chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: WITHIN SEVERAL MINUTES OF RECEIVING THE VACCINATION THE PATIENT PASSED OUT, REGAINING CONSCIOUSNESS WITHIN 1 MINUTE
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Chest pain, Hyperhidrosis
Clinical narrative: Patient received the 1st COVID vaccine (Pfizer Lot #EW0185 expiration 05/22/2021) at 1426. Patient alerted EMT at 1503 that his palms were feeling sweaty, and he was feeling a discomfort in the right side of his chest on inspiration. PHN responded. Patient?s skin was appropriate to skin tone, and warm to the touch. Patient was alert and oriented and was breathing and speaking with an even tone. Vital signs were taken at 1505 (oxygen 99% heart rate 73 blood pressure 156/102). Patient stated that he was feeling anxious about the vaccine prior to receiving it. Vital signs taken at 1510 (Oxygen 98% heartrate 67 blood pressure 138/78). Patient stated that his palms were not sweaty anymore. At 1514 patient stated that the discomfort was a ?little better.? Blood pressure taken at 1516 (136/78). Patient offered water. At 1523 patient stated that he took a sip of the water and the discomfort came back more intense and was a ?burning? feeling traveling up his right lung. Patient pointed to his right collar bone area when asked to point to where the pain was coming from. At no time did the patient complain of difficulty breathing or shortness of breath. Vital signs taken at 1526 (oxygen 97% heartrate 68 blood pressure 150/90). Patient stated that the feeling would come and go. His stepsister who was accompanying him went to grab his mother from outside at 1530. EMS was called at 1537 by PHN. EMS arrived at 1539. Patient and mother refused transport to hospital and signed AMA at 1551. Patient and mother advised to follow up with primary care provider. Mother stated that they were taking him to the hospital as soon as they left. Patient and mother advised that if life threatening symptoms accrue on the way to the hospital to call emergency services. At 1553 the patient stated that the pain was ?gone for now.? Patient left at 1553 with mother and stepsister unassisted with a steady gait. Patient has no medical conditions, is not taking and medications and does not have any allergies.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Alerted by vaccination RN at 12:01 PM that the first 8 doses administered of the day had been given in insufficient amount. The RN stated she realized with the last patient of the morning (receiving dose #9) that the syringe was not the 3mL syringe she was used to using, and was in fact a 1mL insulin syringe. She noted that she had been drawing up the vaccine up to 5 (meaning 5 unit, equivalent to 0.05mL) rather than to 50u to give the full dose (0.5mL).  She stated she recognized her error with patient #9 and administered the correct amount (0.5mL) from a 3mL syringe she was used to using.  In addition to contacting health department COVID-19 provider,  the patient was contacted and, using an interpreter, informed of the incident and asked to reschedule to come back in to receive the full dose (per CDC guidance) as soon as possible. The patient's wife (who also received the incorrect dose of the vaccine at the same time), spoke with the HCP and interpreter and stated this patient is at work and she would discuss coming back with him to receive the full dose when he returned home. The patient's wife was informed of walk-in clinic hours and will be contacted again 5/19 to follow-up. At the end of the day, when counting dose administered and factoring in the estimated amount of vaccine wasted due to insufficient dosages, there was just under 9 doses accounted for. The vaccinating RN was questioned again to see if there was any possibility any of the initial 8 patients received a full dose of the vaccine without her realizing it. She stated she did not believe she ever drew up the 1mL syringe to 50u nor administered a 0.5mL dose using the 3mL syringe, though she stated she couldn't say for sure. She said the container holding the syringes had each type divided in one compartment and separated from each other. The COVID-19 provider was informed of this information and additional guidance was requested.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives showed 10 days after receiving vaccine. Have continued to show for 3 days since
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Fatigue, Headache, Nausea, Thrombosis
Clinical narrative: Sever headache beginning about 10 hours after vaccination, with nausea, and passed blood clots through nose about 16 hours following vaccine with small further amounts on May 15. All accompanied by extreme fatigue. It was the passing of blood through my nose that was unexpected and seemed worth reporting.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Mechanical ventilation
Clinical narrative: Patient was admitted to the hospital on 04/15/2021. He was in the ICU and on a ventilator for majority of the time.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Alerted by vaccination RN at 12:01 PM that the first 8 doses administered of the day had been given in insufficient amount. The RN stated she realized with the last patient of the morning (receiving dose #9) that the syringe was not the 3mL syringe she was used to using, and was in fact a 1mL insulin syringe. She noted that she had been drawing up the vaccine up to 5 (meaning 5 unit, equivalent to 0.05mL) rather than to 50u to give the full dose (0.5mL).  She stated she recognized her error with patient #9 and administered the correct amount (0.5mL) from a 3mL syringe she was used to using.  