chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Ear discomfort, Tinnitus
Clinical narrative: Feeling pulsating pressure or ringing in both my left and right ear starting from 5/7/2021. The pressure fluctuation or ringing is more in the right ear compared to the left ear. I have been experiencing this continuously for 3 days so far. I never had any issues in my ears.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Chills, Decreased appetite, Disturbance in attention
Clinical narrative: Chills, headache, stomach ache, pain in calves, no energy  Just out of it. No appetite, Lasted from Monday til Thursday. Had to work during this. Loss of concentration  & forgetful.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Memory impairment, Pain in extremity, Vaccine positive rechallenge
Clinical narrative: Chills, headache, stomach ache, pain in calves, no energy  Just out of it. No appetite, Lasted from Monday til Thursday. Had to work during this. Loss of concentration  & forgetful.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Impaired work ability, Mobility decreased
Clinical narrative: extreme nausea, major headache, extreme fatigue, dizziness, extreme aches.....I haven't missed work in 25 years, this was so intense I called my husband home from work and had to stay home in bed for 24 hours
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain
Clinical narrative: extreme nausea, major headache, extreme fatigue, dizziness, extreme aches.....I haven't missed work in 25 years, this was so intense I called my husband home from work and had to stay home in bed for 24 hours
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blindness, Chest pain, Dizziness, Dysstasia, Headache
Clinical narrative: After the first vaccine, at 5am the next morning, my blood pressure dropped to 90/65 causing my vision to blackout/feel like I was going to faint, and feel like I was going to throw up when standing. I stayed flat in bed the whole day and the second day after (4/8/21), it subsided. After the second vaccine on 4/27/21, it was a much more significant response. This occurred again at about 5am the morning after the vaccine (4/28, less than 12 hours after), my blood pressure began to fall and I was experiencing orthostatic hypotension again.  On 4/29 significant body aches and pains (flu like symptoms set in). On Friday 4/30/21, I woke up, and without moving, the room was spinning, I felt like I was going to throw up, had bad headaches, and I was extremely dizzy. I took my blood pressure at it was 80/50. I could not stand or sit up, I had to lay flat with my legs propped up to keep blood flow to my head. I missed work from 4/28-5/1 as I was so hypotensive and symptomatic. I called my cardiologists office on the afternoon of 4/30 to get their advice and confirm that I should NOT take my hypertension and tachycardia medications that night (verapamil and metoprolol). The nurse advised me not to take them that day and to go to the hospital since I was so symptomatic. My mom, a cardiac care nurse, was with me at home, so I decided to stay home and only go in if it dropped any lower. The next day (Saturday) it began to normalize to around 110/70 and Sunday I was 120/80. I did not take any medication Saturday or Sunday, because I did not want my pressure to go low again. Monday I contacted my cardiologists office again, because I was still reading normal with no meds in my system, but was beginning to get chest pains related to the withdrawal from metoprolol, so they had me take the verapamil and metoprolol in normal doses Monday afternoon. Tuesday, I woke up low again (100/60) and had to call off work again. I contacted my cardiologist again, and he advised me to stop verapamil until my pressure got more high and I needed it again and called in a lower dose of my metoprolol (half the strength of what I was taking). It is now 5/9/21 and my pressure is still about 125/85, so  I have not been able to resume the verapamil and am still on the half strength metoprolol.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza like illness, Loss of personal independence in daily activities, Malaise, Orthostatic hypotension, Pain
Clinical narrative: After the first vaccine, at 5am the next morning, my blood pressure dropped to 90/65 causing my vision to blackout/feel like I was going to faint, and feel like I was going to throw up when standing. I stayed flat in bed the whole day and the second day after (4/8/21), it subsided. After the second vaccine on 4/27/21, it was a much more significant response. This occurred again at about 5am the morning after the vaccine (4/28, less than 12 hours after), my blood pressure began to fall and I was experiencing orthostatic hypotension again.  On 4/29 significant body aches and pains (flu like symptoms set in). On Friday 4/30/21, I woke up, and without moving, the room was spinning, I felt like I was going to throw up, had bad headaches, and I was extremely dizzy. I took my blood pressure at it was 80/50. I could not stand or sit up, I had to lay flat with my legs propped up to keep blood flow to my head. I missed work from 4/28-5/1 as I was so hypotensive and symptomatic. I called my cardiologists office on the afternoon of 4/30 to get their advice and confirm that I should NOT take my hypertension and tachycardia medications that night (verapamil and metoprolol). The nurse advised me not to take them that day and to go to the hospital since I was so symptomatic. My mom, a cardiac care nurse, was with me at home, so I decided to stay home and only go in if it dropped any lower. The next day (Saturday) it began to normalize to around 110/70 and Sunday I was 120/80. I did not take any medication Saturday or Sunday, because I did not want my pressure to go low again. Monday I contacted my cardiologists office again, because I was still reading normal with no meds in my system, but was beginning to get chest pains related to the withdrawal from metoprolol, so they had me take the verapamil and metoprolol in normal doses Monday afternoon. Tuesday, I woke up low again (100/60) and had to call off work again. I contacted my cardiologist again, and he advised me to stop verapamil until my pressure got more high and I needed it again and called in a lower dose of my metoprolol (half the strength of what I was taking). It is now 5/9/21 and my pressure is still about 125/85, so  I have not been able to resume the verapamil and am still on the half strength metoprolol.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vertigo
