Joint pain Numbness tenderness in the fingers Cramping sensation
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypoaesthesia, Muscle spasms, Muscular weakness, Renal pain
Clinical narrative: Excessive tiredness Severe low back pain under severe kidney area Weakness in the arms Constant fatigue Joint pain Numbness tenderness in the fingers Cramping sensation
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tenderness, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Excessive tiredness Severe low back pain under severe kidney area Weakness in the arms Constant fatigue Joint pain Numbness tenderness in the fingers Cramping sensation
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenopia, Hypoaesthesia
Clinical narrative: Patient reported losing feeling in extremities and eyes feeling heavy.  Gave dose of benadryl and symptoms resolved within 5 minutes.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia, Vaccination complication
Clinical narrative: I experienced a fever 102.4, headache and extreme muscle pain and aches throughout my entire body.. The adverse events lasted approximately 36 to 48 hours.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram
Clinical narrative: pt experiencing chest pain after receiving second dose of COVID 19 vaccine on 5/26/21. Pharmacist and staff suggested contacting 911 to have an ambulance come, but patient's mother wanted to take him to Hospital for children which is nearby. Pt had chest pain 1-2 days after first dose and had EKG done 5/24/21. MD cleared patient to have vaccine.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Injected limb mobility decreased, Injection site pain
Clinical narrative: 4/26/2021 Physical Therapy visit: Patient reports he thinks his 2nd covid vaccine was given too close to his shoulder joint (Glenohumeral joint). He received his Covid vaccine on Saturday 4/24/21. Today he reports severe R shoulder pain and he is not able to move his arm. He avoids shoulder movement and cannot fully extend his elbow. He reports he was seen earlier today by urgent care and has work restrictions and is unable to use his right arm. He reports he has been referred to a joint specialist for further assessment
Age: 65.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Chest pain, Coronary artery bypass, Immediate post-injection reaction, Myocardial infarction
Clinical narrative: severe chest pains  right after the injection      went to hospital 2 days after said ok  went back to hospital again complaining of chest pains and was having a heart attack
Age: 65.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Atrioventricular block, Blood test, Catheterisation cardiac, Chest pain, Myocardial infarction
Clinical narrative: severe chest pains  right after the injection      went to hospital 2 days after said ok  went back to hospital again complaining of chest pains and was having a heart attack
Age: 65.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Pain in extremity
Clinical narrative: severe chest pains  right after the injection      went to hospital 2 days after said ok  went back to hospital again complaining of chest pains and was having a heart attack
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Heavy menstrual bleeding, Intermenstrual bleeding, Muscle spasms
Clinical narrative: Menstration started the next day, May 11 and has continued as of this date, May 27th.  It is accompanied with bloating, cramping, bright red blood, spotting, and clots.  This is not normal for my cycle.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient received a Janssen Covid shot and 7 minutes after being given the shot became light headed. Pharmacist came out when alerted by the patients mother and helped the patient to the ground. Patient lost consciousness for 10-15 seconds on the way to the ground. 911 was called . Patient was assessed and it was determined he was ok. Patient left on his own accord after about 30 minutes.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash maculo-papular
Clinical narrative: Rash beginning 4d after the vaccine: diffuse maculopapular/morbiliform rash spreading from L arm across chest to R arm and down the torso to upper legs
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Muscle spasms, Rash, Vomiting
Clinical narrative: We called patient to remind her about her COVID-19 second dose appointment for today 10:30 am. spoke with patient who mentioned that her doctor admised her not to take the second dose because she had some side effects ( lethargy, vomiting, muscle spasms in legs, red dots all over the body) a few hours after getting the first dose. She had to call the ambulance.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I  developed Shingles on the same side of my body as I got the vaccine on. The symptoms started 5 days after the vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Drug level decreased, Endotracheal intubation, Fall, Hypoaesthesia
Clinical narrative: Neuromuscular weakness, tingling/numbness, and fall prior to admission.  Progressed to acute hypoxic respiratory failure requiring intubation.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lumbar puncture, Muscular weakness, Paraesthesia, White blood cell count increased
Clinical narrative: Neuromuscular weakness, tingling/numbness, and fall prior to admission.  Progressed to acute hypoxic respiratory failure requiring intubation.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia
Clinical narrative: Pt complained of a tingling feeling in her throat. Reminded her of the feeling she had in her throat when she had a reaction to tree nuts. Pt.'s pulse ox 99% and HR 74 BP 134/84. No c/o tongue swelling or Shortness of breath. Pt given water and. monitored for 45 minutes. No change in patients condition or vital signs. Pt remained stable. Upon leaving clinic VS remain stable. BP 132/78 Pulse ox 99% and HR 79. Pt left clinic with her mother (who is a nurse).
