chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ear pain, Heart rate increased, Peripheral swelling, SARS-CoV-2 test positive, Vaccination complication
Clinical narrative: I was sent to the ER on 10/22/21 for chest pains. My blood pressure and heart rate were elevated- and still remain elevated for my body. I'm on aspirin therapy and I was checked for heart attack and pericarditis. Both were negative. I had lower leg swelling. I continue to have Covid eye and sharp pains in my ears.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Headache-Mild
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Flushing, Hyperhidrosis, Loss of consciousness
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Additional Details: Several minutes after receiving the vaccine, the patient passed out and fell out of chair. He appeared to be shaking on the floor similar to a seizure but cannot confirm. He reports no history of seizures. When patient regained consciousness, he reported feeling light headed and dizzy. Patient looked pale and was sweating. He was given water and remained laying on the floor and sitting in chair for about 15 minutes until leaving with mother.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Seizure like phenomena, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Additional Details: Several minutes after receiving the vaccine, the patient passed out and fell out of chair. He appeared to be shaking on the floor similar to a seizure but cannot confirm. He reports no history of seizures. When patient regained consciousness, he reported feeling light headed and dizzy. Patient looked pale and was sweating. He was given water and remained laying on the floor and sitting in chair for about 15 minutes until leaving with mother.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Injection site pain, Mouth swelling, Swelling face, Swelling of eyelid
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: cough-Mild
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: cough-Mild
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer
Clinical narrative: Systemic: Patient reports Canker sores-Medium, Additional Details: Patient called pharmacy on  01/06/2022 12:38pm reporting she experienced canker sores after vaccine
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint injury, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint injury, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Feeling abnormal
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Joint Pain-Severe, Systemic: Shakiness-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Weakness-Severe, Additional Details: patient had mild flu like symptoms after 2nd dose that lasted for about 12 hours and started 20-24 hours post vaccine. after the booster, patient's symptoms started about 20 hours later and are still continuing. patient described pain as "shooting pain thru out entire body". patient fainted twice which caused an injury to her ankle. patient is still feeling "off"
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site pain, Joint injury, Pain, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Joint Pain-Severe, Systemic: Shakiness-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Weakness-Severe, Additional Details: patient had mild flu like symptoms after 2nd dose that lasted for about 12 hours and started 20-24 hours post vaccine. after the booster, patient's symptoms started about 20 hours later and are still continuing. patient described pain as "shooting pain thru out entire body". patient fainted twice which caused an injury to her ankle. patient is still feeling "off"
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Joint Pain-Severe, Systemic: Shakiness-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Weakness-Severe, Additional Details: patient had mild flu like symptoms after 2nd dose that lasted for about 12 hours and started 20-24 hours post vaccine. after the booster, patient's symptoms started about 20 hours later and are still continuing. patient described pain as "shooting pain thru out entire body". patient fainted twice which caused an injury to her ankle. patient is still feeling "off"
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, SARS-CoV-2 test negative, Urticaria, Vaccination complication
Clinical narrative: Daughter started getting itchy patches of hives. We treated the hives with topical hydrocortisone and giving Benadryl. The hives went away but then can back the following day. Hives covered a huge portion of her body and we gave her more Benadryl and took her to the hospital.   After going over symptoms and history of the past two days the doctor believes the periodic hive breakouts are a reaction to the covid vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia, Tachycardia
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Tachycardia-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Systemic: Allergic: Rash Generalized-Medium, Additional Details: Rash/Shingles
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dizziness, Flushing, Headache, Hyperhidrosis
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: blood dispersed throughout and down arm; unable to use shoulder-Severe, Systemic: Joint Pain-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: brusing at injection site; blood can be seen progressively moving down his arm (under the skin), arm is bright purple.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Joint injury, Limb injury, Muscle haemorrhage, Skin discolouration
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: blood dispersed throughout and down arm; unable to use shoulder-Severe, Systemic: Joint Pain-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: brusing at injection site; blood can be seen progressively moving down his arm (under the skin), arm is bright purple.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dysphagia, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Severe
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint injury, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Flushing, Hyperhidrosis, Nausea
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Medium, Systemic: Shakiness-Mild, Systemic: Vomiting-Medium, Additional Details: Patient had not eaten prior to vaccine. She felt faint and naueous following her vaccine.  She vomited x 1.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Medium, Systemic: Shakiness-Mild, Systemic: Vomiting-Medium, Additional Details: Patient had not eaten prior to vaccine. She felt faint and naueous following her vaccine.  She vomited x 1.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Covid19 breakthrough.  Vaccinated on 3/25/2021.  66 y/o PMH ESRD on HD, HTN, COPD, Type 2DM, Prostate CA, CHF presents to ED with c/o progressive SOB and weakness x2 days.  Pt states tested + for Covid at home and therefore missed 2 dialysis treatments this week. CXR with mild failure, pt on O2 2L NC, afebrile.  Pt treated with steroids and Remdesivir.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  Vaccinated on 3/25/2021.  66 y/o PMH ESRD on HD, HTN, COPD, Type 2DM, Prostate CA, CHF presents to ED with c/o progressive SOB and weakness x2 days.  Pt states tested + for Covid at home and therefore missed 2 dialysis treatments this week. CXR with mild failure, pt on O2 2L NC, afebrile.  Pt treated with steroids and Remdesivir.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper storage (temperature).
