chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Lymphadenopathy
Clinical narrative: One week later arm at injection site swelled became itchy and had a red ring around it, 1-2 inches around.  Itching continued to my face, down arm.  The two days prior I had strong under arm pain, which I'm guessing was swollen lymph nodes, this continued for 5 days.  Itching continued for a few days and had tingling sensation that ran up and down left arm, chest and sometimes legs.  Also felt a burn/tingle in back of my throat.  All symptoms lasted for 1-2 weeks.  Seem to be much less now, only occasional tingling.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Pharyngeal paraesthesia, Pruritus
Clinical narrative: One week later arm at injection site swelled became itchy and had a red ring around it, 1-2 inches around.  Itching continued to my face, down arm.  The two days prior I had strong under arm pain, which I'm guessing was swollen lymph nodes, this continued for 5 days.  Itching continued for a few days and had tingling sensation that ran up and down left arm, chest and sometimes legs.  Also felt a burn/tingle in back of my throat.  All symptoms lasted for 1-2 weeks.  Seem to be much less now, only occasional tingling.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Vital signs measurement
Clinical narrative: immediately after infection, pt reported dizziness, EMT and MD notified, pt then experienced syncope for approx 20 seconds, spontaneously resolved.  normal vital signs.  tolerated food/drink after, talkative and in good spirits shortly after regaining consciousness, no head trauma or fall.  pt arranged for someone to drive her home.  did not require hospital evaluation.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Shortly after receiving the vaccine patient reports of dizziness and nausea.  After throwing up patient felt better.  She sat in the waiting area for a while to make sure she has is not nauseous anymore and waiting for her ride to pick her up.  Before leaving patient reported of no more nausea or dizziness.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Patient had numbness/tingling to mouth/lips. Denied difficulty breathing. BP 119/74 -- > 104/71, HR 65 -- > 67, RR 18 -- > 16, O2 99% -- > 100%. Given Benadryl 50 mg IM. Patient stable, released from vaccination site. Recommended patient to vaccinate with non-mRNA vaccine for future booster dose.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 1st Dose given 2/16/2021, 2nd Dose given in error on 3/11/2021
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Hypoaesthesia, Limb immobilisation, Mobility decreased
Clinical narrative: Woke up in the middle of the night 6 hrs after the vaccine with sever stabbing pain through entire shoulder joint into back. Not a muscle ache. 6 hrs later the pain was shooting across my back and down my arm into my hand and was intolerable. Within 24hrs of getting the vaccine I was unable to raise my arm at all. There was tingling numbness and shooting pain in shoulder, back, ribcage, down arm and into hand. By the 2nd day. My hand had started to swell and my shoulder swelled.  I iced and took tylenol but nothing helped. I couldnt dress myself. I didn't sleep from severe pain for the subsequent 3 nights.  My shot was tuesday night and my symptoms didn't subside to a tolerable level until the following Saturday. I am still having difficulty raising the arm and its been a week. I noticed that the person who gave me the injection did it so high in my shoulder that it was about 2 mm below the bone at the top of my shoulder. It seemed a very strange location for a shot.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Peripheral swelling, Product administered at inappropriate site, Sleep disorder
Clinical narrative: Woke up in the middle of the night 6 hrs after the vaccine with sever stabbing pain through entire shoulder joint into back. Not a muscle ache. 6 hrs later the pain was shooting across my back and down my arm into my hand and was intolerable. Within 24hrs of getting the vaccine I was unable to raise my arm at all. There was tingling numbness and shooting pain in shoulder, back, ribcage, down arm and into hand. By the 2nd day. My hand had started to swell and my shoulder swelled.  I iced and took tylenol but nothing helped. I couldnt dress myself. I didn't sleep from severe pain for the subsequent 3 nights.  My shot was tuesday night and my symptoms didn't subside to a tolerable level until the following Saturday. I am still having difficulty raising the arm and its been a week. I noticed that the person who gave me the injection did it so high in my shoulder that it was about 2 mm below the bone at the top of my shoulder. It seemed a very strange location for a shot.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lymphadenopathy, Pyrexia
Clinical narrative: chills, fever, headache, swollen lymph nodes
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral artery thrombosis, Peripheral swelling, Ultrasound scan
Clinical narrative: Developed left arm pain and swelling after 1st vaccine in left shoulder. Persisted longer than previous reactions. Found to have blood clot in left brachial vein on 4/15/21 on ultrasound after evaluation by me
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Nausea, Vomiting
Clinical narrative: Patient waved down observation nurse 5 minutes after receiving her 2nd dose of Moderna. Patient felt nauseous and observation nurse brought over trash receptacle and patient vomited. Charge nurse was called over and vitals taken at 1:50 pm B/P 168/87 HR 104 Temp 96.9 Resp 18 O2 97%. Patient's skin was wet and clammy Both patient and mother informed nurses that this reaction was common for patient when receiving "shots". Patient also informed nurses she did not experience any reactions to 1st dose of Moderna.  B/P was taken at 2PM 132/103 and then again at 2:05pm with patient standing 132/86 HR 86. Patient said she felt "much better" and left with mother without requiring further treatment.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood test, Confusional state, Fatigue, Joint swelling