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Chills, Feeling abnormal
Clinical narrative: Weakness began after first dose and was accompanied by malaise.  Second dose intensified symptoms and progressed to body aches, loss of taste and smell, episodes of sweating, shivering and brain fog.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Malaise, Pain
Clinical narrative: Weakness began after first dose and was accompanied by malaise.  Second dose intensified symptoms and progressed to body aches, loss of taste and smell, episodes of sweating, shivering and brain fog.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood thyroid stimulating hormone normal, Brain natriuretic peptide normal, Chest X-ray normal, Chills
Clinical narrative: Vaccine on Wednesday 4/28/21.  Started to have mild headache, nausea, generalized malaise and chills on Thursday 4/29/21.  Seemed to then improve but then became lightheaded and dizzy.  Came to emergency room 5/2/21 at 1000.  BP stable at 136/69, O2 sat 99% on room air.  No significant findings on blood work (CMP, CBC, Troponin, BNP, TSH all within normal limits).  Chest Xray was normal.  EKG showed atrial fibrillation with rapid ventricular rate in the 150s.  She was given IV diltiazem and her heart rate was controlled.  She was admitted to the hospital for observation and conversion from IV to PO diltiazem.  She declined oral anticoagulation.  She was discharged home on 5/3/21 and instructed to follow up with her PCP and was to see cardiology.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Echocardiogram, Electrocardiogram abnormal, Full blood count normal, Headache
Clinical narrative: Vaccine on Wednesday 4/28/21.  Started to have mild headache, nausea, generalized malaise and chills on Thursday 4/29/21.  Seemed to then improve but then became lightheaded and dizzy.  Came to emergency room 5/2/21 at 1000.  BP stable at 136/69, O2 sat 99% on room air.  No significant findings on blood work (CMP, CBC, Troponin, BNP, TSH all within normal limits).  Chest Xray was normal.  EKG showed atrial fibrillation with rapid ventricular rate in the 150s.  She was given IV diltiazem and her heart rate was controlled.  She was admitted to the hospital for observation and conversion from IV to PO diltiazem.  She declined oral anticoagulation.  She was discharged home on 5/3/21 and instructed to follow up with her PCP and was to see cardiology.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Metabolic function test normal, Nausea, Troponin normal
Clinical narrative: Vaccine on Wednesday 4/28/21.  Started to have mild headache, nausea, generalized malaise and chills on Thursday 4/29/21.  Seemed to then improve but then became lightheaded and dizzy.  Came to emergency room 5/2/21 at 1000.  BP stable at 136/69, O2 sat 99% on room air.  No significant findings on blood work (CMP, CBC, Troponin, BNP, TSH all within normal limits).  Chest Xray was normal.  EKG showed atrial fibrillation with rapid ventricular rate in the 150s.  She was given IV diltiazem and her heart rate was controlled.  She was admitted to the hospital for observation and conversion from IV to PO diltiazem.  She declined oral anticoagulation.  She was discharged home on 5/3/21 and instructed to follow up with her PCP and was to see cardiology.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Immediate post-injection reaction, Skin warm, Throat irritation
Clinical narrative: Patient C/o throat itching, flushing, and warmth to R ear.  Water and PO liquid Benadryl given with improvement. Disposition to home.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Asthenia, Coordination abnormal, Fatigue, Gait disturbance
Clinical narrative: 7 days after vaccination had flare-up of MS symptoms which were stable for years. Neurologist stated that there is no way to know if this is vaccine related. Flare-up consisted of incoordination, numbness L side and loss of taste. By the next week, more loss of strength and coordination, deep fatigue, limping. At time of report symptoms improved but not back to baseline. Patient talked to neurology clinic to discuss symptoms and COVID-19 vaccine dose 2. Patient did not have a fever or headache after vaccination--did have some arm soreness at injection site for first few days.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Multiple sclerosis relapse
Clinical narrative: 7 days after vaccination had flare-up of MS symptoms which were stable for years. Neurologist stated that there is no way to know if this is vaccine related. Flare-up consisted of incoordination, numbness L side and loss of taste. By the next week, more loss of strength and coordination, deep fatigue, limping. At time of report symptoms improved but not back to baseline. Patient talked to neurology clinic to discuss symptoms and COVID-19 vaccine dose 2. Patient did not have a fever or headache after vaccination--did have some arm soreness at injection site for first few days.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Loss of consciousness, Syncope, Tachycardia