Clinical narrative: After the first vaccine, at 5am the next morning, my blood pressure dropped to 90/65 causing my vision to blackout/feel like I was going to faint, and feel like I was going to throw up when standing. I stayed flat in bed the whole day and the second day after (4/8/21), it subsided. After the second vaccine on 4/27/21, it was a much more significant response. This occurred again at about 5am the morning after the vaccine (4/28, less than 12 hours after), my blood pressure began to fall and I was experiencing orthostatic hypotension again.  On 4/29 significant body aches and pains (flu like symptoms set in). On Friday 4/30/21, I woke up, and without moving, the room was spinning, I felt like I was going to throw up, had bad headaches, and I was extremely dizzy. I took my blood pressure at it was 80/50. I could not stand or sit up, I had to lay flat with my legs propped up to keep blood flow to my head. I missed work from 4/28-5/1 as I was so hypotensive and symptomatic. I called my cardiologists office on the afternoon of 4/30 to get their advice and confirm that I should NOT take my hypertension and tachycardia medications that night (verapamil and metoprolol). The nurse advised me not to take them that day and to go to the hospital since I was so symptomatic. My mom, a cardiac care nurse, was with me at home, so I decided to stay home and only go in if it dropped any lower. The next day (Saturday) it began to normalize to around 110/70 and Sunday I was 120/80. I did not take any medication Saturday or Sunday, because I did not want my pressure to go low again. Monday I contacted my cardiologists office again, because I was still reading normal with no meds in my system, but was beginning to get chest pains related to the withdrawal from metoprolol, so they had me take the verapamil and metoprolol in normal doses Monday afternoon. Tuesday, I woke up low again (100/60) and had to call off work again. I contacted my cardiologist again, and he advised me to stop verapamil until my pressure got more high and I needed it again and called in a lower dose of my metoprolol (half the strength of what I was taking). It is now 5/9/21 and my pressure is still about 125/85, so  I have not been able to resume the verapamil and am still on the half strength metoprolol.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Rash macular
Clinical narrative: Red, hot, swollen, itchy splotch from injection site down arm irregular size.  Moving down my towards fingers
Sex: U
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site warmth, Rash, Rash papular
Clinical narrative: Raised painful rash at injection site.  Has grown and spread  to approximately 4-5? in diameter in three days. Center of rash site has increased hardening and is warm to the touch.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Muscle spasms, Myalgia
Clinical narrative: The symptoms lasted 14 hours and included fever of 100.9, chills, headache, muscle and joint pain, cramps in calves and feet
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: The symptoms lasted 14 hours and included fever of 100.9, chills, headache, muscle and joint pain, cramps in calves and feet
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Balance disorder, Chills, Decreased appetite
Clinical narrative: I received my first Pfizer Covid-19 vaccine shot on March 5, 2021, and my second shot on March 26, 2021.   After my first shot, I had minor chills, no fever, and was a little tired for two days.  However, approximately 12 hours after my second shot, I had a 101.0 F fever, with a heart rate of 105.  I did not take any fever reducing medicine.  I had a fever for two days, and slight elevation in my temperature on the third day.  My heart rate decreased over the second and third day, and went back to my normal 50s-60, four days after my second shot.  I had slight nausea the first day, and a loss of appetite two additional days.  My appetite is now back to normal.  Furthermore, I had a lot of soreness in my lower back, neck, shoulders, and knees that lasted 5 or 6 days after my second shot.  Also, I had a low-level intermittent headache the first day after the second shot.  In addition, I had significant chills that lasted 10 days after the second shot.  My chief complaint is feeling very lightheaded / unsteady when in a standing position.   Also, my exercise routine has suffered the past month.  I only walk 15 to 20 minutes and feel very tired.  Certainly, not a normal feeling for me.  I feel very tired over the past month and a half since my second shot. I have checked my EKG a few times over the past 6 weeks.  It is my normal EKG, (RBBB and LAFB) and remains unchanged.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Exercise lack of, Fatigue, Headache, Heart rate
Clinical narrative: I received my first Pfizer Covid-19 vaccine shot on March 5, 2021, and my second shot on March 26, 2021.   After my first shot, I had minor chills, no fever, and was a little tired for two days.  However, approximately 12 hours after my second shot, I had a 101.0 F fever, with a heart rate of 105.  I did not take any fever reducing medicine.  I had a fever for two days, and slight elevation in my temperature on the third day.  My heart rate decreased over the second and third day, and went back to my normal 50s-60, four days after my second shot.  I had slight nausea the first day, and a loss of appetite two additional days.  My appetite is now back to normal.  Furthermore, I had a lot of soreness in my lower back, neck, shoulders, and knees that lasted 5 or 6 days after my second shot.  Also, I had a low-level intermittent headache the first day after the second shot.  In addition, I had significant chills that lasted 10 days after the second shot.  My chief complaint is feeling very lightheaded / unsteady when in a standing position.   Also, my exercise routine has suffered the past month.  I only walk 15 to 20 minutes and feel very tired.  Certainly, not a normal feeling for me.  I feel very tired over the past month and a half since my second shot. I have checked my EKG a few times over the past 6 weeks.  It is my normal EKG, (RBBB and LAFB) and remains unchanged.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Pyrexia