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: Error: Wrong Route (SC, IM, etc.)-
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular, Laziness, Palpitations
Clinical narrative: Since receiving the Moderna series I have felt increased heart rate, laziness, irregular/sputtering heartrate. I remember a particular instance where I was driving down the interstate and thought I was having a heart attack. My heart felt like it was pounding out of my chest for what felt like 10 seconds. I am a 27 year-old male with no other health conditions.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Fever-Mild, Additional Details: patient was concerned about 3 syringes that were in the basket-but they were all caped,none of them ever touched each other,patient never comlained about any adverse reaction,didnt have any bloody gause in the basket at all
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: After He got a shot, he collapsed while he was looking at his cell phone according to his mom. when I went out he was unresponsive a few minutes later. He was responsive a few minutes later, but, we called 911 to check him. Paramedics came and checked him. He was okay according to paramedics.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint injury, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Eye haemorrhage
Clinical narrative: Systemic: Eyeball turned red/purple and got worse-Medium, Additional Details: eyeball turned red/purple that pt attributes to covid booster dose. Pt has a visit scheduled to eye dr. on 01/14/2022
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: cough, congestion, sore throat, fever all lasting for 2 weeks
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Feeling cold, Headache, Interchange of vaccine products, Myalgia
Clinical narrative: In April 2021 I reported  my adverse reaction to my J&J vaccination.  My employers health unit offered a Pfizer booster this week, and they advised me to take antihistamine prior to receiving the booster to avoid adverse reactions.  I had the exact same reaction to this Pfizer booster as I did with the J&J initial vaccine.  Last night I became very cold and could not get warm, which was followed by uncontrollable shaking for approximately 4 hours.  I woke up throughout the night still shaking and trying to get warm (with lots of blankets and a heater on high).  This morning I have muscle aches all over and my head and neck hurt.  I have zero energy.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Sleep disorder, Tremor, Vaccine positive rechallenge
Clinical narrative: In April 2021 I reported  my adverse reaction to my J&J vaccination.  My employers health unit offered a Pfizer booster this week, and they advised me to take antihistamine prior to receiving the booster to avoid adverse reactions.  I had the exact same reaction to this Pfizer booster as I did with the J&J initial vaccine.  Last night I became very cold and could not get warm, which was followed by uncontrollable shaking for approximately 4 hours.  I woke up throughout the night still shaking and trying to get warm (with lots of blankets and a heater on high).  This morning I have muscle aches all over and my head and neck hurt.  I have zero energy.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Swelling and redness at injection site.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Cough, Fatigue, Feeling abnormal
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/27/2021.  62 y/o PMH CHF, HTN, Asthma, HLD, Hypothyroid, Fibromyalgia presents to ED after a near syncopal episode and c/o feeling "horrible".  Pt with + Covid19 home test on 01/10/2022.  Initial c/o cough, fever, wheezing and fatigue which has progressed.  CXR-no acute process.  Room air sat 94%.  Pt started on IV steroids.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Presyncope, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection, Wheezing
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/27/2021.  62 y/o PMH CHF, HTN, Asthma, HLD, Hypothyroid, Fibromyalgia presents to ED after a near syncopal episode and c/o feeling "horrible".  Pt with + Covid19 home test on 01/10/2022.  Initial c/o cough, fever, wheezing and fatigue which has progressed.  CXR-no acute process.  Room air sat 94%.  Pt started on IV steroids.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster Given Too Early-
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Immediate post-injection reaction, Loss of consciousness, Nausea, Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: patient received covid vaccination and passed out immediately. patient revived in about 30 to 45 seconds and was disoriented and nauseated. ems was contacted. ems came on scene and evaluated patient. vital were normal patient seemed alright just disoriented and left with family and was not taken by ems to hospital or any were
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: patient received covid vaccination and passed out immediately. patient revived in about 30 to 45 seconds and was disoriented and nauseated. ems was contacted. ems came on scene and evaluated patient. vital were normal patient seemed alright just disoriented and left with family and was not taken by ems to hospital or any were