Clinical narrative: Patient had a syncopal episode with complete LOC and question of seizure activity.  Was found to be tachycardic, BP within normal range.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: After patient received the shot and was getting up to leave, he passed out.  It took a moment to wake up.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Swelling face, Throat irritation, Throat tightness, Wheezing
Clinical narrative: 7:55pm ? Patient entered with her boss, who translated for her. Patient sat down and was screened prior to vaccination; patient disclosed a history of anaphylaxis when receiving a vaccine previously. The patient could not recall the vaccine she received.  8:00pm ? Patient was given the Moderna COVID-19 vaccine 0.5ml  IM in her left deltoid. Lot #050C21A exp 11/6/21. Due to her history, the patient was asked to stay in the screening room until 8:30pm. 8:13pm ? Patient relayed that her throat felt itchy, and her lips were puffy. 8:17pm ? Patient was given Benadryl 50 mg orally with water. A translator was called to help relay information to the patient.  8: 22pm - On site EMS who could translate arrived, questioned patient, then called 911. Patient said her lips tingled and her throat felt like it was closing. Patient was audibly wheezy. 8:27pm ? Patient HR 76, O2 sat 99.  8:30pm ? Patient?s blood pressure measured manually at 130/70, directed to give epinephrine by 911. Patient was moved to a more private location and layed flat. 8:32pm ? Epinephrine 0.3 mg (TEVA, lot 012c20aa, exp 1/2022) was given in patients left upper thigh. Patient was laying down when the dose was given. 8:35pm ? EMS arrived, and all information was relayed to the team. Patient was taken to Hospital via Ambulance for further monitoring.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Dizziness, Pain, Pain in extremity
Clinical narrative: Shooting pain in arm, body hurts all over, dizziness
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Fatigue, Headache, Myalgia
Clinical narrative: Fatigue, muscle aches, chest pain, shortness of breath, headache.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dehydration, Headache, Pain, Pyelonephritis
Clinical narrative: Patient described that approximately 4 hours after receiving second dose, she developed headache, body aches, and chills. She stated that she experienced those symptoms until 2 days after when she developed a fever. She went to Emergency Room where her temperature read 103.9. She was subsequently admitted and diagnosed with decreased kidney function, pyelonephritis, and dehydration. She was discharged 4 days later. This information is all second-hand information received from the patient.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Renal impairment
Clinical narrative: Patient described that approximately 4 hours after receiving second dose, she developed headache, body aches, and chills. She stated that she experienced those symptoms until 2 days after when she developed a fever. She went to Emergency Room where her temperature read 103.9. She was subsequently admitted and diagnosed with decreased kidney function, pyelonephritis, and dehydration. She was discharged 4 days later. This information is all second-hand information received from the patient.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Slight ringing/buzzing sound in ears, has been slightly decreasing in the last day but still present
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Antiplatelet therapy, Arteriogram carotid normal, Arteriosclerosis, Carotid arteriosclerosis
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presents to emergency department three days after vaccination reporting five hours of left-sided weakness. Diagnosed with right pontine stroke, admitted to hospital, initiated anti-platelet and cholesterol-lowering medications, symptoms resolved, and patient discharged to home medically stable.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Hemiparesis, Magnetic resonance imaging head abnormal, Meningioma
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presents to emergency department three days after vaccination reporting five hours of left-sided weakness. Diagnosed with right pontine stroke, admitted to hospital, initiated anti-platelet and cholesterol-lowering medications, symptoms resolved, and patient discharged to home medically stable.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: White matter lesion
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presents to emergency department three days after vaccination reporting five hours of left-sided weakness. Diagnosed with right pontine stroke, admitted to hospital, initiated anti-platelet and cholesterol-lowering medications, symptoms resolved, and patient discharged to home medically stable.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Injection site joint pain, Pain in extremity, Periarthritis, X-ray limb normal