Clinical narrative: I received my first Pfizer Covid-19 vaccine shot on March 5, 2021, and my second shot on March 26, 2021.   After my first shot, I had minor chills, no fever, and was a little tired for two days.  However, approximately 12 hours after my second shot, I had a 101.0 F fever, with a heart rate of 105.  I did not take any fever reducing medicine.  I had a fever for two days, and slight elevation in my temperature on the third day.  My heart rate decreased over the second and third day, and went back to my normal 50s-60, four days after my second shot.  I had slight nausea the first day, and a loss of appetite two additional days.  My appetite is now back to normal.  Furthermore, I had a lot of soreness in my lower back, neck, shoulders, and knees that lasted 5 or 6 days after my second shot.  Also, I had a low-level intermittent headache the first day after the second shot.  In addition, I had significant chills that lasted 10 days after the second shot.  My chief complaint is feeling very lightheaded / unsteady when in a standing position.   Also, my exercise routine has suffered the past month.  I only walk 15 to 20 minutes and feel very tired.  Certainly, not a normal feeling for me.  I feel very tired over the past month and a half since my second shot. I have checked my EKG a few times over the past 6 weeks.  It is my normal EKG, (RBBB and LAFB) and remains unchanged.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Nausea
Clinical narrative: I experienced chills, nausea, extreme fatigue, headaches and body aches.  For the next day and a half after receiving the vaccine, it felt like I had Covid all over again.  Towards the end of the 2nd day after receiving the vaccine, I started to feel better.  I?m worried about what will happen to me after my 2nd vaccine that I am scheduled to receive on May 17th.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: I experienced chills, nausea, extreme fatigue, headaches and body aches.  For the next day and a half after receiving the vaccine, it felt like I had Covid all over again.  Towards the end of the 2nd day after receiving the vaccine, I started to feel better.  I?m worried about what will happen to me after my 2nd vaccine that I am scheduled to receive on May 17th.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site lymphadenopathy, Lymphadenopathy
Clinical narrative: Swollen lymph node under injection site arm
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Arthralgia, Fatigue, Hyperhidrosis, Neck pain
Clinical narrative: Insane sweating of only my head face and neck.  A lot of canker sores.  Mild Sore throat. Joint pain. Tiredness. Terrible neck pain at sight of previous surgery.  Mild Tenderness of old scars. Shoulder, elbow, hip,ankle wrist joints painful.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Tenderness
Clinical narrative: Insane sweating of only my head face and neck.  A lot of canker sores.  Mild Sore throat. Joint pain. Tiredness. Terrible neck pain at sight of previous surgery.  Mild Tenderness of old scars. Shoulder, elbow, hip,ankle wrist joints painful.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Somnolence
Clinical narrative: Swelling and pain around arm, redness, sleepy
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Hyperhidrosis, Hypoaesthesia, Pharyngeal swelling
Clinical narrative: Immediately felt cramping in my abdominal.  Minutes later my feet and legs went numb, following ringing in my ears. I began to sweat and needed to lay down. My throat began to tighten and swallowing became difficult.  I was closely monitored for about 30 minutes, as my symptoms started to lessen.  It?s two days later and the cramps and weakness/ numbness are still there.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Tinnitus
Clinical narrative: Immediately felt cramping in my abdominal.  Minutes later my feet and legs went numb, following ringing in my ears. I began to sweat and needed to lay down. My throat began to tighten and swallowing became difficult.  I was closely monitored for about 30 minutes, as my symptoms started to lessen.  It?s two days later and the cramps and weakness/ numbness are still there.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram, Tinnitus
Clinical narrative: tinnitus
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in right ear. Ongoing, no treatment.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Interventional procedure, Intussusception, Ultrasound abdomen abnormal, Vomiting, Vomiting projectile
Clinical narrative: Patient received vaccine with routine 4 mo WCC 4/8/21. Pt vomiting 4/12/21. Seen in walk in. 4//13/21 seen at Pediatrics for vomiting 4/15/21 seen at Pediatrics for vomiting and transferred to ER for projectile vomiting, concern for intususception 4/15/21 abdominal ultrasound concerning for intususception, admitted to pediatric floor 4/15/21 IR procedure to reduce intussceuption. Patient currently admitted
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site extravasation, Needle issue, Underdose
Clinical narrative: When the technician was vaccination the patient, she came to take out the needle and the needle  came seperated from the plunger with 2 to 3 drops streating From patient arm. CDC was  Called and advised if more than 1/2 the dose was injected not to repeat.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Chest pain, Electrocardiogram repolarisation abnormality, Hypertension, Myocardial necrosis marker increased
Clinical narrative: chest pains- nocturnal awakening: high BP 210/94 Diagnosis: NSTEMI (non-ST elevation myocardial infarction)
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: chest pains- nocturnal awakening: high BP 210/94 Diagnosis: NSTEMI (non-ST elevation myocardial infarction)
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Lip swelling, Paraesthesia oral, Pruritus, Swollen tongue
