chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Escherichia bacteraemia
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for atrial fibrillation with RVR, bacteremia due to e-coli within 6 weeks of receiving COVID vaccination.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Extra dose administered, Lung adenocarcinoma, Supraventricular tachycardia, Ventricular extrasystoles
Clinical narrative: Patient with metastatic lung adenocarcinoma, received 3rd dose of COVID vaccine, was on holter monitor with PSVCs and PVCs, requested to come to emergency center, with nonsustained VTs,  cardiology consulted for possible ischemia,  prior history of ibrutinib, CARTOX. Patient discharged in stable condition
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Extra dose administered, Pyrexia
Clinical narrative: Patient started experiencing chest pain, fever and chills 3 hours after receiving his third dose of Moderna. Chest pain, fever and chills continued into Tuesday. Early Wednesday morning, the chest pain had not lessened, so the patient went to the emergency room. Emergency room visit showed no sign of a heart attack or other critical medical condition and patient was sent home. Doctor believed all symptoms to be related to his third shot. He received his first shot 2/5/21 and second shot 3/5/21. Symptoms of fever, chills and chest pain lasted for 8 days after his third shot. He had no reports of side effects after his first and second shot.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Aphonia, COVID-19, Cough
Clinical narrative: I tested positive for Covid-19. I had a very sore throat for three days straight. It was there all the time. It was unusual and I thought I was getting. I then started to feel like a normal cold with sneezing coughing and aches and pains. About three days later I developed a low grade fever and a headache. After that I got really congested and I lost my sense of taste and smell. I was also very fatigued the whole time. The most unusual symptom was that I felt like I was going to sneeze and my nose hurt for periods of time. I also lost my voice for a short period of time. In total I had symptoms for three weeks and I still had a little lingering fatigue.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Pain
Clinical narrative: I tested positive for Covid-19. I had a very sore throat for three days straight. It was there all the time. It was unusual and I thought I was getting. I then started to feel like a normal cold with sneezing coughing and aches and pains. About three days later I developed a low grade fever and a headache. After that I got really congested and I lost my sense of taste and smell. I was also very fatigued the whole time. The most unusual symptom was that I felt like I was going to sneeze and my nose hurt for periods of time. I also lost my voice for a short period of time. In total I had symptoms for three weeks and I still had a little lingering fatigue.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinalgia, SARS-CoV-2 antibody test negative, SARS-CoV-2 test positive
Clinical narrative: I tested positive for Covid-19. I had a very sore throat for three days straight. It was there all the time. It was unusual and I thought I was getting. I then started to feel like a normal cold with sneezing coughing and aches and pains. About three days later I developed a low grade fever and a headache. After that I got really congested and I lost my sense of taste and smell. I was also very fatigued the whole time. The most unusual symptom was that I felt like I was going to sneeze and my nose hurt for periods of time. I also lost my voice for a short period of time. In total I had symptoms for three weeks and I still had a little lingering fatigue.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I tested positive for Covid-19. I had a very sore throat for three days straight. It was there all the time. It was unusual and I thought I was getting. I then started to feel like a normal cold with sneezing coughing and aches and pains. About three days later I developed a low grade fever and a headache. After that I got really congested and I lost my sense of taste and smell. I was also very fatigued the whole time. The most unusual symptom was that I felt like I was going to sneeze and my nose hurt for periods of time. I also lost my voice for a short period of time. In total I had symptoms for three weeks and I still had a little lingering fatigue.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Ear pain, Fatigue, Feeling abnormal
Clinical narrative: I experienced fatigue, tiredness, pain in my arm, arm swelling and body aches, muscle weakness, light headedness, congestion and lost of balance. I also experienced ear pain, memory fog and fever.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: I experienced fatigue, tiredness, pain in my arm, arm swelling and body aches, muscle weakness, light headedness, congestion and lost of balance. I also experienced ear pain, memory fog and fever.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: I experienced fatigue, tiredness, pain in my arm, arm swelling and body aches, muscle weakness, light headedness, congestion and lost of balance. I also experienced ear pain, memory fog and fever.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Throat irritation
Clinical narrative: 22 year old male patient reports feeling chest tightness, itchy throat and dizziness. Paramedic protocol is activated. Verbal medical orders via phone with Doctor R. DECADRON 4ml intramuscular. Medication is administered according to the medical orders in the right arm by nurse. Patient is referred to Hospital.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Fatigue, Nausea, Pyrexia