In addition to contacting COVID-19 provider, the patient was contacted and, using a Spanish interpreter, informed of the incident and asked to reschedule to come back in to receive the full dose (per CDC guidance) as soon as possible. The patient stated she needed to speak to her husband to see when they could both come back to the clinic. The patient was informed of walk-in clinic hours and will be contacted again 5/19 to follow up.  At the end of the day, when counting dose administered and factoring in the estimated amount of vaccine wasted due to insufficient dosages, there was just under 9 doses accounted for. The vaccinating RN was questioned again to see if there was any possibility any of the initial 8 patients received a full dose of the vaccine without her realizing it. She stated she did not believe she ever drew up the 1mL syringe to 50u nor administered a 0.5mL dose using the 3mL syringe, though she stated she couldn't say for sure. She said the container holding the syringes had each type divided in one compartment and separated from each other. The COVID-19 provider was informed of this information and additional guidance was requested.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Was told she died in her sleep.  This is one of 3 nurses in the medical center that passed away suddenly.  Vaccine roll out was December 2020, unknown exact date or type
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Severe joint pain throughout my body.  Still continuing.  Left arm and shoulder.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lymph node pain, Lymphadenopathy, Pyrexia
Clinical narrative: Experienced 102 fever 24 hours post dose, 48-72 hours extremely painful and swollen left lymph node--still experiencing this, extreme fatigue.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Musculoskeletal stiffness
Clinical narrative: Stiff neck and really bad migraine.  I took my Sumitriptan and it went away after two doses.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Developed large, reddened, itchy whelps on backs of legs.  Has never experienced this before.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test
Clinical narrative: Bell Palsy
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Administration Error - Patient received 1mL instead of the intended 0.5ml dose
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness unilateral, Blood test, Cerebral artery thrombosis, Cerebrovascular accident, Computerised tomogram head abnormal
Clinical narrative: Very strong headaches and high blood pressure for two weeks. Went to the hospital twice in that span of time. Monday May 10, he couldn?t see through his right eyes. He went to the ER and they found a blood clot in his artery(thrombosis) and that night had a stroke in the brain. Still at hospital.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypertension, Surgery, Ultrasound scan
Clinical narrative: Very strong headaches and high blood pressure for two weeks. Went to the hospital twice in that span of time. Monday May 10, he couldn?t see through his right eyes. He went to the ER and they found a blood clot in his artery(thrombosis) and that night had a stroke in the brain. Still at hospital.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Paraesthesia, Pruritus, Urticaria
Clinical narrative: Tingling in hands , flush in face, itching on skin and hives all over face and body
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Dizziness, Feeling abnormal, Hypoacusis, Magnetic resonance imaging
Clinical narrative: Chronic dizziness continues 3-10 times a day Brain fog improving Static in ears constant Speech interruption improved Continuing under doctors care for dizziness and brain fog... waiting for therapy for balance and prescribed meds that did not help
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Speech disorder
Clinical narrative: Chronic dizziness continues 3-10 times a day Brain fog improving Static in ears constant Speech interruption improved Continuing under doctors care for dizziness and brain fog... waiting for therapy for balance and prescribed meds that did not help
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Feeling abnormal, Speech disorder, Tinnitus
Clinical narrative: Chronic dizziness continues 3-10 times a day Brain fog improving Static in ears constant Speech interruption improved Continuing under doctors care for dizziness and brain fog... waiting for therapy for balance and prescribed meds that did not help
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cerebral thrombosis, Cerebrovascular accident, Computerised tomogram head abnormal, Magnetic resonance imaging head abnormal
Clinical narrative: Stroke due to blood clot in right side of brain. Severely affected speech, mildly affected left hand. Is currently going through speech therapy.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Speech disorder
Clinical narrative: Stroke due to blood clot in right side of brain. Severely affected speech, mildly affected left hand. Is currently going through speech therapy.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Injection site rash, Injection site swelling
Clinical narrative: chills in extremities, dizziness, headache, rash/swollen skin about 3 inches surrounding injection site
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Alerted by vaccination RN at 12:01 PM that the first 8 doses administered of the day had been given in insufficient amount. The RN stated she realized with the last patient of the morning (receiving dose #9) that the syringe was not the 3mL syringe she was used to using, and was in fact a 1mL insulin syringe. She noted that she had been drawing up the vaccine up to 5 (meaning 5 unit, equivalent to 0.05mL) rather than to 50u to give the full dose (0.5mL).  She stated she recognized her error with patient #9 and administered the correct amount (0.5mL) from a 3mL syringe she was used to using.  .