Clinical narrative: Pfizer - BioNTech COVID-19 Vaccine EUA  Within the first 10 minutes I felt the first symptom which was itchiness on various parts of my body and especially on my face + head. (This was my first indication I was reacting.)  Then my tongue started to tingle. Over a period of another five minutes the tingling spread to my lips, within another few minutes the tingling spread to the rood of my mouth.  As I sat in my car the tingling intensified and the innerside of my lower lip and my tongue felt denser, as if they were swelling. However, this swelling was not visible; yet, it was very much there from my experience.  The nurse at the site kept coming around to check on me throughout this time period. I believe I waited 30-45 minutes so that I could be monitored. Finally the nurse and I agreed it would be okay for me to go home.  My daughter-in-law drove me home. I took a Benadryl and within 1.5 hours the sensations were completely gone. I was symptom free the rest of the day except for some slight sensation at the injection site.  This reaction to the 1st dose has me quite concerned about taking the 2nd dose.  My body is severely sensitive to a wide range of substances.  In 2016 I was receiving desensitization shots for environmental allergens. I had returned to the shots after stopping them for about 5 months due to severe asthma. When I returned to the shots, I was started on a reduced dose/potency + had a mild anaphylactic shock reaction. We waited 2 weeks + tried again and I had a slightly more serious A.S. reaction.  Then we waited 1-1 1/2 month + redid testing for allergens.  I had slightly stronger reactions to those.. At that point the doctor + I agreed the testing + injections would be completely stopped.  It is because of these experiences + the mild reaction to the 1st Covid vaccine that a 2nd injection is inadvisable for me. My primary care doctor and pulmonologist agree with me. I have gotten a written statement from my primary care to this effect
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Loss of consciousness
Clinical narrative: Within minutes of getting the  Janssen covid-19 vaccine, patient began to feel dizzy/light headed and warm. Patient lost consciousness a few times over 10 minutes stretch monitored pt. for 30 additional minutes
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Buttock injury, Dizziness, Fall, Gait disturbance, Loss of consciousness
Clinical narrative: Approximately 8 minutes post-vaccination patient started to feel dizzy. Patient then got out of his chair to come tell the pharmacist (myself), during which time I witnessed him starting to sway and attempted to approach the patient. Before I could make it to the patient he passed out and fell to the floor, his bottom hit the floor first followed by his torso. I told the intern to call 911 and stayed with the patient. He never stop breathing and a pulse was always present. He attempted to get up moments after falling and I requested he stay on the ground. After a couple minutes he felt slightly better and I assisted him into a chair. At this point the paramedics arrived and took over patient care while I described
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Skin discolouration, Trunk injury
Clinical narrative: Approximately 8 minutes post-vaccination patient started to feel dizzy. Patient then got out of his chair to come tell the pharmacist (myself), during which time I witnessed him starting to sway and attempted to approach the patient. Before I could make it to the patient he passed out and fell to the floor, his bottom hit the floor first followed by his torso. I told the intern to call 911 and stayed with the patient. He never stop breathing and a pulse was always present. He attempted to get up moments after falling and I requested he stay on the ground. After a couple minutes he felt slightly better and I assisted him into a chair. At this point the paramedics arrived and took over patient care while I described
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Impaired work ability, Myalgia
Clinical narrative: With 24 o vaccine - tired/aches that progressed  to muscle aches, nausea, sore throat, fever as of 5/8/2021 highest 103.8 averale tymp. that recponds  to Ibuprofen 800 mg - down to 101.5 - Fever Reoccurin with chills, appetite decrease. Chills, missed work due to symptoms. Temp. 116/78 PO=99& BMI 41 100.9F R 100 Rec: go to emergency room if does not R=18 73" improve in the next 48 - sooner with provider 316# fever over 101.8 due to No primary care
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: With 24 o vaccine - tired/aches that progressed  to muscle aches, nausea, sore throat, fever as of 5/8/2021 highest 103.8 averale tymp. that recponds  to Ibuprofen 800 mg - down to 101.5 - Fever Reoccurin with chills, appetite decrease. Chills, missed work due to symptoms. Temp. 116/78 PO=99& BMI 41 100.9F R 100 Rec: go to emergency room if does not R=18 73" improve in the next 48 - sooner with provider 316# fever over 101.8 due to No primary care
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Streptococcus test negative
Clinical narrative: With 24 o vaccine - tired/aches that progressed  to muscle aches, nausea, sore throat, fever as of 5/8/2021 highest 103.8 averale tymp. that recponds  to Ibuprofen 800 mg - down to 101.5 - Fever Reoccurin with chills, appetite decrease. Chills, missed work due to symptoms. Temp. 116/78 PO=99& BMI 41 100.9F R 100 Rec: go to emergency room if does not R=18 73" improve in the next 48 - sooner with provider 316# fever over 101.8 due to No primary care
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Fall, Loss of consciousness
Clinical narrative: The patient received vaccine. The patient was browsing a few minutes later. Per customer witness, patient steadied herself on counter, then collapsed. Per customer witness, patient quickly regained consciousness. She was confused at first but that quickly went away. Customer got pharmacist, pharmacist assessed patient who seemed coherent and normal. 911 activated. EMS arrived at scene and assessed patient and took statement from customer. EMS said patient's assessment and vitals were fine. Patient refused transport to a medical facility. Patient then relocated to pharmacy waiting area to continue to rest   Patient said they did not have anyone to call for ride
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Menstruation irregular
Clinical narrative: Pt developed a raised, firm red spot at the injection site. Pt has implanted BC in same arm as injection. Pt experienced first period in 1 1/2 years.
