chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac normal, Chest pain, Electrocardiogram ST-T segment elevation, Magnetic resonance imaging abnormal, Myocarditis
Clinical narrative: had chest pain - was admitted to hospital with elevated troponin and was ultimately diagnosed with acute myocarditis.  Was admitted on 4/25 and discharged on 4/27 - symptoms resolved within a week.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: had chest pain - was admitted to hospital with elevated troponin and was ultimately diagnosed with acute myocarditis.  Was admitted on 4/25 and discharged on 4/27 - symptoms resolved within a week.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: During the post-observation period, vaccine recipient stated that she felt faint and decided to lay on the floor. She was helped to a wheelchair and brought to the EMS tent for observation in stretcher. She felt better and was able to walk out of the clinic.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Injection site warmth, Pain, Pain in extremity
Clinical narrative: Sore arm, site tender and warm to the touch. All over body aches and chills beginning 16 hours post injection and lasting about 24 hours.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis acneiform, Feeling abnormal, Rash, Rash pruritic
Clinical narrative: approximately 3 weeks   21 days after the first shot I developed a rash on my left thigh, knee and buttocks.   it looked like red pimples or measles.....extremely painful and itchy.....red....bled when I scratched ..awfully uncomfortable....only now is the rash subsiding with using over the counter cortizone cream...it took me this long to link the vaccine to the rash....
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pharyngeal swelling
Clinical narrative: Pt was vaccinated and was found to be complaining of swelling in his throat and was feeling lightheaded. He was given 50 mg of Benadryl. Patient was assessed after and his vitals were within normal range. He was fine and was picked up by his son to go home.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Recipient felt lightheaded and dizzy immediately after receiving vaccine.  Transferred individual to recliner via wheelchair and administered Gatorade.  Initial VS @ 3:45p as follows BP 80/40, SpO2 98% and HR 54.  Denies blurred vision, numbness, changes in hearing or vision or difficulty swallowing.  Reports tingling sensation in hands.   VS recheck at 4pm 100/70, 98%, 74 bpm.  Reports feeling much better, no tingling or lightheadedness.  Released after 30 mins observation
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Paraesthesia, Rheumatoid factor increased, Urine analysis normal
Clinical narrative: numbness or tingling sensation in front upper thighs. Almost always present but mostly at night. It began 3-4 days after vaccination and I still have it.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Muscle swelling, Peripheral swelling
Clinical narrative: Arm was red, swollen and hot just after the shot and continued for 2 days.  It seemed fine until day 7 when I woke with the arm red, inflamed and sore.  Muscle on arm is visibly swollen.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Lymph node pain, Lymphadenopathy
Clinical narrative: Patient was seen at pharmacy Clinic 9 days post 1st Moderna vaccine for sudden development of erythematous macular 5cmx6cm round rash on right deltoid at injection site.  Patient reported slight tenderness at the site. Diagnosed as likely a delayed hypersensitivity reaction and recommended treatment with cool compresses and analgesics if needed. She also had some axillary swelling and tenderness on the same side of the injection site. I called patient back the next day and she reported the rash resolved within hours of the visit.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Insomnia, Palpitations
Clinical narrative: Constant heart palpitations (day and night), feeling cold and dizzy, insomnia
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Headache
Clinical narrative: patient reported chest pain, headache 30 minutes after receiving second dose of covid vaccine, After which she was taken to the emergency room.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: 69 year old male stated that he notices a small red mark on his left forearm approximately 15 minutes after receiving his second Pfizer vaccine.  The mark was approximately 3 x 1inches.  Patient denied any other complaint and stated that he didn't know if the mark was there before he came in for the vaccine today.  He stated that it was possibly an abrasion.  Vital signs stable.  Patients chest, abdomen, back, neck, head, and extremities were examined with no other signs of rash, allergic reaction or anaphylaxis.  Patient denied any other complaint.  Negative chest pain, SOB, weakness, dizziness, and no signs of stroke or anaphylaxis.  Patient has a history of hypertension, type II diabetes, high cholesterol, gout and a left total knee arthroplasty.  Patient states that he is compliant with all medications and has no allergies.  Patient stated that he did not want further treatment or evaluation and did not want EMS activated.  All risks and consequences explained and patient was advised to contact his primary care provider or seek treatment for emergency symptoms if they arise.  Patient stated that he will be with his room mate for the rest of the day and left via private vehicle.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmological examination, Vitreous floaters
Clinical narrative: I got a floater in my eye-it was very scary, I was seeing spots that weren't there. The dr. said it was very big, it is a big viscerous floater and it is there for life