Clinical narrative: Can you advise.  Following 2nd Pfizer vaccine onFeb 20, 2021 (day 27 , delayed due to snow storm), I did well.  Milld left arm pain. About 4-5 weeks later I developed mod-severe left shoulder pain, subsequently dx'd as Frozen Shoulder, and now in PT, schedule'd for cortisone inj (interventional )tomorrow.  I am retired internist, know of SIRVA, and this pain clearly did not occur on days 1-3.  But I have never had Left shoulder prob, am aware that some feel this syndrome is auto-immune, so am concerned that vaccine started this cascade of symptoms. Xray was normal (No other imaging done). Also could the vaccine have been given improperly, so that I am not protected?  Has frozen shoulder been reported with COVID Vac
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bilevel positive airway pressure, COVID-19, Death, Endotracheal intubation
Clinical narrative: Admitted to the hospital with weakness, fever on 4/14/2021. Transferred to ICU on 4/17/21 requiring bipap. Intubated 4/25/2021. covid + 4/2/21. Last vaccine dose completed 3/3/2021. Pt died on 5/15/2021
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Admitted to the hospital with weakness, fever on 4/14/2021. Transferred to ICU on 4/17/21 requiring bipap. Intubated 4/25/2021. covid + 4/2/21. Last vaccine dose completed 3/3/2021. Pt died on 5/15/2021
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary mass, Axillary pain, Blood test normal, Ear pain
Clinical narrative: Swelling under arm and near left breast - felt internal mass becoming enlarged, difficulty swallowing, soreness in entire left arm, and continuing up left side into shoulder area and neck and ear area. Tiredness, foggy brain, lathagic feeling, and slightly aches around armpit area.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Lethargy, Mammogram, Neck pain
Clinical narrative: Swelling under arm and near left breast - felt internal mass becoming enlarged, difficulty swallowing, soreness in entire left arm, and continuing up left side into shoulder area and neck and ear area. Tiredness, foggy brain, lathagic feeling, and slightly aches around armpit area.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Swelling, Ultrasound breast
Clinical narrative: Swelling under arm and near left breast - felt internal mass becoming enlarged, difficulty swallowing, soreness in entire left arm, and continuing up left side into shoulder area and neck and ear area. Tiredness, foggy brain, lathagic feeling, and slightly aches around armpit area.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: ADMITTED FOR STROKE
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Feeling of body temperature change, Gait disturbance, Lethargy
Clinical narrative: Patient developed dizziness and coldness in extremities. She tried walking and fell down, but did not lose consciousness. She then alternated between feeling hot and cold and seeing "blurry spots". I noticed her lips turning white and she said she needed to lie down. I got her water and ice packs since she was sweating. We sat on the floor for about 10 minutes, then she was able to move to a chair for another 5-10minutes and then left the facility. Mom reports that she has been lethargic and napping most of the day. Patient ate a few cheez-its for breakfast and reports that she did not get a good nights sleep last night.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Peripheral coldness, Sleep disorder, Vision blurred
Clinical narrative: Patient developed dizziness and coldness in extremities. She tried walking and fell down, but did not lose consciousness. She then alternated between feeling hot and cold and seeing "blurry spots". I noticed her lips turning white and she said she needed to lie down. I got her water and ice packs since she was sweating. We sat on the floor for about 10 minutes, then she was able to move to a chair for another 5-10minutes and then left the facility. Mom reports that she has been lethargic and napping most of the day. Patient ate a few cheez-its for breakfast and reports that she did not get a good nights sleep last night.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine administered to Unapproved age. There wasn't any adverse effect at the time of compiling this report.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Atrioventricular block, Dizziness, Electrocardiogram ambulatory abnormal, Heart rate decreased, Heart rate irregular
Clinical narrative: after 1st vaccine he noted slowed heart rate and irregular heart rate. Also developed dizziness/lightheadedness. These symptoms worsened after 2nd vaccine (received on 2/3/21.) PCP in community did Holter that confirmed heart block. He presented to clinic today.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Lethargy, Loss of consciousness, Pallor