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Vaccine Adverse Event Report May 9th, 2021 Patient had an appointment for his 2nd dose of Pfizer Covid 19 vaccine on May 9th 2021at 2:45pm. His first dose of Pfizer Covid 19 vaccine was at our Pharmacy on April 16th, 2021. Patient arrived to the appointment early; patient had been waiting for the pharmacist to return from lunch. At 2:05pm, pharmacy technician, started processing paperwork. Patient appeared normal as I, pharmacy on duty, slightly took a glance while he was at Covid 19 Vaccine Check-in window. He appeared to actively talking on phone via his wireless headphone. After processing the paperwork needed for vaccination, I went over the system to ensure the provided information was adequate before it was ready for my intern to administer the shot. Once the process was completed, as usual, pharmacy intern, took the patient to Patient Health Room for immunization. After the vaccination, as I was getting off the phone with a doctor calling in a prescription, approached and told me the patient fainted right after the vaccination, she called out my name for help, but I did not hear. Later on pharmacy technician said she was close by the area but did not hear pharmacy intern. Fortunately, the pharmacy intern said she kept calling his name and patted at the patient's shoulder softly, the patient woke up, this happened just within less than 1 minute. From pharmacy intern's report, the patient shook his head vigourously, and breathed rapidly through his lips after he woke up. Pharmacy intern instructed the patient to have a seat outside the Patient Health Room for close monitoring. I then walked outside and briefly talked to the patient. Patient stated he was perfectedly fine, said in a humor way "Yes, I passed out, but I'm perfectly fine now." Based on the vaccine administration record, patient has no medical condition. He also confirmed he had lunch before coming, so I concluded the faint was not due to hypoglycemic. I offered whether he needed anything just know that we are here. I also reassured patient to stay at least 15 minutes before he was ready to head out. it seemed like patient was actively on the phone or listened to music via his wireless headphone as I occasionally glanced at him via the mirror. Approximately 15 minutes later, patient checked in at the consultation window asking whether it was okay for him to leave. I asked him again if he was sure and felt well; he confirmed. In addition, I verified his phone number so we could call him for follow-up if needed. Shortly after the patient left, as I was ready to report the incident, I noticed his address is not within our area. I gave him a call, he answered and confirmed his address, he also said he is doing fine, just arrived at his apartment. Each team members who were involved in the event wrote the reports and kept them filed in the pharmacy records.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dysstasia, Nausea, Pallor
Clinical narrative: Paleness , nausea , light headed, weakness.  Was on the floor and could not get up.   Paramedics were called . Pt was checked and given option to go with them. His vitals were normal and pt.  Signed a release denying to go to  hospital. He stayed at the store for one  hour and called a ride home
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin tightness
Clinical narrative: Pt came in 4/28/21 stated he experienced tightness in the face that lasted 1 day, He did not experience fainting or dizines. Called pt on several occasion to followup after 2nd dose. no response
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Flushing, Pallor
Clinical narrative: SEE LIST FOR  LIGHT HEADED , FACE FLUSHED 5/6 DAY OF  5/9  AWOKE 00:45 WITH SHORTNESS OF BREATH,  FACE PRICKLY feeling ,  CHILLS, oxigen  sat 99/%  lung clear,
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Swelling
Clinical narrative: SEE LIST FOR  LIGHT HEADED , FACE FLUSHED 5/6 DAY OF  5/9  AWOKE 00:45 WITH SHORTNESS OF BREATH,  FACE PRICKLY feeling ,  CHILLS, oxigen  sat 99/%  lung clear,
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electric shock sensation, Fall, Headache
Clinical narrative: Pt received moderna vaccine 3/25/21. On 4/10 she experienced sudden onset dizziness that persisted for a week. on 4/15 she experienced a jolt that caused her to fall unexpectedly. She experienced headaches during this time that was unual for her.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Brain fog, Chills, Fatigue, Influenza like illness, Lymphadenopathy
Clinical narrative: i have had flu-like symptoms for about a month, here are the details: Fever, chills, body aches,  brain fot, Lymphnodes in my neck are the size of golf balls, especially on right side of neck (opposite side of where I received the Johnson shot, in my left arm). Also, extreme fatigue.  The chills lasted for two weeks almost three, but are gone now. I had a fever off and on for three weeks as well.   One month later: I still have: extreme fatigue, Lymphnodes size of golf balls. The fatigue is very intense, and I can't really function.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pyrexia
Clinical narrative: i have had flu-like symptoms for about a month, here are the details: Fever, chills, body aches,  brain fot, Lymphnodes in my neck are the size of golf balls, especially on right side of neck (opposite side of where I received the Johnson shot, in my left arm). Also, extreme fatigue.  The chills lasted for two weeks almost three, but are gone now. I had a fever off and on for three weeks as well.   One month later: I still have: extreme fatigue, Lymphnodes size of golf balls. The fatigue is very intense, and I can't really function.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dyspnoea, Feeling hot, Palpitations, Sinus congestion