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administered Moderna instead of Pfizer BioNTech  for completion of COVID-19 vaccine 2 dose series. Prescreening form that was filled out by patient documented Moderna as the first dose. When presented with the vaccination card after administering the Moderna  injection, the nurse discovered that the first dose was actually Pfizer.    The error was explained to the patient and attending parent and that no additional vaccinations were required. Both appeared to understand and were not upset.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysphonia, Headache, Impaired work ability, Influenza virus test negative
Clinical narrative: DOS: 5/4/21 Patient received vaccine 4/27/21 administered by , APRN. Patient reports that she woke up on 4/30/21 with fever (tmax 101.1), headache, and dry cough. Over the course of 5/1/21-5/3/21  she developed significant hoarseness with her voice. She denied sore throat, described more as "itchy".  She has not had a confirmed Covid-19 case in the past. At DOS she expressed that she felt greatly improved compared with 4/30/21 but work sent her home and requested she get evaluated for illness.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Streptococcus test negative, Throat irritation
Clinical narrative: DOS: 5/4/21 Patient received vaccine 4/27/21 administered by , APRN. Patient reports that she woke up on 4/30/21 with fever (tmax 101.1), headache, and dry cough. Over the course of 5/1/21-5/3/21  she developed significant hoarseness with her voice. She denied sore throat, described more as "itchy".  She has not had a confirmed Covid-19 case in the past. At DOS she expressed that she felt greatly improved compared with 4/30/21 but work sent her home and requested she get evaluated for illness.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Increased ringing in ears after each dose of COVID-19 vaccine
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Limb discomfort, Migraine, Monoplegia, Pain in extremity
Clinical narrative: Patient said arm was sore, said it felt like it was paralyzed and heavy. She said she experienced rashes all over her body, especially where things were tighter, like her watch. She had a migraine, a quick fever, and fatigue. She said she followed up with her doctor, and she said to just put creams on the rashes. We suggested to maybe get a second opinion. Everything cleared up except the rashes and fatigue.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: Patient said arm was sore, said it felt like it was paralyzed and heavy. She said she experienced rashes all over her body, especially where things were tighter, like her watch. She had a migraine, a quick fever, and fatigue. She said she followed up with her doctor, and she said to just put creams on the rashes. We suggested to maybe get a second opinion. Everything cleared up except the rashes and fatigue.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized twice within 6 weeks after receiving COVID vaccination. DOS were 2/22/21 and 2/26/21.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Erythema, Fatigue, Pyrexia
Clinical narrative: chills and fever the night off, tired, the day after her armpit of the arm she was vaccinated in is red and swollen, it is painful,
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: chills and fever the night off, tired, the day after her armpit of the arm she was vaccinated in is red and swollen, it is painful,
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Injection site rash, Injection site warmth, Rash papular
Clinical narrative: ?COVID arm? with raised welt near the injection site that has spread out to 3 inches in diameter to the surrounding tissue. Similar to hives but long lasting. The welt has lasted several days with pain when the arm moves as well as painful to the touch. The area is hot to the touch. Headache the day after the injection.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: ?COVID arm? with raised welt near the injection site that has spread out to 3 inches in diameter to the surrounding tissue. Similar to hives but long lasting. The welt has lasted several days with pain when the arm moves as well as painful to the touch. The area is hot to the touch. Headache the day after the injection.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient was 17 years old when receiving vaccine indicated for 18 and older. No adverse reaction occurred. Reporting due to age restriction guideline violation
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Electrocardiogram normal
Clinical narrative: Complained of chest pain, Shortness of breath, dizziness initially. BP 86/54, P 58, O2 sat 99%  Note: Client had been working in migrant field in 95 degree heat for 3 hours prior to vaccine and also appear deheydrated.   Symptoms resolved after placed in Trendelenberg position and hydrated with PO fluids  Client signed EMS waiver declining to be transported to hospital.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Facial nerve disorder, Muscle twitching
Clinical narrative: twitch underneath eye. md diagnosis - complication with facial nerve
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrophy of globe, Cerebral small vessel ischaemic disease, Computerised tomogram head abnormal, Condition aggravated