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Underdose
Clinical narrative: Administration Error - Patient received 1mL of Janssen CoVid-19 dose instead of the intended 0.5mL G1P0,  16wk5d, EDD 10/28/21, 109lb
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure during pregnancy, Overdose
Clinical narrative: Administration Error - Patient received 1mL of Janssen CoVid-19 dose instead of the intended 0.5mL G1P0,  16wk5d, EDD 10/28/21, 109lb
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Alerted by vaccination RN at 12:01 PM that the first 8 doses administered of the day had been given in insufficient amount. The RN stated she realized with the last patient of the morning (receiving dose #9) that the syringe was not the 3mL syringe she was used to using, and was in fact a 1mL insulin syringe. She noted that she had been drawing up the vaccine up to 5 (meaning 5 unit, equivalent to 0.05mL) rather than to 50u to give the full dose (0.5mL).  She stated she recognized her error with patient #9 and administered the correct amount (0.5mL) from a 3mL syringe she was used to using.  In addition to contacting the agency's COVID-19 provider, the patient was contacted and informed of the incident and asked to reschedule to come back in to receive the full dose (per CDC guidance) as soon as possible. Left a VM for the patient to call back. A follow-up call will be made 5/19 to follow-up. At the end of the day, when counting dose administered and factoring in the estimated amount of vaccine wasted due to insufficient dosages, there was just under 9 doses accounted for. The vaccinating RN was questioned again to see if there was any possibility any of the initial 8 patients received a full dose of the vaccine without her realizing it. She stated she did not believe she ever drew up the 1mL syringe to 50u nor administered a 0.5mL dose using the 3mL syringe, though she stated she couldn't say for sure. She said the container holding the syringes had each type divided in one compartment and separated from each other. The COVID-19 provider was informed of this information and additional guidance was requested.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administration Error - Patient received 1mL dose instead of the intended 0.5mL dose.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Pyrexia
Clinical narrative: Patient experienced disorientation starting about 30 minutes after getting shot, and lasted the entire rest of the day.  Patient also experienced fever in the evening
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Day one: dizziness and nausea, soreness at injection site, headache Day two: Severe fatigue,  some nausea, severe headache, upper body aches, fever ranging 99.4 to 99.9, severe soreness/tenderness at injection site Day three: Fatigue, headache, upper body aches, mild fever ranging 98.9 to 99.5, soreness/tenderness at injection site Day four: Mild headache, mild soreness/tenderness at injection site
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Day one: dizziness and nausea, soreness at injection site, headache Day two: Severe fatigue,  some nausea, severe headache, upper body aches, fever ranging 99.4 to 99.9, severe soreness/tenderness at injection site Day three: Fatigue, headache, upper body aches, mild fever ranging 98.9 to 99.5, soreness/tenderness at injection site Day four: Mild headache, mild soreness/tenderness at injection site
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain
Clinical narrative: Intense upper abdominal cramps that began 20 minutes after injection, and intensified over the course of the next 4 hours. This is the point at which I'm completing this form.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Fear of injection, Hyperhidrosis, Loss of consciousness, Nervousness
Clinical narrative: Patient told pharmacist he has habit of passing out when giving blood or getting shots.  He was nervous.  He did well getting shot, set in room for 5 min., then moved him to waiting room where I asked him to stay 15-20 more min. Over a few min he looked very pale, we offered him water. (he barely sipped any). after 5 min he started sweating. He did not call for help, but technician on duty saw him put his head in his lap. We both went out to tend to him. While we were talking to him, he passed out. We called 911. While giving vitals and info to 911, he came to before they got on scene.  While paramedics were assessing him, after about 5-10 more min...he passed out again. This time when he came to, seconds later...he projectile vomited on the paramedics.  They tended to him until about 1:15-1:30. PT refused their suggestion and urging to go with them to hospital. Paramedics left him in pharmacy to leave facility on his own will. Pt refused our suggestion to call someone to come pick him up and not drive.  After sitting outside to get some fresh air, PT came through our drive thru to tell us he was much better and leaving Store. We told him we would call and check on him 5/17/2021. We have called now 2 days (5/17/ and 5/18) and can not get him to return our call.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Vomiting