Clinical narrative: Face felt hot Sinuses felt swollen (open, not closing) Heart racing Difficulty getting deep breath As these symptoms subsided, I developed an intense pain in the center of my lower back. It was constant at first then became  intermittent  before fading away. Each set lasted about 5 minutes.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abscess, Blood test, Computerised tomogram abdomen, Computerised tomogram pelvis
Clinical narrative: On approximately April 9, 2021 I came down with severe abdominal pain, as I had no prior experience with this pain, I felt it would pass. The pain was predominately at night while laying down and would occur between 3-4 am .  The pain did not pass. I went to the emergency room on April 15, where i told them I had the J& J vaccine and was now experiencing the abdominal pain which was in the time frame for the side effects of the J& J vaccine. They did  a CT scan, it showed diverticulitis with an abscess. I had no previous issue with diverticulitis until this time, my diet had not changed either. I was admitted to the hospital for treatment
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Diverticulitis
Clinical narrative: On approximately April 9, 2021 I came down with severe abdominal pain, as I had no prior experience with this pain, I felt it would pass. The pain was predominately at night while laying down and would occur between 3-4 am .  The pain did not pass. I went to the emergency room on April 15, where i told them I had the J& J vaccine and was now experiencing the abdominal pain which was in the time frame for the side effects of the J& J vaccine. They did  a CT scan, it showed diverticulitis with an abscess. I had no previous issue with diverticulitis until this time, my diet had not changed either. I was admitted to the hospital for treatment
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, COVID-19, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: Immediately, felt nauseated and dizzy. I started throwing up about 30 minutes after vaccine. They gave me an IV and some Zofran. They monitored for me for an hour while I got two bags of IVs. I still felt nauseated when I left for lunch. I couldn't eat. I started throwing up again after lunch and I had two episodes of diarrhea. Felt short of breath (not wheezing) and face felt like it was burning. I rash and it was red and burning around my mouth and face. I felt really dizzy and light headed and they took me back to a treatment room. I felt like I was going to pass out. I couldn't stop throwing up at all - at that point. They put the vital signs machine on my - O2 was 84; I had low blood pressure; and I was really tachycardia - it was 135 - was very high. They gave epinephrine; Benadryl - 50 mg; solumedrol - 125 mg. I have an anaphylactic care plan in my chart because of my latex allergies. I think they gave me everything off of that. I started wheezing. I believe I passed out. When I came coherent again - I was in an ambulance with breathing mask and IVs.  They took me to ER  to monitor me.  They monitored me for three hours - I don't believe they did an epi-drip but they were seeing if they needed to start one. I think they gave me a second epi-injection in the ambulance.  They gave me steroids and told me to use my antihistamine (already had Zyrtec). They gave me a higher dose of prednisone - they dosed me to 20mg instead of my daily 5. Those helped with my symptoms. On the 4th, I had a negative result for COVID - my heart rate was still crazy - super high - felt like I was having palpitations . So On Tuesday, the 5th, when I went back to follow up, I had COVID. I was still feeling horrible and having all kinds of symptoms. They had tested me for COVID before coming into clinic - and I was positive. I took OTC stuff at home for COVID. I still have ongoing heart palpitations/ tachycardia.  that I experience. I saw an allergy specialist after getting a doctor referral - he just said don't take the Moderna vaccine again.  I still have to see a cardiologist . I have a repeat cardio/echogram tomorrow. They put me on Pepcid.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Heart rate increased, Hypotension, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Immediately, felt nauseated and dizzy. I started throwing up about 30 minutes after vaccine. They gave me an IV and some Zofran. They monitored for me for an hour while I got two bags of IVs. I still felt nauseated when I left for lunch. I couldn't eat. I started throwing up again after lunch and I had two episodes of diarrhea. Felt short of breath (not wheezing) and face felt like it was burning. I rash and it was red and burning around my mouth and face. I felt really dizzy and light headed and they took me back to a treatment room. I felt like I was going to pass out. I couldn't stop throwing up at all - at that point. They put the vital signs machine on my - O2 was 84; I had low blood pressure; and I was really tachycardia - it was 135 - was very high. They gave epinephrine; Benadryl - 50 mg; solumedrol - 125 mg. I have an anaphylactic care plan in my chart because of my latex allergies. I think they gave me everything off of that. I started wheezing. I believe I passed out. When I came coherent again - I was in an ambulance with breathing mask and IVs.  They took me to ER  to monitor me.  