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 11/13/2021 with generalized weakness, cough, and chills. She was found to be COVID-19 positive. She was admitted and treated with dexamethasone and supplemental oxygen. She was discharged home on 11/23/2021.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Blood thyroid stimulating hormone increased
Clinical narrative: High TSH levels
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Back pain, Discomfort, Injection site pain, Myalgia
Clinical narrative: Left arm at injection site became tinder and mildly painful and then Severe muscle pain in neck, & aches- then proceeded to spread throughout whole body over the course of the next few hours from 8PM to 3AM.  Haven?t slept more than an hour if that.  Whole body became tingly and itchy, super uncomfortable.  Lower back hurts so bad  and no form of moving, walking sitting laying stretching  makes it feel better.  Anxious and uneasy.  No treatment- hoping these symptoms/side effects will pass.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Paraesthesia, Pruritus, Sleep disorder
Clinical narrative: Left arm at injection site became tinder and mildly painful and then Severe muscle pain in neck, & aches- then proceeded to spread throughout whole body over the course of the next few hours from 8PM to 3AM.  Haven?t slept more than an hour if that.  Whole body became tingly and itchy, super uncomfortable.  Lower back hurts so bad  and no form of moving, walking sitting laying stretching  makes it feel better.  Anxious and uneasy.  No treatment- hoping these symptoms/side effects will pass.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lymphadenopathy
Clinical narrative: Lymphadenopathy, left clavicle for 9 days. Joint pain right shoulder and left side of body for 7 days.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Chest pain, Cough, Diarrhoea
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/11/2021.  88 y/o PMH HTN, osteomylitis, CKD stage 3 presents to ED with c/o diarrhea, dry cough, nausea, dizziness, body aches and chest pain with cough x2 days.  Afebrile.  Room air sats 95-97%.  CXR-no acute process.  Renal fx elevated.  Treated with steroids.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Nausea, Pain, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/11/2021.  88 y/o PMH HTN, osteomylitis, CKD stage 3 presents to ED with c/o diarrhea, dry cough, nausea, dizziness, body aches and chest pain with cough x2 days.  Afebrile.  Room air sats 95-97%.  CXR-no acute process.  Renal fx elevated.  Treated with steroids.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/11/2021.  88 y/o PMH HTN, osteomylitis, CKD stage 3 presents to ED with c/o diarrhea, dry cough, nausea, dizziness, body aches and chest pain with cough x2 days.  Afebrile.  Room air sats 95-97%.  CXR-no acute process.  Renal fx elevated.  Treated with steroids.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: hospitalization, pulmonary emboli
Age: 83.0
Sex: F
Vaccine: UNK
Symptoms: Chest X-ray, Pneumonia bacterial
Clinical narrative: My mom had a lower Bacterial Lung Infection
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arterial stent insertion, Myocardial infarction
Clinical narrative: Not sure if this is related.  I had a Heart Attack July 14, 2021
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: The following morning after receiving the COVID 19 booster injection, client noted a rash to upper left arm, no itching. Client presented to H.U. with concerns of rash to left arm. Verbalized that rash  better today.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, Cardiac failure congestive, Chest discomfort, Dyspnoea, Inappropriate schedule of product administration
Clinical narrative: January 2021 she had the first Covid vaccination but within an hour developed shortness of breath, chest discomfort was told she developed congestive heart failure with a markedly elevated BNP.  She was instructed not to receive the second Covid vaccination. In January 2022 she received the Pfizer vaccine. No documented allergy to it at this time.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient is  barely under the age of 12 but was given the 12 yr old dose. by my overlooking his age on the form. I have followed up with the patient and all is well. Not even much arm soreness.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Cyst, Heavy menstrual bleeding, Ultrasound scan
Clinical narrative: Menstration cycle lasting one month is
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Seizure
Clinical narrative: AFTER PATIENT RECEIVED VACCINE, SHE FELL TO FLOOR, HITTING HER HEAD SLIGHTY AND STARTED SEIZING. THE SEIZURE LASTED ABOUT 10-15 SECONDS.  I PROTECTED PATIENT DURING INCIDENT TO FURTHER INJURIES. I STARTED TALKING WITH PATIENT. SHE WAS NOT COMPLETELY ALERT OR ORIENTED. I ADVISED PHARMACY STAFF TO CALL 911 ASAP. AFTER ABOUT 2 MINS, PATIENT WAS ABLE TO COMMUNICATE WITH ME AND ANSWER QUESTIONS. I REMAINED WITH PATIENT UNTIL EMS ARRIVED.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Error: Wrong Route (SC, IM, etc.).