Clinical narrative: Patient with history of myasthenia gravis with multiple prior myasthenic crises requiring IVIG and one requiring intubation experienced myasthenia gravis exacerbation with no apparent trigger that began two weeks after receiving J&J vaccine. Daughters noticed he was having progressive difficulty swallowing, slurred speech, and generalized weakness. O2 sats were also noted to be lower than normal with pulse oximeter at home (92% compared to baseline of 95%). On day of admission patient had a mechanical fall while carrying a tray with his walker.  Hypoxic to 88% on arrival. Labs notable for leukocytosis (13.68), hyponatremia to 127 and negative infectious workup. CTH with chronic microvascular changes and global atrophy but negative for acute process. He was admitted and continued on prednisone 5mg daily (outpatient regimen). Patient was started on a three day course of IVIG on 5/3/21 due to concern for myasthenia exacerbation with subsequent improvement.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Dysphagia, Fall, Hyponatraemia, Hypoxia
Clinical narrative: Patient with history of myasthenia gravis with multiple prior myasthenic crises requiring IVIG and one requiring intubation experienced myasthenia gravis exacerbation with no apparent trigger that began two weeks after receiving J&J vaccine. Daughters noticed he was having progressive difficulty swallowing, slurred speech, and generalized weakness. O2 sats were also noted to be lower than normal with pulse oximeter at home (92% compared to baseline of 95%). On day of admission patient had a mechanical fall while carrying a tray with his walker.  Hypoxic to 88% on arrival. Labs notable for leukocytosis (13.68), hyponatremia to 127 and negative infectious workup. CTH with chronic microvascular changes and global atrophy but negative for acute process. He was admitted and continued on prednisone 5mg daily (outpatient regimen). Patient was started on a three day course of IVIG on 5/3/21 due to concern for myasthenia exacerbation with subsequent improvement.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Immunoglobulin therapy, Laboratory test normal, Leukocytosis, Myasthenia gravis, Oxygen saturation decreased
Clinical narrative: Patient with history of myasthenia gravis with multiple prior myasthenic crises requiring IVIG and one requiring intubation experienced myasthenia gravis exacerbation with no apparent trigger that began two weeks after receiving J&J vaccine. Daughters noticed he was having progressive difficulty swallowing, slurred speech, and generalized weakness. O2 sats were also noted to be lower than normal with pulse oximeter at home (92% compared to baseline of 95%). On day of admission patient had a mechanical fall while carrying a tray with his walker.  Hypoxic to 88% on arrival. Labs notable for leukocytosis (13.68), hyponatremia to 127 and negative infectious workup. CTH with chronic microvascular changes and global atrophy but negative for acute process. He was admitted and continued on prednisone 5mg daily (outpatient regimen). Patient was started on a three day course of IVIG on 5/3/21 due to concern for myasthenia exacerbation with subsequent improvement.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Viral test negative, Walking aid user
Clinical narrative: Patient with history of myasthenia gravis with multiple prior myasthenic crises requiring IVIG and one requiring intubation experienced myasthenia gravis exacerbation with no apparent trigger that began two weeks after receiving J&J vaccine. Daughters noticed he was having progressive difficulty swallowing, slurred speech, and generalized weakness. O2 sats were also noted to be lower than normal with pulse oximeter at home (92% compared to baseline of 95%). On day of admission patient had a mechanical fall while carrying a tray with his walker.  Hypoxic to 88% on arrival. Labs notable for leukocytosis (13.68), hyponatremia to 127 and negative infectious workup. CTH with chronic microvascular changes and global atrophy but negative for acute process. He was admitted and continued on prednisone 5mg daily (outpatient regimen). Patient was started on a three day course of IVIG on 5/3/21 due to concern for myasthenia exacerbation with subsequent improvement.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Computerised tomogram thorax, Fibrin D dimer, Pulmonary embolism
Clinical narrative: Pulmonary Embolism of left lower lung
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: PATIENT RECEIVED MODERNA VACCINE 04/22/21.  PATIENT REPORTED MINIMAL REDNESS AND SWELLING  24HRS POST INJECTION.  PATIENT THEN REPORTING ITCHING OF ARM AT INJECTION SITE AND ON 05/01/21 LEFT ARM AT INJECTION SITE WAS RED, WARM TO TOUCH, AND SWOLLEN.  PATIENT REPORTED SWELLING THE SIZE OF A BASEBALL.  IN CLINIC TODAY ON 05/04/21 AND SWELLING HAS SUBSIDED, BUT REDNESS REMAINS.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Sunday May 2 awoke with my right arm itching and then my left. Got up and saw a rash all over my body and took Benadryl for the  next 3 days. Contacted the dr. Wed., May 4th and am now taking prednisone and the rash and itching is going away.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Blood uric acid increased, Gout
Clinical narrative: Gout Flare
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: no adverse event experienced. After administering this dose at a mass vaccination clinic, in the billing process, the insurance rejected payment for vaccine, saying patient had gotten a covid vaccine previously.  Upon further investigation, we discovered patient had received j&J covid vaccine administered at a Pharmacy on 3-11-21.  Patient stated on his vaccine information sheet that he had not gotten a dose previously and that this would be his first shot for covid.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient administered 2nd dose of Moderna Covid 19 vaccine on May 3rd 2021. Patient received the 1st dose of the vaccine at a different location on April 12th, 2021. Therefore, the vaccine was administered early. Patient reported no adverse effects verbally over telephone.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Pruritus, Skin burning sensation, Urticaria