They monitored me for three hours - I don't believe they did an epi-drip but they were seeing if they needed to start one. I think they gave me a second epi-injection in the ambulance.  They gave me steroids and told me to use my antihistamine (already had Zyrtec). They gave me a higher dose of prednisone - they dosed me to 20mg instead of my daily 5. Those helped with my symptoms. On the 4th, I had a negative result for COVID - my heart rate was still crazy - super high - felt like I was having palpitations . So On Tuesday, the 5th, when I went back to follow up, I had COVID. I was still feeling horrible and having all kinds of symptoms. They had tested me for COVID before coming into clinic - and I was positive. I took OTC stuff at home for COVID. I still have ongoing heart palpitations/ tachycardia.  that I experience. I saw an allergy specialist after getting a doctor referral - he just said don't take the Moderna vaccine again.  I still have to see a cardiologist . I have a repeat cardio/echogram tomorrow. They put me on Pepcid.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oral mucosal eruption, Palpitations, Rash, Rash erythematous
Clinical narrative: Immediately, felt nauseated and dizzy. I started throwing up about 30 minutes after vaccine. They gave me an IV and some Zofran. They monitored for me for an hour while I got two bags of IVs. I still felt nauseated when I left for lunch. I couldn't eat. I started throwing up again after lunch and I had two episodes of diarrhea. Felt short of breath (not wheezing) and face felt like it was burning. I rash and it was red and burning around my mouth and face. I felt really dizzy and light headed and they took me back to a treatment room. I felt like I was going to pass out. I couldn't stop throwing up at all - at that point. They put the vital signs machine on my - O2 was 84; I had low blood pressure; and I was really tachycardia - it was 135 - was very high. They gave epinephrine; Benadryl - 50 mg; solumedrol - 125 mg. I have an anaphylactic care plan in my chart because of my latex allergies. I think they gave me everything off of that. I started wheezing. I believe I passed out. When I came coherent again - I was in an ambulance with breathing mask and IVs.  They took me to ER  to monitor me.  They monitored me for three hours - I don't believe they did an epi-drip but they were seeing if they needed to start one. I think they gave me a second epi-injection in the ambulance.  They gave me steroids and told me to use my antihistamine (already had Zyrtec). They gave me a higher dose of prednisone - they dosed me to 20mg instead of my daily 5. Those helped with my symptoms. On the 4th, I had a negative result for COVID - my heart rate was still crazy - super high - felt like I was having palpitations . So On Tuesday, the 5th, when I went back to follow up, I had COVID. I was still feeling horrible and having all kinds of symptoms. They had tested me for COVID before coming into clinic - and I was positive. I took OTC stuff at home for COVID. I still have ongoing heart palpitations/ tachycardia.  that I experience. I saw an allergy specialist after getting a doctor referral - he just said don't take the Moderna vaccine again.  I still have to see a cardiologist . I have a repeat cardio/echogram tomorrow. They put me on Pepcid.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Tachycardia, Vomiting, Wheezing
Clinical narrative: Immediately, felt nauseated and dizzy. I started throwing up about 30 minutes after vaccine. They gave me an IV and some Zofran. They monitored for me for an hour while I got two bags of IVs. I still felt nauseated when I left for lunch. I couldn't eat. I started throwing up again after lunch and I had two episodes of diarrhea. Felt short of breath (not wheezing) and face felt like it was burning. I rash and it was red and burning around my mouth and face. I felt really dizzy and light headed and they took me back to a treatment room. I felt like I was going to pass out. I couldn't stop throwing up at all - at that point. They put the vital signs machine on my - O2 was 84; I had low blood pressure; and I was really tachycardia - it was 135 - was very high. They gave epinephrine; Benadryl - 50 mg; solumedrol - 125 mg. I have an anaphylactic care plan in my chart because of my latex allergies. I think they gave me everything off of that. I started wheezing. I believe I passed out. When I came coherent again - I was in an ambulance with breathing mask and IVs.  They took me to ER  to monitor me.  They monitored me for three hours - I don't believe they did an epi-drip but they were seeing if they needed to start one. I think they gave me a second epi-injection in the ambulance.  They gave me steroids and told me to use my antihistamine (already had Zyrtec). They gave me a higher dose of prednisone - they dosed me to 20mg instead of my daily 5. Those helped with my symptoms. On the 4th, I had a negative result for COVID - my heart rate was still crazy - super high - felt like I was having palpitations . So On Tuesday, the 5th, when I went back to follow up, I had COVID. I was still feeling horrible and having all kinds of symptoms. They had tested me for COVID before coming into clinic - and I was positive. I took OTC stuff at home for COVID. I still have ongoing heart palpitations/ tachycardia.  that I experience. I saw an allergy specialist after getting a doctor referral - he just said don't take the Moderna vaccine again.  I still have to see a cardiologist . I have a repeat cardio/echogram tomorrow. They put me on Pepcid.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Muscle spasms, Muscle twitching, Stress