Clinical narrative: Initial fever for 3 days.  Subsequent persistent nausea before and after eating.  Extreme fatigue.   Complete loss of taste sensing only salt or sugar.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Antinuclear antibody negative, Autonomic nervous system imbalance, Blood immunoglobulin E, Deafness neurosensory
Clinical narrative: Within 48 hours of vaccination, patient developed nasal congestion, ear fullness, and left sensorineural hearing loss. This progressed over the next several weeks to persistent, transient urticaria, small-fiber neuropathy, and autonomic dysfunction.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Ear congestion, Nasal congestion, Small fibre neuropathy, Thrombopoietin level abnormal, Urticaria
Clinical narrative: Within 48 hours of vaccination, patient developed nasal congestion, ear fullness, and left sensorineural hearing loss. This progressed over the next several weeks to persistent, transient urticaria, small-fiber neuropathy, and autonomic dysfunction.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received the wrong medication for his second dose of the Covid Vaccine. He should have had Moderna
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Echocardiogram normal, Myocarditis, Pyrexia
Clinical narrative: Myocarditis with chest pain, fever, chills
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: Myocarditis with chest pain, fever, chills
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Spinal laminectomy
Clinical narrative: Patient with history of no small cell lung cancer with metastatic disease (T8 lesion). Patient received Moderna COVID vaccine from different facility, two days later complained of bilateral leg numbness, admitted to hospital for T8 laminectomy. Remains admit at current time of VAERS report.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Pain left arm ,can't rise arm very sore.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Agonal respiration, Bradycardia, Death, Dyspnoea
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 2/5/2021 and 3/5/2021. Presented to ED on 8/13/21 via EMS from home due to shortness of breath. Patient was 93% on RA en route to ED and stable upon arrival. After arriving to ED, patient has SpO2 88% and was placed on supplemental O2. It was noticed patient may have had short run of ventricular tachycardia and patient went unresponsive with a pulse but agonal respirations. Patient was intubated in the ED on 8/13/21 and eventually extubated on 8/15/21. Patient received Rocephin, Decadron, remdesivir. During this time patient was in AKI. On 8/16/21, pt found to have HR in 20-30s and on 8/17 was  severely bradycardic.  Remdesivir was stopped. Pt was transitioned to comfort care and hospice Patient expired on 8/18/21.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Extubation, Unresponsive to stimuli, Ventricular tachycardia
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 2/5/2021 and 3/5/2021. Presented to ED on 8/13/21 via EMS from home due to shortness of breath. Patient was 93% on RA en route to ED and stable upon arrival. After arriving to ED, patient has SpO2 88% and was placed on supplemental O2. It was noticed patient may have had short run of ventricular tachycardia and patient went unresponsive with a pulse but agonal respirations. Patient was intubated in the ED on 8/13/21 and eventually extubated on 8/15/21. Patient received Rocephin, Decadron, remdesivir. During this time patient was in AKI. On 8/16/21, pt found to have HR in 20-30s and on 8/17 was  severely bradycardic.  Remdesivir was stopped. Pt was transitioned to comfort care and hospice Patient expired on 8/18/21.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: Patient complained about being lightheaded.  Patient was pale.  Ice pack was used to keep patient cool.  Vitals were taken:  BP was low 86/43, O2 99%, heartrate 51, respiration 14.  Patient advised to take deep breaths and stay calm.  After 10 minutes patient felt better and vitals were taken again BP 126/84, heartrate 67.  Patient advised to see PCP and lookout for symptoms of reaction.  Call 911 if symptoms persist.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Dizziness, Head injury, Headache, Loss of consciousness
Clinical narrative: Patient appeared nervous and did not want to get the vaccine but she needed to get it for work. She came in and received the first dose of the pfizer covid19 vaccine from a technician under the authorization of a pharmacist. She went and sat down in the waiting area after the shot. Approximately 5 minutes later she passed out for a few seconds and her head did hit the floor. Pharmacist came immediately to check on her while technician called EMT services. Patient appeared conscious but felt dizzy and her head hurt. She was encouraged to continue laying down and to not get up. She was clear headed and even reached over to her phone to call and text her family members. Patient has no history of adverse reaction to other vaccines. She did state she had not eaten that day but did drink water.  Blood pressure was 119/91 and then 117/85 later. EMT services arrived and took over the situation. Patient's mom came to pick patient up. They refused to leave with EMT. They were counseled to see the doctor or go to the emergency room. Pharmacist followed up with the patient later that day. She said she still did not go to see the doctor but she was fine and felt a lot better.  She still has a mild headache and was again counseled by pharmacist to see the doctor.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness