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria, Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: Chronic spontaneous urticaria. Constant itching and hives with dermatographia. I went to Urgent care 1/11 and they gave me 80 mg solu-medrol which offered some minor relief but by 10 pm the hives were back. I am currently taking 20 mg Zyrtec and 25mg Pepcid AC twice daily with Benadryl 50 mg as needed through the day and am on prednisone 30 mg start step down dose for 10 days.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: PATIENT HAS SORE ARM FOR 5 MONTHS FOLLOWING VACCINATION
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient 4yo by DOB, parent wrote age 5 on registration form. Patient given PFIZER 5-11yo formulation. Called parent to clarify patient DOB x 4 without an answer, left multiple messages requesting return phone call.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Product preparation error, Pyrexia
Clinical narrative: vaccine did not get diluted prior to administration pt is experiencing low grade fever and arm swelling
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus, Rash, Urticaria
Clinical narrative: On Dec 20  2021 started to 3xpiernce intense itching of scalp. Itching buring of ears, neck and face.  A rash with hives , heat nd itching appears in different parts of body (arms, hands, chest ,back,legs,feet.face, neck scalp ,ears) for about 30 minutes at at time and the  moves to another part of the body.  This has been consistently happen everyday since Dec 20, 2021
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased, Seizure, Swollen tongue, Throat irritation
Clinical narrative: Patient reported itchy throat and then stated her throat felt like it was closing up.  Patient breathing rapidly and tongue look swollen.  Then difficulty breathing accompanied by wheezing.  Epipen administered and patient starting seizing.   Patient is okay now.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Wheezing
Clinical narrative: Patient reported itchy throat and then stated her throat felt like it was closing up.  Patient breathing rapidly and tongue look swollen.  Then difficulty breathing accompanied by wheezing.  Epipen administered and patient starting seizing.   Patient is okay now.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Product administration error
Clinical narrative: Patient is a resident at Nursing Home. The adverse event was a vaccine administration error. The patient received a 4th dose of Pfizer COVID-19 vaccine (0.3 mL dose) on 12/2/2021. She had received the booster/3rd dose of Pfizer COVID-19 vaccine on 9/30/2021. Upon follow-up with staff after we discovered the administration error, they reported that the patient experienced no adverse outcomes.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Aches, soreness, sore throat, headache, chills, fever, sluggishness
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Sluggishness
Clinical narrative: Aches, soreness, sore throat, headache, chills, fever, sluggishness
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Dizziness, Nausea, Tremor, Vomiting
Clinical narrative: Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Severe, Systemic: Shakiness-Mild, Systemic: Vomiting-Medium
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Nurse (PRIVATE-RN) gave a pediatric dose for dose #1.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Injection site bruising, Injection site rash
Clinical narrative: After receiving the COVID Booster I developed a rash and bruising distal to the injection site on my left arm. I also started to experiencing chills ,low grade fever, headaches and cough over the next four days.  Treated with over the counter medication.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: After receiving the COVID Booster I developed a rash and bruising distal to the injection site on my left arm. I also started to experiencing chills ,low grade fever, headaches and cough over the next four days.  Treated with over the counter medication.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: High fever of 103 F. for two full days, chills, and would not go away with Tylenol/Motrin.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives all over my body. I?ve never had a hive prior to the booster