Clinical narrative: Confusion, very tired, joint aches, at first. On Tuesday April 13, my husband woke up in pain to his left leg. The left leg had a painful softball sized hard lump on inside of knee and a little bigger than a golf ball hard lump on his calf.  Had no treatment until April 18th
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Peripheral swelling, Ultrasound scan abnormal
Clinical narrative: Confusion, very tired, joint aches, at first. On Tuesday April 13, my husband woke up in pain to his left leg. The left leg had a painful softball sized hard lump on inside of knee and a little bigger than a golf ball hard lump on his calf.  Had no treatment until April 18th
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer increased, Ultrasound scan, Venous thrombosis limb
Clinical narrative: Confusion, very tired, joint aches, at first. On Tuesday April 13, my husband woke up in pain to his left leg. The left leg had a painful softball sized hard lump on inside of knee and a little bigger than a golf ball hard lump on his calf.  Had no treatment until April 18th
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Constipation, Fatigue
Clinical narrative: PT COMPLAINS OF SIGNIFICANT WEAKNESS, FAITUGE,  AND SEVERE CONSTIPATION STARTING HOURS AFTER VACCINATION.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out shortly after receiving his second dose of moderna vaccine.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypoacusis, Oxygen saturation, Vital signs measurement
Clinical narrative: Patient presented for 1st dose of Pfizer vaccine today. Patient reported dizziness, difficulty hearing. Patient was assisted to the supine position, onsite EMS was called. Vital signs were taken (below) and were stable. EMS discharged the patient to the care of his mother. Patient continued to be observed following the event, left of own volition.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Moderna COVID-19 Vaccine EUA intense dizziness and vertigo beginning day after vaccine administration, noticed when woke up around 11:30am. Intensity continued through the following day and began to subside ~55 hours after vaccine. Mild dizziness remained on day 3, and an OTC antihistimine was recommended to assist. No remaining dizziness on day 4
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to ED and was subsequently admitted within 6 weeks of receiving COVID vaccination.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Oropharyngeal pain, Pain, SARS-CoV-2 test
Clinical narrative: diarrhea, nausea, body aches, sore throat
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Asthma, Atelectasis, Blood lactic acid increased, C-reactive protein decreased
Clinical narrative: about 10 hours later increased sob and chest tightness and then hypoxia and hospitalization x 4 days and IV steroids    Patient is a 64 y.o. female with PMH notable for von Willebrand disease, asthma, OSA on CPAP, DMT2, HLD, lumbar stenosis, chronic opioid use, GERD, PUD, and anxiety who presents with SOB, weakness, fever.   Patient with history asthma, controlled on symbicort and PRN albuterol, now with progressive worsening SOB since the day prior to admission, patient received 2nd dose of Moderna COVID-19 vaccine on 03/10/21. Also, with chest tightness, body aches, headache and chills. Was up last night with fever 101F, took ibuprofen. She had worsening wheezing and SOB while bring dog to dog groomer and had groomer call ambulance. EMS called, received albuterol nebs in route with some improvement in symptoms. Chest tightness has improved. SOB improved now at rest but still winded when up to bathroom. Vitals on arrival notable for BP 144/55, HR 125 (sinus tach on EKG), temp 102.1F, RR 22, 92% on RA. Labs notable for WBC 8.6, CR 0.54. Normal LFTs. Lactate 3.3. D-dimer 0.9. pBNP 56, troponin <0.012. COVID-19 PCR panel negative. CXR with Chronic linear atelectasis or scarring at the lung bases, unchanged. CT PE study negative for PE, possibly some mild pulm congestion, increased interstitial markings. Patient given 2L NS in ED as well as ceftriaxone 2g and doxycycline 100mg. Patient will be admitted to inpatient for further evaluation and management of sepsis. Met sepsis criteria given fever, tachycardia, elevated lactate. Infectious source most likely pneumonia (though only slight increase interstitial markings on CT). Could be atypical or viral pneumonia. However, timing of symptoms could also fit with reaction to COVID-19 vaccine and asthma exacerbation.  COVID-19 negative and influenza negative. Was treated with abx for CAP and prednisone + albuterol for asthma exacerbation. Lactate normalized with IVFs, fevers and tachycardia resolved. Patient able to wean to RA, dyspnea and wheezing slowly improved. Abx narrowed to cefzil, doxycycline. 1/2 admission blood cultures positive for streptococcuss. Patient was febrile and septic on admission. Subsequent blood culture without growth to date. Abx returned to IV ceftriaxone given strep + BCx.. Low blood cultures x2 were negative at 48 hours.  Dr. was consulted over the phone and he recommended 5 days of oral amoxicillin on discharge. Chronic medical conditions were stable while hospitalized.  No medication changes were made.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest discomfort, Chills, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: about 10 hours later increased sob and chest tightness and then hypoxia and hospitalization x 4 days and IV steroids    Patient is a 64 y.o. female with PMH notable for von Willebrand disease, asthma, OSA on CPAP, DMT2, HLD, lumbar stenosis, chronic opioid use, GERD, PUD, and anxiety who presents with SOB, weakness, fever.   