Clinical narrative: Patient appeared nervous and did not want to get the vaccine but she needed to get it for work. She came in and received the first dose of the pfizer covid19 vaccine from a technician under the authorization of a pharmacist. She went and sat down in the waiting area after the shot. Approximately 5 minutes later she passed out for a few seconds and her head did hit the floor. Pharmacist came immediately to check on her while technician called EMT services. Patient appeared conscious but felt dizzy and her head hurt. She was encouraged to continue laying down and to not get up. She was clear headed and even reached over to her phone to call and text her family members. Patient has no history of adverse reaction to other vaccines. She did state she had not eaten that day but did drink water.  Blood pressure was 119/91 and then 117/85 later. EMT services arrived and took over the situation. Patient's mom came to pick patient up. They refused to leave with EMT. They were counseled to see the doctor or go to the emergency room. Pharmacist followed up with the patient later that day. She said she still did not go to see the doctor but she was fine and felt a lot better.  She still has a mild headache and was again counseled by pharmacist to see the doctor.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Fatigue, Gynaecomastia, Headache, Mammogram
Clinical narrative: Gynecomastia, Head Ache, general continued fatigue, neck pain
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Ultrasound testes, Ultrasound thyroid
Clinical narrative: Gynecomastia, Head Ache, general continued fatigue, neck pain
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Pain, Rash pruritic
Clinical narrative: On 04/25/2021 I began to have hip pain, sharp jabbing pain, itching. On 04/26/2021 itching with rash and bumps, fatigue, and body aches, joints hurt. All symptoms went away by May 5th, besides the joint and hip pain, it is still ongoing as of today.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Intentional overdose
Clinical narrative: Patient presented to the ED after intentional acetaminophen overdose within 6 weeks of receiving COVID vaccination.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone normal, Diplopia, Full blood count normal, Magnetic resonance imaging head normal, Metabolic function test
Clinical narrative: The patient developed vertical binocular diplopia two days after booster dose of Moderna vaccine.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: The patient developed vertical binocular diplopia two days after booster dose of Moderna vaccine.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt said "everything was spinning". No chest pain, No SOB, No nausea. Dizziness resolved after a few minutes.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Joint range of motion decreased, Muscular weakness, Musculoskeletal stiffness
Clinical narrative: Nocturnal leg pain (no particular area) within a week of the first dose.  Generally cleared up during the day but continued for one month.  After 2nd dose (April 1, 2021) had fever and body ache next day and only for one day.   In May,  began to have morning stiffness, and pain and weakness in hip joints and legs during the day especially after sitting  or longer periods.  Saw Dr. April 27th but didn't connect the symptoms to the vaccine.  Have been healthy and active and was surprised by sudden onset of symptoms.  Dr.  had no explanation.   Blood tests showed nothing unusual.  Started taking Tylenol, which relieved symptoms somewhat and continued yoga, swimming, and walking, all of which helped.  Still feel occasional pain and stiffness after inactivity, but weakness was greatly reduced.   Subsequently, developed pain and reduced range of motion in the shoulders and pain in the upper arm muscles, especially the left arm and shoulder.  Stretching and swimming improve the symptoms temporarily, but the pain returns, although not as severely as initially.   Some weakness also remains.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pain in extremity, Pyrexia
Clinical narrative: Nocturnal leg pain (no particular area) within a week of the first dose.  Generally cleared up during the day but continued for one month.  After 2nd dose (April 1, 2021) had fever and body ache next day and only for one day.   In May,  began to have morning stiffness, and pain and weakness in hip joints and legs during the day especially after sitting  or longer periods.  Saw Dr. April 27th but didn't connect the symptoms to the vaccine.  Have been healthy and active and was surprised by sudden onset of symptoms.  Dr.  had no explanation.   Blood tests showed nothing unusual.  Started taking Tylenol, which relieved symptoms somewhat and continued yoga, swimming, and walking, all of which helped.  Still feel occasional pain and stiffness after inactivity, but weakness was greatly reduced.   Subsequently, developed pain and reduced range of motion in the shoulders and pain in the upper arm muscles, especially the left arm and shoulder.  Stretching and swimming improve the symptoms temporarily, but the pain returns, although not as severely as initially.   Some weakness also remains.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Psoriasis
Clinical narrative: I was diagnosed with shingles on May 24, 2021. I have since been diagnosed with Psorasis.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute pulmonary oedema, Bilevel positive airway pressure, Chest X-ray abnormal, Diarrhoea, Dyspnoea