Clinical narrative: Patient told pharmacist he has habit of passing out when giving blood or getting shots.  He was nervous.  He did well getting shot, set in room for 5 min., then moved him to waiting room where I asked him to stay 15-20 more min. Over a few min he looked very pale, we offered him water. (he barely sipped any). after 5 min he started sweating. He did not call for help, but technician on duty saw him put his head in his lap. We both went out to tend to him. While we were talking to him, he passed out. We called 911. While giving vitals and info to 911, he came to before they got on scene.  While paramedics were assessing him, after about 5-10 more min...he passed out again. This time when he came to, seconds later...he projectile vomited on the paramedics.  They tended to him until about 1:15-1:30. PT refused their suggestion and urging to go with them to hospital. Paramedics left him in pharmacy to leave facility on his own will. Pt refused our suggestion to call someone to come pick him up and not drive.  After sitting outside to get some fresh air, PT came through our drive thru to tell us he was much better and leaving Store. We told him we would call and check on him 5/17/2021. We have called now 2 days (5/17/ and 5/18) and can not get him to return our call.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Alerted by vaccination RN at 12:01 PM that the first 8 doses administered of the day had been given in insufficient amount. The RN stated she realized with the last patient of the morning (receiving dose #9) that the syringe was not the 3mL syringe she was used to using, and was in fact a 1mL insulin syringe. She noted that she had been drawing up the vaccine up to 5 (meaning 5 unit, equivalent to 0.05mL) rather than to 50u to give the full dose (0.5mL).  She stated she recognized her error with patient #9 and administered the correct amount (0.5mL) from a 3mL syringe she was used to using.  In addition to contacting COVID-19 provider, the patient was attempted to be contacted, but did not provide a phone number. Viewing the vaccination information for the patient, this RN noted the first dose of Moderna was given by A Community Health Clinic. A call was made to the clinic to see if the patient's contact number is available or if the vax clinic contact information could be passed on. A VM was left but a follow-up phone call will be made 5/19 in the AM. If the patient cannot be reached using this method, a letter will be written informing of the incident and requesting a callback to schedule an appointment to readminister the booster dose.  At the end of the day, when counting dose administered and factoring in the estimated amount of vaccine wasted due to insufficient dosages, there was just under 9 doses accounted for. The vaccinating RN was questioned again to see if there was any possibility any of the initial 8 patients received a full dose of the vaccine without her realizing it. She stated she did not believe she ever drew up the 1mL syringe to 50u nor administered a 0.5mL dose using the 3mL syringe, though she stated she couldn't say for sure. She said the container holding the syringes had each type divided in one compartment and separated from each other. The COVID-19 provider was informed of this information and additional guidance was requested.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash on my arm where I received the shot.  I have photos.  Rash arrived weeks after the shot.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Headache
Clinical narrative: Client received the 1st COVID vaccine of Pfizer (Lot#EW0185 expiration 05/22/21) At 4:28PM client reported dizziness, lightheaded, headache, no blurred vision, no chest pain, no shortness of breath. Client has been waiting for 20 minutes in the observation area. at 4:33PM RN responded to event. Vital signs are blood pressure 100/62, hear rate 73, oxygen saturation 99%. Client reports slight headache towards the frontal lobe. Per client and client's father, there is a history of asthma and no known allergies. At 4:38PM EMT obtain vital signs that are blood pressure 110/60, heart rate 74, oxygen saturation 99%. Client reported feeling weak, no dizziness, and no lightheaded. Provided supplemental nutrition and fluids to client. Client accepted. RN educated client and father about ED precautions and common adverse effects of COVID vaccine. At 4:47PM vital signs are blood pressure 100/60, heart rate 82, oxygen saturation 99%. Client reports not feeling symptoms. All symptoms had resolved. Client has steady gate and is waiting for other siblings to complete observation time.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lethargy, Loss of consciousness, Nausea, Pallor
Clinical narrative: Client complained of palpitations 20mins after receiving vaccine. First vitals at 1637: pulse 147, blood pressure 124/78, oxygen 99%. Alert and oriented x4. Client denied chest pain, shortness of breath, headache, or blurry vision. Per Father client had asthma that resolved years ago, no current medications or allergies. Pulse at 1638: 127. Vitals at 1640: blood pressure 118/70, pulse 124, oxygen 100%. Per client palpitations improving. Alert and oriented. 1644: client hands shaking, client stated only had breakfast. RN brought client juice and snack. Client began to eat. Father denied client having diabetes. 1648 vitals: blood pressure 122/80, pulse fluctuating from 110-low 120s, oxygen 97%. Symptoms the same with new onset o blurry vision, per client could not focus image. PHN  offered Father to call paramedics for further assessment and he declined. PHN advised for client to follow up with provider. Per Father client's sugar lowers when he skips meals. PHN asked Father is he has followed up with provider or checks client's sugar at home, Father denied. Per Father he knows his son and "he needs to eat or sugar goes low". At 1656 client stated he wanted to vomit, emesis bag given. 1658 client pale, PHN asked client how to was feeling. Per client feeling like he "was going to pass out". At 1700 client stated he could not feel legs, RN assessed for sensory and motor. Per client felt like legs "were asleep". PHN  assessed for level of consciousness, client unable to answer, client lethargic. 1701 client lost consciousness. PHN and RN lowered client to floor from chair. EMT called 911 at 1703. RN did sternal rub, client unresponsive, breathing normal, pupils reactive. 1704 client woke up with urge to vomit. PHN and RN turned client on side. EMT able to place emesis bag near. Client had 1 small vomit episode. Client's eyes open, blank stare, not answering questions. At 1707 client went unresponsive again. Paramedics arrived at 1709 and assumed care. Client transported to hospital at 1717