Patient with history asthma, controlled on symbicort and PRN albuterol, now with progressive worsening SOB since the day prior to admission, patient received 2nd dose of Moderna COVID-19 vaccine on 03/10/21. Also, with chest tightness, body aches, headache and chills. Was up last night with fever 101F, took ibuprofen. She had worsening wheezing and SOB while bring dog to dog groomer and had groomer call ambulance. EMS called, received albuterol nebs in route with some improvement in symptoms. Chest tightness has improved. SOB improved now at rest but still winded when up to bathroom. Vitals on arrival notable for BP 144/55, HR 125 (sinus tach on EKG), temp 102.1F, RR 22, 92% on RA. Labs notable for WBC 8.6, CR 0.54. Normal LFTs. Lactate 3.3. D-dimer 0.9. pBNP 56, troponin <0.012. COVID-19 PCR panel negative. CXR with Chronic linear atelectasis or scarring at the lung bases, unchanged. CT PE study negative for PE, possibly some mild pulm congestion, increased interstitial markings. Patient given 2L NS in ED as well as ceftriaxone 2g and doxycycline 100mg. Patient will be admitted to inpatient for further evaluation and management of sepsis. Met sepsis criteria given fever, tachycardia, elevated lactate. Infectious source most likely pneumonia (though only slight increase interstitial markings on CT). Could be atypical or viral pneumonia. However, timing of symptoms could also fit with reaction to COVID-19 vaccine and asthma exacerbation.  COVID-19 negative and influenza negative. Was treated with abx for CAP and prednisone + albuterol for asthma exacerbation. Lactate normalized with IVFs, fevers and tachycardia resolved. Patient able to wean to RA, dyspnea and wheezing slowly improved. Abx narrowed to cefzil, doxycycline. 1/2 admission blood cultures positive for streptococcuss. Patient was febrile and septic on admission. Subsequent blood culture without growth to date. Abx returned to IV ceftriaxone given strep + BCx.. Low blood cultures x2 were negative at 48 hours.  Dr. was consulted over the phone and he recommended 5 days of oral amoxicillin on discharge. Chronic medical conditions were stable while hospitalized.  No medication changes were made.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Electrocardiogram abnormal, Fibrin D dimer increased, Headache
Clinical narrative: about 10 hours later increased sob and chest tightness and then hypoxia and hospitalization x 4 days and IV steroids    Patient is a 64 y.o. female with PMH notable for von Willebrand disease, asthma, OSA on CPAP, DMT2, HLD, lumbar stenosis, chronic opioid use, GERD, PUD, and anxiety who presents with SOB, weakness, fever.   Patient with history asthma, controlled on symbicort and PRN albuterol, now with progressive worsening SOB since the day prior to admission, patient received 2nd dose of Moderna COVID-19 vaccine on 03/10/21. Also, with chest tightness, body aches, headache and chills. Was up last night with fever 101F, took ibuprofen. She had worsening wheezing and SOB while bring dog to dog groomer and had groomer call ambulance. EMS called, received albuterol nebs in route with some improvement in symptoms. Chest tightness has improved. SOB improved now at rest but still winded when up to bathroom. Vitals on arrival notable for BP 144/55, HR 125 (sinus tach on EKG), temp 102.1F, RR 22, 92% on RA. Labs notable for WBC 8.6, CR 0.54. Normal LFTs. Lactate 3.3. D-dimer 0.9. pBNP 56, troponin <0.012. COVID-19 PCR panel negative. CXR with Chronic linear atelectasis or scarring at the lung bases, unchanged. CT PE study negative for PE, possibly some mild pulm congestion, increased interstitial markings. Patient given 2L NS in ED as well as ceftriaxone 2g and doxycycline 100mg. Patient will be admitted to inpatient for further evaluation and management of sepsis. Met sepsis criteria given fever, tachycardia, elevated lactate. Infectious source most likely pneumonia (though only slight increase interstitial markings on CT). Could be atypical or viral pneumonia. However, timing of symptoms could also fit with reaction to COVID-19 vaccine and asthma exacerbation.  COVID-19 negative and influenza negative. Was treated with abx for CAP and prednisone + albuterol for asthma exacerbation. Lactate normalized with IVFs, fevers and tachycardia resolved. Patient able to wean to RA, dyspnea and wheezing slowly improved. Abx narrowed to cefzil, doxycycline. 1/2 admission blood cultures positive for streptococcuss. Patient was febrile and septic on admission. Subsequent blood culture without growth to date. Abx returned to IV ceftriaxone given strep + BCx.. Low blood cultures x2 were negative at 48 hours.  Dr. was consulted over the phone and he recommended 5 days of oral amoxicillin on discharge. Chronic medical conditions were stable while hospitalized.  No medication changes were made.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatic steatosis, Hypoxia, Influenza virus test negative, Liver function test normal, Lung opacity
Clinical narrative: about 10 hours later increased sob and chest tightness and then hypoxia and hospitalization x 4 days and IV steroids    Patient is a 64 y.o. female with PMH notable for von Willebrand disease, asthma, OSA on CPAP, DMT2, HLD, lumbar stenosis, chronic opioid use, GERD, PUD, and anxiety who presents with SOB, weakness, fever.   Patient with history asthma, controlled on symbicort and PRN albuterol, now with progressive worsening SOB since the day prior to admission, patient received 2nd dose of Moderna COVID-19 vaccine on 03/10/21. Also, with chest tightness, body aches, headache and chills. Was up last night with fever 101F, took ibuprofen. She had worsening wheezing and SOB while bring dog to dog groomer and had groomer call ambulance. EMS called, received albuterol nebs in route with some improvement in symptoms. Chest tightness has improved. SOB improved now at rest but still winded when up to bathroom. Vitals on arrival notable for BP 144/55, HR 125 (sinus tach on EKG), temp 102.1F, RR 22, 92% on RA. Labs notable for WBC 8.6, CR 0.54. Normal LFTs. Lactate 3.3. D-dimer 0.9. pBNP 56, troponin <0.012. COVID-19 PCR panel negative. CXR with Chronic linear atelectasis or scarring at the lung bases, unchanged. CT PE study negative for PE, possibly some mild pulm congestion, increased interstitial markings. Patient given 2L NS in ED as well as ceftriaxone 2g and doxycycline 100mg. Patient will be admitted to inpatient for further evaluation and management of sepsis. Met sepsis criteria given fever, tachycardia, elevated lactate. Infectious source most likely pneumonia (though only slight increase interstitial markings on CT). Could be atypical or viral pneumonia. However, timing of symptoms could also fit with reaction to COVID-19 vaccine and asthma exacerbation.  