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Severe, Additional Details: pain at the shoulder region, cannot move shoulder. Can move fingers but cannot move shoulder. Mother states they have used ice, heat, and pain medications. They have not gone to visit physician but going back to college.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Condition aggravated, Dyspnoea
Clinical narrative: About 13 minutes after the vaccine was given, patient started complaining of chest tightness and trouble breathing. Pt has had multiple severe anaphylatic events due to medications, injections and foods. Patient was immediately escorted over to our ED department for further treatment which is connected to the hospital.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Limb discomfort, Tenderness
Clinical narrative: Left armpit pain, tightness, and tenderness under same arm where shot was received.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient 10yo, given PFIZER 12+ and up formulation.  Parent called and notified, patient having no symptoms or side effects, educated parent on warning signs/symptoms to look for and notify facility if they develop.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient was fully vaccinated and boosted for COVID19, patient received his booster dose on 08/25/2021, developed COVID19 on 12/13/2021, and passed away on 01/11/2022. department of health is currently investigating to determine if this is a COVID19 related death.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Vomiting
Clinical narrative: The patient suffered extreme migraine like headaches and vomiting for 7 days after vaccination
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Menstruation delayed, Nausea, Vertigo, Vitamin D decreased
Clinical narrative: No menstrual cycle in February 2021 (despite being on HBC and several negative pregnancy tests.) Severe vertigo (could no drive, walk, turn in bed without severe vertigo/nausea.)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Eye swelling, Mouth swelling, Paraesthesia
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling face, Swollen tongue, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: The 11th day after receiving the Moderna booster, I woke up with hives all over my body and extreme itchiness. The hives still continue every day to this day.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Error: Patient Too Young for Vaccine Administered.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Fatigue
Clinical narrative: Symptoms began within 3 days of 2nd dose. Chest pain/pressure off and on. Shortness of breath. Increased fatigue especially when exercising.   Symptoms have continued.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated with Pfizer on 4/29/21 and 5/20/21. Patient admitted with COVID PNA on 1/16/22 and is still admitted. Had increased SOB and O2 sats 85% on admission
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urticaria
Clinical narrative: Hives all over body.  Swelling of toes prescribed predinsone, was given a steroid shot, and take benadryl every 4 hours.  Has not resolved yet.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Pt with vomiting, diarrhea, and fever x 2 days
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Error: Patient Too Young for Vaccine Administered.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dyspnoea, Myalgia
Clinical narrative: Pt had series of symptoms starting a couple days after vaccine including SOB, chest pain (went to ER), myalgias, chills. PCP concerned for inflammation of the myositis following COVID vaccine. Stated on prednisone. PCP recommends patient not receive further COVID vaccinations.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary pain, Erythema, Headache, Injection site pain, Pain
Clinical narrative: red mark one inch wide, by 4 inches long,  intense pain in injection side, armpit pain, body aches, headache
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dry throat, Nausea, Night sweats, Oropharyngeal pain
Clinical narrative: + covid rapid positive result on 1/19/2022 at 7am on the afternoon of 1/16 patient experienced congestion, sore/dry throat, and nausea and heavy night sweats through sheets, this is ongoing at this time
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: + covid rapid positive result on 1/19/2022 at 7am on the afternoon of 1/16 patient experienced congestion, sore/dry throat, and nausea and heavy night sweats through sheets, this is ongoing at this time
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Severe