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia, Presyncope, Staring, Tremor
Clinical narrative: Client complained of palpitations 20mins after receiving vaccine. First vitals at 1637: pulse 147, blood pressure 124/78, oxygen 99%. Alert and oriented x4. Client denied chest pain, shortness of breath, headache, or blurry vision. Per Father client had asthma that resolved years ago, no current medications or allergies. Pulse at 1638: 127. Vitals at 1640: blood pressure 118/70, pulse 124, oxygen 100%. Per client palpitations improving. Alert and oriented. 1644: client hands shaking, client stated only had breakfast. RN brought client juice and snack. Client began to eat. Father denied client having diabetes. 1648 vitals: blood pressure 122/80, pulse fluctuating from 110-low 120s, oxygen 97%. Symptoms the same with new onset o blurry vision, per client could not focus image. PHN  offered Father to call paramedics for further assessment and he declined. PHN advised for client to follow up with provider. Per Father client's sugar lowers when he skips meals. PHN asked Father is he has followed up with provider or checks client's sugar at home, Father denied. Per Father he knows his son and "he needs to eat or sugar goes low". At 1656 client stated he wanted to vomit, emesis bag given. 1658 client pale, PHN asked client how to was feeling. Per client feeling like he "was going to pass out". At 1700 client stated he could not feel legs, RN assessed for sensory and motor. Per client felt like legs "were asleep". PHN  assessed for level of consciousness, client unable to answer, client lethargic. 1701 client lost consciousness. PHN and RN lowered client to floor from chair. EMT called 911 at 1703. RN did sternal rub, client unresponsive, breathing normal, pupils reactive. 1704 client woke up with urge to vomit. PHN and RN turned client on side. EMT able to place emesis bag near. Client had 1 small vomit episode. Client's eyes open, blank stare, not answering questions. At 1707 client went unresponsive again. Paramedics arrived at 1709 and assumed care. Client transported to hospital at 1717
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Vision blurred, Vomiting
Clinical narrative: Client complained of palpitations 20mins after receiving vaccine. First vitals at 1637: pulse 147, blood pressure 124/78, oxygen 99%. Alert and oriented x4. Client denied chest pain, shortness of breath, headache, or blurry vision. Per Father client had asthma that resolved years ago, no current medications or allergies. Pulse at 1638: 127. Vitals at 1640: blood pressure 118/70, pulse 124, oxygen 100%. Per client palpitations improving. Alert and oriented. 1644: client hands shaking, client stated only had breakfast. RN brought client juice and snack. Client began to eat. Father denied client having diabetes. 1648 vitals: blood pressure 122/80, pulse fluctuating from 110-low 120s, oxygen 97%. Symptoms the same with new onset o blurry vision, per client could not focus image. PHN  offered Father to call paramedics for further assessment and he declined. PHN advised for client to follow up with provider. Per Father client's sugar lowers when he skips meals. PHN asked Father is he has followed up with provider or checks client's sugar at home, Father denied. Per Father he knows his son and "he needs to eat or sugar goes low". At 1656 client stated he wanted to vomit, emesis bag given. 1658 client pale, PHN asked client how to was feeling. Per client feeling like he "was going to pass out". At 1700 client stated he could not feel legs, RN assessed for sensory and motor. Per client felt like legs "were asleep". PHN  assessed for level of consciousness, client unable to answer, client lethargic. 1701 client lost consciousness. PHN and RN lowered client to floor from chair. EMT called 911 at 1703. RN did sternal rub, client unresponsive, breathing normal, pupils reactive. 1704 client woke up with urge to vomit. PHN and RN turned client on side. EMT able to place emesis bag near. Client had 1 small vomit episode. Client's eyes open, blank stare, not answering questions. At 1707 client went unresponsive again. Paramedics arrived at 1709 and assumed care. Client transported to hospital at 1717
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Epilepsy, Sleep disorder
Clinical narrative: High-pitched, loud, continual tinnitus in both ears has interfered with my ability to sleep, and is almost impossible to ignore when I'm awake. I have had mild tinnitus that comes and goes in one of my ears for a year, but this is unlike anything I've ever heard or experienced before.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling, Vaccination site reaction