COVID-19 negative and influenza negative. Was treated with abx for CAP and prednisone + albuterol for asthma exacerbation. Lactate normalized with IVFs, fevers and tachycardia resolved. Patient able to wean to RA, dyspnea and wheezing slowly improved. Abx narrowed to cefzil, doxycycline. 1/2 admission blood cultures positive for streptococcuss. Patient was febrile and septic on admission. Subsequent blood culture without growth to date. Abx returned to IV ceftriaxone given strep + BCx.. Low blood cultures x2 were negative at 48 hours.  Dr. was consulted over the phone and he recommended 5 days of oral amoxicillin on discharge. Chronic medical conditions were stable while hospitalized.  No medication changes were made.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: N-terminal prohormone brain natriuretic peptide, Pain, Pneumonia, Pulmonary congestion, Pulmonary oedema
Clinical narrative: about 10 hours later increased sob and chest tightness and then hypoxia and hospitalization x 4 days and IV steroids    Patient is a 64 y.o. female with PMH notable for von Willebrand disease, asthma, OSA on CPAP, DMT2, HLD, lumbar stenosis, chronic opioid use, GERD, PUD, and anxiety who presents with SOB, weakness, fever.   Patient with history asthma, controlled on symbicort and PRN albuterol, now with progressive worsening SOB since the day prior to admission, patient received 2nd dose of Moderna COVID-19 vaccine on 03/10/21. Also, with chest tightness, body aches, headache and chills. Was up last night with fever 101F, took ibuprofen. She had worsening wheezing and SOB while bring dog to dog groomer and had groomer call ambulance. EMS called, received albuterol nebs in route with some improvement in symptoms. Chest tightness has improved. SOB improved now at rest but still winded when up to bathroom. Vitals on arrival notable for BP 144/55, HR 125 (sinus tach on EKG), temp 102.1F, RR 22, 92% on RA. Labs notable for WBC 8.6, CR 0.54. Normal LFTs. Lactate 3.3. D-dimer 0.9. pBNP 56, troponin <0.012. COVID-19 PCR panel negative. CXR with Chronic linear atelectasis or scarring at the lung bases, unchanged. CT PE study negative for PE, possibly some mild pulm congestion, increased interstitial markings. Patient given 2L NS in ED as well as ceftriaxone 2g and doxycycline 100mg. Patient will be admitted to inpatient for further evaluation and management of sepsis. Met sepsis criteria given fever, tachycardia, elevated lactate. Infectious source most likely pneumonia (though only slight increase interstitial markings on CT). Could be atypical or viral pneumonia. However, timing of symptoms could also fit with reaction to COVID-19 vaccine and asthma exacerbation.  COVID-19 negative and influenza negative. Was treated with abx for CAP and prednisone + albuterol for asthma exacerbation. Lactate normalized with IVFs, fevers and tachycardia resolved. Patient able to wean to RA, dyspnea and wheezing slowly improved. Abx narrowed to cefzil, doxycycline. 1/2 admission blood cultures positive for streptococcuss. Patient was febrile and septic on admission. Subsequent blood culture without growth to date. Abx returned to IV ceftriaxone given strep + BCx.. Low blood cultures x2 were negative at 48 hours.  Dr. was consulted over the phone and he recommended 5 days of oral amoxicillin on discharge. Chronic medical conditions were stable while hospitalized.  No medication changes were made.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Sepsis, Sinus tachycardia, Streptococcus test positive
Clinical narrative: about 10 hours later increased sob and chest tightness and then hypoxia and hospitalization x 4 days and IV steroids    Patient is a 64 y.o. female with PMH notable for von Willebrand disease, asthma, OSA on CPAP, DMT2, HLD, lumbar stenosis, chronic opioid use, GERD, PUD, and anxiety who presents with SOB, weakness, fever.   Patient with history asthma, controlled on symbicort and PRN albuterol, now with progressive worsening SOB since the day prior to admission, patient received 2nd dose of Moderna COVID-19 vaccine on 03/10/21. Also, with chest tightness, body aches, headache and chills. Was up last night with fever 101F, took ibuprofen. She had worsening wheezing and SOB while bring dog to dog groomer and had groomer call ambulance. EMS called, received albuterol nebs in route with some improvement in symptoms. Chest tightness has improved. SOB improved now at rest but still winded when up to bathroom. Vitals on arrival notable for BP 144/55, HR 125 (sinus tach on EKG), temp 102.1F, RR 22, 92% on RA. Labs notable for WBC 8.6, CR 0.54. Normal LFTs. Lactate 3.3. D-dimer 0.9. pBNP 56, troponin <0.012. COVID-19 PCR panel negative. CXR with Chronic linear atelectasis or scarring at the lung bases, unchanged. CT PE study negative for PE, possibly some mild pulm congestion, increased interstitial markings. Patient given 2L NS in ED as well as ceftriaxone 2g and doxycycline 100mg. Patient will be admitted to inpatient for further evaluation and management of sepsis. Met sepsis criteria given fever, tachycardia, elevated lactate. Infectious source most likely pneumonia (though only slight increase interstitial markings on CT). Could be atypical or viral pneumonia. However, timing of symptoms could also fit with reaction to COVID-19 vaccine and asthma exacerbation.  COVID-19 negative and influenza negative. Was treated with abx for CAP and prednisone + albuterol for asthma exacerbation. Lactate normalized with IVFs, fevers and tachycardia resolved. Patient able to wean to RA, dyspnea and wheezing slowly improved. Abx narrowed to cefzil, doxycycline. 1/2 admission blood cultures positive for streptococcuss. Patient was febrile and septic on admission. Subsequent blood culture without growth to date. Abx returned to IV ceftriaxone given strep + BCx.. Low blood cultures x2 were negative at 48 hours.  Dr. was consulted over the phone and he recommended 5 days of oral amoxicillin on discharge. Chronic medical conditions were stable while hospitalized.  No medication changes were made.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Troponin, Wheezing, White blood cell count normal