Clinical narrative: the night after second shot, started with frequent and constant muscle fasiculations. This has continued to present day and happens frequently every day all over.  Oround March 27th and 28th I developed muscle tremors in both hands and legs that are positional. These symptoms have also continued until present day
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Muscle twitching
Clinical narrative: the night after second shot, started with frequent and constant muscle fasiculations. This has continued to present day and happens frequently every day all over.  Oround March 27th and 28th I developed muscle tremors in both hands and legs that are positional. These symptoms have also continued until present day
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: Patient presented to hospital evening of 1/27/21 with acute onset weakness and buckling of knees, admitted to medicine service and neurology consulted. Patient diagnosed with acute motor axonal neuropathy, a variant of Guillain Barre Syndrome. Patient received IVIG 1/28-1/31. Despite IVIG treatment, patient with progressive worsening of motor weakness, resulting in diaphragmatic weakness requiring intubation on 1/29.  Patient has remained ventilator dependent and is now s/p tracheostomy.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute motor axonal neuropathy, Asthenia, Dependence on respirator, Diaphragm muscle weakness, Endotracheal intubation
Clinical narrative: Patient presented to hospital evening of 1/27/21 with acute onset weakness and buckling of knees, admitted to medicine service and neurology consulted. Patient diagnosed with acute motor axonal neuropathy, a variant of Guillain Barre Syndrome. Patient received IVIG 1/28-1/31. Despite IVIG treatment, patient with progressive worsening of motor weakness, resulting in diaphragmatic weakness requiring intubation on 1/29.  Patient has remained ventilator dependent and is now s/p tracheostomy.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Guillain-Barre syndrome, Immunoglobulin therapy, Motor dysfunction, Muscular weakness, Specialist consultation
Clinical narrative: Patient presented to hospital evening of 1/27/21 with acute onset weakness and buckling of knees, admitted to medicine service and neurology consulted. Patient diagnosed with acute motor axonal neuropathy, a variant of Guillain Barre Syndrome. Patient received IVIG 1/28-1/31. Despite IVIG treatment, patient with progressive worsening of motor weakness, resulting in diaphragmatic weakness requiring intubation on 1/29.  Patient has remained ventilator dependent and is now s/p tracheostomy.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tracheostomy
Clinical narrative: Patient presented to hospital evening of 1/27/21 with acute onset weakness and buckling of knees, admitted to medicine service and neurology consulted. Patient diagnosed with acute motor axonal neuropathy, a variant of Guillain Barre Syndrome. Patient received IVIG 1/28-1/31. Despite IVIG treatment, patient with progressive worsening of motor weakness, resulting in diaphragmatic weakness requiring intubation on 1/29.  Patient has remained ventilator dependent and is now s/p tracheostomy.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Injection site erythema, Injection site reaction, Injection site swelling, Pain
Clinical narrative: On 4/14/2021 tested positive for COVID 19 via anterior nasal swab at a testing site (type of test unknown)
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pyrexia, Skin lesion, Skin reaction
Clinical narrative: On 4/14/2021 tested positive for COVID 19 via anterior nasal swab at a testing site (type of test unknown)
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: On 4/14/2021 tested positive for COVID 19 via anterior nasal swab at a testing site (type of test unknown)
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Electrocardiogram, Full blood count, Pain in extremity
Clinical narrative: Complaining of chest pain, dsypnea, and pericarditits since receiving his 2nd COVID dose
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Pericarditis
Clinical narrative: Complaining of chest pain, dsypnea, and pericarditits since receiving his 2nd COVID dose
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angina pectoris, Antinuclear antibody increased, Bone pain, Cardiovascular evaluation, Chest discomfort
Clinical narrative: Complaining of chest pain, dsypnea, and pericarditits since receiving his 2nd COVID dose
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Confusional state, Discomfort, Dyspnoea, Fatigue, Pericarditis
Clinical narrative: Complaining of chest pain, dsypnea, and pericarditits since receiving his 2nd COVID dose
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sensitive skin
Clinical narrative: Complaining of chest pain, dsypnea, and pericarditits since receiving his 2nd COVID dose
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Dyspnoea, Pruritus, Swollen tongue, Throat irritation
Clinical narrative: After administration of 2nd dose, pt's tongue and throat began to swell. Developed itchiness to head, face, and neck. Physician on site informed, placed IV, and administered diphenhydramine 50mg, famotidine 20mg, methylprednisolone 125mg and then patient was transported to the ED.  In the ED, she was monitored for 2 hours and discharged with prescriptions to take famotidine 20mg daily x 5 days and prednisone 40mg daily x 5 days, and benadryl every 8 hours x 48 hours.