Clinical narrative: Second dose of Pfizer, I got the same reaction that many are reporting about the moderna. ?Covid arm? I had a bit of swelling, redness and large red circle around.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: He is a co worker and he passed away in his sleep I heard.  One of 3 nurses that died in the medical center since the vaccine roll out
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient reportedly died in sleep.  One of medical center nurses dying suddenly since the vaccine roll out in December 2020
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Vision blurred
Clinical narrative: Client received 1st COVID vaccine Pfizer (Lot#EW0185 expiration 05/22/21). At 4:28PM Client reports headache, no dizziness, no lightheaded, no blurred vision, no chest pain, no shortness of breath. Client has already completed 20 minutes of observation. EMT obtained vital signs blood pressure 116/71, heart rate 87, oxygen saturation 98%. At 4:33PM, RN responded to the event. Client and father reports history of asthma and no known allergies. Offered supplemental nutrition and fluids. Client accepted. Client reports to RN about no chest pain, lightheaded was improving, headache is going down. At 4:39PM vital signs are blood pressure 130/84, heart rate 96, oxygen saturation 99%. Client reports lightheaded, blurred vision, no shortness of breath. RN educated Client and father in regards to ED precautions and common adverse effects of COVID vaccine. 4:44PM vital signs are blood pressure 121/79, heart rate 92, oxygen saturation 98%. Client reports no chest pain, no shortness of breath, lightheaded is improving, headache is going down, no blurred vision, no dizziness. Client remains sitting in a chair and eating/drinking supplemental nutrition and fluids. At 4:49PM vital signs blood pressure 118/78, heart rate 89, oxygen saturation 99%. Client reports all symptoms has resolved. Client has a steady gate and is waiting for other siblings to complete observation.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: 1st could not raise arm above shoulder,extreme fatigue the following 2 days. 2nd dose, following day fever 101.5 fir 24 hours, extreme fatigue, still have fatigue.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure decreased, Blood test, Body temperature increased, Chest X-ray
Clinical narrative: Whole arm ached down to wrist within 5 minutes of shot. Eyes tearing and scratchy feeling. 7:30 pm that evening sudden spike of temperature to 103.8 and bad chills. Starting vomiting every 10 to 15 minutes hour after hour . This did not stop . Could not keep even a mouthful of water down.Very dizzy and weak feeling. Husband said I seemed disoriented. After 8 hours of this not improving went to ER about 3;30am 4/25; Blood draw, chest X-ray, IV fluid and  odansetron through IV. This relieved the nausea. They gave something for fever also. My blood pressure was low for me.  Released after several hours. Recovered at home
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Disorientation, Dizziness, Eye pruritus, Lacrimation increased
Clinical narrative: Whole arm ached down to wrist within 5 minutes of shot. Eyes tearing and scratchy feeling. 7:30 pm that evening sudden spike of temperature to 103.8 and bad chills. Starting vomiting every 10 to 15 minutes hour after hour . This did not stop . Could not keep even a mouthful of water down.Very dizzy and weak feeling. Husband said I seemed disoriented. After 8 hours of this not improving went to ER about 3;30am 4/25; Blood draw, chest X-ray, IV fluid and  odansetron through IV. This relieved the nausea. They gave something for fever also. My blood pressure was low for me.  Released after several hours. Recovered at home
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Vomiting
Clinical narrative: Whole arm ached down to wrist within 5 minutes of shot. Eyes tearing and scratchy feeling. 7:30 pm that evening sudden spike of temperature to 103.8 and bad chills. Starting vomiting every 10 to 15 minutes hour after hour . This did not stop . Could not keep even a mouthful of water down.Very dizzy and weak feeling. Husband said I seemed disoriented. After 8 hours of this not improving went to ER about 3;30am 4/25; Blood draw, chest X-ray, IV fluid and  odansetron through IV. This relieved the nausea. They gave something for fever also. My blood pressure was low for me.  Released after several hours. Recovered at home
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Injection site hypoaesthesia, Injection site warmth
Clinical narrative: Post vaccine administration, about 2-3 minutes later, patient reported numbness at injection site and increased warmth radiating to near chest/axillary region. Pt was able to speak clearly, no anaphylaxis. Pt was able to move fingers/arm but numb to injection site.  Contacted paramedics who took BP and advised pt to go to hospital - pt declined paramedic escort and volunteered to be driven to hospital by self/guardian
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dyspnoea, Fatigue, Headache
Clinical narrative: Day 1 (day of vaccine):  weakness, shortness of breath, arm swelling, headache, fatigue, fever Day 2:  face and mouth swelling, sore throat, fever Day 3:  sore throat, lightheadedness, fever Day 4:  no symptoms
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth swelling, Oropharyngeal pain, Peripheral swelling, Pyrexia, Swelling face
Clinical narrative: Day 1 (day of vaccine):  weakness, shortness of breath, arm swelling, headache, fatigue, fever Day 2:  face and mouth swelling, sore throat, fever Day 3:  sore throat, lightheadedness, fever Day 4:  no symptoms