Clinical narrative: about 10 hours later increased sob and chest tightness and then hypoxia and hospitalization x 4 days and IV steroids    Patient is a 64 y.o. female with PMH notable for von Willebrand disease, asthma, OSA on CPAP, DMT2, HLD, lumbar stenosis, chronic opioid use, GERD, PUD, and anxiety who presents with SOB, weakness, fever.   Patient with history asthma, controlled on symbicort and PRN albuterol, now with progressive worsening SOB since the day prior to admission, patient received 2nd dose of Moderna COVID-19 vaccine on 03/10/21. Also, with chest tightness, body aches, headache and chills. Was up last night with fever 101F, took ibuprofen. She had worsening wheezing and SOB while bring dog to dog groomer and had groomer call ambulance. EMS called, received albuterol nebs in route with some improvement in symptoms. Chest tightness has improved. SOB improved now at rest but still winded when up to bathroom. Vitals on arrival notable for BP 144/55, HR 125 (sinus tach on EKG), temp 102.1F, RR 22, 92% on RA. Labs notable for WBC 8.6, CR 0.54. Normal LFTs. Lactate 3.3. D-dimer 0.9. pBNP 56, troponin <0.012. COVID-19 PCR panel negative. CXR with Chronic linear atelectasis or scarring at the lung bases, unchanged. CT PE study negative for PE, possibly some mild pulm congestion, increased interstitial markings. Patient given 2L NS in ED as well as ceftriaxone 2g and doxycycline 100mg. Patient will be admitted to inpatient for further evaluation and management of sepsis. Met sepsis criteria given fever, tachycardia, elevated lactate. Infectious source most likely pneumonia (though only slight increase interstitial markings on CT). Could be atypical or viral pneumonia. However, timing of symptoms could also fit with reaction to COVID-19 vaccine and asthma exacerbation.  COVID-19 negative and influenza negative. Was treated with abx for CAP and prednisone + albuterol for asthma exacerbation. Lactate normalized with IVFs, fevers and tachycardia resolved. Patient able to wean to RA, dyspnea and wheezing slowly improved. Abx narrowed to cefzil, doxycycline. 1/2 admission blood cultures positive for streptococcuss. Patient was febrile and septic on admission. Subsequent blood culture without growth to date. Abx returned to IV ceftriaxone given strep + BCx.. Low blood cultures x2 were negative at 48 hours.  Dr. was consulted over the phone and he recommended 5 days of oral amoxicillin on discharge. Chronic medical conditions were stable while hospitalized.  No medication changes were made.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Vital signs measurement
Clinical narrative: 2:15pm- The patient experienced the following reaction(s) during the immediate  of observation: pt reported feeling "hot" and "dizzy".  2:20pm- Patient was treated/managed as follows:  Pt brought to treatment area, VS taken: BP-124/82, HR - 81, 02-99%, RR -18. Pt asked to lay down and given Gatorade. Pt states she hasn't eaten today and had a stressful morning. 2:25pm-  Pt states she feels and symptoms have resolved. Patient given educational material regarding vaccine and advised to continue to self-monitor per the CDC guidance.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Anxiety, Burning sensation, Diarrhoea, Erythema
Clinical narrative: Six days after my 2nd vaccine I had an anaphylaxis reaction.  Out of the blue while I was driving my face started to burn like acid was rubbed on it. It got really hot and turned very bright red. Then my lips began to feel like they had been sunburned badly. Then my forearms both started burning and also turned bright red. I was very anxious. Had two bouts of diarrhea. All this occurred within about a 20 minute time-frame.  I chewed up 4 children's Benadryl (50mg) and the redness, burning and anxiousness subsided mostly. My heart rat was still over 100 bpm even after  6 hours. (Usually my HR is 68-70 bpm). I slept for 12 hours and the next day seemed fine.  This has occurred two more times since that first time. The 2nd reaction being 5 days after that first one and the 3rd reaction being 5 days after that. Same reaction, same treatment and same outcome.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Heart rate increased, Oral discomfort
Clinical narrative: Six days after my 2nd vaccine I had an anaphylaxis reaction.  Out of the blue while I was driving my face started to burn like acid was rubbed on it. It got really hot and turned very bright red. Then my lips began to feel like they had been sunburned badly. Then my forearms both started burning and also turned bright red. I was very anxious. Had two bouts of diarrhea. All this occurred within about a 20 minute time-frame.  I chewed up 4 children's Benadryl (50mg) and the redness, burning and anxiousness subsided mostly. My heart rat was still over 100 bpm even after  6 hours. (Usually my HR is 68-70 bpm). I slept for 12 hours and the next day seemed fine.  This has occurred two more times since that first time. The 2nd reaction being 5 days after that first one and the 3rd reaction being 5 days after that. Same reaction, same treatment and same outcome.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vertigo, Vital signs measurement
Clinical narrative: It was reported that approximately 10 minutes after receiving the second dose of the vaccine,  guest stated that she felt nauseous and as if the room was spinning. She sat down and this seemed to improve the symptoms. EMS was called. They did vital signs which were WNL. Guest then stated that she felt better but still slightly lightheaded. Guest was observed for an additional 15 minutes, for a total of 30.  At that point she comfortable and was able to stand/walk with no  balance concerns. Not on medications, no allergies.