Clinical narrative: 77-year-old female with prior non-Hodgkin's lymphoma (dx 2003 s/p chemotherapy, no recurrence), T2DM, HTN, and hypothyroidism who presented to the ER on 4/17/21 with progressive shortness of breath, diarrhea, and constitutional symptoms of fatigue, nausea, vomiting and diarrhea.  Pt reports his symptoms started pretty much of the same day of his vaccine.  Patient states that he had like 8 episodes of diarrhea the day of and the day.after second Covid vaccine on 4/15/21  found to have respiratory failure requiring BiPAP with severe sepsis admitted to the ICU.  Imaging showed dense consolidation of left lung and respiratory symptomatology consistent with pneumonia.  Started on IV Zosyn with significant improvement.  He did have sepsis based fluid resuscitation and was mildly fluid overloaded, though improved with gentle diuresis, no further required.  Ultimately found to have strep pneumoniae bacteremia.  Transitioned to oral Augmentin to complete 14-day course and discharged on 4/20/21. He was readmitted on 8/26/21 with the sudden onset of sob again and found to be in acute pulmonary edema and admitted again. treated with iv Lasix and antibiotics. the cause for the pulm edema was unclear. his oxygen was weaned and he was sent home on prn Lasix. he has no history of chf and has a normal echocardiogram. he denies changes in medications or diet and follows a low sodium diet his bp is well controlled.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram normal, Ejection fraction decreased, Fatigue, Fluid overload, Imaging procedure abnormal
Clinical narrative: 77-year-old female with prior non-Hodgkin's lymphoma (dx 2003 s/p chemotherapy, no recurrence), T2DM, HTN, and hypothyroidism who presented to the ER on 4/17/21 with progressive shortness of breath, diarrhea, and constitutional symptoms of fatigue, nausea, vomiting and diarrhea.  Pt reports his symptoms started pretty much of the same day of his vaccine.  Patient states that he had like 8 episodes of diarrhea the day of and the day.after second Covid vaccine on 4/15/21  found to have respiratory failure requiring BiPAP with severe sepsis admitted to the ICU.  Imaging showed dense consolidation of left lung and respiratory symptomatology consistent with pneumonia.  Started on IV Zosyn with significant improvement.  He did have sepsis based fluid resuscitation and was mildly fluid overloaded, though improved with gentle diuresis, no further required.  Ultimately found to have strep pneumoniae bacteremia.  Transitioned to oral Augmentin to complete 14-day course and discharged on 4/20/21. He was readmitted on 8/26/21 with the sudden onset of sob again and found to be in acute pulmonary edema and admitted again. treated with iv Lasix and antibiotics. the cause for the pulm edema was unclear. his oxygen was weaned and he was sent home on prn Lasix. he has no history of chf and has a normal echocardiogram. he denies changes in medications or diet and follows a low sodium diet his bp is well controlled.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Left ventricular hypertrophy, Lung consolidation, Lung infiltration, Mitral valve incompetence
Clinical narrative: 77-year-old female with prior non-Hodgkin's lymphoma (dx 2003 s/p chemotherapy, no recurrence), T2DM, HTN, and hypothyroidism who presented to the ER on 4/17/21 with progressive shortness of breath, diarrhea, and constitutional symptoms of fatigue, nausea, vomiting and diarrhea.  Pt reports his symptoms started pretty much of the same day of his vaccine.  Patient states that he had like 8 episodes of diarrhea the day of and the day.after second Covid vaccine on 4/15/21  found to have respiratory failure requiring BiPAP with severe sepsis admitted to the ICU.  Imaging showed dense consolidation of left lung and respiratory symptomatology consistent with pneumonia.  Started on IV Zosyn with significant improvement.  He did have sepsis based fluid resuscitation and was mildly fluid overloaded, though improved with gentle diuresis, no further required.  Ultimately found to have strep pneumoniae bacteremia.  Transitioned to oral Augmentin to complete 14-day course and discharged on 4/20/21. He was readmitted on 8/26/21 with the sudden onset of sob again and found to be in acute pulmonary edema and admitted again. treated with iv Lasix and antibiotics. the cause for the pulm edema was unclear. his oxygen was weaned and he was sent home on prn Lasix. he has no history of chf and has a normal echocardiogram. he denies changes in medications or diet and follows a low sodium diet his bp is well controlled.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pneumonia, Pneumonia pneumococcal, Polyuria, Respiratory failure
Clinical narrative: 77-year-old female with prior non-Hodgkin's lymphoma (dx 2003 s/p chemotherapy, no recurrence), T2DM, HTN, and hypothyroidism who presented to the ER on 4/17/21 with progressive shortness of breath, diarrhea, and constitutional symptoms of fatigue, nausea, vomiting and diarrhea.  Pt reports his symptoms started pretty much of the same day of his vaccine.  Patient states that he had like 8 episodes of diarrhea the day of and the day.after second Covid vaccine on 4/15/21  found to have respiratory failure requiring BiPAP with severe sepsis admitted to the ICU.  Imaging showed dense consolidation of left lung and respiratory symptomatology consistent with pneumonia.  Started on IV Zosyn with significant improvement.  He did have sepsis based fluid resuscitation and was mildly fluid overloaded, though improved with gentle diuresis, no further required.  Ultimately found to have strep pneumoniae bacteremia.  Transitioned to oral Augmentin to complete 14-day course and discharged on 4/20/21. He was readmitted on 8/26/21 with the sudden onset of sob again and found to be in acute pulmonary edema and admitted again. treated with iv Lasix and antibiotics. the cause for the pulm edema was unclear. his oxygen was weaned and he was sent home on prn Lasix. he has no history of chf and has a normal echocardiogram. he denies changes in medications or diet and follows a low sodium diet his bp is well controlled.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sepsis, Streptococcal bacteraemia, Vomiting