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives on upper arms, and sensation of itchiness on legs.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Nausea, Vomiting
Clinical narrative: Patient girlfriend reported nausea, vomiting and intermittent stomach pain. Advised to try and get fluids and Tylenol and follow up with Doctor or call us back especially if symptoms persist past 24 hours
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Diarrhoea, Fatigue, Nausea
Clinical narrative: Patient was fully vaccinated with Moderna 3/5/21 and 4/2/21.  Patient had fatigue, abdominal pain, diarrhea, and N/V. She states that the N/V and diarrhea have felt off and on for the past few weeks but have increased in past week. Patient was admitted 1/14/22 and is still admitted with COVID
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient was fully vaccinated with Moderna 3/5/21 and 4/2/21.  Patient had fatigue, abdominal pain, diarrhea, and N/V. She states that the N/V and diarrhea have felt off and on for the past few weeks but have increased in past week. Patient was admitted 1/14/22 and is still admitted with COVID
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Headache, Injection site pain
Clinical narrative: Headache, lightheadedness, chest discomfort, pain at the injection site.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram normal, Myocarditis, Troponin
Clinical narrative: Chest pain that resolved on its own Myocarditis, treated with NSAIDS and 24 hour hospitalization for observation Normal Echo
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, C-reactive protein increased, Chest pain, Dyspnoea, Fibrin D dimer increased
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 01/11/2022, starting to experience symptoms 01/12/2022 of chest pains. Emergency Room visit 01/12/2022, Blood Work (White = Low 3.9, DDimer 0.83 = High) C reactive Protein = High. Inflammation and shortness of breath continue.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, White blood cell count decreased
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 01/11/2022, starting to experience symptoms 01/12/2022 of chest pains. Emergency Room visit 01/12/2022, Blood Work (White = Low 3.9, DDimer 0.83 = High) C reactive Protein = High. Inflammation and shortness of breath continue.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Smear cervix normal
Clinical narrative: irregular periods for 9 months after injection. I have been on birth control for over a decade and have had 3-4 periods every 27-29 days (during my placebo week) since my first year of starting birth control . After receiving my vaccination, I had a one-day period while still on the hormone pill. I got two periods the following month and continued to have double months and skipped months for the last 9 months. My period is just now starting to become regular again. This has never happened with any other vaccine or medication I have ever taken.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Asthenia, Atrial flutter, C-reactive protein increased
Clinical narrative: Hospitalized 01/10/2022-still currently admitted; COVID-19 positive 01/09/2022; fully vaccinated plus booster  CHIEF COMPLAINT: COVID  Assessment/Plan    ASSESSMENT / PLAN:  Acute hypoxemic resp failure secondary to COVID-19 pneumonia -positive PCR 1/9/2022 -decadron 6mg qdaily -dvt px: SQ lovenox as below -current o2 req: wean as able  Atrial flutter with RVR Reported history of paroxysmal atrial fibrillation, (remote, post-op) -CHADS-vasc score: at least 6 -Echo ordered  -rate control: received IV and PO diltiazem at OHS. Start toprol XL, titrate prn -TSH ordered ordered -anticoagulation: high risk of falls, will defer systemic therapeutic anticoagulation after discussion with wife, discussed risks/benefits of oac and stroke risk. Continue lovenox at prophylactic doses  Generalized weakness -primary reason for presentation to hospital per wife -monitor oral intake -PT/OT to see 01/13/2022 notes: ASSESSMENT / PLAN: Acute hypoxemic resp failure secondary to COVID-19 pneumonia/ CHF -CXR 1/12: Slightly worsened chest. Follow-up recommended. -positive PCR 1/9/2022 -decadron 1/10-12, Solumedrol 40 mg bid 1/12- -Lovenox 40 mg sq daily  -currently HFNC FiO2 95-- >85% -- > 50-- >40 l/min -CRP 72-- >150.9 -D-dimer 440-- > 560  01/19/2022 notes: ASSESSMENT / PLAN: Acute hypoxemic resp failure secondary to COVID-19 pneumonia/ CHF -CXR 1/17: No significant interval change in diffuse bilateral interstitial opacities and patchy left basilar airspace consolidation. -positive PCR 1/9/2022 -decadron 1/10-12, Solumedrol 40 mg bid 1/12- -Lovenox 40 mg sq daily  -still on HFNC FiO2 95-- >90%, 55 l/min  -CRP 72-- >150.9-- >73.9 -D-dimer 440-- > 560-- >490 -Cefepim/Dox day # 3/5