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Asymptomatic Positive PCR on 4/19- reuslts received 4/20 Pt vaccinated 3/18 and 4/8
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cold sweat, Dizziness, Dyspnoea, Incoherent
Clinical narrative: Patient was short of breath, dizzy & had cold sweats initially. Became incoherent for brief period of time. Epinephrine was administered at 16:20 to patients right leg.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Dizziness, Dyspnoea, Hyperhidrosis, Tachypnoea
Clinical narrative: Patient was short of breath, dizzy & had cold sweats initially. Became incoherent for brief period of time. Epinephrine was administered at 16:20 to patients right leg.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cold sweat, Dizziness, Dyspnoea, Incoherent
Clinical narrative: called at approx. 1615 Status post MODERNA Vax #1 Husband and daughter in car with patient Pt c/o light headed, sweaty, dizzy, short of breath, confused Physical exam: pale, diaphoretic, confused, tachypneic. Pulse ox 91%  Called for wheelchair and more assistance to move patient. Epinephrine 0.15 mg give right thigh at 1620 Moved to room via wheelchair, assisted to exam table, supine 1627 vitals:  98/65, p 72, po2 99% 1629  115/72 P69  PO2 98% 1631   126/81  P 68  PO2 99% 1633  116/78  P 85  PO2 99% EMSA arrived, handed off pt with report at 1635 VAERS report filed.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Dizziness, Dyspnoea, Hyperhidrosis, Tachypnoea
Clinical narrative: called at approx. 1615 Status post MODERNA Vax #1 Husband and daughter in car with patient Pt c/o light headed, sweaty, dizzy, short of breath, confused Physical exam: pale, diaphoretic, confused, tachypneic. Pulse ox 91%  Called for wheelchair and more assistance to move patient. Epinephrine 0.15 mg give right thigh at 1620 Moved to room via wheelchair, assisted to exam table, supine 1627 vitals:  98/65, p 72, po2 99% 1629  115/72 P69  PO2 98% 1631   126/81  P 68  PO2 99% 1633  116/78  P 85  PO2 99% EMSA arrived, handed off pt with report at 1635 VAERS report filed.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Note at this time, patient was currently 15 years of age. Per parent who is present, Mother , states,   I Mother  take full responsibility for allowing vaccination of a at 15 y.o. Noted his birthday.
Age: 49.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Immune thrombocytopenia, Platelet count decreased
Clinical narrative: We did not administer the vaccine.  The pt was admitted to our hospital on 4/18 with ITP, platelets of 3k.
Age: 49.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Blood test, Contusion, Gingival bleeding, HIV test negative, Hepatitis viral test negative
Clinical narrative: We did not administer the vaccine.  The pt was admitted to our hospital on 4/18 with ITP, platelets of 3k.
Age: 49.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Immune thrombocytopenia, Immunoglobulin therapy, Intensive care, Lip blister, Mouth haemorrhage
Clinical narrative: We did not administer the vaccine.  The pt was admitted to our hospital on 4/18 with ITP, platelets of 3k.
Age: 49.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Petechiae, Platelet count decreased, Rash, Rash erythematous, SARS-CoV-2 antibody test positive
Clinical narrative: We did not administer the vaccine.  The pt was admitted to our hospital on 4/18 with ITP, platelets of 3k.