Clinical narrative: 77-year-old female with prior non-Hodgkin's lymphoma (dx 2003 s/p chemotherapy, no recurrence), T2DM, HTN, and hypothyroidism who presented to the ER on 4/17/21 with progressive shortness of breath, diarrhea, and constitutional symptoms of fatigue, nausea, vomiting and diarrhea.  Pt reports his symptoms started pretty much of the same day of his vaccine.  Patient states that he had like 8 episodes of diarrhea the day of and the day.after second Covid vaccine on 4/15/21  found to have respiratory failure requiring BiPAP with severe sepsis admitted to the ICU.  Imaging showed dense consolidation of left lung and respiratory symptomatology consistent with pneumonia.  Started on IV Zosyn with significant improvement.  He did have sepsis based fluid resuscitation and was mildly fluid overloaded, though improved with gentle diuresis, no further required.  Ultimately found to have strep pneumoniae bacteremia.  Transitioned to oral Augmentin to complete 14-day course and discharged on 4/20/21. He was readmitted on 8/26/21 with the sudden onset of sob again and found to be in acute pulmonary edema and admitted again. treated with iv Lasix and antibiotics. the cause for the pulm edema was unclear. his oxygen was weaned and he was sent home on prn Lasix. he has no history of chf and has a normal echocardiogram. he denies changes in medications or diet and follows a low sodium diet his bp is well controlled.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Pain in extremity, Peripheral swelling
Clinical narrative: Pt called clinic in the afternoon after having been vaccinated in the am under the provision of another nurse (not me). Chief pt complaint at time of afternoon call: Leg/upper thigh pain not addressed after pt had taken otc Tylenol. Pt reported swelling and significant discomfort in involved lower limb. Recommendation: Pt seek immediate attention in ER setting to rule out blood clot, given pt's dx of Heterozygous factor V Leiden mutation and possibility of a clot having formed. Pt verbalized understanding and intent to seek immediate medical care.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Cardiomegaly, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: Patient experienced Guillan Barre Syndrome/TIA on 5/12/2021 and was hospitalized at Deer Valley Medical Center (Honor Health) 5/12-5/15/2021
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction normal, Guillain-Barre syndrome, Intervertebral disc degeneration, Left ventricular dysfunction
Clinical narrative: Patient experienced Guillan Barre Syndrome/TIA on 5/12/2021 and was hospitalized at Deer Valley Medical Center (Honor Health) 5/12-5/15/2021
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture normal, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal, Microangiopathy, Vertebral foraminal stenosis
Clinical narrative: Patient experienced Guillan Barre Syndrome/TIA on 5/12/2021 and was hospitalized at Deer Valley Medical Center (Honor Health) 5/12-5/15/2021
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Patient continues to experience left arm pain since first Pfizer vaccine given 3/6/2021, pain is sharp when raises arm, no further information available
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Crying, Incomplete course of vaccination, Paranoia, Screaming
Clinical narrative: For about a full week after I received the vaccine I had what I would describe as night terrors.  The most vivid & horrible dreams I have ever had in my life.  To the point that I was screaming in my sleep & my husband would have to come wake me up to stop me from screaming.  Several times I woke up crying from the screaming events.  Luckily they went away after a week but I do not normally have dreams like that and most of the time never even remember what I dreamed about.  I felt disturbed & paranoid to go to sleep every night knowing what might happen again.  Due to this side effect, I have yet to go get the 2nd dose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: For about a full week after I received the vaccine I had what I would describe as night terrors.  The most vivid & horrible dreams I have ever had in my life.  To the point that I was screaming in my sleep & my husband would have to come wake me up to stop me from screaming.  Several times I woke up crying from the screaming events.  Luckily they went away after a week but I do not normally have dreams like that and most of the time never even remember what I dreamed about.  I felt disturbed & paranoid to go to sleep every night knowing what might happen again.  Due to this side effect, I have yet to go get the 2nd dose.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Ear discomfort, Tinnitus
Clinical narrative: Sudden onset severe tinnitus and pressure/plugged sensation in left ear, starting roughly 36 hours after injection. The pressure/plugged ear sensation went away after about a 3 days, but the tinnitus remains in that ear to this day. I thought this was possibly related to seasonal allergies, so I have not consulted medical advice yet, but I will mention during my yearly physical. As of now, the condition isn't quite debilitating as long as I try to keep my mind off it, but when the tinnitus is louder than the ambient noise (and is not getting any better), this becomes increasingly difficult.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Oropharyngeal pain, Pharyngeal swelling