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Chest X-ray abnormal, Fibrin D dimer
Clinical narrative: Hospitalized 01/10/2022-still currently admitted; COVID-19 positive 01/09/2022; fully vaccinated plus booster  CHIEF COMPLAINT: COVID  Assessment/Plan    ASSESSMENT / PLAN:  Acute hypoxemic resp failure secondary to COVID-19 pneumonia -positive PCR 1/9/2022 -decadron 6mg qdaily -dvt px: SQ lovenox as below -current o2 req: wean as able  Atrial flutter with RVR Reported history of paroxysmal atrial fibrillation, (remote, post-op) -CHADS-vasc score: at least 6 -Echo ordered  -rate control: received IV and PO diltiazem at OHS. Start toprol XL, titrate prn -TSH ordered ordered -anticoagulation: high risk of falls, will defer systemic therapeutic anticoagulation after discussion with wife, discussed risks/benefits of oac and stroke risk. Continue lovenox at prophylactic doses  Generalized weakness -primary reason for presentation to hospital per wife -monitor oral intake -PT/OT to see 01/13/2022 notes: ASSESSMENT / PLAN: Acute hypoxemic resp failure secondary to COVID-19 pneumonia/ CHF -CXR 1/12: Slightly worsened chest. Follow-up recommended. -positive PCR 1/9/2022 -decadron 1/10-12, Solumedrol 40 mg bid 1/12- -Lovenox 40 mg sq daily  -currently HFNC FiO2 95-- >85% -- > 50-- >40 l/min -CRP 72-- >150.9 -D-dimer 440-- > 560  01/19/2022 notes: ASSESSMENT / PLAN: Acute hypoxemic resp failure secondary to COVID-19 pneumonia/ CHF -CXR 1/17: No significant interval change in diffuse bilateral interstitial opacities and patchy left basilar airspace consolidation. -positive PCR 1/9/2022 -decadron 1/10-12, Solumedrol 40 mg bid 1/12- -Lovenox 40 mg sq daily  -still on HFNC FiO2 95-- >90%, 55 l/min  -CRP 72-- >150.9-- >73.9 -D-dimer 440-- > 560-- >490 -Cefepim/Dox day # 3/5
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lung consolidation, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 01/10/2022-still currently admitted; COVID-19 positive 01/09/2022; fully vaccinated plus booster  CHIEF COMPLAINT: COVID  Assessment/Plan    ASSESSMENT / PLAN:  Acute hypoxemic resp failure secondary to COVID-19 pneumonia -positive PCR 1/9/2022 -decadron 6mg qdaily -dvt px: SQ lovenox as below -current o2 req: wean as able  Atrial flutter with RVR Reported history of paroxysmal atrial fibrillation, (remote, post-op) -CHADS-vasc score: at least 6 -Echo ordered  -rate control: received IV and PO diltiazem at OHS. Start toprol XL, titrate prn -TSH ordered ordered -anticoagulation: high risk of falls, will defer systemic therapeutic anticoagulation after discussion with wife, discussed risks/benefits of oac and stroke risk. Continue lovenox at prophylactic doses  Generalized weakness -primary reason for presentation to hospital per wife -monitor oral intake -PT/OT to see 01/13/2022 notes: ASSESSMENT / PLAN: Acute hypoxemic resp failure secondary to COVID-19 pneumonia/ CHF -CXR 1/12: Slightly worsened chest. Follow-up recommended. -positive PCR 1/9/2022 -decadron 1/10-12, Solumedrol 40 mg bid 1/12- -Lovenox 40 mg sq daily  -currently HFNC FiO2 95-- >85% -- > 50-- >40 l/min -CRP 72-- >150.9 -D-dimer 440-- > 560  01/19/2022 notes: ASSESSMENT / PLAN: Acute hypoxemic resp failure secondary to COVID-19 pneumonia/ CHF -CXR 1/17: No significant interval change in diffuse bilateral interstitial opacities and patchy left basilar airspace consolidation. -positive PCR 1/9/2022 -decadron 1/10-12, Solumedrol 40 mg bid 1/12- -Lovenox 40 mg sq daily  -still on HFNC FiO2 95-- >90%, 55 l/min  -CRP 72-- >150.9-- >73.9 -D-dimer 440-- > 560-- >490 -Cefepim/Dox day # 3/5
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Heart rate increased, Musculoskeletal stiffness, Nausea