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: EUA: for PfizerBioNTech Covid-19 Vaccine.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac imaging procedure abnormal, Myocarditis, Troponin increased
Clinical narrative: Myopericarditis as demonstrated on cardiac MRI.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Syncope
Clinical narrative: Syncope. Patient got lightheaded, had a small, dizzy-spell and fainted. Patient then fell out of her chair. She is now feeling fine. Patient received the shot; went to have a seat; got lightheaded 5 minutes later; then fell. Patient regained conscience and laid down till she felt okay to stand up.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Headache, Tinnitus
Clinical narrative: Janssen COVID-19 Vaccine EUA Chills, trembling, dizziness, ringing in ear started at 5:30PM and  gradually increased into the night and subsided at around noon the following day Intense joint pain throughout body lasted all night and subsided in about a week Sharp left knee pain lasted for 3 days Headache last for 24 hours Took two Advils for the pain, but that did not help.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Janssen COVID-19 Vaccine EUA Chills, trembling, dizziness, ringing in ear started at 5:30PM and  gradually increased into the night and subsided at around noon the following day Intense joint pain throughout body lasted all night and subsided in about a week Sharp left knee pain lasted for 3 days Headache last for 24 hours Took two Advils for the pain, but that did not help.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Urticaria
Clinical narrative: Patient said she got Hives all over her body including inside her eyes and cough  1 week after she received her first dose Pfizer COVID-19 vaccine.  Reported day 5/18/21
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose increased, Blood potassium decreased, Blood test, Cough, Fatigue
Clinical narrative: Beginning about 04/25, extreme fatigue, scratchy/ swollen throat, low-grade fever.  Persistent cough with chest congestion. Symptoms still persist today (05/18).  Doctor has had Covid and Strep tests run - negative. Blood work did not reveal anything alarming.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Pulmonary congestion, Pyrexia, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Beginning about 04/25, extreme fatigue, scratchy/ swollen throat, low-grade fever.  Persistent cough with chest congestion. Symptoms still persist today (05/18).  Doctor has had Covid and Strep tests run - negative. Blood work did not reveal anything alarming.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat irritation
Clinical narrative: Beginning about 04/25, extreme fatigue, scratchy/ swollen throat, low-grade fever.  Persistent cough with chest congestion. Symptoms still persist today (05/18).  Doctor has had Covid and Strep tests run - negative. Blood work did not reveal anything alarming.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Swollen Lymph nodes in left  breast. Pain.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Computerised tomogram, Electrocardiogram, Fatigue, Headache
Clinical narrative: Experienced a short episode of what felt like heart palpitations and extreme fatigue, then a sudden hearing loss that has persisted for five weeks and continuing. Also experiencing, as a result of hearing loss: tinnitus, balance issues, and headaches. Possible permanent hearing loss.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Palpitations, Sudden hearing loss, Tinnitus
Clinical narrative: Experienced a short episode of what felt like heart palpitations and extreme fatigue, then a sudden hearing loss that has persisted for five weeks and continuing. Also experiencing, as a result of hearing loss: tinnitus, balance issues, and headaches. Possible permanent hearing loss.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: While administering Pfizer vaccines, the Director of Nursing asked me to draw one dose of Moderna for a patient. This person was discharged but called to return for the second Moderna vaccine dose. She stated that the patient was in a wheelchair and she would send the patient right in. So, I began drawing the Moderna dose. The DON walked out of the office and a patient in a wheelchair entered right away and stated he was here for a shot. Thinking this was the patient sent by the DON, I administered the Moderna Vaccine as I still had the syringe in my hand. After giving the dose I checked system and found the patient was not yet registered. I then went to find the DON to add the patient into the system. When she returned to the office, she stated this was not the patient she had sent.  Upon review of Pts. record, it was found that he had been previously vaccinated on 1/31/2021 and 2/21/2021 with the Pfizer vaccine. Pts. physician and family have been notified and he is being monitored.  He has not experienced any adverse effects to date.  Monitoring is ongoing and notification will be forthcoming should it occur.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Horrible itchy rash over the entire body, including back of neck, scalp, torso, legs. Lasting for days.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: "Moderna COVID-19 Vaccine EUA"   Fever, chills, nausea, vomiting, body aches, headaches. Started around 3 am the next morning and resolved around 9am the following morning (2 days after the vaccine).
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: "Moderna COVID-19 Vaccine EUA"   Fever, chills, nausea, vomiting, body aches, headaches. Started around 3 am the next morning and resolved around 9am the following morning (2 days after the vaccine).