Clinical narrative: Pt came in to pharmacy with her mom for her 1st dose Pfizer vaccine appointment at 2pm on 5/26/21. We checked her in and (pharmacist ) gave her shot with her mom present at 2 10pm and she was fine with no issues. Within 2 minutes in of her observation period, she started fainting and having seizure like for about 10 seconds, and regained conscious and said she felt dizzy and then blacked out. She was pale and sweating and asked for water. Our shift lead happened to be closed by her chair where she was sitting so she prevented pt from falling down from the chair and called pharmacist for help from inside the pharmacy. Pharmacist rushed to the patient and asked shift lead to call 911. Pt was consious, but lethargic, she could breath normally, no sign of obtruction airway. Pharmacist lift her legs up to opposite chair and started to take BP. Paramedic arrived within minutes and took her vitals which was normal. Mom agreed for paramedic took her out in stretcher to hospital for check up.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Syncope
Clinical narrative: Pt came in to pharmacy with her mom for her 1st dose Pfizer vaccine appointment at 2pm on 5/26/21. We checked her in and (pharmacist ) gave her shot with her mom present at 2 10pm and she was fine with no issues. Within 2 minutes in of her observation period, she started fainting and having seizure like for about 10 seconds, and regained conscious and said she felt dizzy and then blacked out. She was pale and sweating and asked for water. Our shift lead happened to be closed by her chair where she was sitting so she prevented pt from falling down from the chair and called pharmacist for help from inside the pharmacy. Pharmacist rushed to the patient and asked shift lead to call 911. Pt was consious, but lethargic, she could breath normally, no sign of obtruction airway. Pharmacist lift her legs up to opposite chair and started to take BP. Paramedic arrived within minutes and took her vitals which was normal. Mom agreed for paramedic took her out in stretcher to hospital for check up.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: itchy rash on top of hands and around wrists
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: The patient received his vaccine at 6 pm, he stayed at our site until 6:25.  He reported throat tightness to mom in the next 5-10 minutes after they arrived home.  He returned to our site and was accessed.  He was stable and was given 50 mg Benadryl PO and ).3 Epi via Epi pen.  He was then transported to ER by ambulance for observation.  He was observed for 3-4 hours and was sent home with an EpiPen.  The ER did give one dose of 2 mg albuterol PO for reported stridor.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Somnolence
Clinical narrative: swollen glands in right armpit, exausted,slept for 16 hrs two days after shot
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dry mouth, Glossodynia, Oral discomfort, Sensitive skin
Clinical narrative: Dry mouth very sensitive tongue(edges) inner lips very sensitive  lips burn it's been 6 weeks
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site pain
Clinical narrative: Patient asked me to look at her arm after vaccination. Had stated that it was sore at injection site area. Upon visually seeing her arm it appeared to be cellulitis. At that time I asked (co-worker) to please go see her pcp. She scheduled an appointment and started antibiotic for cellulitis later that day.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Diarrhoea, Headache, Laboratory test, Pain
Clinical narrative: Patient arrived at the ER on 5/22/21 after receiving  her 2nd Covid vaccine, "started with vomiting overnight, had 7-8vomiting, nonprojectile, nonbilious, no blood, started having diarrhea, 4 loose watery stools, no fever, headache and body aches
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient arrived at the ER on 5/22/21 after receiving  her 2nd Covid vaccine, "started with vomiting overnight, had 7-8vomiting, nonprojectile, nonbilious, no blood, started having diarrhea, 4 loose watery stools, no fever, headache and body aches
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Blood culture, COVID-19, COVID-19 pneumonia, Chest X-ray
Clinical narrative: Positive COVID-19 test on April 24th, and on April 28, 2021.  Hospitalization on April 28th with Pneumonia due to COVID-19 virus, COVID, Hypoxia, Acute respiratory failure with hypoxia (HCC)
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Hypoxia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Positive COVID-19 test on April 24th, and on April 28, 2021.  Hospitalization on April 28th with Pneumonia due to COVID-19 virus, COVID, Hypoxia, Acute respiratory failure with hypoxia (HCC)
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: Patient reports receiving Jansen vaccine around 5:30 pm at the pharmacy. The patient then went home and went to bed. She woke up around 1:00 am on 5/27/2021 with numbness/tingling/pain in the left arm and in both legs. She states "it hurts to even stand on my legs".  This has persisted all day and is not getting better. She has contacted her PCP and the pharmacy and they informed her to call us. Other symptoms include headache, jaw pain, dizziness body ache (mostly lower back) and cough. None of these symptoms are normal for her.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Paraesthesia