Clinical narrative: Janssen COVID-19 vaccine EUA:  Hives with associated itching and burning, hypertension  Treated with IM Solu-Medrol and Benadryl, sent home on Prednisone taper
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None, Patient desires #2 vaccine in May
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pain in extremity, Tenderness
Clinical narrative: Arm pain 3 weeks post vaccine. Initial arm pain faded after 4 days. New pain started after 19 days. Hurts to lift or put pressure on the left arm at all. Getting worse by the day. Pain is directly at vaccination site and slightly below.  Was told by doctor to come back in if I develop a fever and take ibuprofen in the meantime.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue
Clinical narrative: Client presented for second dose Moderna. Nurse attempted to inject 0.5 mL dose into clients arm but syringe would not deploy.  Estimates 1/8 of dose given.  With client's permission, they were revaccinated with full 0.5 mL dose without incident.  Syringe used was Magellan Blue from CDC supplies kits
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pruritus, Injection site rash, Pain in jaw
Clinical narrative: Patient received the 1st COVID vaccine (Pfizer, Lot #: EW0161 and expiration date: 08/2021) on 04/13/2021 at 10:57 AM. Client presented to the vaccine site today, 05/04/2021, for her second dose appointment. As the vaccinator conducted a health screening, some medical concerns came up. As a result, nurse was called over to consult. Client expressed that while she was waiting in the observation area after her first dose, she developed lower jaw discomfort within 15 minutes of receiving the vaccine and it lasted for a total of 30 minutes. Client reported that the discomfort was rated as a 3 out of 10 on a pain scale and since it resolved, it has not come back. Client also reported that the following day, she developed a rash around the injection site. The rash lasted about a week and the client described it as being itchy and that it would exacerbate about 2- 3 times a day. The rash has since resolved, but there is still a slight, bruise- like area at the injection site. Client denied any past medical history and denied any current medical diagnoses. Client is not currently taking any medications and has anaphylactic reactions to Penicillin, IV contrast, Prednisone, and anesthesia. The client reports having a primary care provider, but stated that she did not consult with the provider regarding the symptoms experienced after receiving the first dose. Nurse requested a medical consult and the medical doctors recommended that a set of vital signs be taken. If the vital signs came back within normal ranges, we could proceed. The client would receive the second dose and then wait in the observation area for 30 minutes. Vital signs were taken by medic, at 1224, while the client was sitting: blood pressure: 128/80, heart rate: 76, respiratory rate: 14, and skin was warm, dry, intact, and normal. Vital signs were stable, so patient received the 2nd COVID vaccine (Pfizer, Lot #: EW0167 and expiration date: 08/2021) on 05/04/2021 at 12:21 PM. Client was educated to follow up with her primary care if the lower jaw discomfort and rash developed after the second dose. Client then checked in with the EMT and was educated on the use of V- safe. Client sat in the observation area and waited a total of 30 minutes. Client then left the vaccine site with a steady gate.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Pallor
Clinical narrative: Reported being dizzy, light headed was pale.  Assisted to room with cot, client was weak.  Layed down on cot given a sprite.  b/p 100/58 pulse 72 respirations 16 PSO2 98% Quickly bounced back up, denied any further symptoms.  Up and "feeling fine".   Prior to release b/p 116/62  Informed to seek medical attention for further problems.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Nausea, Pyrexia, Syncope
Clinical narrative: Fainted 10 minutes after receiving shot. Next day, (starting 12 hours after vaccine) severe muscle aches, nausea, fatigue, slight fever, all for approximately 12 hours. Felt slightly fatigued the next day but back to normal after that.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Bradycardia, Cardio-respiratory arrest, Chest pain, Dyspnoea
Clinical narrative: Patient reported to ER on 4/23/21 with complaint of chest pain.  Symptoms started that morning.  Felt fine the evening before.  No fevers, chills or productive cough.  He also had associated shortness of breath.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Endotracheal intubation, General physical health deterioration, Hypotension, Laboratory test
Clinical narrative: Patient reported to ER on 4/23/21 with complaint of chest pain.  Symptoms started that morning.  Felt fine the evening before.  No fevers, chills or productive cough.  He also had associated shortness of breath.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Feeling hot, Throat irritation, Wheezing
Clinical narrative: Patient had scratchy throat prior to vaccine administration.  31 minutes after vaccine, patient c/o feeling hot all over, difficulty breathing, increasing scratchy throat, coughing.  Had expiratory wheezing with cough only.  O2 sat 100%, HR 108, BP 123/83, RR 20-28.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: I started waking up about 6 am and had some chills.  I got up at 9:20 am and was extremely tired.  I had body aches, chills and extremely tired till about 9 pm.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Paraesthesia oral, Rash, Urticaria