Age: 49.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: SARS-CoV-2 test negative, Viral test negative
Clinical narrative: We did not administer the vaccine.  The pt was admitted to our hospital on 4/18 with ITP, platelets of 3k.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Face injury, Skin laceration, Syncope, Taste disorder
Clinical narrative: Patient experienced syncope shortly after receiving first dose of Pfizer COVID vaccine in the lobby during his 15 minute waiting period. Patient hit chin and did lacerate it; this was attended to by NP who was administering shots at the time. Patient mentioned that he "tasted like he threw up," was instructed to drink water. NP took vitals and patient showed no sign of concussion. In the mean time patient was trying to get ahold of a friend or family member to come pick him up. Still felt lightheaded 15 minutes after being attended to, at this time we called the squad. Before the squad could show up patients brother came to pick him up... was whisked away too quickly for us to stop him. Patient was adamant about us not calling squad because he does not have insurance.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Vital signs measurement
Clinical narrative: Patient experienced syncope shortly after receiving first dose of Pfizer COVID vaccine in the lobby during his 15 minute waiting period. Patient hit chin and did lacerate it; this was attended to by NP who was administering shots at the time. Patient mentioned that he "tasted like he threw up," was instructed to drink water. NP took vitals and patient showed no sign of concussion. In the mean time patient was trying to get ahold of a friend or family member to come pick him up. Still felt lightheaded 15 minutes after being attended to, at this time we called the squad. Before the squad could show up patients brother came to pick him up... was whisked away too quickly for us to stop him. Patient was adamant about us not calling squad because he does not have insurance.
Age: 95.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: COVID-19, Chills, Cough, Myalgia, Oxygen saturation decreased
Clinical narrative: Presented to ED with UTI symptoms with apparent septicemia. COVID-19 test upon hospital admission was (+). Patient had low O2 sats on RA at 88%. She also reported chills, fever and myalgias and cough. Denied SOB.
Age: 95.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sepsis, Urinary tract infection
Clinical narrative: Presented to ED with UTI symptoms with apparent septicemia. COVID-19 test upon hospital admission was (+). Patient had low O2 sats on RA at 88%. She also reported chills, fever and myalgias and cough. Denied SOB.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Hypertension
Clinical narrative: Hypertension and chest pain.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Emotional distress, Generalised tonic-clonic seizure, Hyperventilation, Nausea
Clinical narrative: Pt and father moved into the waiting area with vehicle. According to dad, pt began seizing in the car one minute after the vaccine administration. Dad called out to waiting area Monitor. Monitor called for help. LT and SPC appeared on scene.   1257 Pt was visibly having tonic clonic seizure. SPC  administered EpiPen in Right Leg. 911 was called. Pt stopped seizing and was awake and confused. She then became AOx4. Pt visibly distressed and hyperventilating.   1259 Pt had tonic clonic movements and seizure again. Seizure last less than 15 seconds. Pt then became AOx4 again, distressed, and became nauseous. HR 56 SpO2 98%  1300 Pt vomited while sitting up. Still distressed and hyperventilating. RR 30. Post vomiting HR 116, SpO2 97%.   Pt moved to stretcher and moved to shade.   1306 Firefighters arrived. HR 114 BP 141/46 SpO2 97% RR 24 AOx4  1312 Ambulance arrived.   1320 Pt left for medical center.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Tonic clonic movements, Vital signs measurement
Clinical narrative: Pt and father moved into the waiting area with vehicle. According to dad, pt began seizing in the car one minute after the vaccine administration. Dad called out to waiting area Monitor. Monitor called for help. LT and SPC appeared on scene.   1257 Pt was visibly having tonic clonic seizure. SPC  administered EpiPen in Right Leg. 911 was called. Pt stopped seizing and was awake and confused. She then became AOx4. Pt visibly distressed and hyperventilating.   1259 Pt had tonic clonic movements and seizure again. Seizure last less than 15 seconds. Pt then became AOx4 again, distressed, and became nauseous. HR 56 SpO2 98%  1300 Pt vomited while sitting up. Still distressed and hyperventilating. RR 30. Post vomiting HR 116, SpO2 97%.   Pt moved to stretcher and moved to shade.   1306 Firefighters arrived. HR 114 BP 141/46 SpO2 97% RR 24 AOx4  1312 Ambulance arrived.   1320 Pt left for medical center.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: unauthorized age group.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Client registered with false DOB, 11/16/2004, showing that they were 16 years old and eligible for Pfizer vaccine. Vaccine was given due to state data entry software system inability to cross check with DOB of the client in the state immunization registry before entering. No known adverse events. DOB updated in data entry software system to show client is in fact 10 years old, client removed from site's invitation list, and message left for parent.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Initial insomnia
Clinical narrative: Moderna COVID-19 Vaccine EUA  Fever (101.6), chills, slight headache, joint and muscle pain, swelling and pain at site of injection, fatigue, difficulty falling asleep  Still have these reactions as of 4/20/01  5:45pm with temperature rising throughout day
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Myalgia, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA  Fever (101.6), chills, slight headache, joint and muscle pain, swelling and pain at site of injection, fatigue, difficulty falling asleep  Still have these reactions as of 4/20/01  5:45pm with temperature rising throughout day
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Diarrhoea, Stomatitis
Clinical narrative: Pt called to report she had developed mouth sores & blisters on lips "a few days after" her vaccination. 4 days after she experienced explosive diarrhea x10 that day 4/12/2021.  Pt contacted PCP but was referred back to Clinic without any instructions for resolving issues. RN instructed Pt to try OTC meds for diarrhea , BRATT diet discussed, maintain hydration, warm salt water rinses for mouth sores?avoid spicy food & hard , pointy food & to wipe gently after diarrhea. Pt verbalized understanding. Pt denies any fever, abdominal discomfort or breathing issues. RN discussed V-safe with Pt to report side effects. Pt given website to sign up. Pt verbalized understanding. Pt aware to call PCP if s/s worsen or Clinic for any questions or concerns.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Influenza like illness, Injection site irritation, Nausea