Clinical narrative: 9:20 am received vaccination, monitored for 15 minutes, until 9:35 am. Client returned at 9:56 am stating " left side of throat sore/feels like swelling."  Client denied any issues swallowing or any other symptoms.  9:58 am took client to private area (bathroom), explained possible allergic reaction, need for epi pen and call 911 for assessment.  I (nurse) administered epi-pen 0.3 mg (lot # G201104X expiration 2/2022) administration left thigh muscle; b/p taken 140/82 client stated "high for her."  10:00 am client stated "feel better, swelling gone away since epi pen administration.  I (nurse) spoke with Program Director who called 911 @ 10:05 am; client continued to state swelling gone away, and feeling better "don't need to go to hospital. I (nurse educated client importance being assessed further, and that she will be given option for transport to ER. 10:10 am EMS arrived; client was walked outside by nurse and Program Manager to sit on bench.  I (nurse) gave report to EMS, who then directed client to get on stretcher for assessment and possible transport to ER. EMS stated unsure which hospital transport to until call re: all hospitals on divert.  Client was put into EMS vehicle.  10:24 am client returned to me (nurse) informing they did not take her to hospital, took blood pressure 166/93 "higher nervous."  Educated client importance following up with PMD before getting second Pfizer vaccination.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test, Bradycardia, Chest pain, Echocardiogram
Clinical narrative: First began with sharp pain in my back on the right side.  When the pain did not subside, but worsened and began to radiate to my chest, I made an appointment with my PCP.  During the visit, I was told that my heart rate was very low (40) and that they were going to try to see they could get me in to see a cardiologist on that day - if not, I was advised to go to the ER (after an EKG test was run in office).  When a cardiologist was not found to be available, I was told to go directly to the ER, and was given the EKG printout to take with me.  I went to hospital on July 8, 2021 and after several  hours and tests there, I was admitted into the cardiac unit.  I was released the next day, with instructions to follow-up with my PCP and a cardiologist (still in pain). I followed all of the instructions given to me - and was told that I had "had low heart rate since 2014" but there were now some abnormalities that were showing up on the EKGs that were done.  I have been going to the same practice for several years, and never has anyone ever indicated that my heart rate was low, mentioned bradycardia or anything of that nature.  Although the physician that I saw on my doctors visit wasn't my regular PCP,, I had seen her in that practice before, and I also have access to My (medical records online) and there is nothing that points to any heart issue at all until two weeks [exactly] after my second shot.  I am currently still being seen by a cardiologist, and just days ago had to have an echocardiogram done.  This is all new for me and very daunting.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Flank pain, Heart rate decreased, Pain
Clinical narrative: First began with sharp pain in my back on the right side.  When the pain did not subside, but worsened and began to radiate to my chest, I made an appointment with my PCP.  During the visit, I was told that my heart rate was very low (40) and that they were going to try to see they could get me in to see a cardiologist on that day - if not, I was advised to go to the ER (after an EKG test was run in office).  When a cardiologist was not found to be available, I was told to go directly to the ER, and was given the EKG printout to take with me.  I went to hospital on July 8, 2021 and after several  hours and tests there, I was admitted into the cardiac unit.  I was released the next day, with instructions to follow-up with my PCP and a cardiologist (still in pain). I followed all of the instructions given to me - and was told that I had "had low heart rate since 2014" but there were now some abnormalities that were showing up on the EKGs that were done.  I have been going to the same practice for several years, and never has anyone ever indicated that my heart rate was low, mentioned bradycardia or anything of that nature.  Although the physician that I saw on my doctors visit wasn't my regular PCP,, I had seen her in that practice before, and I also have access to My (medical records online) and there is nothing that points to any heart issue at all until two weeks [exactly] after my second shot.  I am currently still being seen by a cardiologist, and just days ago had to have an echocardiogram done.  This is all new for me and very daunting.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Diverticulitis, Vomiting
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for abdominal pain, vomiting r/t acute diverticulitis within 6 weeks of receiving COVID vaccination.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Ultrasound Doppler abnormal
Clinical narrative: Leg started swelling in late March, became severe in May. Saw regular doctor. He sent me to another doctor (cardiovascular surgeon). He did an ultrasound, then did a venogram. Found an 80% blockage and a 60% blockage in abdomen veins. Had stent put in (July), given Plavix and Eliquis. It seems to have improved since the stint and medication, will return in november. Still having some swelling, but minimal.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Discomfort, Dizziness, Fatigue, Hypoaesthesia
Clinical narrative: dizzy, equilibrium off, nausea from the dizziness/equilibrium issue.  This started 23 hours after injection and lasted 42 hours.  48 hours after injection I started feeling numb and tingly in feet, hands, and tongue.  48 hours later I was feeling numb in my calves.  I was able to walk and move, but it felt like circulation was cut off or those body parts were asleep - without the painful tingly feeling when you move it.  No fever, no chills, body felt heavy and tired after the dizziness wore off.  Didn't feel like myself until Sunday afternoon.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Nausea, Paraesthesia, Paraesthesia oral, SARS-CoV-2 test negative