Clinical narrative: Patient describes having a tingling in their tongue upon receipt of the vaccine that went away. Then approximately 45min to an hour later started to experience an itchy rash at/around the injection site that progressed to a rash and hives that spread to her trunk and back. She was able to manage this with Benadryl and was fine the next day.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity, Rhinorrhoea
Clinical narrative: PAIN ON LEFT UPPER ARM DAYS 3-7 AND KNEE PAIN FROM DAY 2 TO 10 FELT HORRIBLE IN BOTH KNEES LEFT KNEE IS STILL BAD AND CALF ARA FEELS BAD AT TIMES. DAY 2 TO 5 RUNNY NOSE
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypoaesthesia oral, Lip swelling, Pruritus, Pyrexia
Clinical narrative: Received 1st dose on 3-1-21.  Developed rash on entire neck (welped, red, itchy, feverish) on 3-18-21.    Received 2nd dose on 3-29-21.  Developed swollen right eyelid on 4-23-21.  Developed rash on both hands and arms (same characteristics as first rash) on 4-24-21.  Developed rash on inner thigh (same) on 4-25-21.  Developed swollen and numb lip (upper right side) on 4-30-21.  Developed rash on abdomen (same) on 5-2-21.  Developed swollen and numb lip (upper left side) on 5-4-21.  All symptoms resolved with antihistamines.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling of eyelid
Clinical narrative: Received 1st dose on 3-1-21.  Developed rash on entire neck (welped, red, itchy, feverish) on 3-18-21.    Received 2nd dose on 3-29-21.  Developed swollen right eyelid on 4-23-21.  Developed rash on both hands and arms (same characteristics as first rash) on 4-24-21.  Developed rash on inner thigh (same) on 4-25-21.  Developed swollen and numb lip (upper right side) on 4-30-21.  Developed rash on abdomen (same) on 5-2-21.  Developed swollen and numb lip (upper left side) on 5-4-21.  All symptoms resolved with antihistamines.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Hypoaesthesia, Joint swelling, Lymphadenopathy
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: nine and eleven days after vaccination during clinic visit patient reports left axillary swelling radiating down left arm. Subsequently developed numbness and tingling to left hand/fingers seven days after vaccination.  Arthralgias, joint swelling, mylagias, and weakness also noted. After first visit patient prescribed methylprednisolone. Two days later patient returned to clinic with improvement in swelling but reports tremors and three new bumps on arm, palpitations, and weakness/numbness of 4th and 5th digits on left hand proximally. Patient referred to neurology and physical therapy with diagnosis of ulnar neuropathy.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neuropathy peripheral, Oedema peripheral, Palpitations, Paraesthesia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: nine and eleven days after vaccination during clinic visit patient reports left axillary swelling radiating down left arm. Subsequently developed numbness and tingling to left hand/fingers seven days after vaccination.  Arthralgias, joint swelling, mylagias, and weakness also noted. After first visit patient prescribed methylprednisolone. Two days later patient returned to clinic with improvement in swelling but reports tremors and three new bumps on arm, palpitations, and weakness/numbness of 4th and 5th digits on left hand proximally. Patient referred to neurology and physical therapy with diagnosis of ulnar neuropathy.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Thrombosis, Tremor, Ultrasound scan abnormal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: nine and eleven days after vaccination during clinic visit patient reports left axillary swelling radiating down left arm. Subsequently developed numbness and tingling to left hand/fingers seven days after vaccination.  Arthralgias, joint swelling, mylagias, and weakness also noted. After first visit patient prescribed methylprednisolone. Two days later patient returned to clinic with improvement in swelling but reports tremors and three new bumps on arm, palpitations, and weakness/numbness of 4th and 5th digits on left hand proximally. Patient referred to neurology and physical therapy with diagnosis of ulnar neuropathy.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had two ED visits on 3/14/21 and 3/18/21, and two ED to admission visits on 3/21/21 and 3/27/21. These visits are within 6 weeks of receiving COVID vaccination.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose administered fewer than 24 days (Moderna) after the first dose.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Malaise, Suffocation feeling, Tremor
Clinical narrative: PT was found to be complaining of not feeling good and feeling anxious. She was shaking and asking to call 911. PT vitals were 176/111 pulse 130, and oxygen 100. She requested to be taken to be taken to the hospital and that she feels like someone is suffocating her. Nurse offered her some drink and she drank 3 bottles of water.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Peripheral swelling, Rash
Clinical narrative: Rash/swelling to arm at injection site and on legs.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Constant loud ringing in ears
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Incoherent, Musculoskeletal stiffness, Paraesthesia