Clinical narrative: No side effects with the exception of minor irritation at injection site, until 96 hours later, sever flu like symptoms, chills, nausea - which lasted around 1 day.  Feeling much better at this point but the delayed response was unexpected.  I'm fairly sure there wasn't another event that prompted the symptoms but anything's possible.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Respiratory arrest, Resuscitation, Unresponsive to stimuli
Clinical narrative: Patients husband was bringing his daughter to a vaccine event.  Spouse spoke of concern over his wife having a Pfizer COVID-19 vaccine in January and withing 24 hours being found unresponsive.  Patient details that she did not show symptoms of distress  after this second vaccination.  He went to check on her in the morning on 1/28/21 at different points in the morning but when checking on patient at around 11:00 AM she was found laying on her side unresponsive, not breathing.  Emergency medical profesisonals arrived but resuscitation efforts were unsuccessful.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Erythema, Facial paralysis, Hallucination, Headache
Clinical narrative: Arm pain with redness and swelling at injection site,  headache, severe shaking/chills, fever of 102.7 for 2 days, numbness on left side of face including tongue and gums with a slight facial droop lasting for 3 days, night time hallucinations lasting 6 days.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Arm pain with redness and swelling at injection site,  headache, severe shaking/chills, fever of 102.7 for 2 days, numbness on left side of face including tongue and gums with a slight facial droop lasting for 3 days, night time hallucinations lasting 6 days.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Swelling, Tremor
Clinical narrative: Arm pain with redness and swelling at injection site,  headache, severe shaking/chills, fever of 102.7 for 2 days, numbness on left side of face including tongue and gums with a slight facial droop lasting for 3 days, night time hallucinations lasting 6 days.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope after receiving the immunization.  Recovered immediately with no lasting effects
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Headache, Pain in extremity, Rash
Clinical narrative: Rash, headache , fatigue, blurred vision, leg  pain
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, Vision blurred
Clinical narrative: Rash, headache , fatigue, blurred vision, leg  pain
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Incorrect dose administered, Interchange of vaccine products
Clinical narrative: Received the wrong 2nd dose of covid 19 vaccine 2 weeks early.  Should have received a second dose of Pfizer vaccine on 4/30/2021
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pruritus
Clinical narrative: Within the first 5 minutes post vaccination, the patient began experiencing itching and tingling of the lips. I instructed patient to remove her mask and inquired about any changes to her tongue, throat, skin, vaccination site. Her lips were physically normal in size. After verbal consent, I administered 50mg of diphenhydramine to the patient and continued to observe her. The itching decreased over the next several minutes and was completely gone after approximately 10 minutes. I continued to observe the patient for another 20 minutes and instructed the patient on repeating diphenhydramine if symptoms return at home and to seek 911 care for any difficulty breathing  or swelling of lips/tongue/throat.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Persistent high-pitch (10-11kHz) ringing in both ears.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Pruritus, Throat tightness
Clinical narrative: Allergic reaction: cough, tight chest, tight throat, itch
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Presyncope, Vital signs measurement
Clinical narrative: patient c/o shortness of breath and dizziness. Started at 2:05PM, Dr. was notified and evaluated patient  Vitals: 100/72mm hg  Pulse:  82  SPo2: 98% DX: Vasovagal syncope Monitored patient symptoms for 30 minutes patient was stable and was release home
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymphadenopathy, Pain in extremity
Clinical narrative: right arm axilla lymph node swelling, fatigue, headache and right arm pain
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Injection site reaction, Rash erythematous
Clinical narrative: Fatigue, headache, and pain on injection site - 1 + 2 days after shot Red rash spot on the injection site - 10 days after shot
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Heart rate increased, Night sweats
Clinical narrative: Fatigue, fever 102, aching joints, chills, rapid heart rate - 135 bpm per Polar heart rate monitor while at rest.  Began around 6:00pm day of injection. Worsened until 10:00pm when I contacted the 24 hour nurse about my hear rate.  Was advised to monitor it and rest.  Slept until 8:00am next day and woke in pool of sweat with slight headache.  Fever was gone and heart was back to normal.  Drank lots of water and rested.  By noon I felt 100% fine again.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fatigue, fever 102, aching joints, chills, rapid heart rate - 135 bpm per Polar heart rate monitor while at rest.  Began around 6:00pm day of injection. Worsened until 10:00pm when I contacted the 24 hour nurse about my hear rate.  Was advised to monitor it and rest.  Slept until 8:00am next day and woke in pool of sweat with slight headache.  Fever was gone and heart was back to normal.  Drank lots of water and rested.  By noon I felt 100% fine again.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Injection site pain, Lymph node pain
Clinical narrative: Fever, Chills, Headache, Swelling in lymph nodes (armpit) - pain associated with swelling, Joint pain (primarily shoulder of injection arm), body aches, Fever up to 100.6  lasting 36 hours (treated with over the counter Tylenol)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Fever, Chills, Headache, Swelling in lymph nodes (armpit) - pain associated with swelling, Joint pain (primarily shoulder of injection arm), body aches, Fever up to 100.6  lasting 36 hours (treated with over the counter Tylenol)