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia oral
Clinical narrative: Loss of feeling from waist down, lasted 24 hours. Extreme fatigue to legs for a week.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Covid Arm - 8 days after injection. Reaction: round, red, raised, hard bump, at injection site. No other side effects at this time.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Facial pain, Headache, Herpes zoster, Rash vesicular
Clinical narrative: On May 6, 2021, pt began experiencing topical pain on the left side of his head and forehead. Over the next several days, this pain turned into blisters and then scabs, and began to spread. On May 12, 2021, he was diagnosed with shingles at  Urgent Care clinic.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate decreased
Clinical narrative: My resting heart rate was very low for about 20 minutes. This happened almost immediately after my second dose and I couldn't find anything about low heart rate. I felt better soon and did not tell a pharmacist.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: An employee felt itchy within 15 minutes after his 1st dose shot.  Patient experienced itchiness, no SOB, no swelling, skin was red and warm.  We had Benadryl 50mg/ml and gave IM injection with the OK from the patient.  He felt better and the itchiness feeling was gone.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: "Moderna COVID-19 Vaccine EUA"  Fever, chills, vomiting, nausea, body aches, headache, muscle soreness, injection site pain. Started about an hour after the vaccine administration and lasted until 9am the next day.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: "Moderna COVID-19 Vaccine EUA"  Fever, chills, vomiting, nausea, body aches, headache, muscle soreness, injection site pain. Started about an hour after the vaccine administration and lasted until 9am the next day.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Dizziness, Epistaxis, Eye irritation
Clinical narrative: Tachycardia, heart felt like it was beating abnormal high blood pressure, feeling very faint like eyes are going to roll in the back of my head,full body muscle pains and over all extreme weakness , fatigue, nausea, nose bleeds, extreme thirst, back pain, neck pain,changed menstrual cycle, headaches, eyes burning and dizziness, fingers and legs go numb easily tmj also got worse along with with very sore tongue that is very raw no longer able to do simple tasks as before the shot
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Eye movement disorder, Fatigue, Glossitis, Headache, Heart rate irregular
Clinical narrative: Tachycardia, heart felt like it was beating abnormal high blood pressure, feeling very faint like eyes are going to roll in the back of my head,full body muscle pains and over all extreme weakness , fatigue, nausea, nose bleeds, extreme thirst, back pain, neck pain,changed menstrual cycle, headaches, eyes burning and dizziness, fingers and legs go numb easily tmj also got worse along with with very sore tongue that is very raw no longer able to do simple tasks as before the shot
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Hypoaesthesia, Loss of personal independence in daily activities, Menstruation irregular, Myalgia
Clinical narrative: Tachycardia, heart felt like it was beating abnormal high blood pressure, feeling very faint like eyes are going to roll in the back of my head,full body muscle pains and over all extreme weakness , fatigue, nausea, nose bleeds, extreme thirst, back pain, neck pain,changed menstrual cycle, headaches, eyes burning and dizziness, fingers and legs go numb easily tmj also got worse along with with very sore tongue that is very raw no longer able to do simple tasks as before the shot
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Pain, Tachycardia, Temporomandibular joint syndrome
Clinical narrative: Tachycardia, heart felt like it was beating abnormal high blood pressure, feeling very faint like eyes are going to roll in the back of my head,full body muscle pains and over all extreme weakness , fatigue, nausea, nose bleeds, extreme thirst, back pain, neck pain,changed menstrual cycle, headaches, eyes burning and dizziness, fingers and legs go numb easily tmj also got worse along with with very sore tongue that is very raw no longer able to do simple tasks as before the shot
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst
Clinical narrative: Tachycardia, heart felt like it was beating abnormal high blood pressure, feeling very faint like eyes are going to roll in the back of my head,full body muscle pains and over all extreme weakness , fatigue, nausea, nose bleeds, extreme thirst, back pain, neck pain,changed menstrual cycle, headaches, eyes burning and dizziness, fingers and legs go numb easily tmj also got worse along with with very sore tongue that is very raw no longer able to do simple tasks as before the shot
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Electric shock sensation, Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Really bad pain and swelling followed by numbness and pins and needle a electrical shock type of pain it?s so bad I may go to the ER tonight
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Faeces discoloured, Haematochezia
Clinical narrative: Blood in stool for one day or the stool turned red twice when pooped.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Postmenopausal haemorrhage
Clinical narrative: I completed menopause in October 2020. I haven?t menstruated for 18 months. I had. 5 day period beginning about 3.5 weeks after my second Pfizer dose.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Constant tinnitus since 3 days after the vaccine. So far it has lasted from 4/12 to now (5/18). Never had this tinnitus before the vaccine.
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: C-reactive protein normal, Epistaxis, Inflammation, Lymphadenopathy, Red blood cell sedimentation rate increased
Clinical narrative: Severe bloody nose lasting from 30 to 60 minutes. Inflammation. Lymph node swelling
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Myalgia, Pruritus, Rash erythematous
Clinical narrative: Per patient report: 1.  Rec'd second vaccine shot Thursday 13 May at 13:30 2.  Had no side effects, besides a small discomfort on the arm where I received the shot (Thursday). 3.  Friday 14 May, had minor headache and muscle pain through the day.  No fever.  4.  Friday 14 May, approximately 4 pm (over 24 hours since the vaccine) developed intense itching on the bottom of my feet and palm of the hands.  5.  Friday 14 May, 5 pm, took two Benadryl 25mg.  Had minor relief until approximately 9 pm. 6.  Friday 14 May, 11:45 pm, skin started to flare up with red rash and blister-looking spots through the wrists, arms, knees, and near the underarm.  Itch was very intense.  Took another Benadryl, making the total 3 Benadryl tabs in about 5 hours.  No relief from Benadryl. Went to Medical Center. 7.  Doctor gave me an IV of what he said was an anti-histamine and prescribed Olopatadine 5mg-- one tablet at night and one after breakfast for three days.  8.  Got home around 2 am (Sat 15 May) still had some itch but not bad enough to prevent me from sleeping. 9.  Woke up at 7 am, no itch and rash had cleared up about 60%.  10.  By 9 am on Saturday 15 May itch began again but not as intense as the day prior.  Took the morning Olopatadine.  (Waiting for Olopatadine to kick in!).