Clinical narrative: He seemed to be stiff (arms out stiff) and was not coherent sitting in the chair. We called out his name and he came to. Acknowledged us. He broke out in a sweat all over is body and said both arms were tingling. We set him in the back room and gave him a old pack and water. We took his blood pressure and heart rate. It was 100/76 and 57 bpm. Waited 10 minutes and it was 107/78 with a heart rate of 56 bpm. He said he was a runner and this was normal for him. Also give him a candy. After about 40 minutes he said he was feeling good and had a ride home.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Hepatic pain
Clinical narrative: got shot first day and felt fine - woke up and had liver pain - abdominal discomfort - low grade head ache - blood pressure fine - blood sugar was normal stoole was normal
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain, Testicular swelling
Clinical narrative: Extreme body aches. Swollen testicles  fatigue
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Atrial fibrillation, Atrial thrombosis, Catheterisation cardiac, Echocardiogram
Clinical narrative: Bilateral pulmonary clots, bilateral lower extremity clots, right heart strain, atrial fibrillation, right atrial clot, heart attack
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial infarction, Myocardial strain, Pulmonary thrombosis, Thrombosis, Ultrasound Doppler
Clinical narrative: Bilateral pulmonary clots, bilateral lower extremity clots, right heart strain, atrial fibrillation, right atrial clot, heart attack
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Anticoagulant therapy, Deep vein thrombosis, Echocardiogram abnormal, Myocardial strain
Clinical narrative: Vaccine 4/21.  Date of symptoms 4/26.  Initially went to an urgent care where they suspected PE and pt was started on anticoagulation without imaging being performed.  Pts symptoms worsened and pt later had CTA which showed Saddle Embolus with Right Heart Strain.  Transferred to hospital for possible tPa-catheter-directed therapy.  ECHO showed Significant RV dilation and moderate RV dysfunction.  b/l l/e venous doppler showed LLE acute DVT and RLE chronic-appearing DVT.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism, Right ventricular dilatation, Right ventricular dysfunction, Ultrasound Doppler abnormal
Clinical narrative: Vaccine 4/21.  Date of symptoms 4/26.  Initially went to an urgent care where they suspected PE and pt was started on anticoagulation without imaging being performed.  Pts symptoms worsened and pt later had CTA which showed Saddle Embolus with Right Heart Strain.  Transferred to hospital for possible tPa-catheter-directed therapy.  ECHO showed Significant RV dilation and moderate RV dysfunction.  b/l l/e venous doppler showed LLE acute DVT and RLE chronic-appearing DVT.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abnormal, Device information output issue, Dyspnoea, Electrocardiogram ambulatory, Intensive care
Clinical narrative: Vaccine 4/21.  Date of symptoms 4/26.  Initially went to an urgent care where they suspected PE and pt was started on anticoagulation without imaging being performed.  Pts symptoms worsened and pt later had CTA which showed Saddle Embolus with Right Heart Strain.  Transferred to hospital for possible tPa-catheter-directed therapy.  ECHO showed Significant RV dilation and moderate RV dysfunction.  b/l l/e venous doppler showed LLE acute DVT and RLE chronic-appearing DVT.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Presyncope, Pulmonary artery thrombosis, Pulmonary thrombosis
Clinical narrative: Vaccine 4/21.  Date of symptoms 4/26.  Initially went to an urgent care where they suspected PE and pt was started on anticoagulation without imaging being performed.  Pts symptoms worsened and pt later had CTA which showed Saddle Embolus with Right Heart Strain.  Transferred to hospital for possible tPa-catheter-directed therapy.  ECHO showed Significant RV dilation and moderate RV dysfunction.  b/l l/e venous doppler showed LLE acute DVT and RLE chronic-appearing DVT.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Capillaritis, Chest discomfort, Contusion, Dizziness
Clinical narrative: Approximately 1.5 weeks from second shot, began experience dizziness and numbness in arms and legs. These spells lasted for a couple of hours but after a few days became more chronic and was matched with fatigue, tightness of chest, headaches, and brain fog.  Impaired ability to complete every day tasks. Began presenting with capilliarities in mid April, along with easy bruising/bleeding and elevated liver enzymes (the enzymes began to stabilize over the following week).  All of these symptoms have persisted (currently May 4th).
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Hepatic enzyme increased, Hypoaesthesia
Clinical narrative: Approximately 1.5 weeks from second shot, began experience dizziness and numbness in arms and legs. These spells lasted for a couple of hours but after a few days became more chronic and was matched with fatigue, tightness of chest, headaches, and brain fog.  Impaired ability to complete every day tasks. Began presenting with capilliarities in mid April, along with easy bruising/bleeding and elevated liver enzymes (the enzymes began to stabilize over the following week).  All of these symptoms have persisted (currently May 4th).
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities
Clinical narrative: Approximately 1.5 weeks from second shot, began experience dizziness and numbness in arms and legs. These spells lasted for a couple of hours but after a few days became more chronic and was matched with fatigue, tightness of chest, headaches, and brain fog.  Impaired ability to complete every day tasks. Began presenting with capilliarities in mid April, along with easy bruising/bleeding and elevated liver enzymes (the enzymes began to stabilize over the following week).  All of these symptoms have persisted (currently May 4th).