Clinical narrative: 49 yo F who works as CNA with hx of "borderline" DM and heart murmur who was here for scheduled covid vaccination. She has history of reactions to influenza vaccine in the past. No current medications.   20 min after administration of covid vaccine in L arm, she began to have nausea and dry heaving. She was alert, oriented and said this was similar to prior vaccine reactions. No LOC, SOB. Escorted to wheel chair and exam room. Had some complaints of mid chest pain and L arm/hand stiffness.   VS: 99.4, 98, 158/103 98% on RA at initial assessment in waiting area Repeat VS 15 minutes later in exam room: 127/98, 85, 98% on RA Gen: tremulous, dry heaving CV: RRR wo MRG. Pulse fast and thready on initial assessment, then improved Pulm: CTAB Ext: No LE edema. Difficulty grasping with L hand and moving L arm. At deltoid, no erythema, swelling, or fluctuance. She was sensitive in the deltoid area to light touch. She had gross sensation to arm/hand in tact.   A/P: 49 yo F with prior history of reaction to vaccines with post-vaccination reaction including nausea, tremulousness. -pt given zofran in clinic -monitored closely VS, given water.  -EKG ordered and pending -Pt drove herself to clinic and will need to assess her safety for discharge Vitals sighs were taken three times while patient was in clinic. The initial vs were 158/103, HR: 97, T: 99. 5, RA pulse ox: 98%. Repeat BP: 127/98, 117/91. Patient's major complaint was stiffness to left hand and arm with inability to straighten fingers. Patient also complained of chest tightness, reports hx of heart murmer.    Patient denied ambulance to ED, stating she will be okay. Patient remained in clinic after feeling better and stating she was "okay and awake again." Patient walked out of clinic without assistance and was scheduled to follow up with PCP on Thursday morning.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pulse abnormal, Retching, Tremor
Clinical narrative: 49 yo F who works as CNA with hx of "borderline" DM and heart murmur who was here for scheduled covid vaccination. She has history of reactions to influenza vaccine in the past. No current medications.   20 min after administration of covid vaccine in L arm, she began to have nausea and dry heaving. She was alert, oriented and said this was similar to prior vaccine reactions. No LOC, SOB. Escorted to wheel chair and exam room. Had some complaints of mid chest pain and L arm/hand stiffness.   VS: 99.4, 98, 158/103 98% on RA at initial assessment in waiting area Repeat VS 15 minutes later in exam room: 127/98, 85, 98% on RA Gen: tremulous, dry heaving CV: RRR wo MRG. Pulse fast and thready on initial assessment, then improved Pulm: CTAB Ext: No LE edema. Difficulty grasping with L hand and moving L arm. At deltoid, no erythema, swelling, or fluctuance. She was sensitive in the deltoid area to light touch. She had gross sensation to arm/hand in tact.   A/P: 49 yo F with prior history of reaction to vaccines with post-vaccination reaction including nausea, tremulousness. -pt given zofran in clinic -monitored closely VS, given water.  -EKG ordered and pending -Pt drove herself to clinic and will need to assess her safety for discharge Vitals sighs were taken three times while patient was in clinic. The initial vs were 158/103, HR: 97, T: 99. 5, RA pulse ox: 98%. Repeat BP: 127/98, 117/91. Patient's major complaint was stiffness to left hand and arm with inability to straighten fingers. Patient also complained of chest tightness, reports hx of heart murmer.    Patient denied ambulance to ED, stating she will be okay. Patient remained in clinic after feeling better and stating she was "okay and awake again." Patient walked out of clinic without assistance and was scheduled to follow up with PCP on Thursday morning.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Spoke with RN with Pfizer and staff regarding pfiizer vaccine that was adminstered to pt on 1/3/22 per immunizations due to vial was expired as of 12/31/21. Per RN there is a 32 day max on vials that are refrigerated. Staff Medical information told nurse  to contact cdc to discuss 2nd step. Also contacted CDC and spoke with staff and recommended for pt to get re-vaccinated due to expired vaccine. Pt has no c/o adverse effects at this time.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Additional Details: Patient was immediately very dizzy and lighthead after 2nd injection (flu first, covid booster 2nd).  Remained sitting in vaccination chair.  Took at least 20 minutes to clear.  Patient stayed an additional time to ensure it did not return.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Dyspnoea, Headache, Pain
Clinical narrative: Severe runny nose, congestion, severe coughing and headaches, weakness, shortness of breath, and body aches and pain.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Severe runny nose, congestion, severe coughing and headaches, weakness, shortness of breath, and body aches and pain.