Clinical narrative: dizzy, equilibrium off, nausea from the dizziness/equilibrium issue.  This started 23 hours after injection and lasted 42 hours.  48 hours after injection I started feeling numb and tingly in feet, hands, and tongue.  48 hours later I was feeling numb in my calves.  I was able to walk and move, but it felt like circulation was cut off or those body parts were asleep - without the painful tingly feeling when you move it.  No fever, no chills, body felt heavy and tired after the dizziness wore off.  Didn't feel like myself until Sunday afternoon.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Erythema, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Patient reported red face on right side and large amount of heat feeling.  This lasted 2 days and then she reports that her left arm got a lump in the armpit area and was hot the touch.  Patient reports fever the day after shot, but did not get a reading.   Then she reported that swelling  just above the left elbow with a roughening of her skin in that area and redness as well.  She reports that the lumps did not go down for about 1 week .  Patient also reports diarrhea starting the day after the shot and continuing until 8-24-21.  Arm is still sore at the time
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Skin warm
Clinical narrative: Patient reported red face on right side and large amount of heat feeling.  This lasted 2 days and then she reports that her left arm got a lump in the armpit area and was hot the touch.  Patient reports fever the day after shot, but did not get a reading.   Then she reported that swelling  just above the left elbow with a roughening of her skin in that area and redness as well.  She reports that the lumps did not go down for about 1 week .  Patient also reports diarrhea starting the day after the shot and continuing until 8-24-21.  Arm is still sore at the time
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache
Clinical narrative: One month after the second dose of the vaccine I started to get a lot of headaches. It happened two or three times a week. I was also getting joint pain in my elbows, wrists and knees. The headaches were there when I woke up in the morning and I had to take Tylenol to be able to work. They would last all day each time they come. I still get them twice a week and it has been six months. The joint pain comes and goes and it comes on a couple of times a week. The joint pain seems to go with the headaches. It does not seem to have improved or moved further apart.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Face oedema, Headache, Oedema peripheral
Clinical narrative: Patient reports severe headache within 5 minutes of Moderna COVID vaccine administration, L side of face and chest edema, L arm edema within a few hours of vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Vertigo
Clinical narrative: Woke up at 4:30 am with extreme dizziness and a headache. The headache got worse and I took excedrin but it did not help. The dizziness did not stop until I woke up the next morning, Feb. 18th but the headache did not get better for another day.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Product preparation issue
Clinical narrative: The Pfizer Covid injection was mixed incorrectly. Instead of 1.8 ml of 0.9% sodium chloride is was diluted with 0.9 ml. Pharmacy was called and spoke to pharmacist was directed to call Pfizer. Pfizer was called. Pfizer's recommendation was to follow CDC recommendation which indicates no harm to patient. Also reported states no adverse reaction has been reported. Only report was very sore arm for three to four days at site of injection. Left voice message for patient to call clinic.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Eye contusion, Vision blurred
Clinical narrative: Client contacted Health Department on 8/27/21 and stated he has a black eye with blurry vision, denies any injury to the eye and concerned that it might be a side effect of the vaccine. Instructed to go to urgent. Client stated he is going to his primary care doctor. Called client to follow up after appointment and he stated he was prescribed a steroid and had his blood drawn. He is awaiting results at home.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pericarditis, Pleurisy
Clinical narrative: pleurisy/pericarditis
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Central venous catheterisation, Computerised tomogram, Electrocardiogram abnormal, Myocarditis, Pericarditis
Clinical narrative: pleurisy/pericarditis
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test, Scan with contrast
Clinical narrative: pleurisy/pericarditis
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Headache, Injection site pain
Clinical narrative: Felt dizzy immediately. Nausea started up about 5 minutes later. Extreme pain in injection site.  Felt better so drove home. About 3-4 hours later a red welt/rash appeared about the size of a dime. The it continued to grow to about 5? in diameter with extreme pain. Joints hurt, headache and exhaustion. Main complaint is the welt/rash on arm growing.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Rash, Rash erythematous, Urticaria
Clinical narrative: Felt dizzy immediately. Nausea started up about 5 minutes later. Extreme pain in injection site.  Felt better so drove home. About 3-4 hours later a red welt/rash appeared about the size of a dime. The it continued to grow to about 5? in diameter with extreme pain. Joints hurt, headache and exhaustion. Main complaint is the welt/rash on arm growing.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dizziness, Nausea, Vomiting