Clinical narrative: Patient reports receiving Jansen vaccine around 5:30 pm at the pharmacy. The patient then went home and went to bed. She woke up around 1:00 am on 5/27/2021 with numbness/tingling/pain in the left arm and in both legs. She states "it hurts to even stand on my legs".  This has persisted all day and is not getting better. She has contacted her PCP and the pharmacy and they informed her to call us. Other symptoms include headache, jaw pain, dizziness body ache (mostly lower back) and cough. None of these symptoms are normal for her.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Migraine, Pain in extremity
Clinical narrative: Agony in left arm - 16:15 on 5/25/2021 Exhaustion - 20:00 on 5/25/2021 Migraine - 16:00 on 5/26/2021
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema
Clinical narrative: "Moderna COVID-19 Vaccine EUA" A week after the first shot,  an itchy red area appeared on the inside of that arm.  It went away in about a week.  Approximately two weeks after the second shot, a small, red sore spot appeared on my left shoulder close to the joint of the collar bone with the arm bone.  Redness began to appear, first forming a streak downward.  By the end of the week, the redness continued to spread and pain developed in my bones on that shoulder.  On May 19, I was referred to Urgent Care by my normal healthcare provider.  There I was prescribed prednisone.   The course of treatment was 3 pills per day for four days, 2 pills per day for  four days and 1 pill per day for three days.  I have not yet finished  those pills.  The pain in the bones has decreased but the redness continues to spread.  Where it was at first just a streak that developed, it started over my shoulder and now has crossed the middle of my chest.  I had been told that I could stop taking the prednisone if the pain went away.  Earlier this week, I thought it was gone, so I didn't take the pills that day.  However, the next morning, the pain was back and I resumed the prednisone.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Limb discomfort, Muscle spasms, Peripheral swelling, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: About 3 weeks after receiving the first Moderna shot I developed, what i believed to be a severe charlie horse in my left lower leg that lasted about. week and disopated.   A few weeks later May 9,2021; I noticed discomfort and swelling in the same lower left leg and my, medical alert service dog, kept alerting to it.  I had a regular appointment with my cardioligist on May 10,2021 and advised of my issue and he ordered an ultrasound. The ultra sound revealed blood clots on my llower left leg.  I have never had clotting issues in my life and absolutely believe that this colt was caused by the Moderna vaccine, since i have been on anticoagulants and asprin theray since 2008.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Liver function test, Metabolic function test, Psoriasis
Clinical narrative: Exactly 2 months after last vaccine I had a major psoriasis flare up from my scalp ,torso and groin areas. I have never had a flare like this  and it was more extensive than  when diagnosed  4  years ago. . I have been on Humira for at least 3 years. I wonder if COVID vaccine rendered Humira ineffective for me. I am going to be started on a different biologic medication soon.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Feeling abnormal, Nasal congestion
Clinical narrative: Pt feeling faint and dizzy. Pt felt nasal congestion Pt felt chest heaviness for a short period of time. Pharmacist tried to get her to lay down with her feet up but pt refused.  Pt was given water and Sprite to drink due to dizziness and feeling "off". Was sitting on a chair for fifteen minutes after vaccination and said she was dizzy and about to fall off the chair. Had the patient sit on the floor. Pt currently awake and talking  fine. No fainting episode of any sort. No s/s of allergic reaction. For treatment pt held cold compress instant packs on neck and wrists.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: redness, arm pain at injection site
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient who received the shot was 16 years of age, under the approved age recommendation for the shot. The patient/parent who filled out the consent form online indicated a date of birth. We were not made aware of the error until 5/27/21 when the parent came in for their second shot and informed us the patient was actually 16 years old.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Fall, Head injury, Nausea, Seizure