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: itchy bumps showing first on joints on hand and moving to joint of elbow where it is much larger
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Contusion, Erythema, Induration, Pain in extremity
Clinical narrative: I had a red, hard, spot on my arm that lasted over two weeks. I also had a bruise that was changing colors.  My arm was painful and the redness was spreading. I was given antibiotics for ten days afterwards. My mother also had a rash at the injection site, and was given same shot as me on same day. The lot number for my shot is 1808609. I have many pictures of the reaction if you want me to upload. Furthermore, the doctor said that my reaction would be aligned with a "moderna" reaction but is NOT typical of a J and J reaction (which is the shot that I had received and obtained a record of receiving from the Pharmacy).  I got an ultrasound and blood test around two weeks after vaccine, no blood clot found.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: I had a red, hard, spot on my arm that lasted over two weeks. I also had a bruise that was changing colors.  My arm was painful and the redness was spreading. I was given antibiotics for ten days afterwards. My mother also had a rash at the injection site, and was given same shot as me on same day. The lot number for my shot is 1808609. I have many pictures of the reaction if you want me to upload. Furthermore, the doctor said that my reaction would be aligned with a "moderna" reaction but is NOT typical of a J and J reaction (which is the shot that I had received and obtained a record of receiving from the Pharmacy).  I got an ultrasound and blood test around two weeks after vaccine, no blood clot found.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Headache, Malaise, Nausea
Clinical narrative: loss of appatite  for4 days, nausea for 4 days, headache for 4 days, general malaise
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: On the evening of the getting vaccine, I had developed a fever and body ache. Symptoms are similar to having the flu. Symptoms got better the following day
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Pregnancy test urine negative, Ultrasound scan vagina, Urine analysis
Clinical narrative: pt says she took a pregnancy test before taking the covid vax that read positive.  she had a sore left arm for about 2 days.  On 4/5/2021 she had some vaginal spotting  but pregnancy test was still showing positive.   On 4/7/2021 she went to her PCP.  They gave her a pregnancy test that was positive.  They expect she was about 4 weeks along.  She was referred to her OB/GYN.  On 4/10/2021 she had vaginal bleeding.  She contacted her PCP and was instructed to go to the ER.  She went to Medical ER.  they did a vaginal US, US on her stomach along w/ urine test.  She was told that all results were negative and there was no longer a fetus.  She was about 5 weeks along at this point.  She has never been pregnant before but hormone levels are great before this incident.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: pt says she took a pregnancy test before taking the covid vax that read positive.  she had a sore left arm for about 2 days.  On 4/5/2021 she had some vaginal spotting  but pregnancy test was still showing positive.   On 4/7/2021 she went to her PCP.  They gave her a pregnancy test that was positive.  They expect she was about 4 weeks along.  She was referred to her OB/GYN.  On 4/10/2021 she had vaginal bleeding.  She contacted her PCP and was instructed to go to the ER.  She went to Medical ER.  they did a vaginal US, US on her stomach along w/ urine test.  She was told that all results were negative and there was no longer a fetus.  She was about 5 weeks along at this point.  She has never been pregnant before but hormone levels are great before this incident.
Age: 100.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriosclerosis, Arteriosclerosis coronary artery, Autopsy, Condition aggravated, Death
Clinical narrative: Received first dose of Pfizer vaccine  in left deltoid on 4/8/21 at 7:30 am.  At 10:00 am, she called her niece and complained of extreme fatigue.  At 12:00 pm, she complained of worsening fatigue and blurry vision.  At 3:40 pm, she complained of loss of appetite but denied fever and chills.  The niece was unable to reach her by phone after 4 pm, so she came over to the decedent?s residence at 6:15 pm to check on her.  The niece found her lying face up in bed ?gasping for air.?  She then became unresponsive and EMS was called.  The decedent was pronounced at 8:11 pm after unsuccessful resuscitative efforts.  Autopsy showed hypertensive and atherosclerotic cardiovascular disease with marked partially calcific coronary atherosclerosis; marked pulmonary edema; and pleural effusions.  The brain was saved for neuropathology given the history of blurry vision.
Age: 100.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Fatigue, Hypertension, Pleural effusion
Clinical narrative: Received first dose of Pfizer vaccine  in left deltoid on 4/8/21 at 7:30 am.  At 10:00 am, she called her niece and complained of extreme fatigue.  At 12:00 pm, she complained of worsening fatigue and blurry vision.  At 3:40 pm, she complained of loss of appetite but denied fever and chills.  The niece was unable to reach her by phone after 4 pm, so she came over to the decedent?s residence at 6:15 pm to check on her.  The niece found her lying face up in bed ?gasping for air.?  She then became unresponsive and EMS was called.  The decedent was pronounced at 8:11 pm after unsuccessful resuscitative efforts.  Autopsy showed hypertensive and atherosclerotic cardiovascular disease with marked partially calcific coronary atherosclerosis; marked pulmonary edema; and pleural effusions.  The brain was saved for neuropathology given the history of blurry vision.