Clinical narrative: Fully vaccinated employee with multiple symptoms dizziness, nausea, vomiting and diarrhea.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: no adverse event happen. Patient received the vaccine toward the back of the arm instead of the deltoid muscle due to technician thought we cannot give it over tattoo.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Paraesthesia
Clinical narrative: tingling in the injection arm, weakness all over the body
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Hypoaesthesia, Pain in extremity, Peripheral coldness
Clinical narrative: First symptom, the evening of  the  Vaccination, the left hand was burning.  2nd day top of feet had  burning sensation, right leg painful.  By 3-5 days face numb., hands numb and sometimes cold. Within a week after, left calf muscle felt unusual sensation when walking and both ankles were burning.  Face and hand symptoms improved first. Calf muscle and ankles nearly normal at three months. At four months, last symptom remaining is feet sometimes feel normal for a few days, but will burn again intermittently.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance
Clinical narrative: First symptom, the evening of  the  Vaccination, the left hand was burning.  2nd day top of feet had  burning sensation, right leg painful.  By 3-5 days face numb., hands numb and sometimes cold. Within a week after, left calf muscle felt unusual sensation when walking and both ankles were burning.  Face and hand symptoms improved first. Calf muscle and ankles nearly normal at three months. At four months, last symptom remaining is feet sometimes feel normal for a few days, but will burn again intermittently.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine was administered to a 15 year old patient, who was not indicated to receive the vaccine on 5/3/21.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Infected skin ulcer, Skin ulcer haemorrhage, Thrombosis
Clinical narrative: Severe eruption of infected, bleeding skin ulcers on face and chest (qty- 6-7).  Wound treatment revealed blood clots.  Increased in severity after second Moderna injection. Ulcers are being treated with antibiotics and are nearly, but not yet fully, healed 3 months later (August 2021).
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Breath sounds abnormal, COVID-19, Dyspnoea
Clinical narrative: 08/04/2021: Reported to ER via EMS for nausea, weakness, shortness of breath x 1 week prior to admission. Patient positive for fever, decreased breath sounds, tachypnea, with pneumonia secondary to COVID infection. 08/05/2021-08/08/2021: Continued above symptoms with little improvement. Stable on oxygen.  08/09/2021: Blood pressure elevated to 182/77 overnight and lowered with clonidine. Patient discharged on oxygen.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pneumonia, Pyrexia, Tachypnoea
Clinical narrative: 08/04/2021: Reported to ER via EMS for nausea, weakness, shortness of breath x 1 week prior to admission. Patient positive for fever, decreased breath sounds, tachypnea, with pneumonia secondary to COVID infection. 08/05/2021-08/08/2021: Continued above symptoms with little improvement. Stable on oxygen.  08/09/2021: Blood pressure elevated to 182/77 overnight and lowered with clonidine. Patient discharged on oxygen.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Haematuria, Lethargy, Mental status changes, Pyrexia
Clinical narrative: 08/01/2021: Presented to ED via EMS due to altered mental status, fever, and lethargy x 2 days prior to admission. Patient tests positive for COVID, UTI with hematuria, with 89% 02 sat on room air.  08/02/2021: Patient mental status improvement.  08/03/2021: Patient had 94% O2 sat on room air after oxygen removal and was discharged.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: 08/01/2021: Presented to ED via EMS due to altered mental status, fever, and lethargy x 2 days prior to admission. Patient tests positive for COVID, UTI with hematuria, with 89% 02 sat on room air.  08/02/2021: Patient mental status improvement.  08/03/2021: Patient had 94% O2 sat on room air after oxygen removal and was discharged.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient came to clinic and consented to receive Covid vaccine. She consented that she had not previously received a Covid vaccine. However, she did receive a Janssen vaccine (Lot 1805020) at another Pharmacy on 03/05/2021.  Patient telephone on 08/27/2021. She states she wanted to be "double vaccinated" due to travel next month. She denies any side effects or adverse effects. Patient was educated to notify Public Health if side effects developed.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Headache
Clinical narrative: 07/22/2021: Positive COVID test 1 day prior and headache, body aches, wheezing, and diarrhea 2 days prior to admission. Wheezing and diarrhea worsened and brought her into hospital.  07/23/2021: Improved SOB and bowel issues.  Continue to monitor and treat.  07/24/2021-07/25/2021: Cough shows improvement. Patient O2 Sat remains > 90% on room air.  07/26/2021: Discharged in stable condition with a new prescription for albuterol.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive, Wheezing
Clinical narrative: 07/22/2021: Positive COVID test 1 day prior and headache, body aches, wheezing, and diarrhea 2 days prior to admission. Wheezing and diarrhea worsened and brought her into hospital.  07/23/2021: Improved SOB and bowel issues.  Continue to monitor and treat.  07/24/2021-07/25/2021: Cough shows improvement. Patient O2 Sat remains > 90% on room air.  07/26/2021: Discharged in stable condition with a new prescription for albuterol.