Clinical narrative: After receiving vaccination, patient was reported to have fainted, with a potential seizure, and fallen over resulting in injury to head and laceration to forehead. Pharmacist was notified in which patient was immediately placed in laying position with elevation to her head and support to neck. Patient reported nausea, confusion, attempted to vomit without success. Patient was able to report name when prompted. 911 was called, fire service and ambulatory service arrived for further assessment. Patient was deemed safe without necessity of going to emergency room.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Skin laceration, Syncope
Clinical narrative: After receiving vaccination, patient was reported to have fainted, with a potential seizure, and fallen over resulting in injury to head and laceration to forehead. Pharmacist was notified in which patient was immediately placed in laying position with elevation to her head and support to neck. Patient reported nausea, confusion, attempted to vomit without success. Patient was able to report name when prompted. 911 was called, fire service and ambulatory service arrived for further assessment. Patient was deemed safe without necessity of going to emergency room.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted after receiving COVID 19 vaccine Pfizer-biontech 1st dose vaccination. Ambulance arrived and patient was evaluated. Patient didn't need to be transported to the hospital. patient stayed 30-40 minutes at the vaccination area after vaccine was adminsitered
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Started as a red lump about the size of a quarter. By day 2, expanded to size of half dollar.  Last couple of days swelled to the size of 2 half dollars.  It is itchy.  It is red and hot.   Patient works at a free standing clinic. Had 2 doctors Dr. look at it and was asked why did the Immunizer administer in that area.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Eye swelling, Lip swelling, Swelling face
Clinical narrative: The patient received the first dose of pfizer, then waited in the pharmacy waiting room for 15 minutes. Once the patient left and went home the patient caregiver said his eyes, face and lips swelled. Though his breathing was okay. The patients caregiver thinks the patient may be allergic to PEG.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash, Swelling face, Swelling of eyelid
Clinical narrative: The patient received the first dose of pfizer, then waited in the pharmacy waiting room for 15 minutes. Once the patient left and went home the patient caregiver said his eyes, face and lips swelled. Though his breathing was okay. The patients caregiver thinks the patient may be allergic to PEG.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Angiocardiogram, Angioedema, Chest pain, Electrocardiogram normal, Hyperhidrosis
Clinical narrative: 5/1/21: Patient woke with chest pain, elevated respiratory rate, nausea, and sweating.  Recognizing symptoms of a heart attack, the patient presented to the emergency room at 5:30am.  ECG normal, Troponin at 2.1 at presentation, continued to increase to 4.6 prior to being taken to Cath Lab.  Coronary angiography showed no occlusion; patient admitted to telemetry unit for continued monitoring; discharged following day with order for cardiac MRI.  Outpatient cardiac MRI conducted 5/5/21 revealed myocarditis.  Treatment with beta blockers (Metopolol Succinate 25MG QID) and anti-inflamatory (indomethacin 25MG TID) with direction to avoid exercise.  Light yardwork on 5/22 resulted in patient feeling "racing heart".
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Magnetic resonance imaging heart, Myocarditis, Nausea, Palpitations
Clinical narrative: 5/1/21: Patient woke with chest pain, elevated respiratory rate, nausea, and sweating.  Recognizing symptoms of a heart attack, the patient presented to the emergency room at 5:30am.  ECG normal, Troponin at 2.1 at presentation, continued to increase to 4.6 prior to being taken to Cath Lab.  Coronary angiography showed no occlusion; patient admitted to telemetry unit for continued monitoring; discharged following day with order for cardiac MRI.  Outpatient cardiac MRI conducted 5/5/21 revealed myocarditis.  Treatment with beta blockers (Metopolol Succinate 25MG QID) and anti-inflamatory (indomethacin 25MG TID) with direction to avoid exercise.  Light yardwork on 5/22 resulted in patient feeling "racing heart".
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory rate increased, Troponin increased
Clinical narrative: 5/1/21: Patient woke with chest pain, elevated respiratory rate, nausea, and sweating.  Recognizing symptoms of a heart attack, the patient presented to the emergency room at 5:30am.  ECG normal, Troponin at 2.1 at presentation, continued to increase to 4.6 prior to being taken to Cath Lab.  Coronary angiography showed no occlusion; patient admitted to telemetry unit for continued monitoring; discharged following day with order for cardiac MRI.  Outpatient cardiac MRI conducted 5/5/21 revealed myocarditis.  Treatment with beta blockers (Metopolol Succinate 25MG QID) and anti-inflamatory (indomethacin 25MG TID) with direction to avoid exercise.  Light yardwork on 5/22 resulted in patient feeling "racing heart".