Age: 100.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary oedema, Resuscitation, Unresponsive to stimuli, Vision blurred
Clinical narrative: Received first dose of Pfizer vaccine  in left deltoid on 4/8/21 at 7:30 am.  At 10:00 am, she called her niece and complained of extreme fatigue.  At 12:00 pm, she complained of worsening fatigue and blurry vision.  At 3:40 pm, she complained of loss of appetite but denied fever and chills.  The niece was unable to reach her by phone after 4 pm, so she came over to the decedent?s residence at 6:15 pm to check on her.  The niece found her lying face up in bed ?gasping for air.?  She then became unresponsive and EMS was called.  The decedent was pronounced at 8:11 pm after unsuccessful resuscitative efforts.  Autopsy showed hypertensive and atherosclerotic cardiovascular disease with marked partially calcific coronary atherosclerosis; marked pulmonary edema; and pleural effusions.  The brain was saved for neuropathology given the history of blurry vision.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Dizziness, Hyperhidrosis, Loss of consciousness
Clinical narrative: Arm pain began 3:30pm Chills began ~8:00pm Awoke 12:30am with chills, body aches, tingling in R hand and lips. Temp 101.3, went back to sleep in new position to try to be more comfortable. Awoke 3:30am, stood up to use toilet.  Lost bladder control, stumbled to bathroom (approx ten steps).  Sat to use toilet, removed pajama bottoms.  Began to feel dizzy and braced elbows on knees.  Came back to consciousness leaning back over tank of toilet.  Felt extremely sweaty, had to remove shirt, checked temp - 99.3.  Layed on floor, vomited in garbage can.  Texted family and colleagues for help in hopes someone was awake, but got no response.  Decided not to call 911 because I was alone in the house with my 9yo daughter.  Went back to bed and waited for sun to come up, then called my adult daughter.  Took one dose Tylenol.  Remained in bed until following day. Fever spiked again that night to 102.9.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia, Paraesthesia oral, Pyrexia
Clinical narrative: Arm pain began 3:30pm Chills began ~8:00pm Awoke 12:30am with chills, body aches, tingling in R hand and lips. Temp 101.3, went back to sleep in new position to try to be more comfortable. Awoke 3:30am, stood up to use toilet.  Lost bladder control, stumbled to bathroom (approx ten steps).  Sat to use toilet, removed pajama bottoms.  Began to feel dizzy and braced elbows on knees.  Came back to consciousness leaning back over tank of toilet.  Felt extremely sweaty, had to remove shirt, checked temp - 99.3.  Layed on floor, vomited in garbage can.  Texted family and colleagues for help in hopes someone was awake, but got no response.  Decided not to call 911 because I was alone in the house with my 9yo daughter.  Went back to bed and waited for sun to come up, then called my adult daughter.  Took one dose Tylenol.  Remained in bed until following day. Fever spiked again that night to 102.9.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary incontinence, Vomiting
Clinical narrative: Arm pain began 3:30pm Chills began ~8:00pm Awoke 12:30am with chills, body aches, tingling in R hand and lips. Temp 101.3, went back to sleep in new position to try to be more comfortable. Awoke 3:30am, stood up to use toilet.  Lost bladder control, stumbled to bathroom (approx ten steps).  Sat to use toilet, removed pajama bottoms.  Began to feel dizzy and braced elbows on knees.  Came back to consciousness leaning back over tank of toilet.  Felt extremely sweaty, had to remove shirt, checked temp - 99.3.  Layed on floor, vomited in garbage can.  Texted family and colleagues for help in hopes someone was awake, but got no response.  Decided not to call 911 because I was alone in the house with my 9yo daughter.  Went back to bed and waited for sun to come up, then called my adult daughter.  Took one dose Tylenol.  Remained in bed until following day. Fever spiked again that night to 102.9.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Defaecation urgency, Dizziness, Headache, Nausea, Product preparation issue
Clinical narrative: 0935- Vaccine recipient (VR) received 0.3ml dose of Pfizer vaccine that was reconstituted with the incorrect amount of diluent (0.9mL).  VR was asymptomatic during 30 minute observation.  Immediately contacted program and was provided guidance and information.  1052 - Consulted School Nurse, VR was in nurses office with chief complaint of a headache, dizziness, and nausea.  Left deltoid observed at injection site with no localized reaction found.  Per school nurse: Nurse gave VR ibuprofen.  Relayed information provided by program to VR.  School nurse continued to observe.   1058- Contacted and spoke with VR's parent and relayed and emailed information provided from program (continued in next section) Additional information for Item 18: cont'd- which was the CDC Guidance for vaccine administration errors and deviations.  Parent advised to contact primary care provider with any questions or concerns.  12:30 - Followed up with VR - headache and dizziness unchanged, nausea resolved, c/o "going the other way" bathroom.  School nurses continued to observe.  VR laying flat on bed, dim lights, and on phone.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nausea, Syncope, Vision blurred
Clinical narrative: Dizziness, fainting with loss of consciousness, nausea, blurred vision
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Flushing, Headache, Myalgia
Clinical narrative: Shortly after Moderna vaccine pt started reporting lightheadedness, flushing and feeling hot. Put on gurney for comfort, ice pack applied to forehead, VS taken x3, all WNL. Declined Benadryl at this time but stated she'd take a dose when she got home. Ate a snack from her purse and drank some ice water. Note entered in record including all VS. Monitored x30 minutes in observation area. Within 15-20 minutes stated she was feeling much better. She continued to have hot feeling with headache and myalgias for the next 2-3 days. She took Tylenol 2 days after vaccine.  She had dizziness for much of the first 2 days. no describes episode of vertigo with hot sensation and fatigue.  These come intermittently and last 5-15 minutes. She is now on day 5 since vaccine. She has no rash, no itching or difficulty breathing. She will be getting 2nd vaccine
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was given second dose of MODERNA one week after receiving first dose of MOderna
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives on back and shoulders and back of arms