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, Confusional state, Decreased appetite, Eye swelling, Fatigue
Clinical narrative: Post the Second Dose Following symptoms started to show-up - Tiredness, Confused state of mind, Loss of appetite - Lack of Sleep  - Fluid accumulation and swelling in legs, face/eyes - Increased Creatinine, Reduced Hemoglobin, Vitamin and Iron Deficiency
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fluid retention, Haemoglobin decreased, Hypovitaminosis, Iron deficiency, Peripheral swelling
Clinical narrative: Post the Second Dose Following symptoms started to show-up - Tiredness, Confused state of mind, Loss of appetite - Lack of Sleep  - Fluid accumulation and swelling in legs, face/eyes - Increased Creatinine, Reduced Hemoglobin, Vitamin and Iron Deficiency
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder, Swelling face
Clinical narrative: Post the Second Dose Following symptoms started to show-up - Tiredness, Confused state of mind, Loss of appetite - Lack of Sleep  - Fluid accumulation and swelling in legs, face/eyes - Increased Creatinine, Reduced Hemoglobin, Vitamin and Iron Deficiency
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood iron decreased, Blood test, Vitamin D decreased
Clinical narrative: Extrem hair loss which continued for almost 6 weeks. Most of my hair is gone and I have bald spots on my head.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache for 4 weeks, used Tylenol to alleviate pain, still have mild headaches sometimes
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear discomfort, Fatigue, Headache, Neck pain
Clinical narrative: headache, sinus pressure, post nasal drip, clogged ears, ringing ears, neck pain - noticed these symptoms after the acute side effects (headache, fatigue, chills) of vaccine wore off and still experiencing them 6 days later
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Tinnitus, Upper-airway cough syndrome
Clinical narrative: headache, sinus pressure, post nasal drip, clogged ears, ringing ears, neck pain - noticed these symptoms after the acute side effects (headache, fatigue, chills) of vaccine wore off and still experiencing them 6 days later
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dyspnoea, Feeling abnormal, Nausea, Productive cough
Clinical narrative: Patient described reaction to first dose as follows:  almost immediately after her first Pfizer COVID injection, she states that she felt nauseous and short of breath, then vomited.  Per pt, EMS said her blood pressure was ?through the roof? (no exact vitals given).  She was observed for 30 minutes, stated she felt much better and went home voluntarily.  At no time was epi administered per patient.  Today, patient gave her vaccination history from 4/14/2021, stated that she felt fine today and that she wanted to proceed with her second Pfizer dose.  It was determined that there was no contraindication and the vaccine was given at 3pm.  Within 3 minutes, patient stated that she was having difficulty breathing and was nauseous.  EMS arrived immediately, pt  coughed up some sputum, vitals as follows: 144/97 105 98% initial temp 101.7, but pt was in the back of a car with engine off and the warehouse was a little warm.  EMS repeated vitals 140/88 100 98%. Pt was able to ambulated out of the car to a chair, eyes closed, but at no time did she appear SOB or in any distress, RR remained 16-18 bpm.  Final by 128/88.HR 99 SaO2 99%., blood glucose 140, repeated temperature out of the car 99.1.  EMS stated that she appeared to be stable, but pt insisted that she did not feel good, was nauseous and SOB, and that she wanted to be transported to a hospital.  Pt taken to Arizona General by ambulance, with stable VS and in NAD, AOx3.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinitus in ears increased significantly.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Tinnitus
Clinical narrative: Client received 2nd COVID vaccine of Moderna (Lot# 024C21A expiration date 06/24/2021). At 1344, Client reported a "static noise" in both ears. EMT responded to this event at 1345. At 1345, vital signs are blood pressure 166/91, heart rate 102, oxygen saturation 98. RN and PHN responded to this event at 1346. Client reports history of Type 2 Diabetes, takes Metformin and potassium supplements daily. At 1350, vital signs are blood pressure 147/84, heart rate 106, oxygen saturation 97%. Client offered supplemental nutrition and fluids. Client accepted fluids, but denied nutrition. Client reports "all symptoms have gone away". RN educated Client about ED precautions and common adverse effects of COVID vaccines. Client reports allergies to dust, cotton, eggs, rice, beans. At 1357, vital signs are blood pressure 136/77, heart rate 103, oxygen saturation 99%. At 1403, Client is talking with staff and states "it's all gone". At 1410, vital signs are blood pressure 148/82, heart rate 102, oxygen saturation 98%. Client reports no new symptoms and that all reported symptoms has resolved. At 1411, Client stood up with no complaints. Client is accompanied with daughter, states "my sister is driving us home". At 1414, Client walked out of facility with a steady gait.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient's mother filled out patient's date of birth as (12 yo)  but in fact the correct date of birth is (11 yo). Patient's mother later admitted she provided incorrect date of birth so her daughter is eligible for the vaccine.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Nervousness
Clinical narrative: Patient was nervous prior to vaccination. Immediately after receiving vaccine reported dizziness and nausea. Patient was sat down in a separate room and monitored by team member.